Practice Management
Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Modifier 25 is used to indicate a significant, separately identifiable evaluation and management (E/M) service was required on the day of a minor surgical procedure. The procedure performed must have a global period of 0 or 10 days. An example of this is a laceration repair. Modifier 25 is overused in the industry and has been under scrutiny from payers for decades. Now private payers are implementing policies …
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Tracey Quail Davidoff, MD, FCUCM I was scanning the tracking board during an urgent care shift the other day and, as usual, my brain was five steps ahead. I read the chief complaints and had already determined the questions I’d ask to guide the history based on the differential diagnoses I’d predicted. This is a regular occurrence in the UC and ED, whether we admit it or not. It’s part of how we move things …
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The makeup of the urgent care industry has changed considerably since its inception in the 1970s. At the time, it was a radical idea to see patients with nonemergent complaints on a walk-in basis. Certainly hospitals wanted no part of it; that’s what they had emergency rooms for. Rather, the UC industry’s founders tended to be in private or small group practices, but unsatisfied with how they were practicing. Over the decades that followed, it …
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Point32Health, parent company of Harvard Pilgrim Healthcare, is just the latest healthcare entity to fall prey to cyberattacks, having acknowledged that it was hit with a ransomware attack that left patient and provider data exposed. As reported by WBZ CBS Boston, some providers have also missed being paid on care they provided to Harvard Pilgrim plan members. One such psychologist was quoted in the WBZ story as likening the cyber world to “the Wild West” …
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Click Here to download the article PDF Urgent message: Food, drug, and mass retailers continue to explore the healthcare space and seek profitable ways to leverage their massive footprints. As they shift their strategies in favor of primary care, especially for Medicare populations, they are relinquishing control of the transactional health market to urgent care. Alan A. Ayers, MBA, MAcc is President of Experity Consulting and is Senior Editor of The Journal of Urgent Care …
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It’s a weird time right now, isn’t it? On one hand, visit volumes seem to be back to our pre-COVID “norms.” This should be business-as-usual to us, but it feels scary because everyone got used to volumes being so high for so long. On the other hand, everyone is short-staffed, so it’s a good thing we aren’t busier, but being short-staffed is also scary because we feel unprepared for the coming months when volumes go …
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Click Here to download the article PDF Urgent message: When considering growth in urgent care, there are both advantages and challenges to acquiring an existing urgent care center vs developing a completely new business. Heather Real The urgent care industry is ever-evolving and flexing to meet the needs of patients and communities. This means the way operators enter the industry needs to be flexible, too. While starting a new business in a freshly outfitted space …
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Click Here to download the article PDF Urgent message: Urinary tract infection is a common diagnosis in pediatric urgent care. As such, efforts must be made to ensure antibiotics are prescribed only when necessary and to decrease the rate of unnecessary prescribing. Benjamin Klick, MD; Tammy Speerhas, DNP, FNP-C; Jessica Parrott, DNP, CPNP-PC, CNE; Jeffrey Bobrowitz, MD; Anne McEvoy, MD; Debra Conrad, MD, Jade Eves, PA-C; Theresa Guins, MD Citation: Klick B, Speerhas T, Parrott …
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Click Here to download the article PDF If urgent care had a family tree, it would show an ancestry rich in physicians with a pioneer spirit—individuals who wanted to find a way of practicing medicine that they believed to be more sensible, efficient, and economical while still offering excellent clinical care. Based on the decades that followed, up through today and beyond it’s safe to say the “experiment” has been an unqualified success.This is not …
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David Gahtan MS, PA-C and Joshua Russell, MD, MSc, FCUCM, FACEP Whether we like it or not, electronic medical records are here to stay. And their takeover has been swift. Over recent decades, the EMR has gone from an obscure, bare-bones, often clunky digital notepad to a ubiquitous and powerful tool which tracks enormous amounts of patient data. To continue to practice medicine, we’ve had no choice but to go along for the ride. It’s …
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