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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 22,109 Subscribers Daily
November 30, 2022 #7.393  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- No part of PM News can be reproduced without the
written permission of Barry Block
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| EDITOR'S NOTE | |
PM News Advance Notice
PM News will not be publishing the week of December 26, 2022. We will resume publishing on January 2, 2023.
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| PM NEWS QUICK POLL |
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How has inflation affected your holiday gift giving?
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| PODIATRISTS IN THE COMMUNITY | |
Wearing the Right Shoes Can Prevent Many Foot Problems: TX Podiatrist
James Townson Jr, DPM recently spoke to the Gatesville Lions Club. "I'm excited to be back in Central Texas," said Townson, who has more than 10 years’ experience as a podiatrist. Dr. Townson said the most common question he gets is what shoes he recommends. He said many of the top-selling athletic shoes do not offer the best support.
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Dr. James Townson (photo: Jeff Osborne) |
"One thing you should look for is that the shoes bend at the toes," Townson said. "If you can bend a shoe in half (front to back), that's not good. Second, if you can twist the shoe a full 360 degrees, that will not offer your feet the best stable support. Third, squeeze the back of the shoe in the heel area. If it collapses when you push it, that's not good. You need firm heel support." Townson said wearing the right shoes can prevent a host of foot problems.
Source: Jeff Osborne, The Gatesville Manager [11/25/22]
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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.
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Today's featured article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
3 Ways to Simplify Tech for Physicians
Healthcare providers need optimized solutions that reduce the risk of error-prone manual processes in order to eliminate burnout and improve patient outcomes. Here are three ways to accomplish that:
1. Aligning with stakeholders who can promote tech adoption. - If digital practices are already bogged down, healthcare practices will likely be slow to adopt a new tech solution. Familiarity breeds adoption, so step back from the implementation process and lead by doing everything you can to encourage buy-in. Of course, that requires knowing the providers’ problems and how to help ease them.
Identifying all stakeholders is mission-critical. Your new software will inevitably be touched by physicians, medical assistants, billing, IT, customer support, and more.
Source: Adapted from Eric Bacon, Managed Healthcare Executive [11/28/22]
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| QUERIES (NON-CLINICAL) | |
Query: Alternative Dye for Sinograms
I occasionally perform sinograms with a C-arm in office with diabetic and post-op wounds. There seems to be a shortage of electron dense dye. I have used renographin in the past. Does anyone have a suggestion for an alternative dye and/or a current source to purchase some for my clinic?
Tip Sullivan, DPM, Jackson, MS
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| RESPONSES/COMMENTS (VIDEO COMMENTARIES) | |
RE: Evidence-Based Medicine
From: Roger Kilfoil, DPM
This is a short video describing how evidence-based practice is important in daily practice.
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Click on photo to view short video. |
One example is the unnecessary ordering of liver function tests when prescribing oral terbinafine.
Roger Kilfoil, DPM, Baldwin, NY
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| RESPONSES/COMMENTS (CLINICAL) | |
RE: Protocol for Cantharadine/Cantharone Plus for Verruca (Juli Weitzen, DPM)
From: R. Alex Dellinger, DPM
I have a local compounding pharmacist compound Cantharone Plus. It's much cheaper than the original, and so much easier to get. The compounded version seems a little more viscous than the Cantharone Plus I used to order from Canada, which is better to me since it doesn't run when applied.
I apply it to each wart, let it frost, apply one more coat, and let it frost again. I occlude with tape and tell them to leave it on for at least 4 hours. After that, they don't need to occlude or otherwise bandage in any way. I bill CPT 17110. I have them come back in 2 weeks. I debride the dead skin/viral material. Maybe 1 or 2 times in 10, I have to re-apply. They are almost always smaller and improved if I have to re-apply. I do not bill 17110 again, since the code is for a "destruction". Some may argue for billing again, but that is my understanding of CPT rules.
I have found this treatment protocol very effective, virtually painless (occasionally it stings for a few days), and easy. It's great for patients with a single, or not too many verrucae (Maybe up to 10 or so).
R. Alex Dellinger, DPM, Little Rock, AR
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Judd Davis, DPM
Dr. Dahlin (or any others who have successfully transitioned away from dealing with insurance companies), I was hoping you could expand on the pros/cons of going to the "direct care" model. Are there some websites or books that detail this process for specialists like us, instead of PCPs?
When researching direct care, most of the links come up for primary care. I see many of the PCPs in my city going to concierge medicine. I also see a number of mutual patients of these PCPs stating they will not pay a monthly fee and switching to other docs that still take their insurance. I imagine it would be even more difficult to get podiatry patients that are seen irregularly for their foot/ankle conditions to agree to this kind of monthly fee arrangement. I think there are many of us that feel trapped by the huge insurance company's take it or leave it attitude and would love to escape that business model; we just don't know how.
