Journal of Urgent Care Medicine

New Bouncebacks! Medical and Legal Edition Informs Patient Safety, Reduces Risk

The new Bouncebacks! Medical and Legal 13th Anniversary Edition book, created by JUCM Senior Clinical Editor Michael B. Weinstock, MD, has the potential to change practice by improving patient safety while also decreasing legal risk to the clinician. Bouncebacks! offers actual chart documentation for challenging cases, chapters on legal issues (including “How to Spot the Well-Appearing Patient Who Will Soon Be Dead,” and “Litigation Stress: A Personal Story”), specific documentation recommendations, and deposition and trial …

Physician Fined for Lax Supervision of NP

A California nurse practitioner (NP) with a doctorate degree was fined $20,000 in 2022 for illegally presenting herself as a physician and referring to herself as “doctor” when interacting with patients. The NP, Sarah Erny, was supervised by Anika Moore, MD, who has now been fined $25,000 for unlawful supervision of Erny’s conduct, according to Medscape. An investigation found that Moore—who lived in Massachusetts—never reviewed any medical records for Erny’s patients, and Erny ultimately opened …

Urgent Care Center Figures in Shooting Investigation—But How Much Can They Say?

An unknown man and woman delivered a second man with two gunshot wounds to an urgent care center in Kitsap County, WA last Friday—and then sped away, leaving law enforcement to wonder if they were simply good Samaritans, witnesses, or somehow involved in the shooting. The victim was treated in the urgent care center and then taken to a nearby hospital with non–life-threatening injuries. It remains to be seen how involved the urgent care center’s …

Deal Gone Bad Forces Florida Urgent Care Center to Liquidate

An urgent care center in Florida is being forced to shut down, not because it couldn’t draw enough patients or provided bad care, but because of a highly charged disagreement over the nature of its start-up funds. Here’s what everyone agrees on: A Florida woman provided substantial funds to help a new urgent care center get going 2 years ago. After that, it gets harder to separate fact from fiction in the case of a …

Ensure Patient Safety—and Minimize Liability Risk—in Every Encounter

A situation brewing in Nebraska should serve as a cautionary tale for ensuring patients are safe at all times—and minimizing liability risk for all urgent care operators. A physician in Lincoln, NE has been accused of carrying out unnecessary, invasive physical exams of a female recruit to the Nebraska State Patrol. A state senator there plans to submit a formal complaint to state regulators and medical associations against the provider, after a female trooper filed …

When to Fight a Claim for Unemployment

Urgent message: While unemployment insurance claims can cost an urgent care center through higher future premiums, there are multiple considerations for when a center should contest or approve an unemployment claim. Urgent care centers, as service businesses, frequently experience a high rate of turnover among their less skilled, frontline staff—eg, receptionists, clerks, and medical assistants. Whether an employee quits or is terminated for cause or performance, a common issue for urgent care center owners is …

The Pros and Cons of Acquiring Accounts Receivables in Urgent Care Transactions

URGENT MESSAGE: Unlike most retail and service businesses in which customer transactions result in immediate cash in the register, the nature of insurance and government billing in urgent care creates accounts receivable, which can be a complicating factor when buying or selling an urgent care practice. Alan A. Ayers, MBA, MAcc is Practice Management Editor of JUCM—The Journal of Urgent Care Medicine, a member of the Board of Directors of the Urgent Care Association of …