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PM News

The Voice of Podiatrists

Serving Over 18,446 Subscribers Daily


April 09, 2020 #6,654 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020- No part of PM News can be reproduced without the
written permission of Barry Block

KLMapr620

Happy Passover
2020mar3020

PM NEWS QUICK POLL

Quick Poll

 
Would you agree to treat COVID-19 patients if your state asked? 
gordonsep3019

INTERNATIONAL PODIATRY AND THE CORONAVIRUS PANDEMIC
UK Podiatric Assistant Serving as Nurse Says "We are Overwhelmed with Death"
 
A nurse on the coronavirus frontline has said NHS mortuary staff are "so overwhelmed with deaths that they can’t cope". Sally Goodright urged people to stay home as she criticized those she saw setting up badminton nets and playing football in parks on her way home from work. 
Sally Goodright
 
Two large fridges have been placed in the car park because the mortuary is full. "So along with two podiatric surgeons, a podiatric professor, two audiologists, and myself we were asked to ferry 40 bodies from the morgue to the fridges." But the nurse, who is usually a podiatry assistant in nearby Richmond, criticized the families she saw setting up equipment for circuit training in public parks.
 
Source:  Joe Roberts, metro.co.uk [4/7/20]

danidec919


FUTURE PODIATRISTS IN THE NEWS
HS Basketball Star Aims to Follow in MT Podiatrist Dad's Footsteps
 
Senior Drew Ouradnik, a high-scoring forward for Billings Christian School, announced on Tuesday evening that he has signed an NAIA national letter of intent to continue his basketball-playing days next season with Rocky Mountain College of the Frontier Conference.
 
Drew Ouradnik (seated left) with Dr. Paul Ouradnik (top right) and family
 
Ouradnik added that academically he will be studying to become a podiatrist like his father, Paul Ouradnik, DPM.
 
Source: Billings Gazette 
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CMS NEWS
CMS Announces 1.66% Rate Hike for Medicare Advantage Plans
 
Medicare Advantage plans get a 1.66% rate increase for 2021, which is higher than the .93% the Centers for Medicare and Medicaid Services announced in its advance rate notice.
 
CMS on Monday published the 2021 rate announcement finalizing MA and Part D payment methodologies. The final policies will continue to modernize and maximize competition within the MA and Part D programs, CMS said.
 
Source: Susan Morse, Healthcare Finance [4/7/20]
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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
 
kevinapr620B

PRACTICE MANAGEMENT TIP OF THE DAY
How to Practice Social Distancing in the Office
 
Applying social-distancing principles in the physician practice environment requires thoughtful planning and coordination, advises Michelle Strowhiro, JD, a Los Angeles-based attorney with McDermott Will & Emery. The waiting room is one area where social distancing should be exercised, she says. 
 
Two strategies to enable social distancing in the waiting room are to limit the number of patients waiting at any given time and to ask patients’ family members to wait in the car or outside the practice. Strowhiro recommends telling patients about the second policy when the appointment is scheduled or by phone the day before their visit. 
 
Source: Aine Cryts, Physicans Practice [4/1/20]
Presentapr620C

CODINGLINE CORNER
Query: Telemedicine and Heel Scenario
 
An established patient of the practice called. Due to self quarantine, there is no immediate plan to come into the office. He has a painful heel. By phone (audio), you review his record, do a history, and have the patient go through some testing to establish there is not a torn tendon, etc. At the conclusion of the call, you prescribe a topical anti-inflammatory medication for treatment. Is this type of thing eligible for a telemedicine claim to insurance. If so, what is the appropriate code?
 
PM News Subscriber
 
Response: Absolutely, if the conversation lasted 5 or more minutes. You have described a Telephone Evaluation and Management service. Be sure to document an appropriate progress note.
 
The CPT code options for this are:
CPT 99441 – Telephone evaluation and management service by a physician or other qualified healthcare professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
CPT 99442 – ; 11-20 minutes of medical discussion
CPT 99443 – ; 21-30 minutes of medical discussion
 
Not all payers pay these codes, so be sure to check with the payer. CMS announced on March 30 in the Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rule on page 125 that they would start to pay for these codes for Medicare Part B and Medicare Advantage patients throughout the Public Health Emergency with RVU of:
CPT 99441 – 0.25 RVU
CPT 99442 – 0.5 RVU
CPT 99443 – 0.75 RVU
 
Jeffrey D Lehrman, DPM, CPC, Fort Collins, CO
 
For information on Codingline subscriptions, click here
energiafeb2420

QUERIES (CORONAVIRUS PANDEMIC)
Query: Medicare Accelerated Payments 
 
I completed an application a week ago. I received an email that the application had been received and that’s it. Nothing more. Can anyone shed some light on what more I should be doing or is this normal? 
 
