Practice Management
Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Hard to believe that the new evaluation and management (E/M) guidelines have been in place for urgent care for 4 years. These guidelines created by the American Medical Association (AMA) were a complete shift from what was previously published by the Centers for Medicare & Medicaid Services. Instead of bullet points, levels are determined by the work involved in treating a patient. E/M codes can be leveled by …
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Alan Ayers, MBA, MAcc Urgent Message: Legislation for the licensure of urgent care centers has been enacted or proposed in 4 states for 2025, creating state administrative offices that can further define rules affecting operations. Citation: Ayers AA. State Legislation Could Impact Urgent Care Facilities. J Urgent Care Med. 2025; 19(7):43-45 Several states have recently proposed rules calling for the regulation of urgent care centers. While most of the bills have a long journey ahead …
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As many of you know, early last year we announced my plans to retire as CEO of the Urgent Care Association (UCA). While that’s still happening, I wanted to share why filling the role is taking such a long time. Hiring the CEO is one of the most important responsibilities of your elected Board of Directors, and it’s a responsibility they each take very seriously. They are committed to getting the best leader possible to …
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While patients and payers may expect urgent care to be available 7-days a week, approximately 20% of urgent care centers are closed on Saturdays, and approximately 30% are closed on Sundays, according to a February 2025 analysis of 14,301 centers by National Urgent Care Realty and Urgent Care Consultants. Of the centers open 7 days a week, 24% open and close at the same time every day. Otherwise, centers that are open weekends are likely …
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Urgent Message: Urgent care has long marketed itself as providing immediate care for acutely rising conditions, and true to this reputation, an analysis of clinical and administrative variables in electronic medical records shows the greatest predictor of patient satisfaction is visit duration. Alan A. Ayers, MBA, MAcc Citation: Ayers AA. Shorter Visits Drive Greater Patient Satisfaction in Urgent Care. J Urgent Care Med. 2025; 19(6):37-43 As a retail delivery channel, urgent care depends on future …
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Brad Laymon, PA In the dynamic environment of urgent care (UC) medicine, precise, and thorough documentation serves as a cornerstone for both clinical and operational success. Beyond merely fulfilling regulatory requirements, documentation excellence has 3 critical functions, which I refer to as the “trifecta:” 1. Improved patient outcomes through clear communication of care; 2. Mitigation of malpractice risk through clear and defensible explanation of medical decision making (MDM); and 3. Accurate description of complexity to …
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On February 5, a group of Urgent Care leaders returned to our nation’s capital to continue the work toward federal payment reform. The new administration had just settled in, and there were signs of turnover everywhere you looked: offices under reconstruction; evidence of recent unpacking; reporters everywhere; protestors on a few corners; phones ringing off the hook in every office; circles under more than a few eyes; and emotions both high and low on display. …
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Between May, 20231 and December, 2024, the number of retail-host clinics in the United States fell 21.7% from 1,750 to 1,370, according to data from National UC Realty. Not only did CVS, Walgreens, and Walmart announce significant clinic closures in 2024, there has been little to no growth among the remaining retail clinic operators. The top 5 retail hosts make up 95% of in-store clinics nationally and only 2% of total clinics are in independent …
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Urgent Message: While legal under circumstances outlined by federal and state law, docking employee pay for violating an employer’s policies may be viewed as demoralizing and unethical versus punitive actions like warnings or suspension. Alan A. Ayers, MBA, MAcc Citation: Ayers AA. The Legality of Docking the Pay of Urgent Care Employees. J Urgent Care Med. 2025; 19(5):41-43 Workers frequently make mistakes on the job. Some are mere oversights that are quickly corrected, while others …
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It’s believed that Urgent Care (UC) was born early in the 1980s, likely as the brainchild of Bruce Irwin, MD. He was an emergency room physician who saw “many people were coming to the emergency room with problems that could have been cared for in a less expensive and more convenient manner.”1 He opened a facility to do just that, which became American Family Care, the nation’s largest Urgent Care provider. Dr. Bruce Irwin passed …
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