S Codes (S9088 and S9083) in Urgent Care
The urgent care practitioner may not live by coding alone, but proper reimbursement depends on it. To that end, Dr. David Stern, who is in great demand as a speaker and consultant on coding in urgent care, will offer answers to commonly asked questions in every issue of JUCM. In this issue, he delves into the sometimes confusing realm of the S codes. Q.What is an S code? A.S codes are a set of Healthcare …
Read MoreManaging Your Practice, Caring for Your Patients
Urgent message: The challenge of running a successful business can be daunting for any entrepreneur. It’s especially tough when your first priority is maintaining excellence as a clinician. The right approach to financial issues can help your business run smoothly—and profitably—while allowing you to focus on caring for patients. Ask an urgent care physician-owner what the biggest financial obstacle he or she faces is and the answer is likely to be “declining reimbursements.” But what …
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Managing Your Practice, Caring for Your Patients
Urgent message: The challenge of running a successful business can be daunting for any entrepreneur. It’s especially tough when your first priority is maintaining excellence as a clinician. The right approach to financial issues can help your business run smoothly—and profitably—while allowing you to focus on caring for patients. Kevin J. Ralofsky, MBA, Founder of MedCapital and Treasurer of the Urgent Care Association of America Ask an urgent care physician-owner what the biggest financial obstacle …
Read MoreOcc Med Programs Need Business Plans, Too
FRANK H. LEONE, MBA, MPH In all likelihood, you wouldn’t dream of opening a new urgent care clinic without first putting together a business plan. Doesn’t it make sense that key aspects of your overall business would benefit from the same careful planning? Data from the Urgent Care Association of America indicate that over 60% of urgent care companies offer at least some occupational medicine services; nearly 5% of locations offer occ med exclusively. Putting …
Read MoreProtecting Yourself Against Medical Malpractice Claims
JOHN SHUFELDT, MD, JD, MBA, FACEP We live and practice medicine in a litigious society. How, evolve into a patient whose ischemic bowel took two or three visits to correctly diagnose. For now, let’s focus on how urgent care providers can protect themselves when the odds are stacked against them. The first and most obvious answer is to not commit malpractice; more about that in a moment. The next most likely answer is for providers …
Read MoreDeveloping Data: December, 2006
Evaluation and Management: Coding Details
Q.Why is the (E/M) code important in urgent care? A.Because the majority of urgent care revenue is derived from E/M codes (mostly codes 99210-99215), accurate E/M coding is the most important coding variable in urgent care revenue. Inaccurate E/M coding is, also, the number-one reason that urgent care centers run into compliance issues with payors and regulatory agencies. Q.I see that the Centers for Medicare and Medicaid Services (CMS) lists two sets of guidelines, 1995 …
Read MoreInformed Consent and Treating Minors in Urgent Care
STATES HAVE ENACTED STATUTES, and courts have proffered an abundance of case law on the treatment of minors. There have been no reports of physicians being held liable for rendering emergent or urgent care to minors prior to obtaining parental consent. Still, informed consent issues surrounding the care and treatment of minors are often a source of confusion and are, at best, problematic. Essentially, competency to give consent is determined in the same way for …
Read MoreThe Emergence of Retail Clinics
Urgent message: Retail-based healthcare clinics are a growing phenomenon. A report from the California HealthCare Foundation, excerpted here, says public perception is split, and their economic viability remains to be seen. How do their services stack up against those offered by urgent care? The first in-store clinics appeared in 2000 in the Minneapolis-St. Paul (MN) metropolitan area and were operated by QuickMedx, which later became Minute- Clinic. The company’s founder, Rick Krieger, says the business …
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