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PM News

The Voice of Podiatrists

Serving Over 19,291 Subscribers Daily


October 31, 2017 #6,047 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

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NOMINATIONS OPEN FOR PM FUTURE STARS

Nominations Open for PM Future Stars

Starting in 2018, Podiatry Management Magazine will be publishing a new feature highlighting young practitioners. We are asking our readers to nominate potential candidates who are making a difference. We invite you to send us the name of a young practitioner (less than 10 years since graduation) and why s/he should be recognized. Self-nominations will be accepted. Simply write to bblock@podiatrym.com

Gordon10

drjillsep417

PM NEWS QUICK POLL

Quick Poll

How many CMEs should you be allowed to take online?
mlboct3017

PODIATRISTS IN THE NEWS
 Home Treatment of Ingrown Nails Can Result in Infections: IL Podiatrist
 
YouTube is filled with videos of people doing gross things. Of course, you’re super familiar with pimple-popping videos and maybe you’ve even seen ingrown hair-removal videos. Now, there’s another nasty genre to check out: ingrown toenail-removal videos. As you can imagine, they’re as icky as they sound. The videos, some of which rack up nearly half a million views, all follow a similar theme: A person has an ingrown toenail, so they attempt to remove it on their own. And it is so, so gross.
 
Dr. Melissa Lockwood
 
While for some it’s fun to be grossed out by this stuff, you really shouldn’t try this at home, says Melissa Lockwood, DPM, a podiatrist at Heartland Foot and Ankle Associates in Bloomington, IL. If you have an ingrown toenail, don’t pick at it - it could cause an infection, she says. If it’s causing you pain, she recommends soaking your toe in warm water with Epsom salts for 10 minutes and then trying to gently pull the edge of the skin away from the nail. “Oftentimes what happens is the skin is taking over the nail area,” she explains. That may do the trick, but it might not.
 
Source: Korin Miller, Women's Health [10/27/17] 
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STATE PODIATRY NEWS
GA Governor Announces Appointments to State Podiatry Board
 
Governor Nathan Deal has announced the appointment of Joseph Giovinco, DPM to the State Board of Podiatry Examiners. Dr. Giovinco is the founder of Ankle and Foot Centers of Georgia. He also created the International Institute for Foot and Ankle Surgery, a non-profit foundation that helps doctors volunteer in South America. 
 
(L-R) Drs. Joseph Giovinco, Leonard LaRussa, and Wm. Barry Turner
 
Also re-appointed to the Boards were Leonard R. LaRussa, DPM, and Wm. Barry Turner BSN, DPM. Dr. LaRussa represents Georgia’s podiatrists as the Carrier Advisory Committee Representative to Medicare. Dr. LaRussa is the president-elect of the Federation of Podiatric Medical Boards. Dr. Turner is a practicing podiatrist specializing in chronic wounds and limb amputation prevention. He previously served as a combat medic in the U.S. Army.  
 
Source: Office of the Governor
OHIoct217

PODIATRISTS IN THE COMMUNITY
Elko Newspaper Announces Readers' Choice Awards for NV Podiatrists
 
(L-R) Drs. Shane Draper, John Patton, and Quinn Lindstrom
 
The readers of the Elko Daily Free Press have selected the following podiatrists as the winners of the 2017 Readers' Choice Awards: Gold: Dr. Shane Draper, Silver: Dr. John Patton, and  Bronze: Dr. Quinn Lindstrom.
 
Source: Elko Daily Free Press [10/27/17]
ortho10

INTERNATIONAL PODIATRISTS IN THE NEWS
Bare Ankle Look Increases the Chance of Fungal Infections: UK Podiatrist
 
Sporting the ‘bare’ or ‘naked ankle’ look has been in vogue lately, especially among the men as the ‘mankle’ continues to soar in popularity. Podiatrist Emma Stevenson, from the College of Podiatry, says, “As a whole, we are seeing more and more men coming to us with issues caused by poorly fitting footwear, and not just ones choosing to go sockless,” reported The Daily Telegraph.
 
Emma Stevenson
 
Stevenson explained that the issue comes down to the amount of sweat produced by the feet (half a pint a day, apparently). When there are no socks to absorb the sweat, it leaves the feet more susceptible to fungal infections. It can usually be remedied with over-the-counter creams or by simply wearing your socks like a considerate, hygiene-abiding citizen.
 
