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PM News

The Voice of Podiatrists

Serving Over 17,536 Subscribers Daily


February 24, 2017 #5,870 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

Pedifix42

PM NEWS QUICK POLL

FINAL CHANCE TO VOTE

Quick Poll

How much have the new opioid warnings and regulations affected your prescribing of pain medications?

hammer725B


Richie711

PODIATRISTS IN THE NEWS
TX Podiatrist Uses Disposable Instruments to Reduce Infection Rate
 
The Centers for Disease Control and Prevention warns that medical errors and infections acquired at hospitals are considered to be the third leading cause of death. This claims more than a quarter of a million lives every year. Dr. James Jacobs is a podiatrist who performs surgery at the Hospital for Surgical Excellence of OakBend Medical Center in Sugar Land and now uses disposable surgical instruments. He says he hopes this will help protect his patients from infection. 
 
Dr. James Jacobs
 
"It's always nice to not have to worry about that," says Dr. Jacobs. "There's a percentage that could get a post-op infection with any type of surgery, but with this, in the sterile field and the instrumentation and everything, and the way they clean them, there's a very slim chance (knock on wood) of getting a post-op infection. The tools are all disposable. We just throw them away, so you don't have to worry about carrying an infection from one patient to another." 
 
Source: Melissa Wilson, Fox 26 (Houston) [2/22/17]
Danipro

PODIATRISTS IN THE NEWS - PART 2
NY Podiatrist Discusses Athlete's Foot 
 
A few other warning signs of potential foot fungus, like athlete’s foot, include “itching, scaling, redness, moisture between toes, and yellow discoloration to the nails,” Dr. Emily Splichal, podiatrist, tells SELF. “Oftentimes, patients just think their skin is dry, but it is actually a fungal infection.” Also keep an eye out for blisters and problem spots between your toes.
 
Dr. Emily Splichal
 
The more moisturized your feet are, the less likely you are to have cracks in the skin, which is how the fungi causes inflammation. Dr. Splichal recommends tea tree oil to her patients as another alternative to lotions, since it’s super moisturizing and has a strong smell to it. “If foot odor is an issue, which sometimes it can be with foot fungus, it helps to address this as well,” Dr. Splichal says.
 
Source: Meg Lappe, SELF [2/22/17]
NWPL117

PODIATRISTS IN THE COMMUNITY
CT Podiatrist Active in Community Outreach
 
Yale New Haven Health’s Northeast Medical Group (NEMG) has announced some of the impactful results of its 2016 community giving campaigns. “As community physicians, we’re fortunate to be able to meet and serve our neighbors every day,” said Dr. Ceasar Irby, an NEMG podiatrist in Stratford.
 
Dr. Ceasar Irby
 
“However, medical treatment and medications are not the only important factors in our patients’ overall health. We also have a commitment to their overall well-being and ensuring their basic needs are being met.” Irby is involved with several community programs and serves as vice-chairman of the board at the YMCA Ralphola Taylor Center in Bridgeport.
 
Source: New Haven Register [2/21/17]

Bakomacer


PODIATRIC PRODUCTS IN THE NEWS
CoolPulse Technology Reduces Foot Injection Pain
 
New research on the use of CoolPulse technology for foot injection pain was presented during the recent NY Clinical Conference. According to the research team from Temple University, Buzzy, a re-usable pain blocking device that combines cold and vibration, reduces foot and ankle injection pain by 50% compared with cold spray alone.
 
Dr. Tracey Vlahovic
 
In this clinical trial, Tracey Vlahovic, DPM, an associate professor in the department of Podiatric Medicine at Temple University’s School of Medicine in Philadelphia, Pennsylvania, and colleagues randomized 108 patients into treatment (vibration and cold spray) or control (cold spray only) groups. The primary outcome was pain which was measured by both the patient and an observing physician.
 
