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PM News

The Voice of Podiatrists

Serving Over 18,813 Subscribers Daily


December 01, 2017 #6.070 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

richieoct1617

PM NEWS QUICK POLL

LAST CHANCE TO VOTE

Quick Poll

Do you use a drill to debride nails?
Bakonov2717

AT THE COLLEGES
NYCPM Professor Brings Supplies to Puerto Rico
 
On October 12 and again on November 18, Peter Barbosa, PhD, NYCPM Professor in Pre-Clinical Sciences, visited his native Puerto Rico. He arrived with five suitcases filled with needed basic supplies that he personally distributed in towns bereft of services and stores as a result of the devastation wrought by Hurricane Maria on September 20.
 
Dr. Peter Barbosa and donated groceries
 
While there, Dr. Barbosa and his sister Damarys Barbosa bought groceries from a supermarket in San Juan that has been supplied. They delivered those groceries to families on the west side of the island and in mountain towns, where supplies were not arriving. As of November 28, 45% of the island remains without power and 10% of the island has no water. Some residents lost power and water as a result of Hurricane Irma, which struck Puerto Rico two weeks before Maria’s strike.
Gordon6 Labs

APMA STATE COMPONENT NEWS
IPMA Announces New Slate of Board of Directors
 
The Illinois Podiatric Medical Association (IPMA) has announced the new slate of directors and officers for 2017-2018, voted on and approved at a recent IPMA Annual Meeting.
 
New IPMA President, Dr. Douglas Pacaccio (R), is sworn in by Dr. Keith Goss at IPMA’s Annual Business Meeting.
 
Ofiicers
President: Douglas Pacaccio, DPM
President-Elect: Sarah Dickey, DPM
Vice-President: Patrick McEneaney, DPM 
Treasurer: Edward Ratkovich, DPM
Secretary: Veronica Marrochello, DPM
Immediate Past President: Helena Reid, DPM
Directors at Large: Jeffery Alexander DPM, Sev Hrywnak, DPM, MD, Ashley Lee, DPM, Kyle Pearson, DPM, Patrick Sanchez, DPM, and David Yeager, DPM
pedifixsep2517

PODIATRISTS IN THE COMMUNITY - PART 1
NJ Podiatrist Thanked by Cardiac Arrest Victim He Saved  
  
Long Valley resident Chris Del Plato held a reunion filled with people he barely knew. He just wanted to thank them for saving his life. Mrs. Nancy Del Plato called 911 when her husband lost consciousness. She immediately started administering cardiopulmonary resuscitation (CPR). Del Plato was fortunate that Long Valley First Aid Squad member Stephen Guiliana, DPM was in his car traveling not far from the Del Plato home when the call came.
 
Dr. Stephen Guiliana
 
“Everybody was excited and were waving me to come really quickly,’’ Dr. Guiliana said. “When I got up to him, he was in cardiac arrest. It looked like (Nancy) was doing CPR for a little while so I took over. Then I heard the police officers come in. CPR and an AED are usually done simultaneously,’’ Guiliana said.
 
Source: Mark Kitchin, New Jersey Hills Observer-Tribune [11/15/17]
OHIoct917C

PODIATRISTS IN THE COMMUNITY - PART 2
VA Podiatrist Joins FASMA
 
Robert Pica, DPM has joined Richmond, Virginia’s Foot & Ankle Center, a division of the Foot and Ankle Specialists of the Mid-Atlantic, LLC (FASMA). FASMA currently has 32 locations across DC, Maryland, Pennsylvania, and Virginia with 52 podiatrists. 
 
Dr. Robert Pica
 
Dr. Pica is a graduate of the Dr. William Scholl College of Podiatric Medicine. He completed a 3-year podiatric surgery residency program at The Christ Hospital Health Network in Cincinnati, Ohio. He is Board Certified by the American Board of Podiatric Medicine and is a Certified Wound Specialist by the American Board of Wound Management. 

drjillsep417


PODIATRISTS IN THE COMMUNITY - PART 3

OH Podiatrist/Orthopedist Celebrates 85th Bar Mitzvah Anniversary

Malcolm Brahms, DPM, MD celebrated his bar mitzvah in 1932, when he was 13 years old. At the time, he was looking forward to getting a fountain pen, as "that was the prominent kind of gifts that bar mitzvah kids used to get," he said. That day, he received three.

