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PM News

The Voice of Podiatrists

Serving Over 17,488 Subscribers Daily


June 23, 2017 #5,955 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2017- No part of PM News can be reproduced without the
written permission of Barry Block

alliedrichiejun1917

PM NEWS QUICK POLL

FINAL CHANCE TO VOTE

Quick Poll

 
Should podiatrists be allowed to be expert witnesses in orthopedic cases? 
drjillsmar2017C

kickstarterjun1917

INTERNATIONAL PODIATRISTS IN THE NEWS
Canadian Podiatrist Discusses How to Slow the Progression of Bunions
 
You can slow or halt the progression of a bunion by wearing footwear that supports the foot evenly. “Avoiding high heels and tight, narrow shoes – except for special occasions – and choosing supportive flats for walking or standing during extended periods can help,” says Hartley Miltchin DPM, a Toronto-based doctor of podiatric medicine. “So can having prescription orthotics made, which are tailored to your foot.
 
Dr. Hartley Miltchin
 
“That’s because these strategies can eliminate the over-pronation of the foot, which leads to bunion development. We walk with our feet over-rolling towards the arch and big toe area, and the bones of the foot shift out of alignment to compensate for that imbalance. In order to prevent or eliminate bunion progression, we have to re-align that bone shift, caused by the inherent mechanical imbalance (over-pronation), says Dr. Miltchin.”
 
Source: Anna Sharratt, Sunlife
Bakojun1917

OUTSIDE INTERESTS
TN Podiatrist Opens Medical Spa
 
Dr. Giang Nguyen has added a medical nail salon and spa to help further treat her patients. Many, especially ones with visible or contagious issues, can't or won't go to a typical salon for a pedicure or other services out of embarrassment, she said. Nguyen's on-site salon offers private rooms and caters to unique needs for a total treatment experience.
 
Dr. Giang Nguyen
 
Even after infections or foot pain have been dealt with, Nguyen said many of her patients continue to return to the salon in her office rather than go to a non-medical salon. "I think most prefer to pay extra and get the comfort of a private room here," she said. "They come back a lot."
 
Source: Shane Foley, Times Free Press [6/21/17]
pedicis59b

MEDICARE NEWS
CMS Proposes Quality Payment Program Rule for 2018
 
The Centers for Medicare and Medicaid Services has proposed a new rule for its Quality Payment Program in an effort to simplify reporting requirements with updates for the second and future years of the program. “The proposed rule would amend some existing requirements and also contains new policies for doctors and clinicians participating in the Quality Payment Program that would encourage participation in either APMs or the MIPS,” according to the agency’s June 20 announcement.
 
In particular, the rule calls for an increased low-volume threshold that will exempt eligible MIPS clinicians with less than $90,000 in allowed charges or fewer than 200 Medicare Part B beneficiaries from having to participate in the program. The threshold in 2017 was $30,000 in allowed charges or fewer than 100 beneficiaries.
 
Source: Greg Slabodkin, Health Data Management [6/21/17]
realm

HEALTHCARE LEGISLATION
Senate's Obamacare Replacement Bill will Likely Boost Health Savings Accounts
 
When the U.S. Senate unveils its bill to replace Obamacare Thursday, it's fair to expect the legislation will seek to expand the benefits of health savings accounts. Senate Republicans plan to unveil the text of their draft healthcare bill as senators struggle over issues such as the future of the Medicaid program for the poor and bringing down insurance costs.
 
  • Health savings accounts offer triple tax advantages for investors.
  • The House's American Health Care Act nearly doubles HSA contribution limits and many expect the Senate bill to have similar provisions.
  • Even if Congress fails to pass a healthcare law, assets in HSAs are estimated to reach more than $53 billion by 2018, a 20 percent increase from this year.
Source: Tom Anderson, CNBC [6/21/17]
Goldmanjun1917

PRACTICE MANAGEMENT TIP OF THE DAY
7 Ways to Market Your Practice in the Digital Age - Part 2
 
Marketing is critical to get your practice information out to the public. When is the last time you took a close look at your practice and its online presence? Here are a few suggestions:
 
2: Brochures: Do you have a brochure for your practice? You would be amazed how far and wide these will travel from patient to patient! Even if you have had your practice for 20 years, it does no harm to have a well-designed brochure with thoughtful content. There are many websites that have brochure designs for free. They are easy to manipulate and not very costly to have printed (we are having ours done at a local print shop).
 
