Practice Management
Payers, politicians, and practitioners don’t often line up on the same side of issues, but in Colorado they’re united in their distaste for a proposed single-payer system that would increase health coverage in the state—at the cost of a $25 billion tax increase that could drive employers out, some fear. Proponents counter that “ColoradoCare” would end up saving more than $6 billion annually by 2019. Under the program, residents would choose among private health insurance …
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Providers are employing evaluation and management (E/M) code 99214 more than ever—and seeing fewer denials and higher reimbursements than in the past, ultimately. That doesn’t mean it’s open season on the higher level code (and associated higher reimbursements), however; documenting medical necessity sufficiently is still critical to ensuring the code is valid compared with the reigning most common code (99213). Operators must ensure coders understand that while a level 3 visit requires one to three …
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Colleges (not to mention nervous moms and dads) probably do everything they can to ensure that students know where the infirmary or student health center is located. While that’s clearly important, hours of operation tend to me somewhat limited. Students, especially those who may away from home for the first time, need to have a back-up plan when injury or illness strikes—and your urgent care center should be part of it. Ensure that it is …
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URGENT MESSAGE: Patient expectations have changed with the evolving healthcare landscape. Urgent care operators need to keep pace in adapting their own approaches in order to collect the highest possible percentage of payments—and to survive. Randy Blue, MEd, CRCR is an Executive Director with HealthiPASS. He has over 25 years of experience in sales and marketing, specifically in the healthcare space. With high-deductible insurance plans on the rise, patients are increasingly expected to pay for …
Read MoreAfter years of lax oversight and insufficient skepticism from physicians, the United States is in an undeniable opioid epidemic, triggering seismic reforms and a regulatory frenzy. The scope of the problem is indeed staggering: Every 18 minutes, someone dies of opioid overdose, and half of those deaths involve prescription pills. Oversupply and ease of access have been identified as the main culprits, and much of the prevention strategy revolves around physician prescribing. New guidelines have …
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Urgent care operators that offer over-the-counter soaps marked as “antibacterial” in restrooms or other public areas should be aware that such products can no longer be marketed in the U.S., thanks to a new ruling by the Food and Drug Administration. Sharp-eyed (and certainly germaphobic) patients and other visitors to your urgent care center may take umbrage with signage or containers making claims that the soaps are antibacterial. The FDA made the decision after a …
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If parents bring in young children complaining of acute back pain, try taking a history that might be just a little more detailed than usual before ordering expensive images or referring. Actually, focusing on one specific question might reveal the answer: Did the onset of pain coincide with the start of the school year? If the answer is “yes,” ask for a detailed list of what goes into the child’s backpack every morning, and how …
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Recent headlines make the problem crystal clear—“For Each Hour of Clinical Time, Docs Spend 2 on Desk Work” from MedPage Today is a good example—but they don’t tell the whole story, at least where urgent care is concerned. The current hubbub stems from a study published in Annals of Internal Medicine that reveals physicians in ambulatory care settings spend almost 2 hours on clerical tasks for every single hour they spend with patients. Even in …
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With preparations already underway for the 2016–2017 flu season, this is an ideal time to look further into the correlation between pneumonia and influenza—especially in urgent care, where respiratory illness is the number-one diagnosis code recorded. Pneumonia is the most common complication of influenza, and leads to significant morbidity and mortality, with the elderly and patients with comorbid conditions being most at risk. Glenn Harnett, MD will lead a discussion of this deadly combination in …
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California residents who have to visit out-of-network medical providers will get much-needed economic protection under a new bill just passed by state legislators. The bipartisan bill, AB72, assures that patients who received care in in-network facilities would have to pay only in-network cost sharing, regardless of whether the provider who treated the patient is in-network or out-of-network. This would not apply to self-insured employer health plans, however, which are shielded from state regulations by the …
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