Practice Management
Urgent message: Rapid growth of the urgent care industry has led to increased competition but little differentiation among urgent care providers, which consumers tend to view as “pretty much the same.” The opportunity for urgent care is thus to foster patient loyalty by creating differentiated brands, which starts by taking a process approach to the patient experience. ALAN A. AYERS, MBA, MAcc Urgent care is maturing into a big business. In 2015, the industry’s nearly …
Read MoreData from the Bureau of Health Professionals show that lack of access to primary care in the United States is driving the heightened demand for urgent care utilization. As of 2013, approximately 60 million individuals in the United States lacked access to primary care, an increase from 56 million in 2007. The lack of access is driven by a number of factors, including inconvenient hours, stringent scheduling requirements, and overcapacity at primary care physician offices. …
Read MoreQ. When is it appropriate to use fracture codes without manipulation? If a patient comes in with pain in a finger after a fall and an evaluation and management is performed, x-rays are taken to confirm a fracture, the finger is splinted, and the patient is referred to an orthopedist, would that treatment constitute billing for fracture care? If not, what must we do to be able to bill these? A. CPT suggests that only …
Read MoreJohn Shufeldt, MD, JD, MBA, FACEP I have been practicing medicine for nearly 30 years. I have received countless letters from law firms for records requests and notifying our group or me of an impending issue. I’m kind of numb to it. Conversely, anytime I get a letter from the medical board, I go into SVT. I am sure it is the same way with the physician assistant and nursing boards. You just start thinking, …
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Urgent message: It is imperative that urgent care centers utilize the various tools at their disposal to recruit the best candidates, while implementing best practices that mitigate the potential for lawsuits. DAMARIS L. MEDINA, ESQ. Urgent care is one of the fastest growing segments of American health care. Historically, many urgent care facilities were considered small businesses because they employed fewer than 15 people, making them exempt from certain hiring discrimination claims under The Federal …
Read MoreData from the Centers for Medicare and Medicaid Services and Aetna show that as the cost of health care treatment continues to rise, urgent care offers a compelling low-cost alternative for delivering care outside the hospital. By transitioning unnecessary emergency department visits to urgent care, $18 billion in savings is projected to be possible. In this issue: Low-Cost Setting as a Driver of Urgent Care Industry Growth
Read MoreQ. What is an acceptable income per patient visit for an urgent care clinic? A. The recent benchmarking survey completed by the Urgent Care Association (UCA) found that the average urgent care center collects $110 per patient. However, the “acceptable” net revenue per patient visit varies widely from center to center and state to state. It fluctuates based on many variables: Existing contracts from payors State (e.g., payors in California and Arizona typically have lower …
Read MoreJohn Shufeldt, MD, JD, MBA, FACEP One of the moderately entertaining aspects of law school was answering hypotheticals (“hypos”) in class. They would go something like this: “Mr. Shufeldt, suppose that an off-duty police officer witnesses what she believes is an aggravated assault. Without identifying herself as a police officer, she disarms the assailant and, while doing so, the gun discharges and the bullet strikes and kills a bystander, who happens to be an emancipated …
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Urgent message: In a volume-driven business like urgent care, marketing should be viewed as an investment with a financial return that can be measured in order to allocate the center’s advertising dollars among the tactics most effective in generating patient revenue. ALAN A. AYERS, MBA, MAcc Practice Velocity Success in the “business” of urgent care boils down to one factor: “feet through the door.” That’s because once a center’s fixed costs are covered, each additional …
Read MoreJohn Shufeldt, MD, JD, MBA, FACEP You are working in an urgent care center when a mother shows up with her 18-year-old daughter, who is “mildly developmentally delayed,” per her mom. The daughter turned 18 yesterday and the mother is concerned that she may have gotten a little “too wild” while celebrating her birthday at a friend’s house and she would like her tested for drugs and STDs. The daughter appears to understand what is …
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