Drug Test for DOT Physical
"We have a provider who in the past worked in a facility that whenever a driver has a history of previous illegal substance abuse they gave them a drug screen (non dot) with every physical in order to certify. Today we had a driver that admitted to previous use and...
PharmaLink Review: Physician Practice In-Office Pharmacy Dispensing
Medication dispensing through a traditional pharmacy can be inconvenient to patients. It can even prove to be an additional expense. It also opens up issues on privacy, compliance, and confidentiality. The solution lies in enabling medical professionals to dispense...
FMCSA Issues Waiver for Commercial Driver Determinations and Certification
FMCSA has issued a Covid 19 waiver of certain regulations regarding commercial driver license holders. See the full waiver announcement here It is applicable to drivers whose medical certificates expire on or after March 1, 2020 and extends through June 30, 2020. Some...
Do Chiropractors Need a CLIA Waived Lab Certificate?
I was at a chiropractic board meeting yesterday and one of the doctors stated that we all had to have a CLIA waiver to perform Dip Stix urine test in our office or to collect urine to send it out to a lab. I understand CLIA works with labs such as Quest, Lab Corp etc,...
Standalone or Blended Occupational Medicine Clinic?
Should you [continue to] operate your occupational medicine clinic as a standalone practice or in a blended model, combining with your urgent care services? If you have a hospital affiliated occupational medicine clinic, it may have operated the same way year after...
How to Conduct a Respirator Fit Test
Adding respirator fit testing services to your practice is easy and complements your respiratory protection exams. What is required before using a respirator? Fit testing is required by the Occupational Safety and Health Administration (OSHA) under OSHA 1910.134...
We’re So Busy – Why Aren’t We Making Any Money?
Medical Practice Management for Poor Profits During a recent medical practice management consultation, I listened to an owner of a hybrid family medicine/urgent care practice lamenting - "We've been open for 4 years. After about the first 2 years we became...
How Good is Your Occmed Knowledge?
Take the Quiz! It's only 10 questions and covers work related examinations and injury care [quiz id="9150"]
My Productivity Tools
Staying Productive I’m often asked about the productivity tools and technology I use to manage my business and various consulting projects. I’m a tech junkie. It would take at least a small book to give a decent review of all the apps I use and love. Here are some...
Should the Driver Disrobe for a DOT Physical?
Hidden Conditions I know some examiners that have high volume practices and don't require commercial drivers to disrobe for a DOT physical. Here's an interstate driver who popped into a truck stop restaurant to wolf down a burger and fries. Some would argue that this...
When Your Specialist Won’t Commit
Specialty Consults on DOT Physical Close to half of your Commercial DOT Physical examinees have a significant medical condition. Most times is easy enough to request some documentation or needed testing from the primary care treating physician. Examples: You have a...
Three Ways to Lose Your Occmed Clients
Successful Occupational Medicine Programs As with many other industries, in order to run a successful occupational medicine program, “service” has to be delivered from the customer’s perspective. You’ve set up your center and trained your staff for drug screens,...
