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PM News

The Voice of Podiatrists

Serving Over 18,832 Subscribers Daily


February 26, 2018 #6,131 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

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PM NEWS QUICK POLL RESULTS
Results of last week's poll
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PM NEWS QUICK POLL

Quick Poll

Do you autoclave your office instruments?
Gordon10

BREAKING NEWS
Anthem Agrees to Fully Rescind Proposed Modifier 25 Policy
 
This past fall, Anthem Blue Cross notified physicians in several states (including California) that effective January 1, 2018, it would reduce reimbursement of evaluation and management (E&M) services billed with modifier 25 by 50%. The California Podiatric Medical Association (CPMA) immediately sprang into action and coordinated with the American Podiatric Medical Association (APMA), American Medical Association (AMA), California Medical Association (CMA), and the American Association of Dermatologists (AAD), along with many other state and specialty organizations, to push back on the proposed change.
 
Dr. Franklin Kase
 
Spearheaded by CPMA Health Policy Chair Franklin Kase, DPM,  the hard push back initially resulted in Anthem walking back the policy and agreeing to a 25% reduction instead of the original 50% and with a March 1 implementation date rather than January 1. Believing the 25% reduction to still be unjust and onerous, CPMA continued a full-court press for the complete and total retraction of the policy. Yesterday, Dr. Kase announced that Anthem has agreed to fully rescind the new modifier 25 policy, saying, “This is In the name of Harry Goldsmith, DPM, who contributed greatly to this effort."
 
Source: CPMA Alert {2/23/18]
DrRem37

AT THE COLLEGES
NY Podiatrist Established Scholarship for NYCPM 4th Year Students
 
After attending the Alumni Relations Association meeting at the New York Podiatric Clinical Conference in January, E. Giannin Perez, DPM, Class of 2011, was inspired to create a scholarship for fourth-year students going on externships. “During the meeting, there was talk about how we could support our students and I thought of what could have helped me when I was a student,” she said.
 
Dr. E. Giannin Perez
 
“Immediately, I remembered financially how difficult it was to expense my externships abroad – flights, room and board, rental cars, etc. Therefore, I decided to create a $1,000 scholarship to facilitate a student on their travels while they are on externships.” The new Dr. E. Giannin Perez Scholarship Fund will give $1,000 annually to a student with a GPA of 3.0 or above who is going on externships out of state. 
 
Source: Footprints [February 2018]
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PODIATRISTS AND SPORTS MEDICINE
CA Podiatrist Offers Tips on Treatment for Snowboarder’s Ankle
 
Snowboarder’s ankle (so named because the injury occurs 15 times more in snowboarders than the general population) is the common term for a fracture of the lateral process of the talus (LPT), which often occurs during a high-impact event, such as a car collision or a hard fall from high up. A talus fracture that does not heal properly can lead to serious life-long complications, including impairment of foot function, early onset of arthritis, and chronic pain,” says podiatric foot and ankle specialist Thomas J. Elardo, DPM, a board certified podiatric physician and surgeon in private practice in San Jose and Los Gatos, CA.
 
Dr. Thomas Elardo
 
“Once identified as snowboarder’s ankle, treatment of the fracture will depend on how large and how displaced the broken fragments are. A small fracture that is in normal alignment can usually be treated without surgery. This typically means about 4 to 6 weeks of having the foot and ankle in a cast and on crutches with no weight-bearing on the leg. However, large and displaced fractures are typically treated with surgery. Sometimes this is highly problematic as the multiple fragments of bone can be like putting together the pieces of a difficult jigsaw puzzle," says Dr. Elardo.
 
Source: Cision [2/23/18]
realm

PODIATRISTS IN THE COMMUNITY
MA Podiatrists Collect Socks for Homeless
 
Local podiatrists Dr. Angela Barnes and James J. DiResta partnered again with Anna Jaques Hospital for the Sox for Socks program and collected more than 500 pairs of socks in February for homeless people. Sox for Socks, named after the program’s largest supporter — the Boston Red Sox, collects socks for homeless men, women, and children through Boston Health Care for the Homeless.
 
(L-R) Drs. James DiResta, Holly Johnson, and Dr. Angela Barnes
 
Dr. Barnes said she believes that “one’s general health is intrinsically linked to our foot health, and protecting feet all year long is vital to our overall health. Winter in New England produces many cold days that upon overexposure to the cold and damp can result in frostbite and loss of limb for those less fortunate,” she said. “Providing socks from our drive is just one of many opportunities for all of us to help.”
 
