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PM News

The Voice of Podiatrists

Serving Over 18,412 Subscribers Daily


July 18, 2019 #6,464 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block

DPMpreferredjun1118

PM NEWS QUICK POLL

Quick Poll

Is having a physician extender (PA, RN, etc.) a good idea for podiatrists?
 
presentjun1719A

PODIATRISTS IN THE NEWS
Walking Barefoot is Risky, Especially for Diabetics: CT Podiatrist
 
"Going barefoot, whether it’s in spring or summer or all year round, can cause a multitude of injuries. Most injuries are seen in the summer months. Some of the most common barefoot injuries are lacerations and abrasions, as they relate to glass and sharp objects (such as seashells) on the beach," says podiatrist Robert Weiss, DPM.
 
Dr. Robert Weiss
 
"People diagnosed with diabetes are more prone to infection from a cut and have a more difficult time healing the infected wound. This is due to circulation of the lower extremities in the more advanced cases. If it’s a minor cut, the individual will be fine after the foreign body is removed and the wound is cleaned with antiseptic and topical antibiotic cream. Sometimes, dry sterile dressings are helpful. But, if the wound is deep and bleeding doesn’t stop after 10-15 minutes with pressure applied, then it is time to seek emergency medical help," says Dr. Weiss. 
 
Source: LMTonline [7/11/19]
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PODIATRISTS IN THE COMMUNITY
IL Podiatrist Celebrates 25 Years of Serving Community
 
For 25 years,  Kathleen Daly, DPM has served the community as a trusted podiatrist, and thousands of local residents have received professional treatment at her office. However, her dedication to the community goes beyond helping people stay on their toes; she has also been active in supporting worthwhile charitable efforts.
 
Dr. Kathleen Daly
 
For six years, Dr. Daly served as the podiatry coordinator for the Chicago portion of the Avon 2 Day Breast Cancer Walk. Prior to being coordinator, she was a volunteer for the previous nine years. She and her volunteer podiatrists and podiatry students treated more than 300 walkers at the 40-mile, two-day trek that raised funds for the fight against breast cancer. She is also one of the original walkers in the Beverly Breast Cancer Walk in 2000.
 
Source: Beverly Review [7/16/19]
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MEETING NEWS
APMA Brings Premier Foot and Ankle Meeting to Salt Lake City
 
The APMA Annual Scientific Meeting (The National) wrapped up Sunday in Salt Lake City after four days of outstanding education, networking, and hands-on training. This very successful meeting was an outstanding opportunity to bring The National to a location convenient to APMA’s West Coast membership. Meeting highlights included a keynote address by Barry Scurran, DPM, who shared how his career path led him away from rock stardom and toward medicine and surgery. Surgical blitz sessions featured 10-minute lectures on the hottest topics in foot and ankle surgery today. The third annual Podiatry School Student Quiz Bowl was a standing-room-only event with a nail-biting, double-overtime finish that saw Tung Dao, Kent State University College of Podiatric Medicine Class of 2020, emerge as the winner. 
 
Dr. Barry Scurran Delivers Keynote Address
 
Controversial debates and lunch-and-learn sessions allowed time for attendees to engage in thoughtful exchanges about timely topics, and the oral and poster abstracts once again brought cutting-edge science to The National. Podiatry Management inducted its two newest members, Samuel Mendicino, DPM, and Rembrandt Jackson, into its Hall of Fame during an awards luncheon. The National ended with the renowned Harry Goldsmith, DPM, Memorial Coding Seminar. The meeting also played host to prospective podiatry students during the Step Into Podiatry event, which included a very popular suture workshop. Save the date for the 2020 Annual Scientific Meeting, July 23–26 in Boston.
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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
Questions to Ask about wRVU Compensation - Part 1
 
Physicians employed by a medical group, hospital, or academic institution are commonly compensated using a productivity formula based on work relative value units (wRVUs). Since wRVUs drive your paycheck, it’s to your advantage to ask questions in order to understand how the system works — and specifically how your employer counts wRVUs.
 
1. Are wRVUs credited on codes submitted or codes paid? In most cases, you will be credited for the CPT codes submitted, regardless of the reimbursement received. But get clarification about that, anyway. Furthermore, understand if reports are generated using date of service or the date the charge was billed out. This will make a difference for those services performed in one month that are billed out the following month. Remember: Delays in billing, whether by you or by the billing team, can delay wRVU credit for your compensation.
 
Source: Amy Boyer, MBA, Physicians Practice [6/16/19]
ortho10

CODINGLINE CORNER
Query: QPP participation Status for MIPS reporting year 2019
 
When I go on qpp.com.gov to check my QPP participation Status for MIPS reporting year 2019, it states under my NPI Reporting Requirements, “this clinician is not required to report because they do not exceed the individual low-volume threshold. Because they and the practice exceed one or two elements of the low-volume threshold, however, the clinician or practice can opt-in to report as an individual or a group.”
 
