Reimagining Retail Pharmacy as Major Chains Downsize Offerings

Reimagining Retail Pharmacy as Major Chains Downsize Offerings

Urgent Message: As retail pharmacies reinvent themselves, urgent care has an opportunity to grow within the shifting market dynamic. Alan A. Ayers, MBA, MAcc, is President of Urgent Care Consultants and Senior Editor of JUCM: The Journal of Urgent Care Medicine. Citation: Ayers AA. Reimagining Retail Pharmacy as Major Chains Downsize Offerings. J Urgent Care Med. 2025 19(4)43-47. Retail pharmacies are at a crossroads. Once the go-to destination for prescriptions and over-the-counter health/beauty merchandise, major …

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Provider Compensation Increasing Since 2022

Provider Compensation Increasing Since 2022

By comparing 2022 and 2024 hourly compensation data from the Urgent Care Association (UCA) Clinician Compensation Benchmarking Report, data shows that there has been a 15% increase in nurse practitioner (NP) and physician assistant (PA) pay. Meanwhile, there was an average 19% increase in physician (MD and DO) pay.1 In 2024, the median reported hourly base compensation (excluding bonuses and incentives) showed an increase compared to 2022 rates across all clinician types. This rise likely …

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It’s the Most Wonderful Time of the Year!

It’s the Most Wonderful Time of the Year!

I hope you have had a wonderful holiday season and that your centers are full of patients…but also that you and your colleagues have managed to stay healthy! For the Urgent Care Association (UCA), the College of Urgent Care Medicine (CUCM), the Urgent Care College of Physicians (UCCOP), and the Urgent Care Foundation (UCF), Q1 is Urgent Care Convention ramp-up time, leading toward our favorite time of year when we all get to gather and …

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What’s New in Telemedicine for 2025?

What’s New in Telemedicine for 2025?

Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC The American Medical Association (AMA) added a Telemedicine Services category to the Evaluation and Management (E/M) section of the Current Procedural Terminology (CPT) code set. Codes are divided up by the technology used and the patient type (ie, new vs. established). These codes are for synchronous, real-time interactive encounters between the provider and the patient. Codes are leveled by medical decision making (MDM) or time, which is similar …

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Rural Urgent Care Growth Continues, But Challenges Remain

Rural Urgent Care Growth Continues, But Challenges Remain

Urgent Message: Rural urgent care is the industry’s fastest growing segment, influenced by rural primary care shortages, hospital closures and extended ED wait times, but operational staffing and reimbursement complexities must be navigated. Alan A. Ayers, MBA, MAcc Citation: Ayers A. Rural Urgent Care Grows, But Challenges Remain. J Urgent Care Med. 2024; 19(3): 17-21 As access to care in rural areas continues to decline, urgent care (UC) can play a pivotal role in the …

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Laceration Repairs Decline in Urgent Care

Laceration Repairs Decline in Urgent Care

The percentage of urgent care visits involving a laceration procedure increased slightly from 0.75% in 2023 to 0.76% year-to-date in 2024, which is on-par with 2018 levels, according to Experity EMR analysis of more than 93.8 million urgent care visits, as of October 6, 2024. Over the past 15 years, the percentage of patients presenting with a laceration has gradually declined, attributed to a number of factors—chief among them being “case rate” reimbursement. Case rate …

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How ‘Data Reviewed’ Works When Coding E/M

How ‘Data Reviewed’ Works When Coding E/M

Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Three elements determine the level for evaluation and management coding (E/M). “Amount and/or Complexity of Data to be Reviewed and Analyzed” is 1 of them and also the most confusing. Data Reviewed remained a point system after guidelines changed in 2021. As an auditor, I see both undercoding and overcoding in E/M caused by not applying the rules correctly. Let’s start with what tests count toward Data Reviewed. …

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Are We Ready for a Day Without Urgent Care?

Are We Ready for a Day Without Urgent Care?

Rajesh Geria, MD; Patrick O’Malley, MD Every year, our nation’s 14,000 urgent care (UC) clinics care for nearly 206 million patients, equating to 564,383 patients every day across the country.[1] Imagine what would happen if there was no urgent care for just a single day. Now imagine that if that possibility lasted not just a day, but indefinitely. Unfortunately, many communities are at risk for this reality coming to pass. Decreasing reimbursement, clinician burnout, and …

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Reflections

Reflections

Clarity is a good thing, but achieving clarity isn’t always easy. It requires a deep understanding, and reaching that depth takes time and energy. It’s taken us a few years. In 2022, we got clarity around the role of the Urgent Care Association (UCA). For a long time, we tried hard to do anything that anyone in Urgent Care needed, and that led to a lot of good work but also a very unclear identity. …

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Look Ahead For RCM Success

Look Ahead For RCM Success

We are deep into the fourth quarter of 2024, and you are probably preparing for the holidays and wrapping up year-end projects. As we celebrate the end of the year, it is important to also look ahead and lay the groundwork for revenue cycle management success in 2025. Following are some points to consider in your strategic plan for next year. Contract Renegotiations Understanding your payer agreements and your patient population will be instrumental to …

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