Judd Davis, DPM, Colorado Springs, CO
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| RESPONSES/COMMENTS (MEDICARE ADVANTAGE) | |
From: Glenn McClendon, DPM
My most frustrating issue for the past two years is dealing with payment from the Medicare Advantage or replacement insurances vs. regular Medicare. I'm sure all physicians are having the same problem. There are numerous carriers and all have myriad coverage provisions, different than regular Medicare even though they sell the product to seniors as a superior product to Medicare. I'm sure for some seniors they are somewhat improved, but I've rarely had a patient that felt improved by their product over Medicare when told he now owes a co-pay, etc. They are possibly less expensive, but there is always a trade-off. It seems ultimately that I'm the one losing income on these insurance products. I often find out too late when services are not covered or denied for some obscure reason.
My point: this may be a gargantuan task for anyone due to regional, state, or carrier issues. I would certainly attend online and possibly in person to hear anyone teaching, lecturing, educating podiatrists about specific and/or general algorithms in dealing with these Medicare Advantage denials. I would prefer dealing with a patient’s problem on an initial visit, like under regular Medicare, but could see myself having patients return later for non-emergent care when there is a question about coverage. Whose office can get pre-approval or find these answers while the patient waits in your exam room? I also have similar issues with Medicaid replacement products, maybe even worse.
So maybe some new CME lecture programs will incorporate this complex issue into their materials. I want to know if there is a new/better way to perform a common procedure or remedy a problem, but for now, I need to be compensated for what I'm currently doing.
Glenn McClendon, DPM, Conway, AR
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| RESPONSES/COMMENTS (PM ARTICLES) | |
From: Bryan C. Markinson, DPM
In the last issue of PM, Josh White, DPM wrote an article proposing to inform how to tackle the obstacles to getting appropriately examined patients into diabetic footwear. Actually, instead of doing that, he simply reiterates the myriad of reasons why someone would not be engaged in the program. He further convinces me to stay away from anything other than prescribing, which I have been doing for many years since my early participation resulted only in problems. In fact, just simply prescribing and referring patients to a shoe provider has many attendant frustrating and time-consuming problems.
Increasingly, my most carefully detailed exam notes, and detailed prescriptions required from the shoe providers, end up with the dispensing of acceptable shoes, and useless foam inserts. Anything written for "custom molded" is met with we "don't do that anymore." Communications requests to the PCP for notes that are given to the patient always end up with me then having to redirect it myself or inform the patient that it is for the PCP.
It seems the only way to successfully have an office-based diabetic shoe program is to have a high-volume need, a dedicated individual in the practice for the fitting of off the self-shoes, and an available laboratory that will provide true custom footwear and inserts instead of a slab of thin pink foam.
Bryan C. Markinson, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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The ultimate "rock"er sole? (Photo: Patrick Creemers) |
Source: Caroline Verbrugghe via Virtual Shoe Museum
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $279 (less than $19 per CECH)
podiatrym.com/cme.cfm
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, PA, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY*, NC, OK, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-1/1/23 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
ASSOCIATE POSITION – WESTERN NORTH CAROLINA
Join a well-established, busy and growing podiatric practice. We are fully integrated with the medical community in a large tertiary teaching hospital. Research opportunities are available. Applicant should be ethical, personable, hardworking, and committed to quality patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. Associate position can lead to partnership. All interested candidates should send a resume to JCMOOREDPM@aol.com
ASSOCIATE POSITION - SOUTHEAST MICHIGAN
Opportunity to join a well established and expanding practice. Expertise in wound care a plus. Benefits: 401k, health insurance, paid time off, and bonus potential. Email CV and letter of interest to info@monpod.com or fax 734-241-1961.