Source: Newburyport Daily News [2/23/18]
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MACRA UPDATE
CMS to Study MIPS Burdens on Clinicians
 
The CMS is inviting clinicians to sign up for a study to help it determine how burdensome it is to report under the Merit-based Incentive Payment System (MIPS) created by MACRA. The agency is specifically looking into clinicians' workflow under MIPS and if the system poses hardships on them. Interested clinicians can sign up for the study through March 23.
 
A limited number of clinicians who are not eligible for MIPS in 2018 will also be included in the study to compare their workflows. Depending on the results, researchers will make recommendations to eliminate the burdens and improve quality data capture, reporting, and enhance clinical care, a CMS spokeswoman said.
 
Source: Virgil Dickson, Modern Healthcare [2/23/18]
Gilljan818

PRACTICE MANAGEMENT TIP OF THE DAY

How to Combat Negative Reviews - Part 2

Concierge patients "love" their doctors. We survey patients annually and it's always the same. Just the very nature of having a patient commit to their physician and invest in their health with an annual membership fee means they value and respect their physician. If they didn't, they would not pay to be a member. These patients feel partnered with their doctor and will often gladly provide support.  
 
Most doctors don't have a select group of concierge patients, but surely they have deep, long-standing relationships with patients. Perhaps you were able to help a special patient through a unique health situation? Your patients are grateful for the support you offer. Don't be shy! Ask them to post a review of your practice on Google or Healthgrades.

Source: Wayne Lipton, Physicians Practice [2/21/18]

rhettjan818

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Lack of Podiatric Authors in Our Journals
From: Joseph Borreggine, DPM
 
Can anyone explain why the authors of most of the articles in our podiatric journals are now written by mostly non-DPMs, foreign doctors, and others not in the field of podiatry?
 
I remember the days when all I ever saw was solely DPMs authoring in these journals that represent this profession. I recognize none of the names of those who are published in these journals. Does this mean that we, as profession, are no longer interested in research and writing about what we do anymore?
 
Have we just left innovation and outcome studies in the hands of others who have nothing to do with podiatry, or are these journals now just a platform for a totally new and international audience specializing in foot and ankle medicine and surgery?
 
Joseph Borreggine, DPM, Charleston, IL
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 2A
From: Janet McCormick, MS
 
The EPA-approved label on Benz-All says weekly. It does not say, however, if Benz-All is rendered ineffective by bioburden, meaning it might or probably needs to be changed earlier. The EPA requires that hospital disinfectants kill certain benchmark microbes and Benz-All does that. Many disinfectants, however, are tested for further levels of kill, and these are added to the label as "label dressing" since no disinfectant at this level kills everything. In other words, it's designed to improve sales. Keep in mind that there are many organisms it does not kill, but that is true of every disinfectant, no matter the brand. Only sterilization kills them all = use of an autoclave.
 
There are those that say disinfection is the okay-level of care for podiatry instruments unless you are performing invasive treatments. But any treatment can cause any level of invasion by instruments (in any type of care - podiatry or otherwise), even by accident, so any procedure must be performed under aseptic conditions Doesn't that call for sterilization of instruments in podiatry? Even in the offices? I am always shocked when I go into a podiatry office and there is no autoclave! But it happens way too often! In a survey of podiatry offices in my area, 4 out of 6 offices did not have an autoclave. 
 
Janet McCormick, MS, Frostproof, FL
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 2B
From: Richard J. Manolian, DPM
 
I for one would not want to be the doctor who gets inspected and has to then prove how much of this product I bought to match the patient load and requirements of changing it on a 2 to 4 week basis depending on whom you listen to.
 
In addition, I would then have to show proper paperwork as to the change in schedule and process of how instruments were utilized in the setting. Gas or steam sterilization seems to me a more definite way to avoid this quagmire with any board of any state.
 
Richard J. Manolian, DPM, Cambridge, MA
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RESPONSES/COMMENTS (PM ARTICLES)
From: Susan Anderson
 
I just wanted to say kudos to PM's Future Stars article on Kyle Scholnick, DPM. I was very impressed with his interview, his candor and thoughts for the future .I look forward to watching his career soar.
 
Susan Anderson, Northfield, IL
Redig-thotics

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Leather and Cork - What to wear in County Cork?