Source: Lisa Antao, Daily News & Analysis [10/29/17]
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PODIATRIC ECONOMICS
Podiatry Ranks 5th on Highest Paying Jobs in San Antonio
 
According to the Bureau of Labor Statistics the following are the highest paying jobs in San Antonio, TX.
 
1. Anesthesiologists - Annual mean wage: $287,500
2. Obstetrician and Gynecologists: Annual mean wage: $268,860 
3. Oral And Maxillofacial Surgeons: Annual mean salary: $247,540
4. Surgeons: Annual mean wage: $236,670
5. Podiatrists: Annual mean wage: $231,140
 
Source: Kelsey Bradshaw, San Antonio Express-News
RhettOct3017

MEDICARE NEWS
CMS Wants Docs to Spend More Time on Patients, Less on Paperwork
 
The CMS late week launched an initiative to help it determine what provider regulations it should junk or revamp, citing growing concerns that its regulations are reducing the time providers spend with patients. As part of the Patient over Paperwork initiative, CMS officials will travel the country to gather information on the impact their regulations have on physicians. Those conversations have been taking place informally for weeks.
 
The outreach effort comes at a time that primary-care physicians are spending 27% of their time on clinical activities and 49% on administrative activities, according to a 2016 Annals of Internal Medicine study. The CMS now releases around 58 rules, or 11,000 pages of regulation, each year. Physicians will see examples of the agency's commitment to rolling back regulations as soon as next week when the final rule that implements the second year of the MACRA rollout is expected to be released, CMS Administrator Seema Verma said, though she didn't provide any specifics on the rule.
 
Source: Virgil Dickson, Modern Healthcare [10/26/17] 
realm

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
 
OHIOct217

PRACTICE MANAGEMENT TIP OF THE DAY
Ways to Improve Patient Health Literacy - Part 1
 
1. Write clear medical instructions
 
"I've always thought it is important for people to have written instructions when they leave the doctor's office. For 30 years, I have collected or written handouts on just about every medical problem I encounter. We all know that a picture is worth a thousand words, so I keep a Grey's Anatomy flipchart in each exam room to help explain their problem. It is fascinating to watch the lightbulb go on in a patient's head when they can literally see what I am talking about." - Dana Simpler, MD, primary-care specialist, Mercy Medical Center, Baltimore, MD 
 
Source: Bob Sandrick, Physicians Practice [10/26/17]
apexjuly317B

CODINGLINE CORNER
Query: Toe Fracture Fragment with Soft Tissue Mass Excision
 
My patient had the tip of the distal phalanx in the left 4th toe broken off and displaced. The fragment has tipped over laterally and a soft tissue mass has developed at the tip. The mass keeps getting infected superficially due to the pressure. So, if the fragment and soft tissue mass are excised, should I bill for both or is the mass excision incident to the fracture fragment excision?
 
Mike King, DPM, Roswell, GA
 
Response: I feel that the best procedure code to bill for this scenario would be CPT 28124  Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (e.g., osteomyelitis or bossing); phalanx of toe. This appears to be the CPT code with the best description of what needs to be performed.
 
As far as the “soft tissue mass” is concerned, since the osseous fragment is directly related to the soft tissue mass and both the fragment and the mass are going to be excised, this is a “BOGO” so to speak and the excision of the fragment is billable, but not the excision of the mass. It would be considered to be incidental.
 
Michael G. Warshaw, DPM, CPC, Lady Lake, FL
 
For information on Codingline subscriptions, click here
MSI531

RESPONSES/COMMENTS (NON-CLINICAL)
From: Kenneth L Hatch, DPM
 
I have been licensed in several states. I do not think that requiring some of the renewal CME to be live is unreasonable. In regard to personal conflicts with attending, most states are on a two-year renewal cycle which should allow one to be able to attend some events in person. Some states such as Florida accept any credit approved by another state (with some requirements).  
 
If licensees wait until the eleventh hour to scramble for credit, then they are guilty of poor time management and planning. Some credits such as a refresher of local laws can easily be attained online. Obviously, a CPR refresher is best in person with the instructor hands-on.          
 
