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PM News

The Voice of Podiatrists

Serving Over 18,825 Subscribers Daily


February 13, 2018 #6,122 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

OHIfeb1218A

PM NEWS QUICK POLL

Quick Poll

How has the opioid crisis affected your prescribing?
Danipro

richieoct1617

HEALTHCARE NEWS
Healthcare Additions in Budget Law Pleasantly Surprise Providers
 
Congress' long-awaited budget deal, passed before dawn last Friday, serves as the most significant piece of healthcare legislation since President Donald Trump took office. The extensive healthcare package, hammered out largely behind closed doors in the Senate, in many ways took Washington by surprise.
 
Among its provisions were an extra four years of funding for the Children's Health Insurance Program, a repeal of the Affordable Care Act's Independent Payment Advisory Board, and a provision to accelerate the closure of what's known as the Medicare Part D "donut hole" for seniors.
 
Source: Susannah Luthi, Modern Healthcare [2/9/18]
Amerxdec1117

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
 
rhettjan818

PRACTICE MANAGEMENT TIP OF THE DAY
What You Need to Know About Office-Based Surgery Laws - Part 4
 
4. States also differ with respect to operational and regulatory requirements, such as surgery time limits, procedure-specific limitations (e.g., maximum percentage of body fat removed during liposuction), the level of life support certification required for staff members, additional continuing medical education (CME) requirements (e.g., mandatory CMEs on anesthesia), and credentialing or board certification or eligibility requirements for practitioners. 
 
Some states, such as New York, also require post-procedure incident or adverse event reporting to a state regulatory agency. Although some states oversee OBS compliance internally (e.g., department of health), many states require or encourage OBS practices to achieve compliance by obtaining registration with the Centers for Medicare & Medicaid Services (CMS) or accreditation from an approved agency. 
 
Source: Conor Murphy and Yulian Shtern, Esq., Physicians Practice [2/1/18] 
OHIJan818A

CODINGLINE CORNER
Query: Dorsal Exostectomy
 
I have a patient with spurring on the dorsal midfoot area. I will not be fusing it. I am first trying to remove the spurring (exostectomy) at the tarsal-metatarsal joint area. What code should I use?
 
Doan Trinh Pham, DPM, Tracy, CA
 
Response: The most appropriate CPT code to use for a procedure that is performed to “remove the spurring (exostectomy) at the tarsal-metatarsal joint area” is: CPT 28122: Partial excision (craterization, saucerization, sequestrectomy or diaphysectomy) bone (eg. osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus.
 
Michael G. Warshaw, DPM, CPC, Lady Lake, FL
 
For information on Codingline subscriptions, click here
ortho10

RESPONSES/COMMENTS (OBITUARIES) - PART 1C
RE: The Passing of David Bruce Wright, DPM
 
David Bruce Wright (1930-2018) graduated from Rosalind Franklin University of Medicine, Dr. William M. Scholl College of Podiatric Medicine and Surgery in Chicago, as the valedictorian of his class. Dr. Wright entered the U.S. Army and was stationed at Walter Reed Medical Center, Orthopedic Services in Washington D.C.
 
Dr. David Wright
 
Upon leaving the Army, he returned to Battle Creek with his wife Lou Ann and joined his father in practicing podiatry. David continued to practice podiatry in Battle Creek until his retirement in 1985. Dr. Wright was a lifetime member and past president of the Michigan State Podiatric Medical Association and served as president of the podiatric division of the Michigan Department of Licensing and Regulation. 
 
Source: Battle Creek Enquirer [2/11/18]
ICSjan2918

RESPONSES/COMMENTS (OBITUARIES) - PART 2A
 
Harry was a guiding light for students always making himself available for advice, and an icon for leadership development. He was a shining example that one should not forget where they come from.  His legacy carries forth in the giants of our profession whom he had a significant impact upon. He was a mentor and teacher to many.
 
Hal Ornstein, DPM
 
All the accolades given about Harry truly define his life. While sharing four years with him at OCPM, everyone, and I mean everyone, truly delighted being in his presence. May you RIP, my friend.
 
James E. Rogers, DPM, Nashville, TN 
Bako jan2918D

RESPONSES/COMMENTS (OBITUARIES) - PART 2B

RE: The Passing of Harry Goldsmith, DPM

In the words of Sir Isaac Newton in 1675, "If I have seen further, it is by standing on the shoulders of giants." Dr. Harry Goldsmith is one of those giants referred to. Every podiatric physician who has practiced in the last 30+ years, and all future practicing podiatrists, will benefit from the life and efforts of Dr. Goldsmith. His contributions to our profession are profound and overwhelming. And yet those who had the pleasure of interacting with him all thought they knew him personally. We all called him "Harry", and his gentle style allowed us that pleasure.

Harry has been the "face" and embodiment of our profession to many powerful agencies (State and Federal government), large insurers, local organizations, professional societies, and individuals for his whole career. We all owe him a huge debt of gratitude. In our sorrow and remembrance, we can take solace in the fact that we, as a profession and individually, had the opportunity and the time to get to know Harry, and come away as better people. He will be sorely missed.
 
Timothy P. Shea, DPM
schedinstitutefeb1218

RESPONSES/COMMENTS (NON-CLINICAL)
From: Elliot Udell, DPM
 
There are two distinct reasons of why a physician may prescribe opioids. One is for acute post-op pain and by in large the government would not seek to penalize a surgeon for this. The other is prescribing opioids for pain caused by a chronic condition. For the latter, it is best to defer such patients to pain management specialists who seem to have greater leeway than the average doctor in prescribing narcotics for pain management.
 
