As an emerging distinct practice environment, urgent care is in the early stages of building a data set specific to its norms and practices. In Developing Data, JUCM will offer results not only from UCA’s annual benchmarking surveys, but also from research conducted elsewhere to present an expansive view of the healthcare marketplace in which urgent care seeks to strengthen its presence. In this issue: What is the relationship between wait times and the comfort …
Read MoreChoosing the Right Fee Schedule— and the Right Resource
DAVID STERN, MD (Practice Velocity) Q.My office has started to provide urgent care. Should these services be reimbursed at a higher price than for our family practice services? Is there a different fee schedule? Question submitted by Nicole Phelps, First Health Medical, Fresno, CA A.Here is the scoop on coding and reimbursement for urgent care: Some payors will pay more for urgent care services over primary care services, but you will almost cer- tainly need …
Read MoreToward a Happier World: The Art of Patient Service
Customer service is a trendy theme in virtually every business these days. However, the gap between “woulda, shoulda, coulda” and reality is invariably significant. Simply put, the concept of customer service is given universal lip service, but it is rarely incorporated into the fabric of an urgent care clinic. An effective patient service program requires five core elements: planning, training, execution, evaluation, and reward/recognition. Planning Your program should have a well-designed plan that addresses train- …
Read MoreToward a Happier World: The Art of Patient Service
JOHN SHUFELDT, MD, JD, MBA, FACEP Customer service is a trendy theme in virtually every business these days. However, the gap between “woulda, shoulda, coulda” and reality is invariably significant. Simply put, the concept of customer service is given universal lip service, but it is rarely incorporated into the fabric of an urgent care clinic. An effective patient service program requires five core elements: planning, training, execution, evaluation, and reward/recognition.
Read MoreBankruptcy: When BK Doesn’t Mean You Can Have It Your Way
JOHN SHUFELDT, MD, JD, MBA, FACEP My favorite movie—other than Wedding Crashers, of course—is It’s a Wonderful Life. I watch it every Christmas. One of the most memorable scenes is where Uncle Billy misplaces the envelope containing the deposits. Once George realizes the gravity of the situation, he confronts Uncle Billy: “Where’s that money, you stupid old fool? Where’s that money? Do you realize what this means? It means bankruptcy and scandal and prison, that’s …
Read MoreDeveloping Data: June, 2008
As an emerging distinct practice environment, urgent care is in the early stages of building a data set specific to its norms and practices. In Developing Data, JUCM will offer results not only from UCA’s annual benchmarking surveys, but also from research conducted elsewhere to present an expansive view of the healthcare marketplace in which urgent care seeks to strengthen its presence. In this issue: What three commonly prescribed medications are believed responsible for one …
Read MoreProper Coding for Skin Tag Removal, Workers Comp Issues, and Off-Hour Visits
DAVID STERN, MD (Practice Velocity) Q.Are you able to bill the following two codes together with a modifier: 17110 (Destruction [e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement], of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions) 17111 (15 or more lesions)? – Question submitted by Julie Briggs A.These are mutually exclusive codes. You can use 17110 if the physician destroys 14 or less benign lesions (usually warts). …
Read MoreBuyer Self-interest as a Factor in Occupational Health Sales
Avoiding something negative rather than buying on appeal appears to be a very real part of buyer decision-making. Indeed, with sufficient probing, most prospects harbor inner fears that can be successfully addressed during the sales process. Buyers of urgent care occupational health services generally have two motivations: helping their company save money and making their own life easier. Most occupational health sales emphasize the former: reduce injury/illness incidence and associated lost work time and save …
Read MoreSend Lawyers, Guns and Money: Asset Protection for Providers and Urgent Care Owners
JOHN SHUFELDT, MD, JD, MBA, FACEP Although I am sure I have been described as an Excitable Boy, God knows I am no Warren Zevon. However, ol’ Warren correctly described the mindset of most providers and business owners when their personal assets are attached to a judgment. This article tackles the complex subject of asset protection. When an acquaintance of mine (an attorney) learned that he was going to be named in a suit alleging …
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Loss Management/Injury Management and Rehabilitation
Urgent message: A loss management/injury management product line will further broaden a practice’s range of services (and revenue sources) while also creating a platform for referral of new patients. Donna Lee Gardner, RN, MS, MBA As discussed previously in JUCM, a clinic that seeks to broaden its clinical services—and, thus, its revenue streams—by offering comprehensive urgent care occupational medicine (UCOM) services will provide access to five distinct, but complementary, product lines: • health surveillance • …
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