ASSOCIATE POSITION – WAYNE, NEW JERSEY
FT position. $200K starting base salary. Includes health insurance, malpractice, bonus opportunity, paid vacation. Well established, single location, over a decade in practice. Office has been recently renovated. Position has high financial growth potential for those that are motivated. Private practice experience recommended, but not required. Email CV to northjerseypodiatrist@gmail.com
ASSOCIATE POSITIONS – VA, CT, DE, FL, MD, MO, PA, OH, NJ, NY, TN
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA)
ASSOCIATE POSITION FOR FELLOWSHIP TRAINED - SUBURBS OF NYC
Live and work in a great community. Successful and supportive practice. Only 30 minutes from NYC. Desirable area. High volume surgery to build cases for surgical boards quickly - elective, trauma, diabetic limb salvage. Busy, modern, technologically advanced offices. ABFAS BQ/BC required. Competitive Salary + Bonus, PTO, Paid Vacations, Retirement Plan with Employer Matching, All Professional Fees Paid, Generous Signing Bonus. Please send CV to: linchpindpm@yahoo.com
ASSOCIATE POSITION - ALBANY, NY
We are looking for a surgically trained podiatrist to join our busy practice. We are a well-established office with local hospital affiliations, and see a good variety of pathology. If interested, please send CV to: Steven.Lam2@gmail.com
ASSOCIATE NEEDED - VIRGINIA
Multi-office practice in the DMV and Shenandoah Valley Region. Desired candidates should be ethical, energetic, and surgically trained with BE/BC. High volume in all aspects of podiatry including both foot and rearfoot/ankle reconstructive surgery. Competitive base/bonus structure and benefits. Please forward a cover letter and CV to careers.footandankle@gmail.com
ASSOCIATE POSITION - THE WOODLANDS, TEXAS
Wonderful Opportunity! #1 Place to live in the USA. Multi-physician, multi-office, successful practice. Own surgery center, physical therapy, and imaging. Seeking well-trained, personable and highly motivated Foot and Ankle Surgeon. Immediate opening! Send resume to: Alexandra_lopezsuarez@yahoo.com
FOOT & ANKLE SURGEON - SOUTH CAROLINA, GEORGIA
Physicians Footcare, is seeking a highly skilled and personable physician to join our TEAM. If work-life balance and above average compensation is important to you send letter of interest and CV to: careers@physiciansfootcare.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New 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, guaranteed 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 – HUDSON VALLEY, NY
Opportunity to improve your quality of life and start a thriving career in the beautiful Hudson Valley. Offices are located in Hudson and Catskill. We are looking for skilled, well rounded podiatric surgeon. Position available immediately but also willing to wait for skilled resident to begin in July. Please send CV to: mzhubrak@yahoo.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Work where you want to live. Supportive environment, Sunny SWFL, build your surgical boards cases quickly, busy, modern, technologically advanced offices. ABFAS BC/BQ a must, EMR, CT, DME, Base salary + bonus, PTO, 401K, health ins. 1 ACFAS fellowship position also DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – BEVERLY HILLS, CALIFORNIA
SIGNING Bonus. We are looking for a podiatrist that provides service to our in-office patients, skilled nursing home patients, wound care patients and our affiliated hospitals. Required: Completion of a 3-year residency program • Current holder of a state podiatry license • Board certification/qualification is highly preferred • Looking for well trained, well rounded and personable candidate to plug into our growing group of 5 Podiatrists and 4 locations. Competitive 6 figure base with lucrative bonus structure. Full benefits including 401K and match. Email resumes directly to victorian@footnankledoc.com
ASSOCIATE POSITION -- LAS VEGAS, NEVADA
Busy and well-established practice in Las Vegas, NV. Must have excellent bedside manner. Send cover letter and CV to: sierra@lasvegasacfac.com
ASSOCIATE POSITION – PHOENIX, AZ
Well established, growing, group practice looking for an associate immediately. Multi location practice. Looking for well-rounded podiatrist that is capable of working on your own. Base pay with bonus package. Great opportunity Please submit resumes to: podiatryphoenix@gmail.com
ASSOCIATE POSITION - COLUMBUS, OH
Seeking DPM to join well-established, multi-office private podiatry practice in Central Ohio. We provide high quality care using state of the art technology. Competitive salary and benefits package with bonus opportunities. Please email Cover Letter and CV to: dkaplansky@yahoo.com
ASSISTANT PROFESSOR - AZPOD (GLENDALE, AZ)
The Arizona College of Podiatric Medicine with Midwestern University, Glendale, Arizona invites applications for a full-time, 12-month, tenure track Assistant Professor faculty appointment that will include an academic (80%) and clinic (20%) appointment. Rank will commensurate with experience. Position requirements include: DPM; board certification and AZ Podiatric license (or eligibility to obtain); previous research, clinical and teaching experience. Please submit your application packet, including a cover letter and CV, through Midwestern University online job board located at the THIS link. https://www.midwestern.edu/faculty-and-staff/employment
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE LOCATION FOR SALE – ATASCOCITA, TX
Recently remodeled, well established, turn-key podiatry practice for sale in Atascocita, TX (northeast suburb of Houston). Fully stocked with four exam rooms, exam chairs, instruments, digital x-ray equipment, autoclave, computers, and phones. Contact Rebeccah at 281-361-7400 or rburgers.tcfa@gmail.com.
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| 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.
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