Utility of POCUS in Skin and Soft Tissue Infection

Urgent message: Point-of-care ultrasound (POCUS), just starting to become more prevalent in the urgent care setting, facilitates improved diagnostic and…
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Utility of POCUS in Skin and Soft Tissue Infection

Is Four Times a Charm for Walmart (or, Could Walmart Be a Threat to Urgent Care)?

Urgent message: It’s important for urgent care to watch and learn from Walmart, which has engaged leading retail and strategic…
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Is Four Times a Charm for Walmart (or, Could Walmart Be a Threat to Urgent Care)?

The Psychology of Why Your Patients Love You or Hate You

Urgent message: Often, it seems that patients and families either love you or hate you. There’s a science to why…
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The Psychology of Why Your Patients Love You or Hate You

A Pregnant Woman with Upper Right Quadrant Pain

Urgent message: The presentation of a pregnant woman to urgent care is often associated with consternation for both the patient…
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A Pregnant Woman with Upper Right Quadrant Pain

A 40-Year-Old Man with Cough and Fever During the COVID-19 Pandemic

The patient is a 40-year-old man who presents with cough and fever. Living and working in New York City as…
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A 40-Year-Old Man with Cough and Fever During the COVID-19 Pandemic

Urgent Care News

Risk Tool Predicts Which COVID-19 Patients Will Become Critically Ill; Here’s What You Need to Know

A study published in JAMA Internal Medicine shares news of a risk assessment tool that …
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OSHA Puts the Onus on Your Occ Med Clients to Identify and Record Work-Related COVID-19 Cases

The Occupational Safety and Health Administration has reversed an earlier guidance that suggested there was …
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Make Sure Patients Understand: Antibody Tests Don’t Signal the End of Protective Measures

Some television news reports make it seem as if antibody tests for COVID-19 will be …
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Are COVID-19 Patients Who Test Positive After Recovery Still Infectious?

Patients who have previously tested positive for COVID-19 and then declared to be “recovered” by …
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Be Vigilant for GI and Hepatic Symptoms in Patients Who Could Have Been Exposed to COVID-19

Gastrointestinal complaints and hepatic symptoms are more common in patients ultimately diagnosed with COVID-19 than …
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Web Exclusive Articles

The Psychology of Why Your Patients Love You or Hate You

Urgent message: Often, it seems that patients and families either love you or hate you …
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What the Families First Coronavirus Act Means for Urgent Care Operators and Employees

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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‘Occupational Exposure’ to COVID-19

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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How Does a Private Equity Buyer View the Future Landscape of Urgent Care?

Urgent message: Private equity remains highly interested in the urgent care sector and will continue …
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Strategic Real Estate Tactics in Urgent Care Site Selection

Alan A. Ayers, MBA, is Chief Executive Officer of Velocity Urgent Care and is Practice …
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Clinical Articles

Utility of POCUS in Skin and Soft Tissue Infection

Urgent message: Point-of-care ultrasound (POCUS), just starting to become more prevalent in the urgent care setting, facilitates improved diagnostic and …
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Evaluating a Child with Chest Trauma for Pneumothorax in the Urgent Care Setting

Urgent message: The differential diagnosis is broad for patients presenting with chest trauma. Bedside ultrasound can expedite critical diagnoses and …
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The Effect—or Non-Effect—of Rapid Medical Evaluation Programs on Resident Education

Urgent message: With significant overlaps in clinical staff, patient population, and provider training between emergency medicine and urgent care, valuable …
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Chest X-Ray Findings in 636 Ambulatory Patients with COVID-19 Presenting to an Urgent Care Center: A Normal Chest X-Ray Is no Guarantee

Michael B. Weinstock, MD, Ana Echenique, MD, DABR, Joshua W. Russell, MD, MSc, FACEP, Ari Leib, MD, Jordan A. Miller, …
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Practice Management Articles

Is Four Times a Charm for Walmart (or, Could Walmart Be a Threat to Urgent Care)?

