Proper Billing Operations Are the Best Defense Against Fraud Charges

Proper Billing Operations Are the Best Defense Against Fraud Charges

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 …

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‘House Call App’ Not Apt to Disrupt Urgent Care

‘House Call App’ Not Apt to Disrupt Urgent Care

While a big hit in France, an app designed to facilitate home visits by a clinician is unlikely to gain traction in the U.S. marketplace. It’s the latest incarnation of trying to provide Uber-like services in healthcare. This model is derived from SOS Médecins, which founder Gaspard de Dreuzy brought across the Atlantic in 2013. He and Uber founder Oscar Salazar dubbed their brainchild Pager, an Uber for home healthcare. Available on the App Store, …

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Plan Ahead for Cost When Upgrading Systems

Plan Ahead for Cost When Upgrading Systems

Progress—especially where technology is concerned—by definition should move your business forward; otherwise it would be called regress. One health system in Ohio is learning the hard way that failing to recognize the cost of moving to a new EHR system can put a serious dent in your annual earnings report. In fact, ProMedica says its $1.9 million first-half loss was “primarily driven by significant expenses due to the implementation of the Epic electronic health record …

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CDC: Sexual Transmission of Zika Possible Even Without Symptoms

CDC: Sexual Transmission of Zika Possible Even Without Symptoms

The Centers for Disease Control and Prevention (CDC) has again updated guidance related to protecting the public from Zika virus, saying there’s evidence that a man infected with Zika can sexually transmit the virus to a female partner even if he has no symptoms. It cites the case of a woman who had unprotected sex with a man who’d recently returned from a trip to the Dominican Republic, where mosquito-born Zika has been confirmed. The …

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Bringing Out the Vote Can Help Bring in the Patients

Bringing Out the Vote Can Help Bring in the Patients

Many local newspapers, magazines and radio stations hand out “people’s choice awards,” in which individuals in the community nominate and vote for their favorite businesses in various categories. The Rockford (Illinois) Register-Star holds an annual Best of the Rock River Valley promotion, for example, in which readers vote for their favorite hospital, chiropractor, dentist, family practice, and emergency room, among other categories. Supporters of businesses like the Dogwood Pet Resort are encouraged to spread the word …

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More Hospitals Are Buying Physician Practices

More Hospitals Are Buying Physician Practices

Hospital ownership of physician practices—including urgent care centers—has jumped a whopping 86% in just 4 years, according to new data from the Physicians Advocacy Institute. That means one out of every four practices is now owned by a hospital, overall. For hospitals, owning practices not physically connected to their facility allows them to keep patients “in the family” even when they’re not on campus, which also allows them to keep fees in-house as well of …

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Urgent Care Businesses Are Hot Commodities

Urgent Care Businesses Are Hot Commodities

The fourth quarter of 2016 looks to be an especially busy one for healthcare acquisitions—with urgent care concerns being particularly hot report, according to a from Bloomberg’s Bureau of National Affairs (BNA). There are a large number of deals being hammered out currently, and both buyers and sellers are eager to close them before they close the annual books. Long-term care, health information technology, and physician practice all figure to lead the charge, with urgent …

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Panel Sees Need for More Workplace Health Professionals—Including Non Physicians

Panel Sees Need for More Workplace Health Professionals—Including Non Physicians

Urgent care providers who offer occupational medicine services may be able to lower their payrolls while increasing revenue though new business, if a new report from the National Advisory Committee on Occupational Safety and Health is any indication. The panel convened to examine what steps federal workplace safety agencies can take to encourage more students (or even people looking for a career change) to go into workplace health and safety. It concluded that more employers …

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When Urgent Care Grows, Patients Benefit

When Urgent Care Grows, Patients Benefit

More and more communities—big and small, urban and suburban—are seeing their choices for immediate medical care multiply at a rapid pace, thanks largely to the continued growth of urgent care centers. While that level of competition helps ensure that all the players in the market bring their A game to every encounter, the sheer number of options bolsters one of the key benefits that brings patients to urgent care in the first place: when there …

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Urgent Care’s Voice is Heard on Medicare Coding Changes

Urgent Care’s Voice is Heard on Medicare Coding Changes

The Urgent Care Association (UCA) has officially filed comments with the Centers for Medicare and Medicaid Services (CMS), supporting a proposal to modify the “24/7” access requirements for providers who plan to bill Medicare for Chronic Care Management (CCM) codes. According to UCA, the new language will allow primary care providers “to more easily meet the CCM billing requirements if they contract with urgent care centers for their patient’s acute care needs, including evenings and …

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