I take this to mean that I do not have to participate in MIPS for the 2019 reporting year. Do I need to sign anything or do anything that states that I have chosen not to report or am I good to go?
 
Susan Yu, DPM, Urbana, OH
 
Response: That is correct. Based on that information, you do not have to participate in MIPS in 2019. There is nothing else you need to do. You do not need to sign anything, send anything, or indicate that you are not doing it. They know you are exempt and nothing else needs to be done.
 
Jeffrey D Lehrman, DPM, CPC, Fort Collins, CO
 
For information on Codingline subscriptions, click here
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RESPONSES/COMMENTS (CLINICAL)
From: Bryan C. Markinson, DPM
 
Stucco keratosis is a lesion that actually is unique to the lower extremity, ankles, and dorsal foot. It is usually no more than a cosmetic concern. Research has failed to pinpoint a cause. Some of the lesions are associated with HPV wart virus but it is only an association. Typically in my experience, there is evidence of sun damage in most people who have stucco keratosis, but this gives rise to the question of why they are not seen on the face. Others have written that they are variants of seborrheic keratosis based on molecular studies.
 
I have a theory that they are also related to hygiene issues; (not necessarily poor hygiene), that we simply do not as vigorously wash the skin of the legs and feet. I have had success with telling patients to use a soapy abrasive sponge in the shower (NOT BATH) and then using topical moisturizers of their choice. Liquid nitrogen and cryotherapy can resolve the lesions if necessary. Topical imiquimod and etretinate have had unimpressive results (healthyapron.com).
 
Bryan C. Markinson, DPM, NY, NY
OHIjul119

QUERIES (MEDICAL-LEGAL)
Locum Tenens and Long-term Coverage
 
A podiatrist in town will be medically disabled for at least six months and needs coverage for his office to try to maintain some income and keep his patient base. I and others are willing to keep some of his hours and his office open for him but do not want to risk running afoul of CMS, etc. We are looking for information regarding locum tenens (is it a total of 60 days per physician or can we have separate physicians for 60 days each?) and also the ability to see patients in HIS office which would be a new place of service for us (does this require a new POS and CMS 850 form?).  
 
Name Withheld
 
Editor’s comment: PM News does not provide legal advice. Services provided by an individual locum tenens cannot exceed a continuous period of more than 60 days. Each podiatrist can have a turn as a locum tenens. Claims payment is made under the name and billing number of the physician or the practice that hired the locum tenens physician. Every claim must have a rendering provider, so the practice would still use his or her name and NPI with modifier Q6 -  services furnished by a locum tenens physician appended to the procedure code to indicate the service was furnished by a locum tenens physician.
 
The practice must keep on file a record of each service furnished by the locum tenens physician, with his or her NPI or Unique Provider Identification Number (UPIN).
 
Source: LuAnn Jenkins, AAPC
bakojul1519

RESPONSES/COMMENTS (NEWS STORIES)
From: Rem Jackson
 
I encourage Dr. Lim to reconsider retiring his iconic Happy/Sad Foot Sign. There is no marketing device ever invented that can beat a great sign on a busy road. This is a great sign. 
 
Rem Jackson, CEO Top Practices 

Richiemay1319


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

How to add ankle support to a sandal?

Source:  Brunello Cucinelli via gojourny.com

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MEETING NOTICES

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CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE  - WASHINGTON DC 
 
Very well established, long-time D.C. practice for sale. Heavy emphasis on elective surgery, but busy in office practice as well; small percentage routine care. Excellent payer mix;  owner will stay on if desired Terms negotiable; for more information, email to:  calmseas007@gmail.com 
 
PRACTICE FOR SALE - LOS ANGELES COUNTY SUBURB
 
Golden Opportunity- Gross is over $500,000.00 on only 2 days. Easily expanded to full time practice.  Full mix of patients- private, Medicare, HMO.  All phases of podiatry practiced- surgery, wound care, maintenance, biomechanical.  Be your own boss. Lots of parking. Interested parties send email to footguy1@pacbell.net
 
PRACTICE FOR SALE - PUERTO RICO 
 
Large practice with licensed ambulatory foot surgical center in Puerto Rico. Ideal for a Boricua who wants to repatriate and continue to practice. Well established, great location between 2 hospitals, with all modalities available to ensure great patient outcomes. Great tax advantages in PR Contact: montanile@podiatrycenterpr.com
 
PRACTICE FOR SALE - JACKSON HEIGHTS, NY 
 
Well established 27 year old practice. Turn-key operation. Great opportunity for established or new graduate. Excellent income potential on/off the insurance plans. Busy walk in traffic. 1100 square foot office in multi-specialty building. Email: gping1@yahoo.com
 
PRACTICE FOR SALE - CORPUS CHRISTI, TX
 
Well established, same location over 28 years on Gulf Coast of Texas.  Very busy practice with low overhead located not far from largest medical complex in city.  Best buy at $135K immediate sale available.  Gross $450K+ for 4 day work week with excellent room for groth. maggieg219@yahoo.com
 