A close friend of mine who is an outstanding hematologist and oncologist was called into the ER of a major teaching hospital to attend to a patient having a severe bout of pain secondary to sickle cell anemia. He prescribed an opioid and was reported by another staff member to a government agency, and he was soon brought up on charges of inappropriately prescribing the drug in question. He was able to prove in court that he did the right thing, but lamented to me that the cost of his proving that he was right saved his medical license but cost him over 50 thousand dollars in legal fees.
 
Elliot Udell, DPM, Hicksville, NY
2020jan818A

RESPONSES/COMMENTS (EHR)
From: Justin H. Sussner, DPM 
 
Did anyone else using Practice Fusion receive such a phone call, or other such correspondence?  I have been using them for many years and haven't heard anything yet (but keeping fingers crossed).  I would think that written (email or regular mail) notification would be the proper way to let us all know.  Was the call confirmed to be from Practice Fusion?  
 
I have received multiple deceptive sales calls in the past from one company pretending to be another. It also seems odd for a company to buy Practice Fusion and immediately alienate all the practitioners at once who helped build it to the size it is now, thereby risking a large number of the doctors they paid big money for.
 
Justin H. Sussner, DPM, Monroe, NY
Gillfeb1218A

RESPONSES/COMMENTS (DME)
From: Michael Forman, DPM
 
Thank you, Steve Musser, for reiterating four factors that the DME "police" would look for if and when they come to evaluate your office. Please be aware that some of these visits are unannounced.
 
A number of years ago, one of our colleagues in Cleveland took a day out of his office for a religious holiday. That happened to be the same day that the inspector picked to make an unannounced visit. I may not have the whole story, but I will tell you that this physician lost his DME license allegedly because he did not have a sign that said "closed today."  
 
Michael Forman, DPM, Cleveland, OH
sigma

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Wrapped and strapped?

Source: Andrea Samantha Maggioni via Virtual Shoe Museum

Redig-thotics

MEETING NOTICES

presentdec2517C

gramedicajan2918

dermfootfeb518

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You can Earn up to 5Continuing Education Contact Hours (CECH) Online

Earn 15 CECH only $219 (less than $15 per CECH)

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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS - PART 1 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 – TUCSON, AZ
 
Amazing associate opportunity leading to long-term arrangement/partnership in sunny beautiful Tucson, AZ. Very busy solo podiatry practice with unlimited earning potential. Tons of new patients daily.  Seeking warm, motivated, personable and patient care oriented practitioner. Practice very well known with exploding constant referral sources. argfootdoc@yahoo.com
 
ASSOCIATE POSITION – RICHMOND, VIRGINIA
 
Highly respected, high referral, busy podiatric practice seeking a dedicated, hardworking, motivated candidate with an excellent bedside manner. Located on the campus of a major hospital with an excellent working relationship with the hospital administration and the orthopedic, vascular and plastic surgery providers. We’re seeking a long-term team player dedicated to providing high quality patient care. Must have a minimum of 3 years surgical residency training and comfortable with foot and ankle reconstructive surgery. We currently have 3 podiatric surgeons. Please send CV to: mwaskin@footandankle-usa.com or call the practice administrator at (804) 320-3668 to arrange a phone meeting.
 
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
 
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 – 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
 
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
 
POSITIONS AVAILABLE - NEBRASKA, MINNESOTA, KANSAS, OKLAHOMA, ALABAMA 
 
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 benefit package to our employed podiatrists. Full-time and part-time positions are available.  Contact Dr. Chris Kestner at ckestner@ppgpc.com for more details about opportunities with PPG.
 
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 - LONG ISLAND/QUEENS
 
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture.  Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Great opportunity to work in one of the country's premier practices.  Visit www.LIFootCare.com and email evieira1@nshs.edu for more info.
 
POSITIONS AVAILABLE - UPSTATE NEW YORK and LAKE GEORGE AREA 
 
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Upstate New York and Lake George and vicinity. Great opportunity for part-time income. Positions available immediately! Send inquiries to: phasetwopodiatry@gmail.com
 
MOBILE PODIATRISTS NEEDED - LOS ANGELES, CA
 
Full and Part-Time positions 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 - PHOENIX, AZ 
 
Well established practice seeking a physician for its Southeast valley office. Right candidate must be a motivated individual who wishes to practice podiatric pedicine and surgery in a professional environment that promotes success and offers the right tools to achieve it. Please contact us: FootAnkleCare1@gmail.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.
CLASSIFIED ADS PART 2 - 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
 
PRACTICE FOR SALE - UPSTATE NEW YORK (BROOME COUNTY-VESTAL, NY) 
 
Unique, well established, 38 year practice. No 3rd party insurance-NONE! Patients pay full fee at time of service.  I work 2.5-3.5 days/week as desired, with 6-8 weeks of vacation/year yielding an average gross income of $625K & an average net of $250K. Practice emphasizes biomechanics, utilizing video & F-Scan analysis; & PinPointe laser for onychomycosis. Modern 2500 sq. ft. office and equipment.  Reply to: uniquepractice@gmail.com
 
PRACTICE FOR SALE - FLORIDA - SOUTHWEST COAST 
 
This successful practice is a great opportunity for you. Established practice fully equipped. Busy office and surgery schedule. Strong patient base with high commercial payor mix. Efficiently operated with wide range of services.  Motivated seller. Contact Mike Crosby at fladpm4sale@gmail.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.
DISCLAIMER: Internet communications cannot be guaranteed to be either timely or free of viruses.
Guidelines
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
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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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