Sam Bell, DPM, Schenectady, NY
RediH-thotics

RESPONSES/COMMENTS (CORONAVIRUS PANDEMIC)
RE: Doxy.me Telemedicine Platform
From: Eddie Davis, DPM
 
The move to telemedicine has been hastened by the recent emergency rules created during the COVID-19 crisis. PICA has included information about liability coverage for telemedicine visits in a recent webinar and made a televisit consent form available. There are many companies offering telemedicine programs. We started using a subscription service, Doxy.me, last week. It seems effective, inexpensive, and simple to use.  
 
One conspicuous feature absent from Doxy.me and other platforms is the ability to record the visit. So far, I am uncertain as to why that is the case and request feedback from anyone who may know why. It should not be an issue of technology.
 
Windows 10 includes the Windows Voice Recorder program. If your version does not have it, download it from the Microsoft Store online. Pin the application to your start menu or create an icon so you can toggle it on and off. It creates an MP4 file which could be uploaded to a number of EHR programs. I do not know if there are medicolegal reasons not to use this. I have constructed a telemedicine template for my EHR but would welcome suggestions and compare notes on the best way to make this template.
 
Eddie Davis, DPM, San Antonio, TX
McClainjan2819R

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

What to wear to a Seder?

Source: Cafe Press

richiemar2320

MEETING NOTICES

OHFAMAapr620

nycpmmar3020

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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn up to 5Continuing Education Contact Hours (CECH) Online

Earn 15 CECH only $249 (less than $17 per CECH)

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

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Choose any or ALL from 25+ CECH Category-1 articles posted

*NY Licensees whose registrations are from 3/20-6/1/20 can take unlimited online credits


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
FULL TIME PODIATRIST- NORTHERN NEW JERSEY 

We are a fast-growing Podiatry practice in North Jersey with multiple locations and Doctors.  We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com.

ASSOCIATE POSITION – DAYTON, OHIO 
 
Established practice seeks full-time ABFAS or ABPM cert or qual. Podiatrist for our growing practice. Ideal candidate possesses strong clinical and surgical skills. Must be willing to merge into an already established protocol-based office. State-of-the-art facilities, equipment, and in-office dispensary/ pharmacy. Hospital privileges, No nursing homes, base $120,000 and generous bonuses. Signing bonus. Benefits include: medical insurance, disability insurance, paid vacation, holidays, CME and malpractice. Please send C/V to DPMOhio@gmail.com
 
ASSOCIATE POSITION – LOS ANGELES, CA 
 
Multi-specialty wound care and reconstructive surgery group hiring podiatrists to our growing family. Our practice treats wounds within inpatient and outpatient settings. Opportunity for general podiatry cases at brand new surgery center. Benefits include health insurance, 401k plan, and paid vacation time. Salary and bonus structure. E-mail woundcaredocs@gmail.com with CV.
 
ASSOCIATE POSITION - NORTHERN, NJ
 
Wanted Part-time associate for busy Northern NJ practice. Flexible days. Full scope of podiatric practice performed. E-mail CV to MHDPM1@gmail.com.
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PODIATRY PRACTICE FOR SALE – WESTCHESTER, NY 
 
Well established, successful, located downtown in growing major city Westchester, NY. Parking, public transportation. Retiring due to health reasons. On surgical staff of close major hospital,  On ALL major health insurances, four treatment rooms, power chairs, EMR with Dragon, electronic billing, ERx, Digital x-ray, vascular testing, fluoroscopy, RSWT, ultrasound, radiofrequency, Cryoprobe, autoclave, Whirlpools, Footmaxx Metascan, complete surgical (with power) and conservative care instruments. PRICED TO SELL. Will introduce. E-mail: lifehope53@yahoo.com
 
PRACTICE FOR SALE – ROCHESTER, MI
 
44 Year practice for sale. All Current technology, multiple computer work stations. Practice sale by owner, no middle-man. DPM leaving for illness. Ready for immediate assumption, (Staff is willing to remain) Photos upon request (248) 763-1417 saltmic@gmail.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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.
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Barry H. Block, DPM, JD
 
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