Practice Management
Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC One of the biggest challenges for an urgent care is billing insurance as a non-participating provider. When opening a new practice or adding a clinic, completed credentialing and contracting is essential and has a direct impact on the overall success for a new business. Opening without effective dates may result in cash flow shortages due to the fact that most health plans will not offer retroactive effective dates. Additionally, …
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“Driving Change” is our overarching convention theme that we build on each year. When you are busy Driving Change in healthcare delivery, there aren’t a lot of breaks. In just the normal day-to-day of Urgent Care, you are anticipating, meeting, and exceeding the needs of your patients. You are doing the same for your occupational medicine employer customers. You are doing the same for your colleagues. You are doing the same for your strategic partners. …
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Alan A. Ayers, MBA, Macc Urgent Message: Urgent care is a consumer-driven phenomenon, and physician entrepreneurs continue to evolve the delivery of urgent care services in response to changing consumer preferences, both inside and beyond the brick-and-mortar facility. Citation: Ayers A. Thinking outside the box to bring urgent care to the patient. J Urgent Care Med. 2024;18(4): 31-33. While unregulated by most states, the term “urgent care” historically has come to mean a base offering …
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In late November, the Centers for Disease Control and Prevention (CDC) noted that the number of healthcare visits related to influenza, COVID-19, and respiratory syncytial virus (RSV) was particularly high among children, causing concern in communities about this “tripledemic” of respiratory illness. According to Experity data, the first week of October ushered in flu season for urgent care, when positivity rates for the three viruses among all urgent care center visits began to rise.1 Since …
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Alan A. Ayers, MBA, MAcc Urgent Message: Whether an urgent care center should be open 365 days per year or close on major or minor holidays depends upon factors that influence profitability such as patient demand, competitive positioning, staff availability, payer reimbursement, and the branding impact of after-hours accessibility. As urgent care operators look to the coming holiday season and begin their strategic planning for the new year, many are faced with the question of …
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Same-day ambulatory healthcare services are the hallmark of urgent care (UC). Because UC clinicians care for a wide range of conditions and injuries, they need to be proficient in a broad scope of immediate intervention services. In its latest white paper, the Urgent Care Association (UCA) noted that more organizations are moving to a staffing model with nurse practitioners (NPs) and physician assistants (PAs) serving as the primary providers on-site, rather than physicians. This model grew …
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A recurring issue for healthcare practitioners is the frequency with which they find themselves contemplating whether a patient encounter should be classified as a level 3 or level 4 office visit. With a staggering 79% of ambulatory patient visits falling within these categories, this query has become exceedingly common among providers. Complicating matters further, the coding guidelines from the American Medical Association (AMA) contain gray areas that can contribute to additional confusion.[1] This article aims …
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I have a story I want to share with you, but I’m finding it hard to do without it reeking of privilege. This is a story about feeling 100% welcomed in one place when you don’t feel that way in many others. This is a rare for me, and perhaps it will feel like a poor example to you. Yet, it is part of my lived experience and brought something home for me that made …
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Ben Barlow, MD, is Chief Medical Officer of Experity As I’ve discussed before, urgent care medicine is ready for its next phase, and exceptional leadership is needed to make urgent care a shining light within a struggling house of medicine. Engaging your team and setting one priority goal is the best approach for solidifying a behavior change that leads to exceptional results. Picking one goal is the easy part. Getting all team members to engage …
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Dear Urgent Care, I remember the day we first met. It was a long-ago Christmas Eve early in the morning, and I had awakened with a terribly sore throat. I was despondent, knowing no one would be willing to take care of me on the holiday, which meant it wouldn’t be a very merry one for me. Then, there you were. In a brick building on a well-traveled highway, your lights were on and your …
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