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Dr. Stern is CEO of Practice Velocity, the leading supplier of software and electronic medical records (EMR) for urgent care centers. In addition to operating the largest billing service company for urgent care, Practice Velocity provides EMR, medical coding, online patient registration, and practice management software to more than 800 urgent care centers in 49 states. With over 20 years experience in urgent care medicine, he is a partner in Physicians Immediate Care, operating 20 urgent care centers in Illinois, Oklahoma, & Nebraska. He is board-certified in internal medicine and is a certified professional coder (CPC). He speaks frequently on the topics of urgent care strategy, coding, billing and managed care contracting. He has been listed four times in the Castle-Connolly publication of Top Doctors in America. He has received a Lifetime Membership to the Urgent Care Association of America and served as a founding Director on the Board of Directors of UCAOA. You can read his regular column the Journal of Urgent Care Medicine. He welcomes your questions and comments about any aspect of urgent care medicine.

Wednesday, April 27, 2011

ACEP Attacks Dr. Stern's Editorial

The American College of Emergency Physicians (ACEP) responded to my recent blog post “American College of Emergency Physicians Attacks Urgent Care” with a vigorous rebuttal. ACEP has attacked my editorial anonymously, stating “this blog post is a deliberate misreading of both the TIME article and ACEP’s position. ACEP never attacked urgent care centers or said anything about them.”

I would absolutely agree that urgent care was not mentioned, and this is exactly the problem. As I stated in my reply to ACEP (click the link above and scroll down to the comments), ignoring urgent care in the conversation is an “attack” by omission, much the same as having a polite discussion in your living room but ignoring the elephant sitting in the corner sipping tea.

Additionally, I find it interesting that the TIME editorial notes the “marginal cost” of seeing patients for minor problems in the ER, but the anonymous ACEP representative admits in his/her comments that ER “individual [patient] bills are high.” The ACEP representative goes on to defend these hefty bills by saying they help cover the cost of treating patients who don’t pay their ER bills.

So is ACEP saying it’s acceptable to make other patients responsible for these unpaid bills? Why not reduce the cost of staffing ERs by directing unnecessary visits to a place designed specifically to handle non-emergency injuries and illnesses: an urgent care clinic?

It’s preposterous that ACEP is not educating the public on ALL of their options, whether it is primary care, the ER, or an urgent care clinic. It’s an absolute disservice to the public to insinuate that after-hours illnesses or injuries that are not life-threatening require a long and costly visit to the ER or a wait until the patient’s primary care physician’s office is open.

But don’t just take my word for it – I encourage you to read the TIME Magazine editorial, as well as my editorial (linked above), and judge for yourself.

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