Journal of Urgent Care Medicine

E/M Coding Could Be Heading for an Overhaul

The Centers for Medicare and Medicaid Services says providers have been clamoring for an update of the 1995 and 1997 guidelines for evaluation-and-management (E/M) codes—and it may be ready to oblige them. If it goes forward, the plan would take years to implement and focus mainly on revising the history and physical exam portion of a patient encounter. The aim, according to CMS, would be to simplify and better align E/M coding and documentation, presuming …

CMS May Cut Payments for Off-Campus Hospital Visits by Half

Hospital-owned urgent care centers—many of which became “hospital-owned” thanks to a relatively generous 50% reimbursement rate for off-campus patient visits—may be taking a substantial hit if the Centers for Medicare and Medicaid Services follows through on a plan to cut that rate by half. Hospital administrators say even though running off-campus clinics increases their operating budgets, they enable health systems to offer more patients access to cost-effective care. On the other hand, the Trump administration …

American Family Care Lands Billion-Dollar Investment Deal

Urgent care operator American Family Care (AFC) has inked an investment deal worth $1 billion with the private equity and real estate firm American Development Partners. The funds will be put to work expanding AFC’s presence around the country, with the expectation that 300 more franchises will open under the AFC banner (currently, there are 170). AFC is quick to note that the company will not change hands, and that it will continue to invest …

Is Retail the Place for Employee Drug Screens and Other Occ Med Testing?

MinuteClinic has made its name by giving customers shots and offering immediate care for low-acuity infections (ie, those for which prescriptions can be dispensed within the store). Now, however, it has announced a plan to partner with Alere eScreen to provide occupational medicine-type services for employers—most notably, including drug screens. The plan is to contract with companies who will send their workers to the CVS-operated clinics for biometric screenings, vaccinations, and Department of Transportation physicals, …

FDA’s Gottlieb Wants More Rigorous Standards for Prescribing Opiates

Food and Drug Administration Commissioner Scott Gottlieb, MD says his agency needs to do more to help stem the opioid-addiction epidemic in the United Sates. For starters, he wants the FDA to impose stricter guidelines for prescribing immediate-release opioid drugs. The first step will be for the agency to expand training for physicians, nurses, and other providers who administer immediate-release opioids. While there is already training available, the FDA says it will now broaden information …

Get Creative in Promoting Your Urgent Care with Seasonal, Targeted Freebies

Think about the last promotional pen you used, or the sticky-pad you wrote on with it. It’s likely you don’t remember where you picked up either of them (even if it was the same place). Now, imagine that you used a tick remover that was given to you to remove a blood-sucking parasite from your child’s arm. You probably know where that one came from. PhysicianOne Urgent Care hit on that very idea when it …

Trustees Extend Medicare ‘Doomsday Scenario’ by a Year

Trustees for the actual Medicare trust fund say it will be insolvent by 2029, a year later than predicted by the Obama administration last year. The year before that, the Congressional Budget Office foresaw the program running dry in 2026. This means the infamous Independent Payment Advisory Board—devised by the designers of the Affordable Care Act (ACA, or “Obamacare”) to put the brakes on Medicare spending if costs grew faster than a predetermined rate—will not …

Feds Charge Hundreds—Including Doctors and Nurses—with $1.3 Billion in Healthcare Fraud

The U.S. departments of Health and Human Services (HHS) and Justice (DOJ) have announced charges against 412 defendants in the largest healthcare fraud action yet by the Medicare Fraud Strike Force. Among those charged are 115 doctors, nurses, and other licensed medical professionals. More than 120 of the defendants are charged with taking part in prescribing and distributing opioids, as well as other narcotics. All told, the alleged fraud schemes amount to $1.3 billion in …

Drug-Resistance Growing in STDs

Rising rates of antibiotic resistance in general have been discussed extensively. What has not been addressed as specifically is the growing number of cases of antibiotic-resistant gonorrhea and other sexually transmitted diseases. Data that show condom use is declining makes this trend even more alarming, the World Health Organization warns. Neisseria gonorrhoeae, the bacteria that causes the STD, in particular, has become prone to developing resistance to the drugs used to treat it, according to …

Seasonal Workers Need Urgent Care, Too

The dog days of summer are all the more brutal for the seasonal workers lugging tourists’ bags, sitting in the sun at the top of the water slide, and keeping the greens green on the golf course. Many of them may even be away from home and staying in employee housing. Where will they turn when they need immediate care? Your urgent care center would be a great place to start—provided you’ve laid the groundwork …