Questions for Dr. Stern

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34. I have a question for you.  We are a Family practice center, with an Urgent Care emphesis.  We are having a hard time with billing.  How can we get more for the urgent care visits than for the regular Family practice visits? Is it a modifier?  Is it the way we bill for office visit 11 or facility? 

If you really operate a true urgent care center, you may ask payors if they will allow you to bill S9088 (services rendered in an urgent care center) in addition to other codes. Alternatively, you may negotiate higher rates for urgent care visits. You could even set up a separate TIN and use this for billing for the urgent care, if the family practice and urgent care can be truly separated.I hope this helps.

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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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