Telemedicine 2014 – Medicine Without Borders

Telemedicine 2014 – Medicine Without Borders

Jason A. Williams MPAS, PhD Dr. Williams is the founder of FastMed Urgent Care. The worst disservice we did to telemedicine was in fact calling it telemedicine. If we had just added video conferencing to our telephone calls to patients under our current practice as health care providers, we would have just called this a service improvement. Most physician practices phone patients to follow up, make appointments, relay lab results, answer questions about medications, and …

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Pros and Cons of Sale-Leaseback Financing for Urgent Care

Pros and Cons of Sale-Leaseback Financing for Urgent Care

Author: Alan A. Ayers, MBA, MAcc, Experity, Practice Management Editor, The Journal of Urgent Care Medicine with James Nawalaniec, St. Louis University URGENT MESSAGE: A growing urgent care operation has a constant need for working capital to open centers, expand existing centers, scale processes and technology, recruit providers and staff, and to support sales and marketing. While urgent care entrepreneurs have historically relied upon personal savings, bank loans or the equity investment of third parties, …

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Global Healthcare Volunteering: What You Need to Know Before You Go

Global Healthcare Volunteering: What You Need to Know Before You Go

Author: Kenneth V. Iserson, MD, MBA, FACEP, FAAEM Kenneth V. Iserson, MD, MBA, FACEP, FAAEM, is a Fellow of the International Federation for Emergency Medicine and Professor Emeritus, Department of Emergency Medicine, The University of Arizona, Tucson. Why Global Medicine? Interest in practicing and teaching medicine and nursing around the world has increased exponentially. Some of our colleagues now have international experience and many others dream of following a path to remote regions. Yet most …

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Developing Data: July/August, 2014

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). A …

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E/M for Sinusitis and Pharyngitis

Q. The clinic I work at uses 99214 for most patients (50%) for sinusitis and pharyngitis. Is this a common code to use for these problems? A. The E/M levels of services recognize sevencomponents: History Examination Medical decision making Counseling Coordination of care Nature of presenting problem Time The history, examination, and medical decision making are considered to be the key components in selecting a level of E/M service. Counseling, coordination of care, and the …

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Are we all ‘criminals’?

Show of hands…how many of you consider yourselves “compliant” with the array of regulations, laws and so-called “guidelines” you work under? Most of the time? Some of the time? Never? Now, let me pose the question a different way: How many of you think you can always, or even most of the time, remain in compliance and have a successful practice? Or, consider the question presented this way: How many of you think you can …

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Smile! You’re on Candid Camera

John Shufeldt, MD, JD, MBA, FACEP A 34-year-old patient presents with an acute exacerbation of chronic low back pain. A cursory review of his medical records done before seeing him reveals that he has had multiple visits to your urgent care for a variety of complaints including: Flank pain and blood in his urine Dental caries Gout Headache Low back pain Knee strain He typically shows up about 5 minutes before closing and is always …

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