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Real Life in Retail Health

Reimbursement in Convenient Care

Published May 7, 2010 11:52 AM by Jennifer Ford

We had a reader ask us about whether it was difficult to obtain insurance reimbursement when running a convenient care clinic. So, for the answer we went to the source, Bette Tucker, NP, who owns Express Care Clinic in Lincoln, Neb., and wrote an article in ADVANCE about opening the clinic: Opening a Retail Clinic.

Here's what Bette has to say:

We have had no trouble with insurance companies paying us. Some pay 15% less than they pay physicians, but it would be that same way in a physician office. Actually, some convenient care clinics have gotten special contracts with insurance companies. We have not, but I believe MinuteClinic and the larger ones have. We opened a full medical office and urgent care in February. We have NPs working in the clinic with our medical director available if needed be. It is doing well. I think the future is going to bring a lot of this with all the new health care coming.

So, getting set up for reimbursement in a convenient care clinic could potentially be easier than for a primary care clinic. Just something to think about if you're looking to open your own convenient care clinic.

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