Dr. Malcolm Brahms

Since then, he has celebrated his bar mitzvah every year and said he considers himself lucky for his achievements, which include finishing medical and podiatry school as well as having a successful career in orthopedic surgery at the former Mt. Sinai Hospital in Cleveland. After retiring at age 92, he has become a valued member in B'nai Jeshurun's daily minyan.

Source: Alyssa Schmitt, Cleveland Jewish News [11/28/17]

rhettnov2017B

PODIATRIC PRODUCTS AND SERVICES IN THE NEWS
Molecular Team at Bako Presents Findings at AMP 2017
 
Bako’s Molecular Team – including Erik Gustafson, PhD (VP of Research and Development), molecular research scientists Lori Bennett, MS, MP ASCP and Idowu Akinsanmi, PhD presented their poster entitled “Molecular Analysis of Fungal Populations in Patients with Onychomycosis Using Next Generation Sequencing and Real-Time Polymerase Chain Reaction (PCR)” at the Association for Molecular Pathology’s annual conference November 15-18th in Salt Lake City. Erik, Lori, and Idowu are members of the Association for Molecular Pathology, and have participated in the AMP annual conference for years.
 
(L-R) Dr. Erik Gustafson, Lori Bennett, and Dr. Idowu Akinsanmi
 
Established in 2014, Bako’s Molecular Team continues to develop innovative molecular assays. The onychomycosis assay allows for the rapid and accurate diagnosis of fungal infection while also helping podiatrists follow Medicare and national health plans' pharmacy benefit guidelines for antifungal coverage.
apexnov1317

E-HEALTH NEWS
Providers Unsure that CMS 'Meaningful Measures' Will Reduce Burden
 
A month after CMS Administrator Seema Verma announced the new "meaningful measures" quality reporting framework as a way to ease physicians' regulatory burden, providers remained confused about the initiative's goals. Rather than replacing existing quality reporting programs, meaningful measures will be applied to them, so the CMS can make sure those measures align with the CMS' core tenets of quality reporting, said Dr. Pierre Yong, director of the CMS' quality measurement and value-based incentives group in a webinar Tuesday. 
 
"It's simply conceptual," said Jennifer McLaughlin, senior associate director of government affairs for the Medical Group Management Association. "At this point, it has very little substance behind it." That frustrated many of the providers who participated in the webinar. One podiatrist wondered why the CMS couldn't just tell her practice which measures all podiatrists need to report on. Another wondered if the CMS officials had ever used electronic health records in the first place. 
 
Source: Rachel Z. Arndt, Modern Healthcare [11/28/17]
Blainesep417

PRACTICE MANAGEMENT TIP OF THE DAY
Medical Malpractice Liability in the EHR - Part 4
 
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:
 
4. Auto-population of your note can be hazardous. This is a two-edged sword. I love that our hospital records make inclusion of things like social and past medical history easy, by way of automatic auto-population of data previously recorded by scribes, nurses, and other providers. Our system also has the facility to populate on demand things like labs, vitals, diagnostics, etc., in charting. Regardless of who entered the original data, the provider is ultimately responsible for their own note, and its accuracy, and it pays to verify critical data. You have a duty to the patient to correct erroneous data in the past surgical and medical history, allergies, social history, especially data that is critical to patient care and safety. While I can't speak for other EHRs, our community hospital's EHR makes editing the data that auto-populates a record easy.
 
Source: Stephen H. Hanson, PA-C, Physicians Practice [11/3/17]
realm

CODINGLINE CORNER
Query: CPT 11730 Denials
 
I have denials from Horizon Blue Cross Blue Shield of NewJersey for the following code combination: CPT 11730-TA (nail avulsion, left hallux) L60.03,  L03.032 (cellulitis, left toe), and M79.675 (pain, left toe). They are saying that the problem is with the L60.03 code. Is this correct?
 
William Kelley, DPM, Ramsey, NJ
 
Response: The correct code is L60.0. It is a 4-digit code and needs no other numerals appended to it. There is no problem with you reporting the M79.675 if it is required by the insurance company, but it should not be necessary.
 
In the future, I  suggest you check your coding with a source. I recommend the APMA Coding Resource Center so you can be sure you are filing the correct codes with all the necessary digits and 7th character extension. The APMA CRC has a unique way, with a red box that has a number and a plus sign in it to let you know how many alpha and numeric characters are needed for each code in ICD-10. And for the 7th character, it gives you the possible choices.
 
