Make Sure Your Medicare Claims Are Spot-On—or Pay the Price (Literally)

Make Sure Your Medicare Claims Are Spot-On—or Pay the Price (Literally)

An urgent care operator in upstate New York has agreed to pay $110,000 to settle charges that it submitted false claims to Medicare. The U.S. Attorney for the region alleged that between January 2013 and October 2015 the company billed over 99% of its Medicare fees as if services had been provided or supervised directly by a physician, even though at least some of them had been provided by advanced practice providers (ie, nurse practitioners …

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Dental Urgent Care Chain Wants a Bigger Bite of the Big Apple

Dental Urgent Care Chain Wants a Bigger Bite of the Big Apple

Dental365, a chain of dental urgent care clinics affiliated with CityMD in and around New York City, has gone on a holiday shopping spree and plans to open five recently acquired locations early in 2018. Like traditional, physician-based urgent care, Dental365’s model is based on greater convenience on a walk-in basis, with many locations open 7 days a week, often with evening hours. The company says it sees an average of 1,400 new patients monthly …

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Five Star Will More Than Double in Size

Five Star Will More Than Double in Size

Five Star Urgent Care, which currently operates 17 urgent care locations, is opening 18 more in New York and Ohio after already converting an existing primary practice to an urgent care center. The company is ironing out leases for the rest, and expects to complete the growth spurt by late 2018. The company has found the areas in which the new centers will be located to be underserved by healthcare providers in general. The move …

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Surprise Bills Continue to Anger Patients—and One Company’s Name Keeps Turning Up

Surprise Bills Continue to Anger Patients—and One Company’s Name Keeps Turning Up

It isn’t news that patients sometimes receive bills that seem out of proportion to the care they received in an emergency setting (especially a freestanding emergency rooms)—and that the media and state legislatures have taken notice. A new statewide survey in New Mexico reveals that nearly a third of patients say they received large “surprise bills” after seeing clinicians outside their insurer’s network. In addition, data from the Consumer Federation of America and the North …

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Note to Urgent Care Operators: No More Salary History Questions in New York City

Note to Urgent Care Operators: No More Salary History Questions in New York City

It’s official: New York City is now the latest entity to forbid hiring companies of any kind—including urgent care centers—from asking prospective employees how much money they made in previous positions. Though it won’t take effect until October, a bill to that effect was signed into effect just last week. The intent is to help close the gap in average salary between male and female workers. The rationale is that anyone who made less money …

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Duane Reade Shutters New York City Drugstore Clinics

Duane Reade Shutters New York City Drugstore Clinics

Duane Reade may still seem like it really does have a pharmacy on every corner of New York City, but none of those drugstores is going to house a clinic anymore. The company says it will close all its retail pharmacy clinics before New Year’s Day. The New York City Department of Health says the move is not likely to have dramatic impact because “the vast majority of primary care visits occur in non-retail clinic …

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NY Urgent Care Centers Agree to Beef Up Insurance Disclosures

NY Urgent Care Centers Agree to Beef Up Insurance Disclosures

A handful of urgent care centers in New York will have to find ways to make their fee structure and status with various health plans clearer to prospective patients as part of a settlement with the state attorney general’s office. The four operators, all in the New York City metropolitan area, have agreed to do the following: Identify all health plans with which it has contracted to be an in-network, participating provider on its website. If …

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