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PM News

The Voice of Podiatrists

Serving Over 18,817 Subscribers Daily


December 29, 2017 #6,090 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 participate in the Medicare Diabetic Therapeutic Shoe Program?
bakodec2517D

PODIATRISTS IN THE NEWS - PART 1
NC Podiatrist Discusses How to Prevent DVTs When Traveling
 
Dr. Jane Andersen, a podiatrist in Chapel Hill, NC, said patients travel more frequently this time of year, which means they might be more susceptible to deep vein thrombosis caused by sitting for long periods. If blood clots break loose and lodge in the lungs, the situation can be fatal.
 
Dr. Jane Andersen
 
To prevent clotting in the legs, Andersen recommends patients take aspirin before boarding an aircraft, wear compression hosiery, and allow for frequent movement breaks on the plane or in a roadside rest area.
 
Source: Ann Votaw, Observer [12/28/17]
Gordon10

PODIATRISTS IN THE NEWS - PART 2
NY Podiatrist Recommends Regular Stretching for Plantar Fasciitis
 
Got heel pain when you wake up in the morning? You may have plantar fasciitis. “The plantar fascia is a broad, flat ligament that travels from the base of the heel bone to the ball of the foot,” says podiatrist Dr. James R. Hanna of the New York State Podiatric Medical Association in New York. “Its purpose is to help support the longitudinal arch of the foot. Overstretching of the plantar fascia can cause injury and inflammation, resulting in plantar fasciitis.”
 
Dr. James Hanna
 
Stretch your feet regularly. Hanna advises stretching even before you get out of bed. “This usually involves a typical calf stretch that also stretches the plantar fascia,” he says.
 
Source: Vanessa Caceres, U.S. News & World Report [12/26/17]
pedifixsep2517D

APMA STATE COMPONENT NEWS
NJ Podiatrist Lectures on Good Coding Practices to NYSPMA Queens Division
 
Dr. John Guiliana, Executive Vice President of NEMO Health and Principal Consultant for NEMO Consulting, hosted an educational dinner event on December 21st entitled "Through the Eyes of a Billing Consultant" at Crabtree's Restaurant in Floral Park for the Queens Division of the New York State Podiatric Medical Association (NYSPMA) . 
 
Dr. John Guiliana
 
Dr. Guiliana educated attendees on the common coding and billing mistakes that are frequently causing podiatrists to lose money and place them in jeopardy of audits.
blainedec1817R

E-HEALTH NEWS - PART 1
Providers Need to Prepare for Virulent Ransomware in 2018
 
Ransomware emerged as a significant threat on the worldwide stage in 2017, but new variants will challenge healthcare providers well into 2018, with some versions of new malware not even needing a network to distribute themselves throughout an organization. Previous variants of ransomware, particularly the WannaCry attack in May, showed the ability to self-propagate and spread across a network and onto other networks via the Internet.
 
Educating a healthcare’s organization workforce on cyberattacks is necessary, but it’s not enough to bring them up to speed on phishing and other threats. Practices need to harden their own email systems; for example, Matt Sherman, a malware outbreak specialist at Symantec, advises using secure email systems as a best practice along with two-factor authentication software. Email systems should scan links contained in incoming messages, and they should enable automatic image loading in messages.
 
Source: Joseph Goedert, adapted from Health Data Management [12/28/17]
ohidec2517

E-HEALTH NEWS

Essential Provisions to Include in EHR Contracts  -  Part 5

As more healthcare providers are considering potential changes in electronic health records, it's time to take a fresh look at the contracts they are signing. Providers need to insert more protections in their legal documents as they make decisions to change vendors.

5. Specify What Services are Included in the Contract
 
As EHRs become more complex, it's important to know what's included in the contract and what's not. That seems basic, but product demos may include third-party software as part of the show; then, when providers begin to install, they may be surprised that they're not getting everything they saw in demonstrations. "A vendor may be using a third-party vendor for a dictionary, or an interface for certain software may be an extra cost, says Corinne Smith who has worked for Seton Healthcare Family and UT Health Center San Antonio with complex healthcare interactions and contracting. "Make sure there is no hidden cost .... so make sure your'e not nickel and dimed," Smith notes.
 
Source: Health Data Management
Redig-thotics

PRACTICE MANAGEMENT TIP OF THE DAY
Four Steps to Forsake Procrastinating as a Lifestyle - Part 3
 
Only one path leads to you feeling great about yourself and what you've accomplished. The other path (procrastinating), keeps you in a state of concern. Here are some supporting steps on the winning path:
 
3)  Develop the Habit — With two victories under your belt, commit to completing a third within a given time frame. After round three, you might not need to read any more articles about procrastination.
 
Source: Jeff Davidson, Physicians Practice [12/22/17]
OHIdec1117B

QUERIES (CLINICAL)
Query: Dissolving Foreign Body?
 
A year ago, I took an x-ray of a patient's foot which revealed an unrelated (to the chief complaint) metallic foreign body (FB) that appeared to be a pin. The FB was 2 cm in length and below the calcaneus, entering  plantarly and angled dorsal medially. A year later, she presented with a chief complaint of heel pain. A second x-ray revealed the continued presence of the FB and palpation revealed it to be the source of pain. It had not moved from the original views.
 
