Practice Management
Much like concerns that the Y2K crossover would wreak havoc on civilization as we know it, the transition to ICD-10 codes has been far less disruptive than was feared by many. A new survey by KPMG shows that 79 percent of organizations have made the transition without any major hiccups, with 28 percent calling it “smooth” and 51 percent reporting “a few technical issues, but overall successful.” Just 11 percent called their transition experience a …
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Local business owners should be made aware that occupational medicine providers may be able to prevent more than the flu this season. With more than 11 million workdays—and $7 billion—lost annually to the flu according to the Centers for Disease Control and Prevention, healthy employees mean a healthy bottom line in very real terms. Small businesses, especially those engaged in manufacturing where having a worker down with the flu could significantly diminish production for days …
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The end of 2015 means the end of a 10 percent bonus paid to primary care physicians who care for Medicare patients. Depending on how they react, some practices could see more patients turn to urgent care for acute complaints. Essentially, primary care practices will have three options once their bonus disappears: eat the revenue loss, take in more patients to make up for it, or charge patients more. The bonus program was initiated in …
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Urgent message: This exclusive interview with Brent Johnson, Vice President of Midland General Contractors, focuses on dealing with general contractors, time lines, the permit process, build-out costs, and common pitfalls when setting up a new urgent care center. Introduction “Location, location, location” has long been the success mantra of the retail and service industries. Because urgent care centers are a consumer-facing delivery channel for health care, location is also a key success determinant in that field. High traffic counts, good signage visibility, high …
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Urgent message: Diarrheal illness presents with varying degrees of severity and a broad range of etiologies. The urgent care center provider’s ability to gather key information from the medical history and physical examination, determine when laboratory testing is beneficial, and recognize indications for treatment is essential for the effective and efficient treatment of this common symptom. NATHAN M. FINNERTY, MD, and MICHAEL WEINSTOCK, MD Introduction Diarrheal illness is a common presenting complaint to all urgent care centers. In the United …
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Urgent message: Urgent care centers are encouraged to meet best practices for communication during transitions of care. Partnering with pharmacists may optimize medication therapy for patients, helping fulfill these best practices. JENNIFER A. FLAVIN, PharmD, CHRISTOPHER G. GREEN, PharmD, STEPHANIE C. COOK, DO, and STUART J. BEATTY, PharmD, BCACP Objective: This study aimed to (1) evaluate the impact of a pharmacist-provided comprehensive medication review (CMR) service on medication therapy appropriateness, safety, efficacy, and adherence for …
Read MoreAs we head into a new year at JUCM, our tenth, it is a natural time to reflect on our journal’s history and our goals for the future. Just being able to celebrate a 10th anniversary is nothing short of a miracle. Medical publishing has been in transition for some time, and the number of traditional journals is decreasing. Information, even complex clinical information, is now available with the click of a button. Considering the …
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Urgent message: Obtaining a detailed medical history is paramount for the early detection and treatment of Rocky Mountain spotted fever. Failure to acquire adequate patient information can lead to misdiagnosis and delayed treatment of this potentially life-threatening disease. WHITNEY CRAMER, PA-C Many dermatologic conditions such as rashes and eczema are encountered by urgent care providers on a daily basis. Often these conditions are diagnosed as contact dermatitis or are misdiagnosed, or the patient is referred …
Read MoreRon Lebow, JD Urgent message: As health systems and payors align their interests in the creation of accountable care organizations, hospitals that acquire or partner with urgent care centers must adopt a legal structure and an operating model that remain compliant with the federal Anti-Kickback Statute and the federal Stark law, and with other federal and state regulations. Introduction With the advent of the Patient Protection and Affordable Care Act (PPACA), the government recognized that …
Read MoreSEAN M. McNEELEY, MD Family Members Are Most Frequent Cause of Pertussis in Children Younger Than 1 Year Key point: Be sure to suggest adding a pertussis vaccine to tetanus whenever possible. Citation: Skoff TH, Kenyon C, Cocoros N, et al. Sources of infant pertussis infection in the United States. Pediatrics. 2015;136:636–641. Despite recent efforts to increase the number of U.S. adults whose immunizations are current, pertussis still is a frequent problem for children younger …
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