Source: Rebecca Fox, MD, Physicians Practice [6/12/17]
Blaineapr2417

CODINGLINE CORNER
Query: Bunion Correction with Joint Implant
 
I was given the code, CPT 28293 (bunionectomy with implant), but when I looked up the code in the APMA Coding Resource Center, it says the code has been replaced with CPT 28291 (hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant), but it is not coming up as a valid code in our EMR. When I look in the podiatry coding book, CPT 28291 is not a listed code. Could you please let me know which code I should be using?
 
W. Anthony Wakim, DPM, Brockton, MA
 
Response: The code, CPT 28291, from the APMA Coding Resource Center is the correct code. The problem with your EMR is that it’s not updated, and you need to find a way to update your CPT code directory and eliminate the old code, replacing it with the new code.
 
CPT 28293 was deleted as of January 1, 2017. CPT 29891 is a cheilectomy with implant code.
 
Joseph Borreggine, DPM, Charleston, IL
 
For information on Codingline subscriptions, click here
neurogenxapr317

RESPONSES/COMMENTS (NEWS STORIES) - PART 1
From: Josh White, DPM, CPed
 
DPMs who adopt protocols espoused by the American Diabetes Association's “Standards of Medical Care” and the CDC’s STEADI program for fall prevention, endorsed by the APMA, can easily satisfy 4 of the 9 required 2017 registry MIPS Quality Measures (126, 127, 154, 155).  
 
Such an approach not only helps avoid what’s now a 4% penalty but also offers the opportunity to bill 99213 E&M visits for comprehensive diabetic foot exam and fall risk assessment provided that evaluation determines a qualifying risk factor and that a plan of care is provided.
 
Incorporating a thorough, routine approach to care offers the best way to identify risk factors that often go untreated and makes clear indications when shoes, foot orthotics, and AFOs may be prescribed as preventative care modalities.
 
Josh White, DPM, CPed, Maplewood, NJ
RediH-thotics

RESPONSES/COMMENTS (NEWS STORIES) - PART 2
From: Elliot Udell, DPM
 
Congratulations Dr. David Armstrong for once again blazing another trail for our profession. His article titled "Diabetic Ulcers and Their Recurrence" was published in the June 15th issue of the New England Journal of MedicineNot only should we be proud of Dr. Armstrong's latest accomplishment for being the lead author in a paper published by one of the world’s leading medical journals but many of his references at the end of the paper were papers also published by podiatrists.
 
Reading this article today brought tears to my eyes for the same reason that many civil rights leaders cried when the first Black president was inaugurated eight and half years ago. Both represented breakthroughs and in the case of Dr. Armstrong's well-written paper, a breakthrough for our entire profession. Thirty five plus years ago when I first graduated, it would have been a pipe dream for a person with a DPM after his name to have a major paper on foot pathology published in any prestigious non-podiatric medical journal. This "glass ceiling" has now been broken and I salute the authors who made this possible.
 
Elliot Udell, DPM, Hicksville, NY
2020may2917

YOU CAN'T MAKE THESE THINGS UP

Amputated Toe Stolen From a Canadian Bar That Used It To Make Cocktails

The bar, called the Sourdough Saloon, is located in a hotel in Dawson City, a Yukon town of less than 2,000 people best known for being a base during the 19th-century Klondike Gold Rush. The mummified toe is important because it's the key ingredient in the bar's signature drink, the "Sourtoe Cocktail." The drink involves taking a shot of whiskey with the toe submerged in it until the toe touches the lips of the drinker.
 
Amputated Toe Used in a Sourtoe Cocktail

Well, on Saturday night, the toe was stolen, according to the bar's "Toe Captain," Terry Lee. "We are furious," he said in a statement sent to Global News. "Toes are very hard to come by.

Source:  Michelle Broder Van Dyke, Buzzfeed [6/21/17] via Dr. Wenjay Sung

Danipro

MEETING NOTICES

presentmay2217

PM PODIATRY HALL OF FAME LUNCHEON

July 29, 2017 – Gaylord Opryland Resort & Convention Center- Nashville, TN

Honoring G. "Dock" Dockery, DPM and Benjamin J. Wallner 

Sponsored by Bako Integrated Physician Services (Silver), PICA (Bronze), and Sammy Systems (Bronze)

PM News subscribers are invited to see Dr. Dockery and Mr. Wallner inducted in the PM Podiatry Hall of Fame, including roasts by special guests. 