Urgent message: It’s important for urgent care to watch and learn from Walmart, which has engaged leading retail and strategic …
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To Appeal to Millennials, You Need a Purpose

Urgent message: A sense of “purpose” is the primary motivator for many employees—even beyond compensation and benefits. That’s why successful …
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Pros and Cons of Urgent Care vs Primary Care Billing for Urgent Care Services

Urgent message: While it makes business sense for the minority of urgent care facilities that do contract with and bill …
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Smoothing Ebb-and-Flow for Greater Staff Efficiency and Shorter Wait Times in Urgent Care

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The …
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Insights in Images Challenges

A 28-Year-Old Male with a Persistent Dry Cough

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A 22-Year-Old Female with Frequent Nosebleeds and Abnormalities on Her Lips and Tongue

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A 20-Year-Old Female with an Array of Gastro Symptoms

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A 54-Year-Old Female with Nonproductive Cough and Rhinorrhea

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A 24-Year-Old Female with a New, Unexplained ‘Rash’ on Her Leg

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A Young Woman with Worsening Abdominal Pain

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CASE REPORTS

A Pregnant Woman with Upper Right Quadrant Pain

Urgent message: The presentation of a pregnant woman to urgent care is often associated with consternation …
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Management of Lisfranc Dislocation in the Urgent Care Center

Urgent message: Lisfranc dislocations are relatively rare, but should be on the urgent care provider’s radar …
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Guttate Psoriasis: An Uncommon Cause of a Rash

Urgent message: While skin-related complaints are not uncommon in the urgent care setting, with psoriasis being …
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When Is Tachycardia in a Patient with URI Symptoms a Sign of Something More Serious?

Urgent message: Brugada syndrome is a genetic disorder associated with increased incidence of ventricular tachyarrhythmias and …
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A Blistering Rash in an Otherwise Healthy 9-Year-Old Boy

Urgent message: Impetigo is one of the most common skin infections in children, and can have …
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HEALTH LAW

When Can an Urgent Care Legally ‘Fire’ a Patient?

Urgent message: In light of increasingly frequent reports of urgent care centers “firing” patients for various …
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Prescribing Pharmacists: Cheaper and More Accessible Than Urgent Care?

Urgent message: As states move forward with legislation enabling pharmacists to prescribe, not just dispense, the …
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Staying in Good Stead with OSHA Starts with Maintaining Proper Records

Urgent message: Urgent care operators have a multitiered relationship with the Occupational Health and Safety Administration: …
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What Urgent Care Operators Need to Know About OSHA

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice …
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Legal Considerations for Expedited Partner Therapy in Urgent Care

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice …
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CLINICAL CHALLENGES

A 20-Year-Old Female with an Array of Gastro Symptoms

The patient is a 20-year-old female who presents to urgent care with 2 days of nausea, vomiting, crampy abdominal pain, …
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A 28-Year-Old Male with a Persistent Dry Cough

A 28-year-old male presents with complaint of a dry cough “forever.” He admits to intermittent chest pain. Exam reveals decreased …
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A 24-Year-Old Female with a New, Unexplained ‘Rash’ on Her Leg

The patient is a 24-year-old woman who presents to urgent care with several linear lesions on her leg, accompanied by …
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A Young Woman with Worsening Abdominal Pain

A 35-year-old woman presents with a 5-day history of worsening abdominal pain and several days of “constipation.” Review the image …
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A 22-Year-Old Female with Frequent Nosebleeds and Abnormalities on Her Lips and Tongue

The patient is a 22-year-old woman who presents complaining of frequent nosebleeds. On exam, you note bright red macules and …
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OCCUPATIONAL MEDICINE

OSHA Puts the Onus on Your Occ Med Clients to Identify and Record Work-Related COVID-19 Cases

The Occupational Safety and Health Administration has reversed an earlier guidance that suggested there was some discretion in enforcing reporting …
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Some Businesses Are Opening Up—and Need Guidance on Patients with COVID-19 Symptoms

Regardless of where you stand in the debate over the appropriate time to “open up” the country and see businesses …
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Occ Med Providers Will Be Truly ‘Essential Businesses’ When Companies Ramp Back Up

Urgent care operators who offer occupational medicine services will be more valuable than ever once states make the difficult decision …
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Reducing Occ Med Opioid Prescriptions Is Simpler than You Might Think

