JUCM, The Journal of Urgent Care Medicine February 2008

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™ FEBRUARY 2008 VOLUME 2, NUMBER 5 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE FEATURES 11 Integration of Pharma- cologic and Non-pharma- cologic Techniques to Enhance Pediatric Minor Procedures 18 Case Report: A 4-Year-Old Who Fell from the Slide 29 Boosting Revenue by Working Harder—or Smarter? DEPARTMENTS 23 Insights in Images: Clinical Challenge 27 Abstracts in Urgent Care 32 Health Law 34 Occupational Medicine 35 Coding Q&A 40 Developing Data A BRAVEHEART PUBLICATION CODING Q&A Deciphering Payor Language and Other Challenges CODING Q&ADeciphering Payor Language andOthe</a> CODING Q&ADeciphering Payor Language andOthe<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 33" href="http://viewer.zmags.com/publication/0d0021a6?page=33">BOOSTING REVENUE BY WORKING HARDER—OR SMARTER?</a> BOOSTING REVENUE BY WORKING HARDER—OR SMARTER?<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 1" href="http://viewer.zmags.com/publication/0d0021a6?page=1">™ FEBRUARY 2008</a> ™ FEBRUARY 2008<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 16" href="http://viewer.zmags.com/publication/0d0021a6?page=16">INTEGRATION OF PHARMACOLOGIC AND NON-PHARMACOLOGI</a> INTEGRATION OF PHARMACOLOGIC AND NON-PHARMACOLOGI<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 21" href="http://viewer.zmags.com/publication/0d0021a6?page=21">CASE REPORT:A 4-YEAR-OLD WHO FELL FROM THE SLIDE</a> CASE REPORT:A 4-YEAR-OLD WHO FELL FROM THE SLIDE<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 6" href="http://viewer.zmags.com/publication/0d0021a6?page=6">JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West</a> JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 19" href="http://viewer.zmags.com/publication/0d0021a6?page=19"></a> <a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 25" href="http://viewer.zmags.com/publication/0d0021a6?page=25">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 28" href="http://viewer.zmags.com/publication/0d0021a6?page=28">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 18" href="http://viewer.zmags.com/publication/0d0021a6?page=18">INTEGRATION OF PHARMACOLOGIC AND NON-PHARMACOLOGI</a> INTEGRATION OF PHARMACOLOGIC AND NON-PHARMACOLOGI<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 20" href="http://viewer.zmags.com/publication/0d0021a6?page=20">Case ReportA 4-Year-Old Who Fellfrom the Slide</a> Case ReportA 4-Year-Old Who Fellfrom the Slide<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 39" href="http://viewer.zmags.com/publication/0d0021a6?page=39">CareerOpportunitiesSEATTLE, WASHINGTON – UR</a> CareerOpportunitiesSEATTLE, WASHINGTON – UR<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 29" href="http://viewer.zmags.com/publication/0d0021a6?page=29">ABSTRACTS IN URGENT CAREOn OTC Cough-and-Cold</a> ABSTRACTS IN URGENT CAREOn OTC Cough-and-Cold<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 35" href="http://viewer.zmags.com/publication/0d0021a6?page=35">HEALTH LAW A single inquiry by a physician to</a> HEALTH LAW A single inquiry by a physician to<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 27" href="http://viewer.zmags.com/publication/0d0021a6?page=27">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 10" href="http://viewer.zmags.com/publication/0d0021a6?page=10">MEET THE JUCM BOARDSJUCM has been very fortuna</a> MEET THE JUCM BOARDSJUCM has been very fortuna<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 31" href="http://viewer.zmags.com/publication/0d0021a6?page=31">Practice ManagementBoosting Revenue by WorkingH</a> Practice ManagementBoosting Revenue by WorkingH<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 36" href="http://viewer.zmags.com/publication/0d0021a6?page=36">OCCUPATIONAL MEDICINEPublic Speaking SkillsEn</a> OCCUPATIONAL MEDICINEPublic Speaking SkillsEn<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 4" href="http://viewer.zmags.com/publication/0d0021a6?page=4">)NTRODUCINGTHE(/34%$3/,54)/.FOR34)8</a> )NTRODUCINGTHE(/34%$3/,54)/.FOR34)8<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 24" href="http://viewer.zmags.com/publication/0d0021a6?page=24">Tussionex®Pennkinetic®</a> Tussionex®Pennkinetic®<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 12" href="http://viewer.zmags.com/publication/0d0021a6?page=12">Plan B® is a registered trademark of Women’s Capi</a> Plan B® is a registered trademark of Women’s Capi<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 