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PM News

The Voice of Podiatrists

Serving Over 18,841 Subscribers Daily


January 26, 2018 #6110 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- No part of PM News can be reproduced without the
written permission of Barry Block

OHIJan818A

PM NEWS QUICK POLL

FINAL CHANCE TO VOTE

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Do you make housecalls?
Gordon1 Labs

PODIATRISTS IN THE NEWS
WI Podiatrist Discusses Bunions
 
Bunions aren’t genetic, but they may be common among members of the same family because people get their foot structure from their parents. “They’re usually caused by pronation, which is flattening of your arch, or hypermobility of your foot,” said Dr. Amy Jaeger, a Marshfield Clinic podiatrist.
 
Dr. Amy Jaeger
 
“Bunions get worse over time,” Jaeger said. “Unfortunately, no one can tell you when it’s going to get bad or how bad it’s going to get.” More than 20 surgical procedures exist to treat bunions. They range from shaving a mild bunion to fusing the joint. Surgery has risks and should be taken seriously,” Jaeger said. “You should only have surgery if your bunion becomes painful or starts affecting your balance and gait. It is not a cosmetic procedure.”
 
Source: Marshfield Clinic [1/23/18]
bakodec2517

PODIATRISTS AND SPORTS MEDICINE
CA Podiatrist Has Run 40 Years Injury-Free
 
It’s practically unheard of for a runner to never have been injured. But sports podiatrist Franklin Kase, DPM, of Providence Saint Joseph Medical Center and Burbank Podiatry Associates Group, can boast such a non-event. In his 40 years of running, he has completed 50 half marathons and six full marathons without suffering any leg or foot injuries. “I’m 66 and I feel great,” he says. We asked him about his secrets for staying injury-free and his tips for choosing a supportive shoe.
 
Dr. Franklin Kase
 
Kase emphasizes, “It’s critical to have a good supportive shoe in whatever activity you do. [That alone] is going to reduce the risk of injury. Tremendously, that’s why I’ve really been able to prevent injury.” If you’re getting adequate support for your feet, you’re getting adequate support for your knees, your hips, and even your back, he says.
 
Source: Brenda Wong, Toluca Lake [1/8/18]
marlinzaug2117

mcclainjan818

FROM PM's CURRENT ISSUE
Several times 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
 
drjillsep417

PRACTICE MANAGEMENT TIP OF THE DAY
Priorities for Practice Management in 2018 - Part 8
 
8. Create a Shared Perspective
 
"Make yout team cohesive and productive by acknowledging a shared perspective about priorities and values. The last few years have transformed our lab with many new processes and products. As a lab, we can gain a cohesive perspective about what now looks like, and rewrite our priorities and expectations as a group. This will optimize the reliability of our service by ensuring the prioritization is followed, even championed by all staff. Additionally, it will ensure current staff have the perspective that we need the future staff to embody moving forward." - Shannon Walters, Manager, Stanford 3D and Quantitative 
 
Source: Julia Filip, Physicians Practice [1/3/18]
OHIJan818B

CODINGLINE CORNER
Query: Medicare-Approved Anticoagulants
 
We are trying to find a list of Medicare-approved anticoagulants that qualify for routine foot care. If anyone can assist, it will help our new medical assistant in documentation.
 
Marc Colaluce, DPM, St. Petersburg, FL
 
Response: Your Florida Routine Foot Care LCD says: “For patients requiring anticoagulation therapy, the provider must document in the medical record the significant risk and danger posed by the non-professional rendering routine foot care services.”
 
And the only relevant codes I could find in your LCD are:
D68.8   Other specified coagulation defects
D68.9   Coagulation defect, unspecified
 
I do not see any list of anticoagulants listed. I think it just has to be an anticoagulation agent.
 
Jeffrey D Lehrman, DPM, Springfield, PA
 
For information on Codingline subscriptions, click here
2020jan818B

RESPONSES/COMMENTS (EMR) - PART 1A
From: David Secord, DPM
 
VistA EHR, more formally known as the VistA Computerized Patient Record System (CPRS), is an open source electronic health record (EHR) system developed by the United States Department of Veterans Affairs (VA). It requires a partition on your hard drive to run Linux, and you can elect to simply run a version such as Redhat Linux so that you have a GUI (graphic user interface). More can be found at the forum (which is open source and free, by the way).
 
