Practice Management
A 63-year-old man presents to urgent care with sudden-onset floaters and blurred vision in his right eye for one day. He denies trauma, headache, or flashes of light. He has no history of similar symptoms. His past medical history includes hypertension and type 2 diabetes. Vital signs are normal. Visual acuity measures 20/40 OD and 20/25 OS. No facial asymmetry or eyelid swelling is noted. Visual fields are intact bilaterally. A non-dilated fundoscopic exam is …
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A 55-year-old woman presents to urgent care because of skin dryness and scaling on her legs that developed 2 weeks prior. The patient was recently diagnosed with psoriasis by a different provider and was treated with a combination therapy of tazarotene and a topical steroid for over 4 weeks. Diffuse dryness and white scales were seen on her legs. View the image below and consider what your diagnosis and next steps would be. Resolution of …
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Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Urgent care operators face increasing challenges from payer reviews—a situation exacerbated by ongoing confusion around coding guidelines and proper documentation of medical decision-making (MDM). As more urgent care providers grapple with administrative burdens and financial pressures, understanding how to document and code accurately has never been more important. The Rise of Payer Reviews Pre-payment reviews have become commonplace, initiated when a provider’s billing patterns—such as a higher frequency …
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During flu season, many people go out of their way to wash down high-touch surfaces at home, at work, and in schools, hoping to avoid the spread of germs. An experimental laboratory study published in Microbiology and Immunology that evaluated the risk of influenza transmission through contact with contaminated surfaces, however, found the risk of picking up the flu from touching door handles and other objects is actually quite low. Researchers in Japan simulated “artificial …
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Urgent Message: Compartment syndrome is a limb-threatening emergency that can present with variable clinical signs and symptoms. When the diagnosis is missed or delayed, poor functional outcomes and subsequent malpractice claims are common. Prevention of negative outcomes relies on early detection and a low-threshold for emergency department referrals. Josie L. Bunstine, DO; Ariel Cohen, DO Key words: Compartment Syndrome, Medical Malpractice Questions for the Clinician at the Bedside Abstract Acute compartment syndrome is a limb-threatening …
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The Food and Drug Administration (FDA) is now warning clinicians and healthcare consumers about a rare but severe side effect associated with stopping long-term use of oral allergy medicines cetirizine or levocetirizine. FDA reports that some patients ultimately develop severe pruritus that requires medical attention if they stop taking the medications, and the agency aims to update the prescribing information to raise awareness about the post-discontinuation risk. According to the FDA, pruritus symptoms resolved for …
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The deadly Candida auris fungus was first identified in the United States about 10 years ago and has proven to have strong drug-resistance, at times demonstrating resistance to all 3 main classes of antifungal medicines, including echinocandins. And cases appear to be on the rise. Of the 1,052 cases reported to the Centers for Disease Control and Prevention through April 26, 2025, a disproportionate number are occurring in Texas (241), Michigan (185), and Ohio (125). …
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The annual Urgent Care Convention is always my prime time for taking the pulse of the field. I hope you were among those able to join us in Dallas last month! There’s just no substitute for in-person conversations and observations. What I expected to hear is not what I heard. There are a lot of reasons to be pessimistic right now; some of them are new and some are the same challenges we’ve been working …
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Just as hotels require a credit card to cover any “incidentals,” urgent care is increasingly pre-authorizing patient credit cards at the time of service to cover any patient balances after their insurance claims adjudicate. Patient balances are often attributed to deductibles, co-insurance, or eligibility issues that can be difficult to identify at registration. Charging a patient’s credit card when an explanation of benefits is received should, in theory, reduce accounts receivable days, write-offs, and collections …
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A vaccine to prevent gonorrhea will soon be introduced in England and Wales as part of a targeted public health initiative—the first of its kind globally, according to health officials. Described as a “landmark moment for sexual health,” the program aims to address the rising rates of gonorrhea with preventive measures. The vaccine, originally developed to protect against meningococcal B disease, will be offered starting in early August at sexual health clinics commissioned by local …
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