Journal of Urgent Care Medicine

Practice Management: Keys to a Financially Healthy Urgent Care Center: Patient and Payor Mix

Urgent message: The right mix of payors and patients might make the difference between profitability and the poorhouse. Apply the basic principles to your situation, and adjust accordingly. By Stacy Calvaruso Many factors contribute to the ultimate success or failure of an urgent care center. Some are beyond your control, but there are others on which you can exert a good deal of influence — with the right approach. Two such factors that have an …

Code Compliantly But Differently, Based on the Payor

DAVID STERN, MD (Practice Velocity) Q.I have been told that I can get credit for a complete review of systems (at least 10 systems) by simply noting positive findings in certain systems and then noting “all other systems negative.” A.This is, indeed, a general CMS “guideline,” but two Medicare carriers have issued contradictory guidelines. TrailBlazer Health Enterprises (Medicare carrier for Delaware, the District of Columbia, Maryland, Virginia, and Texas) and Wisconsin Physicians Services (Medicare carrier …