Source: Raphaëlle Dirven via Virtual Shoe Museum

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MEETING NOTICES

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


CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - WESTERN SUBURBS OF CHICAGO 
 
Looking to purchase a practice, relocate? This successful Chicago area practice is a great opportunity for you.  Fully equipped office. Opportunity to enter practice with established patient base and strong cash flow.  Contact: Mike Crosby at MCrosby518@gmail.com
 
PRACTICE FOR SALE - NORTHERN MICHIGAN
 
Long-standing successful practice available for purchase, encompasses every aspect of modern podiatry including orthopedics, diabetic medicine, surgery, wound care, sports medicine. Location is resplendent with nature, on a large lake in northern Michigan, with rivers, mountains, downhill skiing, mountain biking, cross country skiing, snowmobiling, hiking, hunting, all minutes away. The practice is located in a professional building, with every medical specialty. Practice is very well equipped: diagnostic ultrasound, digital x-ray, in-office surgery, pain laser, fluoroscopy, etc. Hospital privileges available in state-of-the-art, new hospital. A unique situation, owner present for transition, financing available. E-mail: ctmthor4@hotmail.com
 
PRACTICE FOR SALE - CARSON CITY, NEVADA 
 
Part-time practice in Lake Tahoe area grossing $160K. Net over $100K for the past 18 years. Main office and several satellite clinics.  Price includes equipment, EHR, very affordable lease, and great employee!  Wonderful location and no State income tax. Priced to sell at only $29,000. lehmann.dpm@gmail.com   
 
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
 
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
ASSOCIATE POSITION - HOUSTON, TX 
 
Established, growing multi office, multi doctor practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be personable, outgoing and motivated with excellent clinical and surgical skills. Practice is protocol-based, state-of-the-art equipped with the latest technologies and cutting-edge procedures with an extremely competent staff. Send CV, salary requirements to faajobs@gmail.com.
 
ASSOCIATE POSITION - CHICAGO & NORTHERN IL SUBURBS 
 
Well Established 26 year Growing practice seeking an associate interested in partnership who wants to build a sports medicine oriented practice.  Practice has two locations and opportunity to grow.  Infrastructure in place.  Surgery at local surgery center's and hospital.  Contact: Mike Crosby at MCrosby518@gmail.com
 
ASSOCIATE POSITION - NEWPORT BEACH, CA 
 
Concierge Podiatry and Spa, requires only the "best". Looking for top of class, who have completed great residency, preferably Fellowship trained. Must be ethical, sharp, highly skilled, motivated, willing to work hard. Opportunity of a lifetime rapidly growing concept. Send resume to DrRoth@CPSNewport.com
 
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA 
 
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries.  Modern offices and equipment. A great opportunity for driven personable individual.  Please e-mail  Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
 
ASSOCIATE POSITION  - SOUTH CENTRAL VIRGINIA
 
30  year  practice. Two office locations. Hospital privileges. 30–40 new patients per month. Seeking well-trained motivated podiatrist. All amenities including  malpractice insurance. Good mixture of general podiatry care /surgery/biomechanics/diabetic management. E-Mail CV to:  footcare2020@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.
 
FOR IMMEDIATE HIRE – MARYLAND 
 
Looking for an eager podiatrist to join our growing practice immediately. We are located in Waldorf and Clinton, MD. The ideal candidate will be self-motivated and will be busy from the moment they are hired! We are looking for a well-rounded podiatrist to join our office-based practice. jelena@somdfootandankle.com
 
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 - WEST COAST FLORIDA 
 
Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com
 
ASSOCIATE POSITION - ST. PETERSBURG/CLEARWATER FLORIDA 
 
KG Health Partners is looking to expand our remote podiatric services into multiple clinic locations. If you have a proven track record and the commitment to develop a patient centric podiatric clinic within the St. Petersburg/Clearwater area, please email your CV to kgadmin@kghealthpartners.com.  DPM must maintain active Medicare and Florida licenses.  We offer exceptional benefits including paid MedMal insures, health insurance, PTO allocation and 401K retirement plan with company match.   
 
PODIATRIST WANTED - NORTHERN & SOUTHERN CALIFORNIA
 
Podiatrist needed for practices in both Northern and Southern  California. Professionally managed practice in long term care facilities.  Excellent income potential with discretionary time.  Please send CV and interest letter to dwayne8543@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.
 
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 – 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
 
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
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Barry H. Block, DPM, JD
 
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