To Clot or Not – part 2

To Clot or Not – part 2

Transfer to ED One of my biggest pet peeves is transferring patients to the ER because of the inability to obtain confirmatory diagnostic testing for potentially serious conditions. We all know the ER cost of admission – 4-5 X what it costs to treat the same condition...
Get Your Urgent Care Center on the Road

Get Your Urgent Care Center on the Road

FMCSA AND URGENT CARE Over 90% of urgent care centers provide some type of occupational medicine services.  These services typically include drug screens, employee physicals, worker’s compensation injury care and other testing and specialized exams.  Among the most...
Reporting Driver Exam Results on the National Registry

Reporting Driver Exam Results on the National Registry

Instructions for Reporting Driver Exam Results The Federal Motor Carrier Safety Administration (FMCSA) has heard from many of you asking how to submit driver exam results to the National Registry. How Do I Submit Driver Exam Results? Go to the National Registry...
Extra testing required for DOT Exam–Who Pays?

Extra testing required for DOT Exam–Who Pays?

If we need to order extra testing for example; echo, sleepstudies, extra blood work, does that get billed to their  personalinsurance?Do we hold the certification as suggested or give them a temp fail untiltesting is finished, requiring a repeat office visit  and or...
Certification of Spanish speaking Commercial Drivers

Certification of Spanish speaking Commercial Drivers

Can a person be passed if he/she is primarily spanish speaking-can converse in engish– but can not write and read english well?Apparently they’ve been passed in the past. This is often a frustrating issue for medical examiners.  According to FMCSA...
6 Ways to Avoid Scheduling Problems in Urgent Care

6 Ways to Avoid Scheduling Problems in Urgent Care

The manager of several hospital affiliated urgent care centers asked me for some advice about his staffing model. The centers are open 7 AM to 10 PM M-F, and 8-5 on weekends. Staffed with mostly NPs, they rotated through the centers, alternating 7-3 and 3 – 10...