Source: Tracey Romero, Orthopedics This Week [2/22/17]
comfortfit1031

FROM PM's RECENT ISSUES
Twice a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
 
Today's Featured Article
 
Blaine1003A

PRACTICE MANAGEMENT TIP OF THE DAY
12 Ways Physicians Can Maintain Sanity - Part 4
 
In pursuit of offering expert and effective patient care, physicians sometimes shortchange their own health and then discover, too late, that the path back to healthy living is quite challenging. Why not offer great care and maintain your sanity as well as health?
 
Here are 12 tiny changes you can put into practice now to maintain and/or improve your health:
 
 7. Dry brush your teeth. It has been demonstrated to reduce tartar, which can lead to plaque, by at least 50 percent. Make sure you have a soft brush, and brush gently, scrubbing both the top and bottom of your teeth. Don't forget the backsides! This will help considerably reduce the risk of bleeding gums.
 
 8. Check your contact lenses. A diet full of fat, protein, and alcohol weakens your tears' ability to block cholesterol from sticking to your contacts. Get a cholesterol screening if you experience cloudy deposits on your contact lenses to determine if you are at risk for serious problems, like clogged arteries.
 
Source: Jeff Davidson, Physicians Practice [2/17/17]
neurogenixjan3017

CODINGLINE CORNER
Query: Medicare ABN
 
Is there appropriate terminology or a “good” reason to use the Medicare Advance Beneficiary Notice (ABN) form for why Medicare may not pay for an AFO, therapeutic (diabetic) shoes, etc., other than “not covered item, does not meet Medicare criteria, could be fit with a pre-fab device, etc” to cover us, so that if the claim is denied, we can collect from the patient?
 
Gary Friedlander, DPM, Glendale, AZ
 
Response: The reason for the Advance Beneficiary Notice (ABN) and the need for stating probable denial is to inform the patient prior to treatment (or dispensing) that they may be responsible for payment.
 
I always include frequency of service as a possible reason for denial. The reasons you included are correct as well. If you choose possible denial because “not covered item, does not meet Medicare criteria” and Medicare indicates “patient did not meet the criteria due to frequency of service”, you can still bill the patient as long as you have the signed ABN on file and include the ABN modifier (“GA”) on the claim.
 
Donald R Blum, DPM, JD, Dallas, TX
 
For information on Codingline subscriptions, click here
realm

RESPONSES/COMMENTS (ETHICS)
From: Keith L. Gurnick, DPM
 
Oftentimes, we as podiatrists are offered and sign insurance contracts that reimburse at fair and equitable rates for some services, while at the same time these contracts reimburse at unfair or ridiculously low rates for other services. There seems to be no logic to this, but believe me, the insurance company knows exactly what they are doing. 
 
If you are comfortable continuing with your contract with Amerigroup, there is no reason to cancel the contract. However, they can't force you to...
 
Editor's note: Dr. Gurnick's extended-length letter can be read here.
Medpro

RESPONSES/COMMENTS (PM NEWS QUICK POLLS)
From: Elliot Udell, DPM
 
The heart of this problem is not whether we should or should not be prescribing opioids. The real question is what conditions we as podiatrists should or should not be treating with opioids. 
 
No one will argue that after a major surgery, a patient will need medications to control his or her pain. In some localities, leaving a patient in pain by under-medicating the patient, post- operatively, is considered an act of negligence. The salient question is whether...
 
Editor's note: Dr. Udell's extended-length letter can be read here. 

MSI531


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Inspired by Ilizarov?

Source: Rotem Arbel via Bezalel Academy

MEETING NOTICES

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CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION – SOUTH CAROLINA 
 
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary and next exam is June 2017.  Starting Compensation package $120k-$140k (base + bonus), health insurance, paid vacation, CME allowance, and retirement. Please send Letter of Interest and CV to: scdpmjobs@gmail.com
 
IMMEDIATE ASSOCIATE OPPORTUNITY – CHICAGO 
 
Multi-location group-Chicago/Near West Suburbs - Opening for ABFAS Board Certified/Qualified associate for Chicago. Surgical/ortho patient load. No nursing homes. Must hit the door running! EMR, digital x-ray, laser, ultrasound, shockwave, surgery center & amazing support staff. Benefits available, associateship available for the right doc. Send CV to chicagopodwork@gmail.com
 
POSITIONS AVAILABLE - IN, TN, TX, MO, KS, WI
 
Preferred Podiatry Group is seeking providers to join our growing practice servicing long term care facilities in several areas.  We offer a competitive commission based income as well as a benefits packaged to our employed podiatrists. Full-time and part-time positions are available.  Contact Dr. Chris Kestner at ckestner@ppgpc.com for details.
 
