Practice Management
Urgent message: As we see a shift to an overwhelming female workforce in urgent care, it is essential that urgent care operators understand the conditions of, and develop policies to be compliant with, employment laws requiring equal pay among genders. Alan A. Ayers, MBA, MAcc, is President of Experity Networks and is Practice Management Editor of The Journal of Urgent Care Medicine. INTRODUCTION Many urgent care centers already pay the same hourly rate for all …
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If you read Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia—see page 23 of this issue—you know that the proportion of appropriate prescriptions written for an on-label medication (in this case, doxycycline for bacterial pneumonia) may differ among various demographic groups. While the conclusions of that study do not necessarily make a cause-and-effect connection, the data should inspire some analysis as to possible rationale for differences for care of various …
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Urgent message: While market conditions for mergers and acquisitions are currently “hot,” variability in urgent care volume attributable to COVID-19 has led to changes in how deals are evaluated and structured. Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor of the Journal of Urgent Care Medicine Nationally, merger-and-acquisition activity has set a record pace across all industries since the start of the pandemic. Corporations, private equity funds, and buyout …
Read MoreThere’s been a lot of discussion (including in JUCM and JUCM News) as to whether the COVID-19 pandemic would usher in a Golden Age of telehealth, whether within urgent care or in possible competition with urgent care. Now that we’re approaching 2 years in, actual data on the subject are starting to emerge. First, some background: Household Experiences in American During the Delta Variant Outbreak, a survey conducted this year for NPR, the Robert …
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Urgent message: While legal documents may define who in an urgent care is able to legally obligate the company, such as when ordering a service or signing a contract, there are cases where “unauthorized” individuals can still bind the company—meaning the organization must have clear internal policies on signing authority. Alan A. Ayers, MBA, MAcc Let’s say that a physician employed at an urgent care facility is working on a Saturday when a toilet backs …
Read MoreOne of the biggest challenges for urgent care practices is staffing. Midlevels are a great solution. As states pass laws giving midlevels more autonomy to compensate for physician shortages, however, there is some confusion on how to bill for these providers’ services. I will attempt to answer some of your billing questions. Do I need to credential my midlevels? Yes and no. This is dependent on your contract. For some group contracts, any new provider …
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Stephen L. Adams, MBChB, FRNZCUC Like the rest of the world, New Zealand (and more particularly its healthcare system) has been changed, perhaps irrevocably, by COVID-19. Despite a relatively small direct effect on the population (0.06% infected, half of which were identified and isolated at border) with 0.0004% deaths1 (including one physician), the effects on primary care have been substantial. THE BEGINNING New Zealand clinicians were first notified of the Wuhan cluster in January 2020. …
Read MoreIn spite of the fact that urgent care was overlooked as an essential partner in the fight against COVID-19 in the early days of the pandemic, the virus had a major impact on the complaints that drove patients to visit an urgent care center. In fact, according to JUCM research, most of 2019’s top 5 chief complaints fell by at least half as a proportion of all urgent care visits. COVID-19, which was essentially a …
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Every year on October 1, the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics release an updated ICD-10-CM Official Guidelines, as well as changes to the code set. This year there are 159 new codes, 32 deleted codes, and 20 revised codes, with a total of 72,748 codes to choose from. (Visit ICD-10-CM Official Guidelines for Coding and Reporting FY 2022 at https://www.cms.gov/files/document/fy-2022-icd-10-cm-coding-guidelines.pdf to see the entire document.) Three …
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Andrew Grock, MD; Manuel Celedon, MD; and Jonie Hsiao, MD It was with great interest that we read Most Clinicians Are Still Not Comfortable Sending Chest Pain Patients Home with a Very Low Risk of 30-day Major Adverse Cardiac Event (MACE) by Dr. Michael Weinstock, et al in the February 2021 issue of JUCM.1 In this study, the authors surveyed attendants at an emergency medicine conference in 2018 as to their comfort level discharging patients …
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