Questions for Dr. Stern

About Your Urgent Care Center

94. We have an urgent care/walk in clinic. Are we supposed to use the 11 point of service code for Non-Urgent visits with any insurance OTHER than an HMO...
And then use a 20 for Urgent care only...??

Every payor is different. Each payor will generally want either POS-11 or POS-20. I have not heard of any payor wanting the urgent care center to mix and match POS, based on the type of presenting problem. One exception would be the mixed urgent care and family practice, where each operates under separate MCO contracts and separate TINs. In this case the payor may expect the family practice to use POS-11 and the urgent care to use POS-20.

Let me know if this answers your question.

PS: Look for this Q&A in an upcoming issue of the Journal of Urgent Care Medicine.

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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