All ticket proceeds go to the APMA Educational Foundation Student Endowment Fund. Reserve your tickets now by sending $75 per ticket to: APMA Educational Foundation Student Scholarship Fund, 9312 Old Georgetown Road, Bethesda, MD 20814 or via the APMA Meeting registration form.


NEED CME CREDITS FAST?

PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn up to 5CPME-Approved CME Contact Hours Online

Earn 15 Contact Hours only $210

(Only $14 per credit) http://www.podiatrym.com/cme.cfm

All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY

Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX,  VT, WA, and DC

Choose any or ALL from 30+ CME Category-1 articles posted


CLASSIFIED ADS - PART 1- ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - LEONARDTOWN, MD
 
Established practice looking for a full-time podiatrist for a new location in Leonardtown, MD. Must live within 20 miles from the office. The ideal candidate will have strong clinical skills including ulcer care, diabetes and general footcare. Must have a strong office personality with the ability to maintain and attract patients. Advanced surgical training a plus, but not required. Please send C/V to footdocs17@gmail.com
 
PODIATRIST WANTED - WESTERN SUFFOLK COUNTY AND NORTHERN NASSAU COUNTY
 
Per diem position. Please contact: bombbustr7@aol.com
 
ASSOCIATE  FULL-TIME POSITION - SOUTHERN CALIFORNIA
 
Busy 3 office muti-doctor practice looking for ABPS qualified/certified associate leading to partnership. Excellent salary and full benefits including health, malpractice and 401K retirement. Inland Empire/Suburban Los Angeles. E-mail your CV to familyfootcenter@verizon.net.  I will be attending the Western Conference in Anaheim this week if you would like to interview.
 
PART-TIME to FULL-TIME ASSOCIATE OPPORTUNITY – CHICAGO 
 
Multi-location group-Chicago/Near West Suburbs - Opening for ABFAS Board Certified associate. Surgical/ortho patient load. No homes.  EMR, digital x-ray, laser, ultrasound, shockwave, surgery center & amazing support staff.  Part-time to start-but if you’re a self-starter-can be Full -time. Benefits available. Associateship & practice equity available for the right doc. Send CV  to drtsatsos@anklenfoot.com
  
ASSOCIATE POSITIONS – GEORGIA 
 
Village Podiatry Group, a wholly owned subsidiary of Extremity Healthcare, Inc. is growing and seeking board qualified/certified associates with a State of Georgia license. Ideal candidates have 3-5 years’ experience and knowledge of coding/billing, and desire to excel while utilizing our practice owned ancillaries. Our successful model is built to enrich the physicians and their efforts. Serious inquiries only to Tony Brzezicki, Human Resources, at tbrzezicki@extremityhc.com or fax (770.874.1748). Starting salary will be based on experience and the value you bring to the practice. EHI also offers a competitive benefits package.
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - MARYLAND—ANNE ARUNDEL COUNTY 
 
(PRICED TO SELL) Full-time, solo podiatry practice of 40 years includes office condominium and licensed surgicenter. Located in professional building near two hospitals. Fully equipped with digital x-ray system and EHR.  Practice—Condominium Office – Surgicenter ready for motivated ambitious individual to step in and earn immediate income.  Perfect for recent residency grad. Email: practiceforsale@comcast.net
 
PRACTICE FOR SALE - PRIME LOCATION IN LA  
 
Located in MOB adjacent to hospital. Great physician referrals and well established patient base. Be busy and great income from day one. Established 30 years. Currently 2 days a week. Easily full time if desired. Will stay for smooth transition. Asking $300K. Email sales@podigear.com.
 
PRACTICE FOR SALE – CENTRAL NEW JERSEY 
 
Part time practice for sale with office condo in professional complex. Primarily routine foot care, biomechanical and wound care with strong potential for added services. Easily expanded to full time practice. Serious buyers send email to kt140325@gmail.com    
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
Disclaimers
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management Magazine and Podiatry Management Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify me and you are hereby instructed to delete all electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be either timely or free of viruses.
Guidelines
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  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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  • Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.

Barry H. Block, DPM, JD
 
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