SALES SUPPORT ASSOCIATE – BAKO INTEGRATED PHYSICIAN SOLUTIONS
 
For complete details, click here
 
2017 GRADUATE ASSOCIATE POSITION - LONG ISLAND  
 
Expanding Long Island based, well rounded group practice seeks 2017 third and fourth year graduating residents or fellows to join our state-of-the-art practices. Our practices are affiliated with multiple hospital systems, surgical and wound care centers and a residency program. Requirements: Caring, ethical, board qualified/certified candidates with surgical training and leadership qualities who are willing to live/relocate to the Long Island, NY metro area. Email CV to: Drbrook@countryfootcare.com
 
ASSOCIATE POSITION – TAMPA BAY, FL 
 
Well-established mobile podiatric practice has a territory opening in beautiful Tampa Bay, Florida! This mobile based position is Monday thru Friday, no nights or weekends. Our physicians must maintain active Medicare and Florida licenses.  We offer outstanding work-life balance, malpractice insurance and exceptional benefits (health, paid holidays, vacation, 401K retirement plan with company match). Get back to practicing medicine! CHS provides you with a Medical Assistant, Schedule Coordinator, and Experienced Podiatric Biller. First year six figure salary guaranteed with RVU bonus structure after 90-days!  Most doctors earn over $150,000!  Join our fun, fast-growing company and email your CV to psojobs@chsamerica.com!
 
ASSOCIATE POSITION - HARTFORD COUNTY, CT
 
Well-established, busy podiatric practice seeking a candidate who is dedicated, hardworking, motivated with an excellent bedside manner. The practice sees all age groups and all aspects of podiatry from simple to complex. Seeking a long-term team player dedicated to patient care and has the ability to work independently. Send CV to ct_footdoc@yahoo.com 
 
ASSOCIATE POSITION PART-TIME -SOUTHERN NJ  
 
PT position for a motivated, positive personality, board qualified/certified podiatrist. 20 hours/week. Email: BestfootcareNJ@gmail.com
 
ASSOCIATE POSITION – CALIFORNIA 
 
Central Valley/Southern CA. Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality.  Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short biography to: Tonya@wetreatyourfeet.com
 
ASSOCIATE POSITION - ST. LOUIS, MO 
 
Expanding group practice seeks full-time podiatrist to join our team, we have state of the art facilities with EHR, lasers, EPAT, digital x-ray, etc.  Candidates must have completed a PSR/36 residency and be well-trained, ethical and collegial. Competitive salary with incentives and benefits. If interested, please Contact CHARLENEW@FACSTL.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.
CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE 
 
Midmark 623 Exam Table/Chair with stool, absolute mint condition, never used. Also available are Biomedix PADnet arterial/venous testing device and Noveon Nail Laser machine. Serious inquiries only. Please contact nefootandankle@optonline.net.
 
PRACTICE FOR SALE - MANHATTAN, FINANCIAL DISTRICT/ WEST SIDE 20s-50s  
 
We have been engaged to search for a practice/provider seeking to sell. Key characteristics include: willingness to transition for 90 to 150 days, long term lease for space, established patient base with consistent schedule.  All inquiries confidential. Contact nyesdpm@gmail.com to find out more.
 
PRACTICE FOR SALE - CALIFORNIA: NORTHERN 
 
Wanting to retire. Looking for someone to take over practice. Great opportunity. Ready patient base. Potential to expand in all areas of podiatry.  Awesome area - lakes, mountains, rivers - especially appealing to outdoor enthusiast/anyone who enjoys beautiful locale.  $285,000 buys building and well established practice. Email reddingpodiatry@sbcglobal.net
 
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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Barry H. Block, DPM, JD
 
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