StuWilli, Author at Journal of Urgent Care Medicine

Valuation of an Urgent Care Clinic

Urgent message: Despite the fact that underlying principles are the same as for other settings, it behooves the urgent care operator to consider factors unique to the urgent care arena when determining the value of the practice. By Keith Borglum, CHBC How much is your practice worth? This is a simple question with a complex answer. There are many books on the topic—and a fair amount of debate—and the answer differs depending on the particular situation …

Abstracts in Urgent Care: October, 2009

Another Validation of Clinical Assessment and D-Dimer to Rule Out PE Key point: Among patients with low or intermediate risk, the sensitivity and negative predictive value of D-dimer testing were 100%. Citation: Gupta RT, Kakarla RK, Kirshenbaum KJ, et al. D-dimers and efficacy of clinical risk estimation algorithms: Sensitivity in evaluation of acute pulmonary embolism. AJR Am J Roentgenol. 2009; 193: 425-430. Despite research showing that clinically important pulmonary embolism (PE) can be excluded when …

Duty to Report

A few years ago, in a semi-rural town in Arizona, a woman brought her 4-year-old son to a physician assistant named James, who staffed a walk-in clinic. James knew the boy and his family very well. He was essentially their PCP and had treated the little boy in the past. In fact, he watched his grow from a toddler to a rambunctious little bundle of energy. On this particularly visit, the little boy had a …

Simplify Communication to Get Your Message Across

I routinely receive more than 75 e-mails every day, have about 100 cable television stations to choose from, can look up virtually any topic on the Internet, receive scores of mail pieces each week, and have an untold number of voice messages daily. It is not surprising that the average person is receptive to but a fraction of information before them. Thus, there is a dilemma: How do I get my message across in such …

Utilizing Social Media to Drive Visits to Your Website and Urgent Care Center

In Creating a Web Presence to Raise Awareness of Urgent Care (JUCM, July/August 2009), we described how a well-designed website, optimized for retrieval by major search engines, enables highly targeted and localized promotion of an urgent care center. But establishing a web presence is just the beginning; driving “clicks” to the website and “feet” to the center is enhanced by creating “buzz” in online communities. Historically, word-of-mouth – spread in-person or by telephone – has …

Preparing for Pandemic Influenza in the Urgent Care Setting

Urgent message: Between the current – and still growing – volume of H1N1 flu cases and fast-approaching influenza season, the urgent care physician will be challenged to distinguish among a variety of common cold and influenza-like conditions. Gary Klein, MD, MPH, MBA, CHS-V, FAADM Introduction The mainstream media have certainly accomplished the mission of alerting the public to the dangers of H1N1 flu – perhaps to the point that many are tempted to dismiss their …

October 2009

What can YOU do for YOU?

I know this may sound like a funny way to start a column. It’s a bit confrontational perhaps, maybe even a little insulting. Why is this guy calling me out on the carpet here? What did I ever do to him? I have been involved in organized medicine for almost 10 years, at varying levels of responsibility. If I learned one thing alone the way, it is this: If you want id one, you better …

Coding for I&D, DTaP, and Procedures Included in the E/M Code

Q. An urgent care that I do billing for has presented a question I would like your input on. A sales rep has stated that urgent care centers are now administering DTaP in urgent care, and, if so, what is the difference between the reimbursement of the Td (90714) and the DTaP (90715)? Lynn Gray, Eastern Hills Medical Billing, Cincinnati, OH A. Patients may use urgent care centers when they have difficulty getting timely appointment …

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