Journal of Urgent Care Medicine

The Best Time to Plant a Tree

Click Here to download the PDF of The Best Time to Plant a Tree. Urgent Care is definitely ready to start Driving Change again. The pandemic taught us how to be in crisis-response mode all day every day, to roll with wave after wave after wave of external changes, to constantly pivot and adapt, to maintain a furious pace because our communities needed us to. It also diminished opportunities to improve other skills—longer-term thinking, broader-scope …

End of the Public Health Emergency: What’s Next?

Click Here to the download PDF. With expiration of the national Public Health Emergency (PHE) as of May 11, the revenue cycle management (RCM) industry has to adjust to the “new normal.” Some emergency declarations were tied to the end of the PHE and others are not. While not a comprehensive list, I’ve outlined some of the most urgent care-relevant changes below. Payers Coverage for COVID-19 Testing, Treatments, and Vaccines During the PHE, federally regulated …

The X-Waiver Is No More: What This Means for Urgent Care

Click Here to download the PDF. Urgent message: In December 2022, Congress passed the Mainstreaming Addiction Treatment Act (W-Waiver), which would remove federal patient caps and allow any healthcare provider with a standard DEA controlled-medication license to prescribe buprenorphine. Alan A. Ayers, MBA, MAcc is Senior Editor of The Journal of Urgent Care Medicine and President of Experity Consulting. For over a decade, the question of whether or not to prescribe buprenorphine/naloxone (Suboxone) products in urgent …

Are Urgent Care Providers Liable if They Don’t Test Patients for COVID?

Click Here to download the PDF. Urgent message: As the severity of newer strains of SARS-CoV-2 has decreased, many patients and providers have become less vigilant about COVID-19. Yet COVID-19 remains among the top 10 causes of death in the U.S. Failure to diagnose and, if eligible, treat patients with COVID-19 may result in significant harm. Professional liability is less likely, however, given the current governmental protections in place. Alan A. Ayers, MBA, MAcc is …

The 10-Year Trend on UC Claim Lines Is Strong—in the City and in the Country

Click Here to download the PDF. Believe it or not, just a decade ago urgent care accounted for barely 6% of all claim lines in the United States. There was little difference between rural and urban settings, too. New research from FAIR Health1 shows that the picture changed dramatically in 2015, though, as the percentage of claim lines attributed to urgent care jumped nearly 5% in a single year and rural claims started to outpace …

Tightening the Belt: Rethinking Costs and Efficiency in Urgent Care

Urgent message: Urgent care operators must be mindful of costs and labor efficiency to navigate the challenges of rising and falling revenue in what’s been a highly seasonal business. Alan A. Ayers, MBA, MAcc, is President of Experity Consulting and is Senior Editor of The Journal of Urgent Care Medicine. For much of 2020 and 2021, the COVID-19 pandemic drove both uncertainty and higher volumes (and thus profits) to urgent care centers. With the 2022-2023 …

There’s Something Rotten in Urgent Care Reimbursements

Eric Ellis, MD Something is amiss in how smaller urgent care operators are reimbursed these days. This, likely, is not news to you and I’m sure my situation is not unique, but in the process of having opened a group of urgent care centers around Sacramento, CA over the past few years, I’ve been shocked about just how bad things are. When we opened our first center, I used a management company to help with …

Identifying (and Resolving) Common Billing Pitfalls

Denials and rejections are inevitable in medical billing and can have drastic repercussions on the overall profit of an urgent care practice. Studies show almost 30% of medical bills are prone to errors. Avoid these common mistakes to improve the return on your investment. Eligibility Errors Avoidable eligibility errors are the biggest issue in urgent care billing. Over one-third of total visits with a rejection or denial are due to a lack of proper registration …

Despite Challenges, Urgent Care Acuity Remains High

There’s been a bit of discussion in the urgent care industry (including in JUCM articles of late) concerning a perceived degradation of acuity in urgent care practice. The worry is that in the service of getting a maximum number of patients in and out the door quickly, some patients with more than minimally complicated complaints are advised to visit the closest emergency room when they could just as safely (and more cost-effectively) be treated in …

Are You Chasing Profitable Growth, or Just Growth?

Heather Real With today’s urgent care operators challenged with increasing expenses and stagnant reimbursements, many thoughtful entrepreneurs turn to ancillary services to drive more revenue into their business. These offerings are numerous and varying in nature. When determining if and what to add to an urgent care business, you’ll need to ask some crucial questions: As the competition for patient loyalty heats up, many operators are looking for ways to stand out. Some ways of …