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PM News

The Voice of Podiatrists

Serving Over 18,947 Subscribers Daily


December 12, 2017 #6,077 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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PM NEWS QUICK POLL

Quick Poll

The ABFAS exam pass rates are...?
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Gordon6 Labs

PODIATRISTS IN THE NEWS
PA Podiatrist Uses HBOT for Healing Wounds
 
It’s a device that can not only save a patient trips to the ER and up to $7,000 for treatment, but it can also save a limb. Hyperbaric chambers can seem a little intimidating, but doctors say they are great tools for healing everything from bone infections to diabetic ulcers. “You can see here this opens up. The whole thing slides off onto that cart,” says Dr. Allan Grossman, Medical Director at Geisinger Holy Spirit. 
 
Dr. Allan Grossman
 
This is where many of Dr. Grossman’s patients spend much of their time, in the clinic lying inside one of two hyperbaric chambers. With just that extra oxygen, Dr. Grossman says the chambers offer much of the healing his podiatry patients need. “So by doing this, it increases the blood flow, oxygenation, everything you need for the body to heal itself,” he says.
 
Source: Lara Greenberg, Local 21 News (CBS)  [12/7/17]
 
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PODIATRISTS AND FOOTWEAR
NJ Podiatrist Discusses Buying Good Walking Shoes
 
Although it may seem fine to just throw on some kicks and go, walking in poorly fitting shoes could lead to injury, especially if you're a newbie fitness walker. “The foot and ankle take a pounding daily with our day-to-day activities. Up to three times the body weight can be dispersed through these small joints within our extremity,” says Sarah Haller, DPM, a podiatrist at Essex Union Podiatry in New Jersey. “Ensuring that you purchase the appropriate shoes for your activity is critical to ensure that you can prevent foot pain,” she says.
 
Dr. Sarah Hallar
 
When choosing shoes you’ll be wearing for walking workouts, there are some things to keep in mind. A walking shoe should have a supportive heel counter. The midfoot should be supportive and flexible to permit the natural stride and the shoe should be able to bend at the top where the toes land, Dr. Haller says. But you shouldn’t be able to twist the shoe in a side-to-side motion (as if you’re wringing it out). If you can, the shoe won’t offer enough support.
 
Source: Tamekia Reece, Prevention [12/6/17]
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PODIATRISTS IN THE COMMUNITY

NY Podiatrist's Foundation Brings Holiday Joy to Pediatric Cancer Patients

Heavenly Productions Foundation (HPF) visited Maria Fareri Children’s Hospital to bring some joy and happiness to the children battling cancer or other illnesses. The pediatric patients were overjoyed to have a visit with Santa Claus, the reindeers, Olaf,  and Princess Anna from Frozen, Santa’s helpers, HPF angels, HPF volunteers, along with musicians, vocalists, and City Center dance performances.

Dr. Kathy Reilly Fallon

“Not only do we bring musical and dance performances but we also run a toy drive prior to the event and we brought I think close to 270 toys today,” said Dr. Kathy Reilly Fallon, Founder and Chairwoman of Heavenly Productions Foundation.

Source: Lisa Salvadorini, News 12 [12/8/17]

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MEETING NEWS
NM Podiatrist Keynotes at IEF Symposium and Receives Ilizarov Award
 
John J. Anderson, DPM, Director of the New Mexico Bone and Joint Institute and the American Foundation of Lower Extremity Surgery and Research Fellowship,  Alamogordo, NM was the keynote speaker at the 12th Annual International External Fixation (IEF) Symposium, University Texas San Antonio Hospital December 6th-8th, 2017. Dr. Anderson spoke as one of the U.S. experts on revision hindfoot and ankle fusions. This is the largest reconstructive surgery conference of its kind in the world, with over 500 attendees from 25 countries represented.
 
