Spacer
PMbanA7-513.jpg
Spacer
PresentBannerCU1117
Spacer
INGBannerE215
Podiatry Management Online


Facebook

Podiatry Management Online
Podiatry Management Online


AmerXKitBannerGY517

PMNews

 

Browse PMNews Issues

Previous Issue | Next Issue


PM News

The Voice of Podiatrists

Serving Over 19,263 Subscribers Daily


November 28, 2017 #6,057 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

Amerxmay1517A

PM NEWS QUICK POLL

Quick Poll

Do you use a drill to debride nails?
apexnov1317

richieoct1617

PODIATRISTS IN THE NEWS
Cosmetic Foot Surgery Riskier Than Other Cosmetic Procedures: NY Podiatrist
 
Experts caution that [cosmetic foot surgery] is riskier than some other treatments, including surgeries such as neck lifts. “You have to be very careful when you remove any bone or change the structure in any way, because it can affect your balance, the way you walk, and your way of life,” says Dr. Rock Positano, director of the non-surgical foot service at the Hospital for Special Surgery.
Dr. Rock Positano
 
Positano warns that opting for surgery can lead to weight gain and restlessness thanks to the weeks or months of recovery time spent in a wheelchair, and if complications arise, a total lifestyle shift. “We see 10 to 20 patients per year who have developed clinical depression because they can’t stand or walk around,” Positano says. “People will say it’s no different than a nose job or a face lift, but we say, ‘You don’t walk on your face!’”
 
Source: Molly Shea, New York Post [11/24/17] 
pathformernov2717

INTERNATIONAL PODIATRISTS IN THE NEWS
Aussie Podiatrist Discusses Leg-Length Discrepancy
 
Leg-length discrepancy, put simply, is when one leg is longer than the other. "It may be structural, functional, or a combination of the two," says podiatrist Hung Quan of Peel Podiatry Clinic. "Treatment is normally advised if the leg length difference is significant. The value of what is significant varies in the literature, according to Quan. “The difference is significant if it causes pain to the patients and this is very subjective among patients,” he said, “Even a small discrepancy of 5mm may set off a chain reaction of symptoms throughout the body.”
 
Hung Quan
 
“In the case of a structural leg-length difference, a heel lift alone is not good enough, as the long leg will continue to roll in and cause upper body imbalance and compensations. Correction to the arch of both feet by prescribing an orthotic device is essential."
 
Source: Mandurah Mail [11/9/17]
marlinzaug2117

INTERNATIONAL PODIATRISTS IN THE COMMUNITY
UK Podiatrist Climbing Everest in Fundraiser to Honor Mom
 
A tireless fund-raiser has embarked on his latest gruelling challenge this week. Jonathan Small from Defford was set to begin a 18,519 foot climb to Everest Base Camp with the hope of reaching the summit and watching the sun rise over Everest. The 48-year-old podiatrist is raising funds for the Raynaud’s and Scleroderma Association in memory of his mother.
 
Jonathan Small
 
Jonathan has dedicated himself to raising cash in her memory since she passed away, and in 2011 took on what he described as the ‘hardest challenge of my life.’ “I climbed Cotopaxi in Ecuador at a height of 19,347 feet and it nearly finished me off. “I swore I’d never climb that high again even though I did raise over £4,000. “Move forward six years and I get the crazy idea to go altitude trekking again but I keep telling everyone it's not as high, so I’ll be fine."
 
Source: Rob George, Evesham Observer [11/26/17]
Bakonov2717

RELEVANT RESEARCH
Why Asians Never Wear Shoes in the House
 
Individuals who have ever stepped foot inside an Asian household probably know that shoes are not allowed. Shoes are typically removed before entering homes for hygienic reasons — the amount of dirt and bacteria found on them are shockingly disgusting. Approximately 421,000 different types of bacteria can be found on shoes, according to a 2008 study by the University of Arizona. Of the shoes examined in the study, 96% of them were found to have coliforms, a bacterial indicator of the level of sanitation of foods and water that is also universally found in feces of humans and warm-blooded animals.
 
Study author Charles Gerba, a microbiologist at the University of Arizona, explained: “The common occurrence (96%) of coliform and E. coli bacteria on the outside of the shoes indicates frequent contact with fecal material, which most likely originates from floors in public restrooms or contact with animal fecal material outdoors. Our study also indicated that bacteria can be tracked by shoes over a long distance into your home or personal space after the shoes were contaminated with bacteria.”
 
Source: Next Shark via Dr. Wenjay Sung
apexaug2817G

HEALTHCARE NEWS
U.S. Hospitals Feeling the Pain of Physician Burnout
 
Hospitals are just beginning to recognize the toll of burnout on their operations. Experts estimate, for example, that it can cost more than $1 million to recruit and train a replacement for a doctor who leaves because of burnout. But, no broad calculation of burnout costs exists, Dr. Tait Shanafelt, a former Mayo Clinic researcher who became Stanford Medicine's first chief physician wellness officer in September said. Stanford, Harvard Business School, Mayo Clinic, and the American Medical Association (AMA) are working on that. They have put together a comprehensive estimate of the costs of burnout at the organizational and societal level, which has been submitted to a journal for review.
 