Due to the patient's work schedule, removal was scheduled in two months. When the patient came in for removal, I took another x-ray with a grid to determine its exact location. To my shock, the FB was gone. It did not appear in any portion of the foot or ankle area. She also had no pain, but she thought it was because she was avoiding a lot of weight on the heel. She was asymptomatic when I had her walk barefoot on the floor and carpet.
 
Re-examination of my x-rays revealed the initial FB to be relatively solid. The x-ray taken a year later revealed very tiny indentations on the sides of the FB almost serrated. I surmised it was beginning to break down. My question is, "Has anyone had this occur, and what might the object have been, as metal is not likely to have "dissolved"?
pedicis59b

RESPONSES/COMMENTS (NON-CLINICAL)
RE: Pass-through Income Tax Changes as They Apply to Podiatrists
From: Richard Rettig, DPM
 
The Tax Cuts and Jobs Act of 2017 (H.R.1) was passed by Congress and signed into law December 22, 2017 by President Trump. What does that mean to us as physicians, and how can it benefit us? First of all, there are some changes to the dollar amounts of tax brackets that will change things in a minor way, one way or another. They lowered the brackets percentages, but also changed the size of each bracket in what seems at first glance to be a non-adventitious way. 
 
Secondly, there are major changes in allowed itemized deductions for SALT (state and local taxes, including real estate taxes) that will harm many...
 
Editor's note: Dr. Rettig's extended-length letter can be read here.
rhettdec2517

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

Stairway to Heaven? (Photo: Charlotte Visser)
 
Manual with this sculpture:
1. You light the candle.
2. You set fire to an incense by the candle.
3. Place the incense while making a wish.
4. You play the music (Led Zeppelin's Stairway to Heaven).
5. Listen to the song, you will fall into a state of meditation.

Source: Kei Kagami via Virtual Shoe Museum

DrRem37

MEETING NOTICES

OHIdec1117C

IFAFarthro125


aafasoct1617

dermfootdec2517R

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CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - NEW YORK (BROOME COUNTY, NEAR BINGHAMTON)
 
Well established, 37 year practice. No 3rd party Insurance! Patients pay at time of service. Work 3-4 days/week with average gross $675K/year through 2016. Practice emphasis is biomechanics, using video & in-shoe pressure mapping analysis; & onychomycosis treatment using PinPointe laser. Office and equipment modern & high quality. Ready to retire, so make a reasonable offer.  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
POSITIONS AVAILABLE - SOUTHERN NEW JERSEY 
 
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Southern New Jersey.  Great opportunity for part-time income. Positions available immediately!  Send inquiries to: phasetwopodiatry@gmail.com
 
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 - 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 - HARTFORD CONNECTICUT 
 
Great Opportunity: A well-established four doctor practice is looking for a personable, well trained individual to join us in July 2018.  You must be comfortable with all phases of podiatric practice and have three years of surgical training. Board Eligible/Certified.  You will assume the patient care of a retiring partner.  Competitive salary and benefits.  Partnership potential.  Forward your resume to “I am your new associate” at jsk506@aol.com or fax 860-721-6395
 
FULL TIME ASSOCIATE – MANHATTAN 
 
Full-time associate wanted for dynamic surgically oriented multi state practice based out of Manhattan and ever expanding. Applicant must be BQ/BE PM&S 36 or equivalently trained and must have active NY and NJ (or able to qualify to obtain) licensure. Applicant must be team oriented, flexible and personable. Will suit someone looking for a long term position with opportunity to grow in the future. Please send inquiries to daria.nichiforova@deloorpodiatry.com
 
POSITIONS AVAILABLE- NEW YORK 
 
Looking for podiatrists to see residents in nursing homes, skilled nursing facilities, and assisted livings throughout New York.  Great opportunity for full-time or part-time income. Positions available immediately!  inquiries to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION – BROOKLYN, NY 
 
Excellent, growing podiatry practice is seeking a full time podiatrist to add to our current 2 podiatrists. Excellent compensation for qualified candidates. Please send resume to Metropolitanfootcare@gmail.com
 
ASSOCIATE POSITION – CENTRAL NEW JERSEY 
 
Large central NJ orthopedic practice looking for full-time podiatrist with interest in wound care, diabetes, and general footcare. Rearfoot/Ankle training not required. Upcoming 2018 grads and established podiatrists can apply. Must be willing to grow podiatry practice with the ability to maintain and attract patients. Must be willing to live in area as the candidate will actively participate in hospital call and be responsible for inpatient rounds. Please send cv to sdonaruma@midjerseyortho.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 - SOUTHERN CALIFORNIA  
 
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
 
ASSOCIATE POSITION – TRACY/MANTECA, CA 
 
Federally Qualified Health Center looking for a dedicated medical and surgical podiatrist to work with our team of Primary Care Physicians. Email CV to marivera@cmcenters.org
 
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
 
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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