Getting Served: The Do’s and Don’ts of Litigation

Upon returning home from a busy urgent care shift, you notice a certified letter with a law firm’s return address….
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Getting Served: The Do’s and Don’ts of Litigation

Addressing Fraternization in the Urgent Care Workplace

Urgent message: Whereas sexual harassment is defined as unwanted and one-sided, many times employees choose to become romantically involved, requiring…
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Addressing Fraternization in the Urgent Care Workplace

Urgent Care Management of Lacerations in the Elderly Patient

Urgent message: Fragile skin lacerations in geriatric patients require a different repair strategy from those in younger patients. Despite the…
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Urgent Care Management of Lacerations in the Elderly Patient

An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

Urgent message: Ocular complaints for which there is no immediate, obvious explanation do not necessarily have to be referred to…
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An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

A 23-Year-Old with Wrist Pain After a Mountain Bike Mishap

The patient is a 23-year-old male who presents with a primary complaint of pain in his left wrist after falling…
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A 23-Year-Old with Wrist Pain After a Mountain Bike Mishap

Urgent Care News

You’re Right and the Patient Is Wrong? That Won’t Matter When an Unflattering Video Goes Viral

A mom brings her son to an urgent care center because she’s concerned he could …
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Could the New U.S. Travel Rules Mean It’s Your Time to Shine?

Federal government-imposed travel restrictions due to the COVID-19 pandemic are getting both looser and tighter …
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COVID-19 Cases and Deaths Are Declining—So Why Are the Experts Getting More Concerned?

The good news that COVID-19 cases, hospitalizations, and deaths are on the decline among the …
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It’s Official: Moderna and J&J COVID-19 Vaccine Boosters Are a Go—and You Can Mix-and-Match

The Food and Drug Administration approved booster doses for COVID-19 vaccines from both Moderna and …
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With Medicare Payment Cuts on the Horizon, UCA Needs Your Help in Advocating for You

Despite beating the drum for several weeks, the Urgent Care Association reports that it has …
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Web Exclusive Articles

Urgent Care Management of Lacerations in the Elderly Patient

Urgent message: Fragile skin lacerations in geriatric patients require a different repair strategy from those …
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Use of a Quality Improvement Tool for the Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia

Urgent message: While healthcare disparities have been studied in several healthcare sites, it is unclear …
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Weight Loss, Abdominal Pain, and Distension in a 74-Year-Old Woman

Urgent message: Not all GI complaints can be attributed to gastrointestinal pathology; symptoms of dyspepsia, …
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Case Report: Reoccurring Metatarsophalangeal Joint Pain

Urgent message: Acute or chronic hallux pain is a common complaint in urgent care. Due …
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Case of a Nonhealing ‘Sunburn’ on a Toddler

Urgent message: Rashes are a common ailment, and their etiology can have overlapping appearances. In …
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Clinical Articles

Evaluation of Nonfatal Drowning in Urgent Care

Urgent message: Lingering warm weather and postpandemic euphoria continue to have patients eager to pursue outdoor activities, including swimming in …
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LGBTQ Friendly Urgent Care

Best Practices for LGBTQ-Friendly Urgent Care

Urgent message: LGBTQ individuals are subject to implicit and explicit bias in our society, ranging from microaggressions and antagonistic legislation …
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Clinical Article Epistaxis

Epistaxis: A Clinical Review

Urgent message: Epistaxis is a common chief complaint representing a wide spectrum of severity. Key features such as the vital …
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Practice Management Articles

Addressing Fraternization in Urgent Care image

Addressing Fraternization in the Urgent Care Workplace

Urgent message: Whereas sexual harassment is defined as unwanted and one-sided, many times employees choose to become romantically involved, requiring …
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PM Hybrid Workforce, work from home

What Does a Hybrid Workforce Look Like for Urgent Care?

Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine and is President of …
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Direct-To-Consumer Testing in Urgent Care

Understanding the Benefits and Risks of Direct-to-Consumer Testing for Urgent Care

Urgent message: Urgent care centers equipped to draw blood and collect other specimens are well positioned to create new revenue …
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medical marketing data with graphs, digital marketing tactics for urgent care

Seven Digital Marketing Tactics for Every Urgent Care Center

Urgent message: Urgent care operators are spending an increasing amount of their marketing budget on seven digital tactics. Fortunately for …
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Insights in Images Challenges

A 28-Year-Old with Foot Pain After a Fall

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A 31-Year-Old with Cough and Decreased Breath Sounds

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A 61-Year-Old Woman with a 2-Day History of Chest Pain

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A 57-Year-Old Female with Cardiological History and Shortness of Breath

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A 7-Year-Old Boy with Scaly Red-Brown Papules on His Trunk

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A 71-Year-Old with Diabetes and Discoloration of the Skin

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CASE REPORTS

An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

Urgent message: Ocular complaints for which there is no immediate, obvious explanation do not necessarily have …
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Similar to Past Flare Ups Pulmonary Eosinophilia: Putting the Pieces Together

Urgent message: Pulmonary eosinophilia is a generic term for a heterogeneous group of disorders that result …
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Case Report: Reoccurring Metatarsophalangeal Joint Pain

Urgent message: Acute or chronic hallux pain is a common complaint in urgent care. Due to …
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Actinomyces neuii as a Cause of Vulvar Abscess

Urgent message: While abscesses are seen commonly in the urgent care setting, location and presenting complaints …
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Breakthrough COVID Infection in a Vaccinated person from a Possible Vaccinated Exposure

Sergio Ramoa MD, MS Urgent Message: With variant COVID-19 mutations, incomplete herd immunity, and less restrictive …
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HEALTH LAW

Getting Served: The Do’s and Don’ts of Litigation

Upon returning home from a busy urgent care shift, you notice a certified letter with a …
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Employee Confidentiality Cannot Extend to Employment Terms—Including on Social Media

Urgent message: Nondisclosure agreements that are commonly required of management and providers to protect a company’s …
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The Nuances of Age Discrimination

Urgent message: As the United States learns to support an aging workforce, understanding the nuances of …
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Are There Any Restrictions on an Urgent Care Provider Charging a No-Show or Cancellation Fee?

Urgent message: When holding a time slot that could go to another paying customer, it’s common …
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Liability of an Urgent Care Center for Third-Party Labs

Urgent message: While an urgent care center is responsible for the collection and safeguarding of clinical …
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CLINICAL CHALLENGES

A 7-Year-Old Boy with Scaly Red-Brown Papules on His Trunk

Figure 1. A 7-year-old boy is brought to your urgent care center by his mother because she’s concerned about a …
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A 61-Year-Old Woman with a 2-Day History of Chest Pain

A 61-year-old female presents to urgent care with chest pain for 2 days. She describes it as “mild right now” …
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A 28-Year-Old with Foot Pain After a Fall

The patient is a 28-year-old female who presents with pain in her left foot after a fall of roughly 10 …
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A 71-Year-Old with Diabetes and Discoloration of the Skin

The patient is a 71-year-old female with type 2 diabetes who calls attention to a rash on her shins during …
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A 31-Year-Old with Cough and Decreased Breath Sounds

The patient is a 31-year-old woman who presents with new-onset cough and decreased breath sounds to the lower lobes. View …
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OCCUPATIONAL MEDICINE

As Travel Opens Up, Opportunities to Offer COVID-19 Tests Could Be Lucrative

Urgent care has had it tough during the pandemic, but the travel industry has faced unprecedented challenges as Americans hunkered …
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Occ Med Providers Take Note: Companies Are Pushing Workers to Get Tested Frequently

Amazon and Whole Foods employees were told this week that weekly, no-cost testing for COVID-19 is available to them—and encouraged—on …
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Occ Med Providers Take Note: Valid or Not, Lawsuits Against Employers Over COVID-19 Spread Are Inevitable

Just recently, a woman in Illinois filed what is thought to be the first COVID-19-related wrongful death suit against an …
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Can Urgent Care Be the Solution to Reduce COVID-19 Spread in High-Risk Environments?