Paul Kinberg, DPM, Dallas, TX
 
For information on Codingline subscriptions, click here
2020nov2717B

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
RE: ABFAS Board Exam Pass Rate is Disparaging (Joseph Borreggine, DPM)
From: Matthew Williams, DPM
 
The American Board of Foot and Ankle Surgery’s (ABFAS) mission is to protect and improve the health and welfare of the public by the advancement of the art and science of podiatric surgery. As surgeons, we want the best outcomes for our patients, and ABFAS will continue to strive to fulfill our mission to certify high quality surgical candidates for the betterment of the profession. 
 
The trending of Part I spring exam results for first time takers shows the impact of the three-year surgical residencies. 
 
ABFAS Part 1 Pass Rates 
 
Although there is a drop in the pass rate for...
 
Editor's note: Dr. Williams' extended-length letter can be read here.
moorejun1217

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B
RE: ABFAS Board Exam Pass Rate is Disparaging (Joseph Borreggine, DPM)
From: Name Withheld
 
I graduated from a 3-year residency program in 2013. I passed all my NBPME exams the first time and I passed the ABFAS qualifying exams the first time. Then I bought a non-surgical practice in a small town and set to work. I have spent 4 years building up my case volume and then was able to sit for the exam. I failed both the case studies and the computer-based examination. My hospital says I have to be board certified in a 5 year window. I have one more shot at it in 2018. 
 
During residency, ABFAS lets you take yearly practice tests to be prepared for the qualifying exam, but not after residency. So, I went 4 years not taking a practice test and then finally being able to sit for it and failing it (They used to make you wait until your case volume was built up prior to taking the computer-based exam). Just this year, I heard that ABFAS is allowing candidates to...
 
Editor's note: Name Withheld's extended-length letter can be read here.  
surefitnov2017A

RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: Gary Docks, DPM
 
Being complacent and accepting criticism from this Orthopod is not the answer. My first thought is....is it justified? If not, then I would go meet him and discuss it in person. If you’d rather hide behind your computer, then just inform him that two can play the same game. Obviously, he is an insecure doctor who is trying to boost his own ego by putting you down. This is probably not an isolated incident. Just remember, you encourage what you tolerate.
 
Gary Docks, DPM, Beverly Hills, MI
mlbnov617

RESPONSES/COMMENTS (NEWS STORIES)
From: Charles Morelli, DPM
 
I certainly agree with our colleague Dr. Positano that cosmetic foot surgery is riskier than other cosmetic procedures, as we certainly do not walk on our faces but the entire comment that follows (from “experts”) has nothing to do with cosmetic surgery nor does it paint an accurate picture of podiatric surgery as it is done today (in my opinion). 
 
Most cosmetic procedures performed on the foot usually revolve around hammertoes or relatively simple bunion procedures for the purpose of fitting in shoes and looking more attractive in open shoes. With the exception of an arthroplasty, very few foot procedures involve...
 
Editor's note: Dr. Morelli's extended-length letter can be read here.
DrRem37

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Cartoon of the Day

Source: Submitted by Dr. Chris Albritton

pedicis59a

MEETING NOTICES

presentnov2717C

IFAFarthro125

aafasnov1317

codingline1

CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS
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.
 
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.
 
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 – 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.
 
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
 
2019 ASSOCIATE LEADING TO PARTNERSHIP POSITION - FLORIDA
 
Practice where you want to live! And this is where you want to liveThe founding doctor of our uniquely positioned small group in paradise is looking to slow down summer of 2019. We are seeking a podiatrist comfortable in all settings, from foot care to rearfoot/ankle surgery, office to hospital. Numerous hospital and surgical center opportunities abound. Associates and partners have always earned higher than average incomes. Forward us a CV and a note describing what you believe you can bring to us, and come join us in Florida for the good life. email: westflpods@gmail.com
 
POSITIONS AVAILABLE - BUFFALO AND UPSTATE NEW YORK
 
Looking for podiatrists to see residents in nursing homes, skilled nursing facilities, and assisted livings in Buffalo  and several areas around Upstate New York. Great opportunity for full-time or part-time income. Positions available immediately!  inquiries to: phasetwopodiatry@gmail.com
 
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 - 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 - 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
 
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 - 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.
 
EQUIPMENT FOR SALE - HYPERION MED 1530 LASER 
 
980 wavelength. Owned Since Feb 2013 last service Feb 2017. Comes with 1-year warranty from Hyperion Med (doesn’t include warranty on foot pedal or cable). Asking $12,500. Delivery last two weeks of year. Comes with pelican box for transport. Contact ryan@thelasertrader.com

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.

PRACTICE FOR SALE - 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

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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Barry H. Block, DPM, JD
 
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