StuWilli, Author at Journal of Urgent Care Medicine

Market-Driven, Performance- Based Physician Compensation in Urgent Care

Urgent message: Determining compensation for urgent care physicians is a challenge, particularly given the current health care environment. This article provides guidelines for achieving fair compensation based on reliable metrics and objectivity. RICHARD M. CAMERON, MHSA, CMPE and RICK E. WEYMIER, MBA, FACMPE Introduction Physician compensation presents one of the greatest challenges to the success of an urgent care practice because it has an impact on practice culture, physician interelationships, and the ability to attract …

An Urgent Care Approach to Complications and Conditions of Pregnancy Part 2

Urgent message: From pregnancy confirmation to the evaluation of bleeding, urgent care centers are often the initial location for management of obstetric-related issues. Careful use of evidence-based guidelines is the key to successful outcomes. DAVID N. JACKSON, MD, FACOG and PETAR PLANINIC, MD, FACOG Case Presentation Urgent care providers are called upon to manage a variety of complaints in pregnancy. Some conditions can be managed at the urgent care center whereas others require stabilization and …

September 2013

Clinical Challenge: September, 2013

The patient, a 76-year-old male, presented with a complaint of palpitations. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.

Paraphimosis

Urgent message: Most cases of paraphimosis can be managed in the urgent care setting and prompt treatment is necessary to avoid complications. MOHAMED A. FAYED, MD Overview An uncircumcised male’s penis consists of the penile shaft and glans penis covered by foreskin. At birth, the foreskin and glans penis are fused, which is called physiologic phimosis. Approximately half of uncircumcised males have fully retractable foreskins by age 10 years; by age 17, the foreskins of …

Commercial Motor Vehicle Medical Examinations – Act Now to Participate!

JOHN SHUFELDT, MD, JD, MBA, FACEP This is not the call you want to receive. “Dr. Shufeldt, one of urgent care centers your group just purchased was named in a multimillion dollar suit. The allegation is that one of the center’s providers performed a DOT physical on a driver who was reportedly overweight, had Type II diabetes, had hypertension and undiagnosed sleep apnea. While driving, he fell asleep, crossed the median and a struck a …

What’s In a Test? The Psychology of Patient Expectations

Lee A. Resnick, MD, FAAFP The impact of patient expectations and pressures on high utilization rates in this country is a subject of significant discussion but surprisingly little study. A literature review produces scant evidence of scientific inquiry in this area. And yet, most clinicians would say that patient expectations are perhaps an even stronger motivation for utilization than fear of malpractice suits. In an ever-competitive, service- oriented industry like urgent care, this can only …

Preventive Medicine, Preventive Medicine Counseling

DAVID STERN, MD (Practice Velocity) Q. How do you code for a Sexually Transmitted Diseases (STD) screening visit in a patient who has no symptoms? Can you use a preventive medicine code (99387-99397) and still receive reimbursement? A.You would code based on the service provided. If you performed a physical and collected the specimen to send to the lab, then you would bill the appropriate preventive medicine Evaluation and Management (E/M) code. If the only …

Developing Data: September, 2013

These data from the 2012 Urgent Care Industry Benchmarking Study are based on a sample of 1,732 urgent care centers; 95.2% of the respondents were UCA members. Among other criteria, the study was limited to centers that have a licensed provider onsite at all times; have two or more exam rooms; typically are open 7 days/week, 4 hours/day, at least 3,000 hours/year; and treat patients of all ages (unless specifically a pediatric urgent care). In …

56-year-old woman who tripped and hit her right hand

The x-ray and the photo were taken on a 56-year-old woman who tripped and hit her right hand. View the images taken (Figure 1) and consider what your diagnosis would be.

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