• Urgent Care Procedures Training

About Urgent Care Association (UCA) Founded: 2004 Recognized as the largest, most notable trade and professional association in urgent care with more than 3,300 member centers representing urgent care clinical and business professionals from the United States and abroad. Mission We are an organization of leaders, care providers and suppliers in the field of on-demand, consumer-focused healthcare. We advance our industry and support success through advocacy, education, research, collaboration and high standards of excellence. We exist to advance and distinguish the role of urgent care and on-demand medicine as a healthcare destination and support the ongoing success of our membership through education, advocacy, community awareness, benchmarking and promoting standards of excellence.

UCA, Your gateway to better No matter your role in on-demand medicine, UCA is your gateway to betterresources, support, education, on-demand care and. The Vision of UCA is to be:. The catalyst for a thriving and respected urgent care specialty deemed essential by all for its role in the delivery of on-demand, cost effective, comprehensive, evidence-based medicine. The premier urgent care association recognized for its innovation and unparalleled ability to serve and engage its members. The foremost resource for the promotion of urgent care and on-demand medicine and those involved in it, so that all stakeholders understand its benefits, seek and have ready access to its valued services. The preeminent provider of urgent care continuing medical and practice management education and tools, certification and accreditation, as well as industry benchmarking. UCA Values The UCA values drive everything we do. As an organization we believe in:.

A commitment to excellence in all of our endeavors. We continually seek to improve and distinguish ourselves through innovation and the quality of our work. Respectful and participatory communication. We promote and encourage thoughtful and collegiate discourse. Industry leadership. We create value for all of our stakeholders by promoting the advancement and recognition of urgent care and on-demand medicine. Fairness and integrity.

Thank you for visiting Advance Urgent Care! Payment and Billing Policy: Advance Urgent Care accepts most commercial insurance plans. When you seek our services and have insurance, you will be responsible for your urgent care co-payment at the time of service. If x-rays, supplies, medications, or other procedures are required (or ordered.

We operate with the highest ethical standards to sustain a community of trust and transparency. Main Activities. Educational Programs: clinical and practice management via conferences, self-study, Fellowships, and monthly Journal of Urgent Care Medicine.

Resources: policy & procedure manual, benchmarking report, topical articles, clinical guidelines, and members-only resources (templates, job descriptions, sample forms). Leadership: criteria for Certified Urgent Care and Accreditation, legislative initiatives, H1N1 pandemic planning. Structure: Headquarters in Warrenville, IL (Chicago suburb).

UCA does not own or manage any urgent care centers. History. Urgent Care Association of America (UCAOA) was founded as a 501(c)6 on November 12, 2004, by Don Kilgore, Dr.

John Koehler, Dan Konow, Dr. William Meadows, Dr. Lee Resnick, Marge Simat, and Dr. On May 7, 2018, UCAOA became Urgent Care Association (UCA), your gateway to better. Bylaws The association's were updated in January 2018 by unanimous vote of the board. As per the bylaws, the UCA financial statements are available for all members to review.

The fiscal year is a calendar year. Daily operations are managed by a Chief Executive Officer, a staff comprising full- and part-time professionals, and 2 urgent care industry consultants.

EMERGENCY AND URGENT CARE AUTHORIZATION PROCEDURES Emergency Services Emergencies A mental health or substance abuse emergency represents a life-threatening situation. In the VBH-PA Provider Agreements, we define “emergency” to mean the sudden onset of a mental health or substance abuse condition manifesting itself by acute symptoms and one or more of the following circumstances are met:.

The patient is in imminent or potential danger of harming himself or others as a result of a condition included as a Covered Service. The patient shows symptoms (e.g., hallucinations, agitation, delusions, etc) resulting in impairment in judgment, functioning, and/or impulse control severe enough to endanger his or her own welfare or that of another person. There is an immediate need for Covered Services as a result of or in conjunction with a very serious situation, such as an overdose, detoxification, or potential suicide.

VBH-PA may not deny payment for treatment obtained when a representative of VBH-PA instructs the member to seek emergency services. The entities specified in 42 CFR 438.114(b) may not limit what constitutes an emergency behavioral health condition on the basis of lists of diagnoses or symptoms. VBH-PA may not deny payment for treatment obtained when a member had an emergency behavioral health condition, including cases in which the absence of immediate behavioral health attention would not have had the outcomes specified in 42 CFR 438.114(a) of the definition of emergency medical condition. VBH-PA may not refuse to cover emergency services based on the emergency room provider, hospital, or fiscal agent not notifying VBH-PA of the member’s screening and treatment within 10 calendar days of presentation for emergency services.

The attending emergency physician, or the provider actually treating the member, is responsible for determining when the member is sufficiently stabilized for transfer or discharge, and that determination is binding on the entities identified in 42 CFR 438.114(b) as responsible for coverage and payment. A member who has an emergency behavioral health condition may not be held liable for payment of subsequent screening and treatment needed to diagnose the specific condition or stabilize the patient.

After the member is seen and the emergency is resolved, the Service Manager will revert to the routine policies and procedures for authorization, continued certification, and post-stabilization care services. Please Note, for Payment Purposes: Emergency Room (ER) visits by HealthChoices members presenting with a primary behavioral health diagnosis that do not result in an inpatient admission are the responsibility of the PH-MCO. Post Stabilization Care Services Once a member has been stabilized, the provider shall be responsible for obtaining necessary preauthorization for continued treatment of a member. Continued Stays For continued stay requests, providers must follow the inpatient concurrent review process outlined below. Urgent Care Preauthorization VBH-PA requires providers to request preauthorization by calling our Engagement Center’s toll-free provider number (877-615-8503) for the admission of eligible members into all levels of care except for outpatient services.

Urgent Care Procedures Training

In emergency situations (i.e., those which require immediate care and treatment to avoid jeopardy to the life or health of the individual or harm to another person by the individual), authorization must be requested on the same day. Please note that the VBH-PA Engagement Center is staffed by clinical Service Managers for the receipt of preauthorization requests, referrals, and concurrent reviews 24 hours per day, 7 days a week. Authorization letters may be obtained through our online ProviderConnect system. To access ProviderConnect, visit. To obtain a User ID, click on register, complete the required form, and click on submit. Concurrent Review All requests for authorization of continued stays must be made on the last covered day.

The Engagement Center is staffed with Service Managers 24 hours per day, 7 days a week. The Service Manager conducting the initial authorization will provide specific instructions for concurrent review procedures. Providers.