JUCM, The Journal of Urgent Care Medicine April 2009

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™ APRIL 2009 VOLUME 3, NUMBER 7 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE FEATURES 11 Management of Hypertensive Urgency in an Urgent Care Setting 23 Bouncebacks: The Case of a 49-Year-Old Woman with Pleuritic Chest Pain DEPARTMENTS 30 Abstracts in Urgent Care 34 Insights in Images: Clinical Challenge 38 Health Law 40 Coding Q&A 42 Pediatric Urgent Care 43 Occupational Medicine 48 Developing Data A BRAVEHEART PUBLICATION CODING Q&A The specific global period for every CPT code is available for download at cms.hhs.gov/physicians/ mpfsapp/step0.asp. As a pr <a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 43" href="http://viewer.zmags.com/publication/e43aef6f?page=43">CODING Q&A The specific global period for</a> CODING Q&A The specific global period for<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 15" href="http://viewer.zmags.com/publication/e43aef6f?page=15">New for the treatment of tonsillitis and/orphary</a> New for the treatment of tonsillitis and/orphary<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 13" href="http://viewer.zmags.com/publication/e43aef6f?page=13">ClinicalManagement ofHypertensive Urgencyin a</a> ClinicalManagement ofHypertensive Urgencyin a<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 52" href="http://viewer.zmags.com/publication/e43aef6f?page=52">www.PracticeVelocity.comSee you in Vegas at the</a> www.PracticeVelocity.comSee you in Vegas at the<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 22" href="http://viewer.zmags.com/publication/e43aef6f?page=22">MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C</a> MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 5" href="http://viewer.zmags.com/publication/e43aef6f?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 April 2009 page 41" href="http://viewer.zmags.com/publication/e43aef6f?page=41">Demonstrate your commitment to safe, high qu</a> Demonstrate your commitment to safe, high qu<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 8" href="http://viewer.zmags.com/publication/e43aef6f?page=8">JUCM CONTRIBUTORSI t may seem axiomatic in</a> JUCM CONTRIBUTORSI t may seem axiomatic in<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 38" href="http://viewer.zmags.com/publication/e43aef6f?page=38">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 18" href="http://viewer.zmags.com/publication/e43aef6f?page=18">MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C</a> MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 32" href="http://viewer.zmags.com/publication/e43aef6f?page=32">ABSTRACTS IN URGENT CAREOn the Elbow Extension</a> ABSTRACTS IN URGENT CAREOn the Elbow Extension<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 48" href="http://viewer.zmags.com/publication/e43aef6f?page=48">Career OpportunitiesYou bring healing.You r</a> Career OpportunitiesYou bring healing.You r<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 31" href="http://viewer.zmags.com/publication/e43aef6f?page=31">THE CASE OF A 49-YEAR-OLD WOMANcriteria and</a> THE CASE OF A 49-YEAR-OLD WOMANcriteria and<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 47" href="http://viewer.zmags.com/publication/e43aef6f?page=47">URGENT/PRIMARY CARE - Doctor or PA needed for w</a> URGENT/PRIMARY CARE - Doctor or PA needed for w<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 27" href="http://viewer.zmags.com/publication/e43aef6f?page=27">THE CASE OF A 49-YEAR-OLD WOMAN WITH PLEURITIC CH</a> THE CASE OF A 49-YEAR-OLD WOMAN WITH PLEURITIC CH<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 3" href="http://viewer.zmags.com/publication/e43aef6f?page=3">LETTER FROM THE EDITOR-IN-CHIEFThe Responsibil</a> LETTER FROM THE EDITOR-IN-CHIEFThe Responsibil<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 17" href="http://viewer.zmags.com/publication/e43aef6f?page=17">MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C</a> MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 46" href="http://viewer.zmags.com/publication/e43aef6f?page=46">OCCUPATIONAL MEDICINE Emphasize your program'</a> OCCUPATIONAL MEDICINE Emphasize your program'<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 14" href="http://viewer.zmags.com/publication/e43aef6f?page=14">MOXATAG is indicated for the treatment of tonsill</a> MOXATAG is indicated for the treatment of tonsill<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 26" href="http://viewer.zmags.com/publication/e43aef6f?page=26">THE CASE OF A 49-YEAR-OLD WOMAN WITH PLEURITIC CH</a> THE CASE OF A 49-YEAR-OLD WOMAN WITH PLEURITIC CH<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 21" href="http://viewer.zmags.com/publication/e43aef6f?page=21">MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C</a> MANAGEMENT OF HYPERTENSIVE URGENCY IN AN URGENT C<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 29" href="http://viewer.zmags.com/publication/e43aef6f?page=29">THE CASE OF A 49-YEAR-OLD WOMAN WITH PLEURITIC CH</a> THE CASE OF A 49-YEAR-OLD WOMAN WITH PLEURITIC CH<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 39" href="http://viewer.zmags.com/publication/e43aef6f?page=39">Visit us at booth#210 at the UCAOA C</a> Visit us at booth#210 at the UCAOA C<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 45" href="http://viewer.zmags.com/publication/e43aef6f?page=45">OCCUPATIONAL