Journal of Urgent Care Medicine

Insurers Automatically Reduce Pay For Some E/M Codes

Several large health insurers are drawing provider backlash for relatively new payment policies that reduce certain reimbursements. Cigna is automatically downcoding 6 evaluation and management (E/M) billing codes (99204- 99205, 99214-99215, 99244-99245) for a small percentage of providers starting this month, for example, resulting in lower payments for some routine office visits. The insurers are leveraging algorithms and claims data to automatically downgrade the codes—often relying on third party vendors to do the adjustments. According …

Acupuncture Helps Older Adults With Low Back Pain

In a randomized clinical trial of 800 adults aged 65 years or older with chronic low back pain, both standard acupuncture and enhanced acupuncture with maintenance sessions significantly improved disability related to back pain compared with usual medical care, as published in JAMA Network Open. At 6 months, the adjusted mean disability score (Roland-Morris Disability Questionnaire) improved by −1.0 for standard acupuncture and −1.5 for enhanced acupuncture vs usual care with benefits sustained at 12 …

New Cream Option Treats Kids’ Atopic Dermatitis

Roflumilast 0.05% cream, a new once-daily, steroid-free treatment that can be used anywhere on the body, was approved by the Food and Drug Administration to treat mild to moderate atopic dermatitis in children 2 to 5 years of age. According to the manufacturer’s press release, roflumilast can be used for any duration of time, which can be a benefit because the topical steroids that have been a standard treatment are not appropriate for long-term use. …

AI Scribes Reduce Workload, Burnout Among Clinicians

In a quality improvement study of 263 ambulatory clinicians across 6 U.S. health systems published in JAMA Network Open, researchers found the use of an ambient AI scribe for 30 days significantly reduced professional burnout and administrative burden. The proportion of clinicians reporting burnout dropped from 51.9% to 38.8% (odds ratio 0.26; 95% confidence interval, 0.13–0.54). Significant improvements were observed in note-related cognitive task load (mean difference 2.64 points on a 10-point scale), focused attention …

Covenant Expands Urgent Care Footprint

In Tennessee, Covenant Health Urgent Care has acquired 3 independently operated Well-Key Urgent Care centers in the state, bringing the Covenant Health portfolio to a total of 6 urgent cares. This month, the 10-hospital nonprofit also opened a new urgent care rooftop as part of its planned expansion. The organization is one of 6 health system partners of Urgent Care Group. Well-Key was founded by 2 physicians in 2010 and offers urgent care services to …

Only Physicians Can Be Called “Doctor” In California

In California, a judge has ruled that nurses, nurse practitioners, and other clinical professionals with doctorate degrees cannot refer to themselves as “doctors.” Only physicians and surgeons can use the word “doctor” or the title “Dr.” before their names. The American Medical Association and other professional organizations have long held that only those with MD or DO credentials should be labeled as “doctors” to avoid confusion or misperception by patients. Who are you? This highly …

Large Majority of Families Use Urgent Care at Least Once a Year

A recent survey by WellNow Urgent Care across 5 states shows 90% of all adults are likely to consider going to an urgent care for minor medical emergencies or illnesses—highlighting urgent care’s convenience, after-hours care, and affordability. The survey also shows nearly two-thirds of mothers say cost is the primary factor influencing whether they seek care. Three-quarters of surveyed moms report using vacation days from work to attend medical appointments, and 57% say they have …

COVID-19 Antiviral Prescribing In Urgent Care By Patient Ethnicity

Urgent Message: This study confirms variable prescription rates among different ethnicities in Aotearoa, New Zealand, for COVID-19 antiviral medication despite efforts to reduce health inequities. M. Adrianne Pimentel, MBChB, MHlthLd, FRNZCUC Key Words: Antiviral Prescribing, COVID-19, Comorbidity Abstract Introduction: In Aotearoa, New Zealand, COVID-19 disproportionately increased mortality and morbidity outcomes in Māori and Pacific patients. In an effort to counteract these health inequities, the government aimed to increase access to COVID-19 antiviral medication for Māori …

24-Year-Old Male Hand Pain After a Golf Game

A 24-year-old male patient presents to urgent care with right wrist pain that started while playing golf 2 days ago. The patient recalls swinging the club and hitting the ground rather than the ball, felt a sharp pain in his hand which has been constant since the incident. He has not tried any treatments at home. The provider notes increased pain when the patient flexes his hand, along with a weakened grip compared to the …

Urgent Care Clinician Procedural Benchmarking Survey Results

Patrick O’Malley, MD; Albert Botchway, PhD; Laurel Stoimenoff, PT (ret.); and Lindsey E. Fish, MD, on behalf of the College of Urgent Care Medicine Over the past 15 years, there have been significant changes in urgent care (UC) medicine. First and foremost, this is a rapidly expanding field of medicine as urgent care centers now provide more than 200 million visits a year performed in more than 14,000 locations. Additionally, urgent care centers have transitioned …

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