Shanafelt and other researchers have shown that burnout erodes job performance, increases medical errors, and leads doctors to leave a profession they once loved. For a graphic, click here. Hospitals can ill afford these added expenses in an era of tight margins, costly nursing shortages, and uncertainty over the fate of the Affordable Care Act, which has put capital projects and payment reform efforts on hold.
 
Source: Reuters Health News via MDLinx [11/22/17]
mlbnov617

apexnov2017

E-HEALTH NEWS
Medical Malpractice Liability in the EHR - Part 1
 
In a recent article in Healthcare IT News, a major liability carrier in a study details the legal risks of the EHR, some of which we could anticipate and some of which were not so obvious. The EHR is creating some risk and liability for providers. Here are some takeaways of the study:
 
1. Providers in direct patient care have ultimate responsibility for the data they have accessed. You can't argue that you didn't see a critical lab or diagnostic study in this day and age when it's easily available to you in the EHR. Ignorance of the available data is no defense in a malpractice suit. You need to review the entire record prior to executing a treatment plan.
 
Source: Stephen H. Hanson, PA-C, Physicians Practice [11/3/17]
2020nov2717A

CODINGLINE CORNER
Query: Billing Bilateral CPT 11730 and Bilateral CPT 11750
 
Suddenly, we are getting denials for procedure code, CPT 11730 and CPT 11750 when billed for bilateral toes. We have always billed, for example, CPT 11730-TA and CPT 11730-T5, but now the second procedure is being denied. We have tried adding the “59” modifier, but it does not help. They are saying it is a “units issue”, but we bill one unit for each procedure. Any ideas?
 
Shannon McFeaters, DPM, Pittsburgh, PA
 
Response: If performing CPT 11750 on a right hallux and CPT 11730 on a left hallux, I suggest that be coded as:
 
CPT 11750-T5
CPT 11730-59-TA
 
If performing CPT 11730 on bilateral hallux nails, I suggest that be coded as:
 
CPT 11730-TA
CPT 11732-T5
 
CPT 11732 is “avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure) (add-on code)”.  Because it is an add-on code, no “59” modifier is necessary.
 
Jeffrey D Lehrman, DPM, Springfield, PA
 
For information on Codingline subscriptions, click here
OHICCnov2017

QUERIES (NON-CLINICAL)
Query: Foot Roller
 
I recently saw an ad on TV for a "Foot Roller" to ease all types of foot pain. This device has been promoted/recommended by the "#1 podiatrist" in the U.S. How does one get to be the #1 podiatrist in the country and by whose determination? Also, can anyone comment on the efficacy of the "Foot Roller"?
 
Charles F. Ross, DPM, Pittsfield, MA 
Danipro

stableoct917

RESPONSES/COMMENTS (NON-CLINICAL)
From: Barry Block, DPM, JD
 
A segment of an on-topic article from JAPMA has been forwarded to me by a PM News reader.  We welcome any insights or comments from our readers. 
 
Cleaning, Disinfection, and Sterilization of Podiatric Medical Instruments
 
"Given the challenges with cleaning, disinfection, and sterilization of podiatric medical instruments seen in these outbreaks, disposable, single-use instruments and devices should be used whenever possible and disposed of immediately after use in accordance with state and local medical waste regulations. All reusable patient-care instruments and devices used must be first cleaned and then disinfected or, preferably, sterilized before use to prevent patient-to-patient transmission of infectious agents."
 
Barry Block, DPM, JD, Forest Hills, NY
Kovenjan917

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

Easiest way to hail a taxi in NYC?

Source: Dr. Arthur Gudeon

rhettnov2017B

MEETING NOTICES

presentnov1317c

dermfootnov2017

IPEDJul1717

NEED CME CREDITS FAST?

PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn up to 5CPME-Approved CME Contact Hours Online

Earn 15 Contact Hours only $210

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

All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MD, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, WI, & WY

Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, ID, IA, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC

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


CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE

PROFESSIONAL CO-OP APARTMENT FOR SALE - ROCKVILLE CENTRE, NEW YORK 

4 treatment rooms, consultation room, 2 bathrooms, 1 full storage room, dark room, casting room, nursing area, appointment area, and waiting room Excellent street visibility. Podiatry ready. Strong medical community with 2 active hospitals. Motivated seller. Call 516-987-1847.

PRACTICES WANTED – HOUSTON, TX AREA 

Group looking to purchase practices in the greater Houston area and up 2 hours away by car. Doctors looking to sell and stay on welcome. If interested, please email faajobs@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 1 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA 
 
Group practice seeking hard working associate after January 1. ABFAS certified or 3 year residency preferred. Should have exceptional interest in forefoot and rearfoot surgery and wound care.  Competitive salary and benefits with bonus and partnership opportunities.  Near mountains and lakes.  Forward letter of introduction and CV to: scsoledocs@gmail.com.
 