MEDICINEEffective Occupational He</a> OCCUPATIONAL MEDICINEEffective Occupational He<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 2" href="http://viewer.zmags.com/publication/e43aef6f?page=2">We are Committedto Urgent CareUnparalleled c</a> We are Committedto Urgent CareUnparalleled c<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 7" href="http://viewer.zmags.com/publication/e43aef6f?page=7"><==@:@<EK 8::LI8K< @EK<>I8K<; :FDGC@:8K<</a> <==@:@<EK 8::LI8K< @EK<>I8K<; :FDGC@:8K<<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 42" href="http://viewer.zmags.com/publication/e43aef6f?page=42">CODING Q&AModifiers for E/M CodesDuring Glob</a> CODING Q&AModifiers for E/M CodesDuring Glob<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 1" href="http://viewer.zmags.com/publication/e43aef6f?page=1">™ APRIL 2009</a> ™ APRIL 2009<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 10" href="http://viewer.zmags.com/publication/e43aef6f?page=10">FROM THE EXECUTIVE DIRECTORSolving Our Identit</a> FROM THE EXECUTIVE DIRECTORSolving Our Identit<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 30" href="http://viewer.zmags.com/publication/e43aef6f?page=30">THE JOURNAL OF URGENT CARE MEDICINE®presents a</a> THE JOURNAL OF URGENT CARE MEDICINE®presents a<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 33" href="http://viewer.zmags.com/publication/e43aef6f?page=33">ABSTRACTS IN URGENT CARE– percentage with st</a> ABSTRACTS IN URGENT CARE– percentage with st<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 16" href="http://viewer.zmags.com/publication/e43aef6f?page=16">The following is a brief summary only; see full P</a> The following is a brief summary only; see full P<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 24" href="http://viewer.zmags.com/publication/e43aef6f?page=24">Provide your patientswith convenienceand peace</a> Provide your patientswith convenienceand peace<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 6" href="http://viewer.zmags.com/publication/e43aef6f?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 April 2009 page 23" href="http://viewer.zmags.com/publication/e43aef6f?page=23">HYPERTENSIVE URGENCYbeen used extensively i</a> HYPERTENSIVE URGENCYbeen used extensively i<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 44" href="http://viewer.zmags.com/publication/e43aef6f?page=44">PEDIATRIC URGENT CAREA Rationale for Making</a> PEDIATRIC URGENT CAREA Rationale for Making<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 12" href="http://viewer.zmags.com/publication/e43aef6f?page=12">SPECIALPRE-RELEASEPRICINGPoint to where it hu</a> SPECIALPRE-RELEASEPRICINGPoint to where it hu<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 50" href="http://viewer.zmags.com/publication/e43aef6f?page=50">DEVELOPING DATAIn early 2008, UCAOA revamped</a> DEVELOPING DATAIn early 2008, UCAOA revamped<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 51" href="http://viewer.zmags.com/publication/e43aef6f?page=51">Billers</a> Billers<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 9" href="http://viewer.zmags.com/publication/e43aef6f?page=9">UCBCA is now part of UCA!Shorter nam</a> UCBCA is now part of UCA!Shorter nam<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 34" href="http://viewer.zmags.com/publication/e43aef6f?page=34">Share YourInsights At its core</a> Share YourInsights At its core<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 40" href="http://viewer.zmags.com/publication/e43aef6f?page=40">HEALTH LAWSafety First When ConsummatingRelat</a> HEALTH LAWSafety First When ConsummatingRelat<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 25" href="http://viewer.zmags.com/publication/e43aef6f?page=25">BouncebacksThe Case of a 49-Year-OldWoman with</a> BouncebacksThe Case of a 49-Year-OldWoman with<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 4" href="http://viewer.zmags.com/publication/e43aef6f?page=4">®The economic stimulus package means 3</a> ®The economic stimulus package means 3<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 20" href="http://viewer.zmags.com/publication/e43aef6f?page=20">Flector® Patch (diclofenac epolamine topical patc</a> Flector® Patch (diclofenac epolamine topical patc<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 11" href="http://viewer.zmags.com/publication/e43aef6f?page=11">™a healthier practice is just ablood</a> ™a healthier practice is just ablood<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 35" href="http://viewer.zmags.com/publication/e43aef6f?page=35"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 36" href="http://viewer.zmags.com/publication/e43aef6f?page=36">INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac</a> INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 19" href="http://viewer.zmags.com/publication/e43aef6f?page=19">FOR THE TOPICAL TREATMENT OF ACUTE PAINDUE TO MI</a> FOR THE TOPICAL TREATMENT OF ACUTE PAINDUE TO MI<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 37" href="http://viewer.zmags.com/publication/e43aef6f?page=37">Is This An Emergenc</a> Is This An Emergenc<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 49" href="http://viewer.zmags.com/publication/e43aef6f?page=49">Career OpportunitiesMarketing</a> Career OpportunitiesMarketing<a title="JUCM, The Journal of Urgent Care Medicine April 2009 page 28" href="http://viewer.zmags.com/publication/e43aef6f?page=28"></a>