13" href="http://viewer.zmags.com/publication/0d0021a6?page=13">ClinicalIntegration of Pharmacologicand Non-pha</a> ClinicalIntegration of Pharmacologicand Non-pha<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 14" href="http://viewer.zmags.com/publication/0d0021a6?page=14">INTEGRATION OF PHARMACOLOGIC AND NON-PHARMACOLOGI</a> INTEGRATION OF PHARMACOLOGIC AND NON-PHARMACOLOGI<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 42" href="http://viewer.zmags.com/publication/0d0021a6?page=42">DEVELOPING DATAAseatnspemeceifrigcintog idtsi</a> DEVELOPING DATAAseatnspemeceifrigcintog idtsi<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 11" href="http://viewer.zmags.com/publication/0d0021a6?page=11">Approved OTC for age 18 and olderPLAN B®—THE PR</a> Approved OTC for age 18 and olderPLAN B®—THE PR<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 9" href="http://viewer.zmags.com/publication/0d0021a6?page=9">FROM THE EXECUTIVE DIRECTORWhere’s the Love?</a> FROM THE EXECUTIVE DIRECTORWhere’s the Love?<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 2" href="http://viewer.zmags.com/publication/0d0021a6?page=2">ComprehensiveresultswithoutrestrictionsTh</a> ComprehensiveresultswithoutrestrictionsTh<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 7" href="http://viewer.zmags.com/publication/0d0021a6?page=7">LETTERS TO THE EDITORRegarding Constipation as</a> LETTERS TO THE EDITORRegarding Constipation as<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 41" href="http://viewer.zmags.com/publication/0d0021a6?page=41">Career OpportunitiesEMERGENCY MEDICINE/URGENT CA</a> Career OpportunitiesEMERGENCY MEDICINE/URGENT CA<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 22" href="http://viewer.zmags.com/publication/0d0021a6?page=22">CASE REPORT: A 4-YEAR-OLD WHO FELL FROM THE SLIDE</a> CASE REPORT: A 4-YEAR-OLD WHO FELL FROM THE SLIDE<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 3" href="http://viewer.zmags.com/publication/0d0021a6?page=3">LETTER FROM THE EDITOR-IN-CHIEFA Field Guide t</a> LETTER FROM THE EDITOR-IN-CHIEFA Field Guide t<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 30" href="http://viewer.zmags.com/publication/0d0021a6?page=30">ABSTRACTS IN URGENT CARE Direct-to-cons</a> ABSTRACTS IN URGENT CARE Direct-to-cons<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 15" href="http://viewer.zmags.com/publication/0d0021a6?page=15"></a> <a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 44" href="http://viewer.zmags.com/publication/0d0021a6?page=44">Practice Velocity will improve your profitability</a> Practice Velocity will improve your profitability<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 43" href="http://viewer.zmags.com/publication/0d0021a6?page=43">Accident and Medical Practitioners Association an</a> Accident and Medical Practitioners Association an<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 34" href="http://viewer.zmags.com/publication/0d0021a6?page=34">HEALTH LAWInsulating Your Practice fromSexual</a> HEALTH LAWInsulating Your Practice fromSexual<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 40" href="http://viewer.zmags.com/publication/0d0021a6?page=40">CareerOpportunities</a> CareerOpportunities<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 26" href="http://viewer.zmags.com/publication/0d0021a6?page=26">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 8" href="http://viewer.zmags.com/publication/0d0021a6?page=8">JUCM CONTRIBUTORSChildren frightened by getti</a> JUCM CONTRIBUTORSChildren frightened by getti<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 38" href="http://viewer.zmags.com/publication/0d0021a6?page=38">CODING Q&Achronic/inactive problems, you get cr</a> CODING Q&Achronic/inactive problems, you get cr<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 32" href="http://viewer.zmags.com/publication/0d0021a6?page=32">BOOSTING REVENUE BY WORKING HARDER—OR SMARTER?</a> BOOSTING REVENUE BY WORKING HARDER—OR SMARTER?<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 5" href="http://viewer.zmags.com/publication/0d0021a6?page=5">™The Official Publication of the Urgent Care A</a> ™The Official Publication of the Urgent Care A<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 17" href="http://viewer.zmags.com/publication/0d0021a6?page=17">PEDIATRIC MINOR PROCEDURESholding. Using go</a> PEDIATRIC MINOR PROCEDURESholding. Using go<a title="JUCM, The Journal of Urgent Care Medicine February 2008 page 23" href="http://viewer.zmags.com/publication/0d0021a6?page=23">It’s 3:00 AM, and her cough won’t rest...</a> It’s 3:00 AM, and her cough won’t rest...