1. Corporate practice of medicine is outlawed in some states and mechanisms including a “friendly PC” model can be used.
2. State licensure requirements including a CLIA certificate of waiver for laboratory testing, x-ray permits, and any other licenses needed in that state.
3. Understanding any EMTALA requirements is key to the viability of the center. Particular attention needs to be paid to the “naming of the center”. Adding the word Emergency will imply, the center is a 24 hour practice that is specifically under the EMTALA laws. Hospital owned urgent cares must have their legal team evaluate any responsibility to the law.
4. Have your insurance contracts in order prior to opening or face a potential cash flow issue. These negotiations take time.
Some other issues of particular significance are:
1. Location, Location, Location
2. Times of service
3. Types of providers
4. Credentialing those providers. This is a cumbersome time consuming task which may need to be outsourced.
5. Marketing-Establishing contact with the local community by providing school physicals, blood pressure checks, flu shots, etc.
6. Being undercapitalized and suffering cash flow issues
7. Picking an Electronic Health Record and Practice Management system that is efficient and pays for itself.
8. Understanding the difference between using a billing company and doing self-billing.
9. Hiring the right practice manager.
10. Not expecting a “paycheck” right away.
11. Fill in the blanks
12. Hiring a consultant to help with the start-up, if these steps are too daunting or too much aggravation.
With a proper vision, an urgent care can be an enjoyable way to provide quality medical care. This can lead to career longevity and adequate reimbursement.
XpressTechnologies will work closely with any client to help get thru the initial stages of this potentially complex endeavor. The XpressTechnologiesElectronic Health Record,Practice Management, and Billing software packages along with personal, experienced support will help you attain success.