(L-R) Drs. Thomas Zgonis and John Anderson
 
Dr. Anderson was the recipient of the Ilizarov Award from the International Society of External Fixation. This is an international award for excellence in corrective surgery and in treating limb deformities. Dr. Anderson has served on the New Mexico Podiatric Medical Association Board and was the recipient of APMA’s Meritorious Service Award in 2016.

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PODIATRIC ECONOMICS
Podiatric Market Estimated to be Around $20 Billion 
 
The global podiatric market was estimated to be around $20 billion as of 2016. The podiatric market made up around 1% of the overall physicians and other health practitioners market in 2016. The podiatrists market was the sixth largest market in the global physicians and other health practitioners market in 2016.
 
The podiatric market is expected to increase due to growth in GDP per-capita, etc. The global podiatric market is expected to grow at a healthy rate during the forecast period (2017-2021). The growth is expected on account of many factors such as an increase in disposable income and the aging demography.
 
Source:  Market Insights Reports [12/9/17]

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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
 
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PRACTICE MANAGEMENT TIP OF THE DAY
Medical Practice Financial Reports Docs Need to See - Part 1
 
Hard data is crucial to Kyle Matthews, chief executive officer of a cardiology practice near Phoenix, and he regularly shares them with his physicians though 10 key financial reports. The numbers tell him — and them — when to hire and when to fire, who has too many appointments and who has too few, and even when it's time to investigative missing referrals. Matthews recommended providing these financial reports to partner physicians:
 
1. Practice Dashboard
 
This report, which can be generated by EHRs, includes information about financial balances and deposits. It can also provide details about accounts receivable, charges, and collections. "I do it once a week and e-mail it," Matthews said. "The reports are especially helpful when doctors go on vacation, he said. "I want them to see what impact that has on collections so they don't come back and yell at me when they get their compensation check."
 
Source: Randy Dotinga, Physicians Practice [10/10/17]
OHICCnov2017

CODINGLINE CORNER
Query: Toe Fillers & Custom Diabetic Insoles
 
I was doing a follow-up with a patient whom I sent to Hanger for custom diabetic insoles and a hallux toe filler on the left orthotic.  When I asked the patient if they got the three pairs of insoles (to be replaced quarterly), they told me no, they only got one pair. I called Hanger to ask why that was and they informed me that under the new Medicare guidelines, “toe fillers” on orthotics makes them technically a prosthetic and Medicare will only pay for one pair a year.
 
Anthony Hoffman, DPM, Oakland, CA
 
Response: Hanger is correct. Medicare will cover only one L5000 code as it is considered a prosthetic. If you, however, ordered custom insoles for one foot and the toe filler for the other, Medicare will pay for three of the custom inserts. We bill this scenario as:
 
A5500-KX-RT-LT   2 units
L5000-KX-LT  1 unit
A5513-KX-RT   3 units
 
The good news about the toe filler being considered a prosthetic is that if you order shoes and inserts for a patient who then has an amputation, the prosthetic can be filled outside the normal restrictions of one pair of shoes and three pairs of inserts per year.
 
Katherine Sharp, Keystone Professional Solutions, Woodbury, TN
 
For information on Codingline subscriptions, click here
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RESPONSES/COMMENTS (DME)
RE: Urgent: Response Needed Today for A5513 Issue 
From: Paul Kesselman, DPM
 
As many of you know, several CMS contractors in late July began an initiative to exclude the vast majority of custom therapeutic inserts from the marketplace. Several official announcements by the PDAC were made causing only more confusion. Most recently, CMS held a conference call where more information was provided. Instead of clarifying the situation, many more issues were brought forward and the issue remains very fluid. 
 
Today, December 11, 2011 is the deadline to submit comments on this issue. The facts are simple: Medicare does not recognize those custom inserts which are made from digital images as...
 
