StuWilli, Author at Journal of Urgent Care Medicine

Clinical Challenge 2: September, 2012

The patient, a 2-year-old girl, suffered a blow to her right knee and could not bear weight on her right leg. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.

55-year-old woman with injury to her right finger

The patient, a 55-year-old woman, injured her right ring finger after missing a grab at her dog’s collar while the dog was running away. She complained of being unable to bend the end of the finger and pain in her palm. There was no numbness. Notice the excessive extension of the distal phalanx at rest. Now consider the x-ray series. After viewing the images taken, consider what your diagnosis would be.

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Apple Will Attempt World Domination With Its New iPhone

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80-year-old male who suffered a blow to the left side of his chest

The patient, an 80-year-old male, suffered a blow to the left side of his chest. View the image taken (Figure 1) and consider what your diagnosis would be.

September 2012

Developing Data: September, 2012

These data from the 2010 Urgent Care Benchmarking Survey are based on responses of 1,691 US urgent care centers; 32% were UCAOA members. The survey was limited to “full-fledged urgent care centers” accepting walk-ins during all hours of operation; having a licensed provider and x-ray and lab equipment onsite; the ability to administer IV fluids and perform minor procedures; and having minimal business hours of seven days per week, four hours per day. In this …

E/M Coding for Multiple Visits, Contracted Case-rate Billing, Comparing Payor Reimbursement Policies

DAVID STERN, MD (Practice Velocity) Q. We sometimes have patients who require two visits to clear impacted cerumen in their ears. In some cases, this procedure requires a 24-hour regimen to soften the cerumen prior to flushing the ear. How do we bill for the second visit and does it change how we bill if we find a second diagnosis after we clear the cerumen? A. For the second visit, you may code for all …

Abstracts in Urgent Care: September, 2012

Age-based cutoffs for D-dimer levels Key point: Age-based cutoffs for D-dimer levels can more accurately rule out deep venous thrombosis than the conventional cutoff level. Citation: Schouten HJ, Koek HL, Oudega R, et al. BMJ. 2012; 344: e2985. Researchers measured D-dimer values in some 650 patients suspected of having deep venous thrombosis but who had a low clinical probability according to their Wells score. Compression ultrasonography was used to confirm the diagnosis. Various cutoff levels …

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