The risks of heading off to work on site during the COVID-19 pandemic vary greatly according to the nature of …
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Not Up to Speed on New Workplace Protections? Then Neither Are Your Occ Med Clients!

Virginia just joined a short list of states that are enacting legislation to help protect workers from exposure to COVID-19 …
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Revenue Cycle Management

ICD-10 Changes for 2022

Every year on October 1, the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics …
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What the #$%^ is happening with EM Coding and Reimbursement?! – Part II

In the May issue of JUCM, we outlined what we were seeing with E/M coding levels utilizing the new AMA …
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Credentialing: Why Should I Hire a Professional?

In the words of Red Adair, “If you think it’s expensive to hire a professional to do the job, wait …
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Can I Bill Patients for COVID-19 Vaccine Administration?

As practices start offering vaccinations for COVID-19 to their patients, we are getting a lot of questions about whether the …
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New Technical Corrections Issued by the AMA Explained

On March 9, 2021, the American Medical Association updated the new evaluation and management (E/M) coding guidelines with technical corrections …
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DEVELOPING DATA

Telehealth Use Is Down from Its Peak—But the New Plateau Is Far Higher Than Pre-Pandemic Levels

Patients were more willing to use telehealth than ever in the early days of the COVID-19 pandemic. According to data …
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Meet the New Urgent Care Boss—Not the Same as the Old Boss

Back in the day, you probably would have been right to assume that the closest urgent care center was founded, …
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Telemedicine Still Struggles to Catch on in Urgent Care

Some urgent care insiders view telemedicine as a natural fit for our industry—an opportunity to give patients even more convenient …
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Millennials Are Drifting Away from Primary Care—Just as They Need a Physician Most

There’s no gentle way to put it: Members of the Millennial generation simply are not as interested in having a …
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Pandemic Fluctuations: A Historic Drop, Then a Meteoric Rise in Patients Visits Per Day

Just to confirm, the COVID-19 pandemic has generally not been kind to the urgent care industry. Locations that could get …
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Abstracts in Urgent Care

Abstracts in Urgent Care – October 2021

Duration of UTI Treatment in MenAcute Respiratory Illness in ChildrenIsopropyl Alcohol for Acute Nausea in AdultsNeurological Events and Metronidazole PrescribingDo …
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Abstracts in Urgent Care – September 2021

Cooling Pain from Digital Nerve BlocksSafety of Corticosteroids in ChildrenPredicting the Course of Pediatric CAPIs Tranexamic Acid Helpful for Epistaxis?Drug …
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Abstracts in Urgent Care – July/August 2021

Faster Diagnosis of STIsReduce ED Referrals for SVTKids’ Dental Pain and Quality of LifeUltrasound-Guided Blocks and Renal PainEI as a …
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Abstracts in Urgent Care – June 2021

Light Exercise and mTBIAsymptomatic Hypertension—What’s the Risk?Racial Factors in Pain TreatmentSupplemental Oxygen in ACSShorter Courses of Antibiotics for Pediatric CAPWho’s …
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Focus on Pediatrics

Neuro Effects of COVID-19Melatonin and Children with Postconcussive SymptomsPediatric, Sports-Related ConcussionAcute Migraine in Children and Adolescents Emily Montgomery, MD and …
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LETTER FROM THE EDITOR-IN-CHIEF

The Unvaccinated Aren’t the Enemy

Taylor wore her embroidered sorority sweatshirt and a mask below her nose when she came to see me. She was …
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ICYMI: A Rational System for Charting Has Finally Arrived

Remember the fall of last year—when the nation and world pined for an expedient end to 2020, as if such …
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A Crisis of Trust

The conversation was going nowhere. After 15 minutes of explaining my concerns about the possibility of COVID-19, the lack of …
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Why Don’t You Take A Break?

I took up smoking for about 6 months in college, but not for the reasons you’d guess. This was during …
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Don’t Forget about the Road Behind

If you’re reading this, you’ve survived 2020. Congratulations!—although it probably doesn’t feel like there’s much success to revel in at …
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