Questions for Dr. Stern

About Your Urgent Care Center

17. My office has started to provide Urgent Care and we were wondering if because this is Urgent Care, our services should be reimbursed at a higher price than for our Family practice services? Is there a different "fee schedule"?

Here is the scoop on your situation:

• Some payors will pay more for urgent care services, but you will almost-certainly need to operate under a separate TIN. You may need to negotiate to get higher rates.
• Many payors will not pay more for urgent care (some pay less)
• Medicare will not pay more
• 99051: You may use this code of evening, weekend and holiday reimbursement. Many payors do not pay.
• S9088: You may add this code to existing codes for services that you provide in an urgent care center. Some payor will pay an additional amount.
• Urgent Co-Pay: Make sure that if you bill as an urgent care center, that you collect the co-pay for urgent care as listed their insurance card.

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Call me today for help with starting your urgent care. (888) 357-4209

David Stern, MD, CPC CEO, Practice Velocity Partner, Physicians Immediate Care Board Member, Urgent Care      Association of America Dr. Stern helped design the patent-pending Practice Velocity template (PiVoT) that is now used in over 240 urgent care centers. He is board certified in internal medicine and served as Chief Resident in Internal Medicine at Pennsylvania State University. Dr. Stern received his medical degree from Jefferson Medical College of Thomas Jefferson University after completing undergraduate studies at Houghton College in Houghton, NY. Dr. Stern serves on the Board of Directors of the Urgent Care Association of America (UCAOA). A Certified Professional Coder, Dr. Stern writes articles and presents at numerous national and regional conferences on topics, including medical charting, emr, medical coding and medical practice management. With additional partners of John Koehler, MD (CEO) and Terry Buzzard, MD (Regional Medical Director), they operate the urgent care consulting firm of National Med Network and the ten clinics (in Illinois and Oklahoma) of Physicians Immediate Care.

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