David Secord, DPM, Corpus Christi, TX
Rhettjan2218

RESPONSES/COMMENTS (EMR) - PART 1B
From: Joshua Kaye, DPM
 
It is not at all surprising that Practice Fusion has been sold for a large amount of money. The sale follows the usual path of essentially all start-up companies. The so-called “free” EMR was really just a cost deferment. How can any company function with minimal income?  Sadly, there will likely be a huge ransom payment for the EMR data, as the data is stored in a proprietary format which will likely be difficult or expensive to transfer to another EMR program. If the stored data within Practice Fusion were in a common format such as pdf, the transfer at this point would be easy. This matter is additionally complicated being that the software is cloud-based. And as Dr. Udell predicted, the change is going to be very expensive. Allscripts did not pay $100M for the purchase of PF with the intention of losing money on the transaction.
 
Joshua Kaye, DPM, Los Angeles, CA
realm

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A
From: Bryan C. Markinson, DPM
 
I have been a paid speaker/consultant for pharma companies and pathology labs for over 20 years. I leave it up to my audience to decide if I am polluted or not. My deluge of e-mails every month from all over the country from colleagues who ask my opinion on their cases suggests otherwise. I am aware of studies indicating physicians are influenced by steak dinners to choose a certain product and would be foolish to reject it out of hand. However, the assumption that a physician would then prescribe based solely on the promotion without regard to appropriate indication and clinical findings is insulting and outrageous. The total lack of pushback on this by organized medicine is distressing and makes me glad I am in the twilight of my career.
 
New Jersey in particular is a very hostile state to doctors. Gov. Christie in public forums laid the opioid epidemic directly at the feet of doctors. (INCLUDING WHEN JOHHNNY STEALS HIS MOM'S CANCER PAIN MEDICINE OUT OF THE MEDICINE CABINET). In New York and New Jersey, and probably many other states, it was just a few years ago when doctors were threatened with sanctions on their license for INADEQUATE treatment of pain. Now, we are the culprits in the crisis!! Medicine stands by and does nothing. Hospitals make us look at videos so we can stop our drug pedaling. OUTRAGEOUS.
 
Bryan C. Markinson, DPM, NY, NY
blainedec1817R

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B
From: Allen Jacobs, DPM
 
Dr. Udell has suggested that without pharmaceutical support, seminars would cease to exist as the cost for running such seminars would be passed on to those attending the meeting. I could not disagree more strongly. 
 
There are some seminars such as the annual meeting of the APMA which generate well over $1 million in exhibitor fees. I highly suspect the cost of supporting unbiased speakers to present scientific material would result in a negative cash flow to the meeting. 
 
Corporate influence over podiatry education has resulted in...
 
Editor's note: Dr. Jacobs' extended-length letter can be read here.
richieoct1617

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Can Valentine's Day be far away?

Source: Jan Jansen via Virtual Shoe Museum

DrRem37

MEETING NOTICES

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CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - OCALA, FLORIDA    
 
3,500 sq. Foot Office. 27 year old surgical practice. Surgical suite. Two New Micro-100 complete sets as Well as two large surgical trays. Operate in office or hospital!  FIRE SALE - MUST SELL IMMEDIATELY!!! Email OPC55@aol.com or call 352-816-1155
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 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 ASSOCIATE POSITIONS AND FELLOWSHIPS
WOUND CARE FELLOWSHIP - NEW YORK
 
CPME-APPROVED 12 month fellowship beginning July 1st, 2018. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as plastic, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE ( equal opportunity employer)
 
ASSOCIATE POSITION  – DAYTON, OHIO 
 
Highly respected and growing, four podiatrists, 4 location practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be dedicated, hardworking, poses excellent clinical and surgical skills, high-quality patient care, wound care.  Practice is equipped with certified EMR, digital x-ray, laser, ultrasound guided injections, Cutera Laser, regenerative medicine and PRP all aspects of DME. Meaningful Use attested, MIPS-ready. On staff 4 hospitals, no nursing homes. Highly trained staff. Send CV, salary requirements to ohiosurgeons@gmail.com  Excellent compensation plan, base salary and bonus, 401k plan, medical insurance, malpractice, paid vacation, holidays, CME. Signing bonus, ownership via deferred compensation plan.
 
