Drug Test for DOT Physical

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...

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Do Chiropractors Need a CLIA Waived Lab Certificate?

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,...

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Standalone or Blended Occupational Medicine Clinic?

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...

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How to Conduct a Respirator Fit Test

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...

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We’re So Busy – Why Aren’t We Making Any Money?

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...

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My Productivity Tools

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...

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Should the Driver Disrobe for a DOT Physical?

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...

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When Your Specialist Won’t Commit

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...

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Three Ways to Lose Your Occmed Clients

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,...

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