Editor's note: Dr. Kesselman's extended-length letter can be read here

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RESPONSES/COMMENTS (OBITUARIES)
RE: The Passing of Daniel A. Marzano, DPM
 
Daniel A. Marzano, 94, died Tuesday December 5, 2017. He was a WWII Army Veteran and a Purple Heart recipient. Completing his educational requirements in 1952, he practiced podiatry in Newark and Long Branch until 1989. He was a member of the Italian American Association of the Township of Ocean, Elks, and Old Guard of Long Branch, the VFW of Asbury Park, and the American Podiatric Medical Association.
 
Source: Asbury Park Press [12/8/17]

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RESPONSES/COMMENTS (CODINELINE CORNER)
From: Martin V. Sloan, DPM
 
Dr. Poggio's response raises the question: In billing for an x-ray for patients NOT residing in a SNF facility, can we bill for both the x-ray study professional component for Medicare part A AND for the technical portion by submitting the same code with a 26 Modifier?
 
Martin V. Sloan, DPM, Rockwall, TX
MLBdec1117

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

What to wear while watching Snakes on a Plane?

Source: Masaya Kushino via Virtual Shoe Museum

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MEETING NOTICES

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CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS
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 NEEDED – WARREN/YOUNGSTOWN, OHIO
 
Ankle & Foot Care Centers operates 20 locations in Northeast Ohio. We are looking to add a full-time podiatric physician to help cover expansion of our Outreach/Home Care Services.  Tremendous growth opportunity for a hardworking individual with an interest in wound care, nursing home and house call patient care.  To learn more about us, visit our website at www.ankleandfootcare.com  Please email your letter of interest and CV to Michael Vallas, Practice Administrator at mike@ankleandfootcare.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

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.
 
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 – CLEVELAND SW SUBURBS 
 
Excellent opportunity to join a well-established busy two office location practice seeking a PSR-36 board-certified/qualified individual.  Must be hard-working, passionate, ethical, and personable.  All phases of podiatry from surgery to wound care. Staff privileges at 3 local hospitals. Modern offices recently remodeled and equipped with certified EMR, digital x-rays and all aspects of DME. Please forward CV to medical123@aol.com.
 
ASSOCIATE POSITION- DALLAS/FT.WORTH, TX 
 
A multi-office practice is seeking a well-rounded podiatrist with a strong work ethic who is able to work independently and is poised for success. Competitive salary, bonus structure and benefits. Excellent growth potential leading to partnership for the right individual. Position available Spring/Summer 2018. Send CV, picture and letter of interest to: ntexaspod@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.
 
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 POSTION - WESTCHESTER COUNTY, NY 
 
Part time associate needed for well-rounded practice. Office is fully equipped and located in an excellent neighborhood. Candidate needs to be well trained, reliable, honest and hard-working. Latest technology utilized. Position is available as of 01/01/2018. Send letter of interest and resume to DPM626@yahoo.com.
 
PODIATRIST FOR HOUSECALLS- NJ 
 
Well established and fast growing Housecall podiatry practice (www.homefootcareservices.com ) is looking for part-time podiatrist (2 days a week) to do house-calls for homebound patients in Southern New Jersey. We are looking for hard-working, energetic and compassionate doctor.  Position will grow into full -ime within 1 year. Please email resume to lana.raginsky@homefootcareservices.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 - NORTHERN NJ 
 
30 years. Modern Office. Northern NJ, Passaic County. No Medicaid. Fully equipped, 3 treatment rooms, digital x-ray. Priced to sell Quickly. Email to ToeBizCenter@yahoo.com

PRACTICE FOR SALE- NASSAU COUNTY, NY 

Well established, stable, 18 year part-time practice. Average gross $160,000/year over the past three years working less than 20 hours/week. Practice emphasizes all aspects of footcare with local hospital privileges. Available to stay for about a month to transition patients. Priced for quick sale. Nassaupodiatrist@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.
DISCLAIMER: Internet communications cannot be guaranteed to be either timely or free of viruses.
Guidelines
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  • 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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Barry H. Block, DPM, JD
 
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