ASSOCIATE  POSITION - NEW YORK (BROOME COUNTY, NEAR BINGHAMTON)
 
Well established, stable, 37 year practice. Fee-For-Service with NO 3rd party Insurance & a broad referral base. 3-4 days/week. Average gross $675K/year. Practice emphasis is Biomechanics with comprehensive video & in-shoe pressure mapping lab. Large laser onychomycosis referral and treatment. Local surgical hospital privileges available. Office and equipment modern & high quality. This is a rare opportunity to practice in a proven 100% fee-for-service practice. Can stay to introduce and train. Reply to:uniquepractice@gmail.com
 
ASSOCIATE POSITION - NORTHERN NJ

Established office w/ 5 DPMs. Large referral base from PCPs, vascular, peds and orthopedists. Well-rounded hospital/surgical center based practice. All aspects of foot and ankle care. Many new patients weekly, solid surgical schedule. Modern office w/ EMR. Involved with residency program. Must have strong ethics and highly motivated. Serious associates only leading to partnership. Must have PMSR/RRA or equivalent training. Competitive compensation package. Starting July 2018. Please email CV to Northnjpod1@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 - TENNESSEE
 
Extremely busy and growing practice in the booming Knoxville, Tennessee are seeks high energy personable Physician. Immediate patient volume to fill your schedule. High volume practice with partnership available. Please send cover letter, CV and salary requirements to ddavidphawk@yahoo.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.
 
2018 GRADUATE ASSOCIATE POSITION- LONG ISLAND 
 
Country Foot Care, a Long Island based, well-rounded multiple office group practice seeks 2018 third and fourth year graduating residents or fellows to join our state-of-the-art practices in July. 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. Compensation includes biweekly salary, a generous bonus schedule, malpractice and health insurance, paid holidays and PTO. We invite all interested doctors to email their CV to DrLeeb@countryfootcare.com
 
ASSOCIATE POSITION - PHOENIX, ARIZONA 
 
Multi-Office Practice in the Greater Phoenix Metro seeking an energetic Physician to practice all aspects of Podiatric Medicine, including DME and Surgery, for its office in the Southeast Valley. Excellent growth potential in an established practice. Please contact us at ValleyFeet@gmail.com
 
ASSOCIATE POSITION – DAYTON, OHIO 
 
Highly respected and growing, 4 Podiatrist, 4 location practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be dedicated, hardworking, motivated, poses excellent clinical and surgical skills, high quality patient care, wound care. Our practice is equipped with certified EMR, digital x-ray, laser, ultrasound guided injections, Cutera Laser, regenerative PRP and stem cell technology, 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.
 
ASSOCIATE POSITION – MARYLAND 
 
Come join our team of top docs. Foot and Ankle Specialists of the Mid-Atlantic, LLC is proud to announce the need for help in our busy, multi-faceted group practice (Maryland location). Doctor leaving busy, established practice. Start date August 1, 2018. Immediate patient volume to fill your schedule. We have all the administrative, marketing, and assistant help in place to help make your practice a success. See patients, do your charting, and leave the rest to us. Email your resume and cover letter to mddpm@comcast.net . We look forward to receiving your information!
 
ASSOCIATE POSITION – SANTA FE, NM 
 
Busy and growing practice in the Santa Fe area looking for a high-energy doctor who is seeking full-time employment and can add increased growth to our group. We currently have 10 locations and offer a unique opportunity to treat in under-served areas. Competitive compensation. Board eligible/certified necessary. Competent in all areas of conservative and surgical treatment. Our practice is seeking a positive and up-beat addition who is ready to work. Please send CV nlhuge@animasfootandankle.com
 
ASSOCIATE POSITION – DELAWARE,  OHIO 
 
Do you dream of practicing in a beautiful environment with three supportive, qualified colleagues and staff who are passionate about providing exemplary care? We have been thriving in Delaware, Ohio, near Columbus, for 35 years.  Senior doctor retiring July 1, 2021.  You could be a co-owner in 3 ½ years.  If you’re passionate, positive, ABFAS qualified, and want to learn the “business” of practicing medicine, we should meet.  Visit us at www.FAAWC.com. Contact Elia Ali at elia@faawc.com
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Riverside County.  Full time, motivated, outgoing associate wanted for immediate opening.  Multi-office, multi-doctor practice is looking for hard-working individual to treat wide range of patients.  All aspects of care including very busy office, surgery, senior retirement communities and managed care.  Speaking Spanish is a definite plus.  Hospital and surgical center privileges available.  If you are willing to work and have good people skills, email your CV to ocpodiatryoffice@gmail.com.
 
APPLICATIONS ARE NOW OPEN FOR PRACTICE MANAGEMENT FELLOWSHIP 
 
New Jersey Podiatric Physicians and Surgeons Group, LLC Applications are now being accepted for a one-year postgraduate Fellowship in Practice Management.  This experience will provide complete and comprehensive training in multiple aspects of podiatric practice management. Candidates should be in their last year of postgraduate training.  All applications should be received by 31 December 2017.  Inquiries should be directed to current fellow Dr. Amy Miceli: amym@njpodiatrygroup.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.
  • Notes must be in the following form:
    RE: (Topic)
    From: (your name, DPM)
    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
    Your name, DPM City/State
  • 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
 
Browse PMNews Issues
Previous Issue | Next Issue
Care Credit