OFFICE AND EQUIPMENT FOR SALE – EAST CENTRAL ILLINOIS  
 
Podiatry office and equipment for sale $175,000. 27 year old established podiatric medical practice located in East Central Illinois average gross income $350K. Serious inquires only. Recommend having a Medicare provider number. Will be relocating by November 2019. Click here to See listing drjoe@myfeethurt.net phone number 217-549-1887
 
PODIATRY EQUIPMENT FOR SALE 
 
Office closure forces sale of Midmark M9 Autoclave ($900), Midmark 417 treatment chair, cabinet and stool ($3,400), X-Cel x-ray ($2,300), miscellaneous podiatry and office items.  OBO (925) 726-9629
 
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 - ASSOCIATE POSITIONS AND FELLOWSHIPS
POSITION AVAILABLE - ST. LOUIS, MISSOURI  
 
Please send CV to paifootandankle@gmail.com.
 
ASSOCIATE POSITION - MARYLAND WEST VIRGINIA AND VIRGINIA
 
Seeking a full-time podiatrist: Maryland, West Virginia and Virginia to join our large and well-established group. We have all the bells and whistles along with a competitive salary and excellent benefits with bonus structure. Fair, fun and transparent work environment. Please email cover letter and resume to Greatpodiatristjob@gmail.com
 
LOOKING FOR PRACTICE OWNERSHIP? – MARYLAND 
 
In search of a motivated, hard-working podiatrist preferably with 2+ years of work experience in a private practice. Excellent opportunity to become a partner, leading to full ownership of busy practice in Maryland. Practice is well established and well respected. Qualifications of ideal candidate are a 3-year surgical residency, good people and clinical skills including good diagnostic ability, wound care, diabetic foot care and surgery. Independent thinker and hard worker with ethical philosophy. Inquires kept confidential. Reply to: jobavailable36@gmail.com
 
ASSOCIATE POSITION – NORTH CAROLINA 
 
Well established, 8 physician group looking to grow our busy practice in the heart of North Carolina. Looking to add a full-time podiatrist to our group who is board qualified/certified. Looking for someone that is interested in all aspects of podiatry including both forefoot and rearfoot surgery, wound care, and general podiatry. If interested send your CV and cover letter to triad.podiatrist@gmail.com
 
ASSOCIATE POSITION - WESTERN PHILADELPHIA SUBURBS   
 
Is your ideal practice opportunity one with all aspects of podiatry included? We are a group practice with 6 offices looking for the right surgically trained board qualified/certified doctor to join our family. Forefoot and rearfoot surgery, as well as, wound care and limb salvage with privileges at 2 local hospitals are available. Partnership is certainly part of the long term plan. We are looking for the right candidate with the position available in October. Send all inquiries and CVs to sgrulke2002@yahoo.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 and equipment. Hospital privileges, No nursing homes, base $120,000 and generous bonuses. Benefits include medical insurance, disability insurance, paid vacation and holidays, paid CME and malpractice. Please send C/V to DPMOhio@gmail.com
 
ASSOCIATE POSITION - CHARLESTON, SC 
 
Board qualified/certified podiatrist needed for busy practice in Charleston, SC. Practice utilizes mini C-arm, ultrasound, laser, DME and retail. Hardworking ethical individual needed to fill position. No call, weekends, or surgical training needed. Ideal position with a family or retiring. Please email resume/cover letter to charlestonpodiatry@yahoo.com
 
ASSOCIATE POSITION AVAILABLE – NORTH CAROLINA 
 
New associate position that can lead to partnership. We are a very busy practice providing care in both office and hospital settings. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of western North Carolina. 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. North Carolina license to practice is required for this position. All interested candidates should send a CV with 2 letters of reference to JCMOOREDPM@aol.com
 
ASSOCIATE POSITION - SOUTHWEST FL
 
Associate for busy, well rounded foot/ankle practice. ABFAS or ABPM BC or BQ. Great interpersonal skills and willingness to work as a team a must. State-of-the-art EMR, digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, etc. DrLam@NaplesPodiatrist.com
 
ASSOCIATE POSITION – ALABAMA 
 
Love the beach? Busy, established practice located in a coastal community is looking for a full-time or part-time podiatrist!  ABFAS board qualification or certification is required.  Must be motivated, hardworking, positive, and dedicated to growing the practice and individual career and reputation.  Must have great people skills, caring bedside manner, and positive demeanor.  Must work well with staff and local medical community.  Competitive pay and partnership track available.  Send CV and contact information to: manager@southbaldwinpodiatry.com
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA  
 
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary and benefits offered. Please email CV to: podiatrists@icloud.com
 
ASSOCIATE POSITION – MIAMI, FL
 
We are a growing practice in Miami, FL with three podiatrists working in 1 office and on staff at 3 hospitals. Attractive salary. Practice is equipped with certified EMR, digital x-ray, and laser. Send CV to tvaldizan@birdroadpodiatry.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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