One personal complaint is that certain states will not accept an online credit that is less than one hour. There are many excellent programs available free online. I concur with Dr. Bret Ribotsky that the social/direct interaction with instructors and fellow attendees in-person can be quite educational.   
 
Kenneth L Hatch, DPM, Annapolis, MD
richieoct1617

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Halloween Shoes of the Day

"X-Ray" ted Halloween Shoes?

Source: etsy.com

sigma

MEETING NOTICES

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

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


CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE - NEURO MICROVAS MACHINE
 
Hardly used neuro MicroVas machine, model II. Best offer. Email victoria@nyhealingfeet.com
 
PRACTICE FOR SALE – BOSTON AREA 
 
Well established 15 year practice located north of Boston.  Surgical privilege at two hospitals. Practice grossed $230K on a two-day per week basis.  Patient backlog exists for  full time. Low overhead, excellent referral basis.  Motivated owner will stay for transition.  Please send your inquiry to drcatherinewu@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 - PART1 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - ST AUGUSTINE FLORIDA
 
Busy practice looking for a full-time associate. PSR-36 Board qualified/certified foot and ankle surgeon. My practice has state-of-the-art equipment with the latest technologies and cutting edge procedures. Candidate must be personable, outgoing and motivated with excellent clinical and surgical skills.  Ability to be busy from day one. Partnership opportunity. Must be competent in all areas conservative and surgical treatments of the foot and ankle. Competitive salary and benefits. Email CV to drfootwound@gmail.com
 
ASSOCIATE POSITION – SAN FRANCISCO, CA 
 
We have an immediate, full-time opening in our fast-paced, technologically driven, Sports Medicine Practice. If you’re looking for a collaborative team environment, with an emphasis on work-life balance then we want to hear from you. No travel. No wound care. No Medicare. Candidate must have strong biomechanical and surgical background. Generous salary and benefits. Applications accepted online at http://www.fdfac.com/z/about-careers.html
 
ASSOCIATE POSITION - MULTI-SPECIALTY GROUP IN LOS ANGELES 
 
Join the group/ limb preservation team and our teaching faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Starting guaranteed base salary of 120,000/yr with incentives & benefits. Send CV with 3 references to podiatricri@yahoo.com  attention Stan Mathis, DPM
 
ASSOCIATE POSITION – NEW YORK
 
We are excited to offer an opening in Astoria and Valley Stream for a podiatrist seeking to start a new practice or move an existing practice over. The buildings already include a successful interventional pain management practice, large physical therapy practice, chiropractic & acupuncture practices. The spaces are beautifully built out, furnished, and well established.  Rent inclusive of most expenses as well as Excellent Locations!! Text or Call Dr G 516.220.5782  or email drg@nyrehab.com
 
ASSOCIATE POSITION - NEBRASKA
 
Busy practice in Central Nebraska looking for a full-time associate. Board qualified/certified necessary. Ability to step right in and be busy from day one. Partnership opportunity. Buy-in to surgery center and/or physician owned hospital possible. Competitive compensation with good benefits. Must be competent in all areas conservative and surgical treatments of the foot and ankle. We are looking for a positive and upbeat doctor who is ready to work. Email CV to footdoc5020@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 POSTION - WASHINGTON STATE
 
Three DPM practice looking to replace departing associate in busy General/surgical podiatric practice. High growth area with new hospital under construction and multidisciplinary ASC available with ownership option. Podiatric medical practices in the area remain independent, and interest in buy-in with existing associate preferred. Supportive medical community with good balance of urban/rural environment. Great access to  Seattle/Tacoma, Puget Sound, mountains and the NW great outdoors. Reply to hr@kitsappodiatry.com
 
ASSOCIATE POSITIONS – IOWA & KENTUCKY 
 
A provider of high quality podiatric care in nursing facilities is looking for a podiatrist to treat patients in Iowa & Kentucky. We are a fast growing company looking for motivated, caring podiatrists. Full-time and part-time positions available. Please send your CV & cover letter to office@easternpodiatrypllc.com
 
POSITIONS AVAILABLE - MISSOURI, KANSAS, OKLAHOMA
 
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 .
    
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. Our 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 – PENNSYLVANIA 
 
Great part-time opportunity for a board qualified/certified podiatrist. Some office-based experience and an outgoing personality a must. Located in Doylestown PA. 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
 
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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