Practice Management
The Centers for Disease Control and Prevention has again revised its recommendations on how long men who could have been exposed to the Zika virus should wait before trying to conceive, or to have unprotected sex at all. The CDC now says man should wait 6 months—up from 8 weeks—before having sex without a condom even if they have no symptoms. The new guidance is intended to minimize the likelihood of transmitting the virus before …
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The Urgent Care Association (UCA) is partnering with George Washington University’s Antibiotic Resistance Action Center on an initiative to put the brakes on runaway antibiotic resistance. The goal of the 3-year plan is to develop and implement evidence-based practices aimed at preserving the effectiveness of the antibiotics we have available today, namely by promoting responsible use of antibiotics. The fact that urgent care centers see some 160 million patients annually make it the perfect setting …
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Estimates of the number of transgender people in the United States range from just 0.3% to 0.6% of the population. Still, that means up to 1.4 million patients across the country may identify as transgendered. Data show they experience a disproportionate rate of health complications, sometimes due to hesitance to seek care for fear of being discriminated against (or even refused treatment in extreme cases). Given this reluctance to establish primary healthcare relationships, urgent care …
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The case of a Canton, MI urgent care provider charged with 22 counts of medical fraud should serve as a cautionary tale and a reminder that unethical (or even just plain sloppy) billing practices can land operators, office staff, and physicians in hot water—or even jail. The physician in the Michigan case stands accused of billing Medicaid and Blue Cross Blue Shield for services he didn’t provide, resulting in nine counts of Medicaid fraud, 12 …
Read MoreAvailability of basic x-ray capabilities differentiates urgent care centers from walk-in primary-care and retail clinics, which lack such capabilities. According to an analysis of nearly 50,000 patient encounters by Practice Velocity and Teleradiology Specialists, approximately 11% of urgent care visits require an x-ray. The top 10 views, summarized here by Current Procedural Technology (CPT) codes, account for 86% of urgent care x-rays. (Note: The top 10 views include 11 views because of the equal percentage of …
Read MoreQ. How do I talk to my providers about the documentation to support specific International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes when most of them do not really know the codes, but they know the terminology? A. Now that we are 1 year into using ICD-10-CM codes, most expect the Centers for Medicare & Medicaid Services (CMS) to lift the grace period for allowing providers to assign unspecified diagnosis codes. It is …
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Urgent message: Telemedicine can augment walk-in urgent care operations via provider load–balancing across centers in multiunit networks as well as direct-to-consumer platforms that expand a center’s geographic coverage, differentiate a center’s brand from that of competitors, and drive additional revenue. Introduction Given that the most common diagnoses seen in urgent care centers are low-acuity, low-touch conditions affecting the respiratory system, ears, nose, or throat—many of which can be treated via telemedicine— the looming question for …
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Case An 18-year-old man presents to an urgent care center with pain at the distal aspect of the metacarpal bone of the little finger. The pain began 2 hours earlier, after he punched a wall. He has pain with range of motion and a minimal amount of numbness in the finger. He reports that he has no other injuries. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreCase A 29-year-old woman presents to an urgent care center after a fall from the roof of her house, where she was cleaning the gutters. She reports that her right heel began hurting intensely immediately after the fall and that the pain worsened in the time it took for a family member to get her to the center. She cannot bear weight on her right leg. She mentions that she is a runner who often takes part in …
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Urgent message: Using social media platforms helps your community get to know your urgent care center. But be sure that you protect your patients’ privacy when doing so. Introduction Social media has great utility for urgent care centers, providing invaluable opportunities to connect with the local community and offering a host of educational tools for providers and patients. The explosion of myriad social media platforms, however, has created a variety of new channels for exposure …
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