A new study by Mitchell International and the WCF Mutual Insurance Company showed a strong downward trend in prescriptions for …
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Flu Season Carries Potential Benefits—and Risks—for Occupational Medicine Providers

If you offer occupational medicine services, it’s likely a heavily promoted flu clinic is an annual event. (And if not, …
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Revenue Cycle Management

The Myth of ‘Control’ with In-House Billing

We keep our billing in-house so we can control it. I have been in the revenue cycle management (RCM) business …
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The Impact of Public Health Emergency on Revenue Cycle Management

March and April were challenging months for all of us, and the revenue cycle management arena is no exception. A …
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Contracting and Credentialing: A Complex Obstacle to Navigate

The terms contracting and credentialing are often used interchangeably, but the processes involved in each, while interdependent, are very different …
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Taking Pictures, Dog Paddling, and Apple Picking: A Metaphorical Approach to Healthy Revenue Cycle Management Metrics

You have seen all the articles about benchmarking and standard revenue cycle management metrics. The repetition of these basic articles …
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Ringing in 2020 with CPT Changes

It’s that time of year again. The American Medical Association has implemented the 2020 Current Procedural Terminology (CPT) code set …
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DEVELOPING DATA

Urgent Care’s Upward Trend of Rapid Testing Continues for Another Year

Convenience has always been the hallmark of the urgent care experience. A patient who wakes up feeling unwell doesn’t want …
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Whether by Strain or Drain, COVID-19 Is Hitting Urgent Care Hard

Paradoxically, some urgent care centers are struggling due to low patient volumes during the COVID-19 crisis; patients who aren’t feeling …
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Image May not Be Everything, but Imaging Comes Pretty Close

It used to be that the ability to administer x-rays on site was enough to distinguish one urgent care center’s …
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Thirty-Three Billion Reasons Patients Should Be Heading to Urgent Care Instead of the ED

Urgent care has flourished because of its defining attribute of providing high-quality, walk-in care more efficiently and less expensively than …
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Most Urgent Care Centers Give Immunization a Shot—of One Type or Another

If you haven’t noticed, it’s flu season. In fact, it’s been flu season longer than usual for this point compared …
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Abstracts in Urgent Care

Abstracts in Urgent Care – June 2020

CPR Guidelines During the COVID-19 Pandemic Characteristics of COVID-19 in the Pediatric Population A Clinical Decision Rule for Predicting True …
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Abstracts in Urgent Care May 2020

General Statistics of COVID-19 Clinical Characteristics of COVID-19 Characteristics of Healthcare Workers Infected with COVID-19 A Simple Algorithm for Treatment …
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Abstracts in Urgent Care April 2020

JUCM 0420 Abstracts  COVID-19: The Long View Quarantine Duration in Suspected COVID-19 Bedside Ultrasound Use with COVID-19 Fluoroquinolones and Arrhythmia …
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Abstracts in Urgent Care

Take a Seat—Your Patients Will Thank You Buddy Taping vs Plaster Casting in Boxer’s Fractures Efficacy of Baclofen in Back …
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Abstracts in Urgent Care Medicine

Topical TXA vs Merocel in anterior epistaxis Cool Running Water Reduces Need For Skin Graft In Pediatric Burns  Efficacy Oral …
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LETTER FROM THE EDITOR-IN-CHIEF

Urgent Care Is the Best Place for Patients with ‘Hypertensive Urgencies’: Why We Should Stop Sending Patients with Asymptomatically High Blood Pressure to the ED

Most public health campaigns, with a few notable exceptions, have been abject failures. One undeniably successful example, however, has been …
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Keep Your Differential Broad, Especially During Flu Season

I’m phenomenally bad at gambling for a multitude of reasons. I bet small when I should bet large. I bet …
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A New Year, and a New Era for JUCM

35,000. As I assume the role of editor-in-chief of the journal, this is the number that revolves through my head …
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For Auld Lange Syne, Many Great Years

The year was 2006: Saddam Hussein was executed for crimes against humanity. The Wii gaming console debuted. Pluto lost its …
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The MIPS Mess

It should not be terribly surprising to anyone that the massive government effort to incentivize quality has run into some …
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