Journal of Urgent Care Medicine

Thirty-Three Billion Reasons Patients Should Be Heading to Urgent Care Instead of the ED

Urgent care has flourished because of its defining attribute of providing high-quality, walk-in care more efficiently and less expensively than the emergency room offers. Yet, we continue to read articles in the mainstream media saying that so many people still flock to the ED with relatively minor complaints that during high-volume periods (like flu season), hospital and local health officials practically beg them to go to an urgent care center instead. The question of why …

Pros and Cons of Urgent Care vs Primary Care Billing for Urgent Care Services

Urgent message: While it makes business sense for the minority of urgent care facilities that do contract with and bill insurance as a primary care practice, the majority contract and bill as urgent care, given higher reimbursement and the numerous other benefits this provides an urgent care operation. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine. In …

Staying in Good Stead with OSHA Starts with Maintaining Proper Records

Urgent message: Urgent care operators have a multitiered relationship with the Occupational Health and Safety Administration: as an employer required to provide a safe workplace for employees; in the context of helping occupational medicine clients maintain compliance with relevant OSHA regulations; and in maintaining through and accurate records of occ med employee cases. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Senior Practice Management Editor of The Journal …

When Your Workers Comp Patient Is Reluctant to Return to Work

Urgent message: One of the occupational medicine provider’s most difficult challenges is when a patient with a work-related injury or illness is judged ready to return to full duty, but the patient resists going back to work. Max Lebow, MD, MPH, FACEP, FACPM INTRODUCTION This article will address the problem of difficult-to-discharge patients who resist returning to full duty when their work-related injury/illness has resolved. We will discuss the process of early identification of work-reluctant …

Taking Pictures, Dog Paddling, and Apple Picking: A Metaphorical Approach to Healthy Revenue Cycle Management Metrics

You have seen all the articles about benchmarking and standard revenue cycle management metrics. The repetition of these basic articles is nauseating. This is not one of those articles. To illustrate that, let’s start by asking, what do photography, dog paddling, and apple picking have to do with your urgent care billing? Photography Standard RCM metrics are like the settings on your digital camera. Most people set the camera to Program mode (or “P” for …

Strategic Real Estate Tactics in Urgent Care Site Selection

Alan A. Ayers, MBA, is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent message: When competing in crowded, heavily saturated urgent care markets, employing strategic real estate tactics in site selection can give your urgent care center an edge over the competition. Urgent care is a retail business, so site selection is critical in getting patients through the door. Most owner-operators understand the …

Not Like Old Times

The first time I wrote this column was for the inaugural issue of JUCM in October 2006. Today I could reflect on how much has changed around us, yet how much has stayed the same, but you know…no one really cares about what’s happened since 2006. What we really care about is today, and tomorrow. What’s happening right NOW, and what’s going to happen NEXT. And that’s the inspiration for the 2020 Convention. Yep, I’m …

Ringing in 2020 with CPT Changes

It’s that time of year again. The American Medical Association has implemented the 2020 Current Procedural Terminology (CPT) code set. This year we have 394 changes: 248 additions, 71 deletions, and 75 revisions. All changes took effect on January 1. While the impact to urgent care is minor, several items bear highlighting Health Behavior Assessment and Intervention The codes in the Health Behavior Assessment and Intervention section are used to report services provided to improve …

Smoothing Ebb-and-Flow for Greater Staff Efficiency and Shorter Wait Times in Urgent Care

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent message: Integration of healthcare delivery with mobile technology is leading more urgent care operators to embrace digital queuing systems that, given their ability to positively impact patient wait times, offer the promise of elevating the patient experience—and a distinct competitive advantage. In a perfect world, every patient who showed …

What Urgent Care Operators Need to Know About OSHA

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent message: Though the topic of OSHA doesn’t often come up in the context of urgent care facilities themselves, operators are nevertheless required to have a thorough understanding of its standards and guidelines towards ensuring their facilities are in compliance, and that the health and safety of employees, patients, and …