ASSOCIATE POSITION – SOUTH CAROLINA 
 
Physicians Footcare 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 2018.  Exam application must be submitted 90 days prior to exam date.  If you are ready to earn a comfortable six figure salary; send letter of interest and CV to: scdpmjobs@gmail.com
 
MOBILE PODIATRISTS NEEDED - LOS ANGELES, CA 
 
Full Time Position available for podiatrists to visit home bound patients in the LA area and surrounding areas. Excellent compensation, flexible schedule, dedicated office support staff, cloud based EHR system. Email CV to: homefootcare@hotmail.com
 
ASSOCIATE POSITION – SEATTLE, WA 
 
Seattle suburban practice seeks an associate that has interest in gradual complete purchase over a 2-5 year period. For details, please contact footdoc@aol.com
 
MOBILE PODIATRISTS NEEDED - NEW JERSEY 
 
Well established and fast growing House-call podiatry practice  (www.homefootcareservices.com) is looking for FULL-TIME podiatrist  to do home visits to home-bound patients in New Jersey. We are looking for hard-working, energetic and compassionate doctor.  Excellent pay, benefits, administrative support. Send CV to lana.raginsky@homefootcareservices.com
 
ASSOCIATE POSITION - HUDSON VALLEY, NY
 
Full time associate position in a busy office. Broad responsibilities including wound care, trauma call, hospital rounding, etc. Surgical based practice with privileges to local hospital and surgical center. Comparable pay.  Position available Sept. 2018, will wait for right graduate. Office is located in the beautiful Hudson Valley. Close proximity to NYC as well as a multitude of outdoor activities. Please send CV in an email to hudsonvalleypodiatrist@gmail.com
 
ASSOCIATE POSITION – PENNSYLANIA 
 
Great part-time opportunity for a board qualified / certified podiatrist. Some office-based experience and an outgoing personality a must. Located in Doylestown Pennsylvania. Digital radiology, EMR, 3D orthotic scanning and on-site therapy.  If you love working with great people and patients then send us your CV now!!! info@qualityfootcare.com
 
ASSOCIATE POSITION - GEORGIA
 
Large group practice seeking podiatrist to cover 2–3 hospital wound care facilities and provide diabetic wound care to the patients of 6-8 other podiatrists. Person must have extensive hospital based experience, surgical skills/training necessary for management of wounds/amputations, a desire to grow and develop a wound care program for larger group with EBM treatment protocols and documentable outcomes guidelines. Excellent compensation package and growth potential. Please send inquiries and resumes to diasurgeon@gmail.com
 
PODIATRIST  NEEDED - HADDON HEIGHTS, NJ
 
Well-rounded surgically trained board qualified/certified doctor needed for busy south Jersey practice. Includes hospital work and 2 locations. Must have business sense, a cheerful personality and bedside manner, follow protocols in place, and possess good communication skills.  Practice encompasses all aspects of podiatry. Competitive package. Email CV to hhfootdoc@gmail.com.
 
ASSOCIATE POSITION - SOUTHERN MARYLAND 
 
Established practice looking for a full-time podiatrist for our Waldorf, MD and Clinton, MD locations. Must live within 20 miles from the office. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general footcare. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol based office. Please send CV to footdocs17@gmail.com
 
ASSOCIATE POSITION - FLORIDA 
 
We are a growing practice with three podiatrists working in 1 office and on staff at 3 hospitals, seeking PSR-36 board certified/qualified foot and ankle surgeon. Practice is equipped with certified EMR, digital x-ray, and laser. Highly trained bilingual staff. Must speak fluently English and Spanish. Send CV to tvaldizan@birdroadpodiatry.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 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.
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