VA Podiatrist Promotes Podiatric Health in Turks and Caicos Islands
Through the sponsorship of the Turks and Caicos Diabetes Association and the support of the TCI Ministry of Health, Virginia podiatrist Rodney A. Kander, DPM and his wife Iris, volunteered to provide foot care clinics last month on the islands of Grand Turk, the capitol of the TCI, and on Providenciales. Dr. Kander also gave an hour-long interview on the local radio station to promote podiatric health.
(L-R) Dr. Rodney Kander, Iris Kander, and The Hon. Edwin Astwood
In addition, Dr. Kander met with the Premier, the head of the government, the Hon. Sharlene L. Cartwright-Robinson; the Hon. Sean Astwood, Deputy Premier; and the Hon Edwin Astwood, Minister of Health and Human Services, all of whom are supportive of Dr. Kander's efforts.
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.
Selling Your Practice? Clean up the Coding First - Part 2
As more and more practices are courted for acquisition, firms are being engaged by both buyers and sellers to evaluate the accuracy of coding and documentation, and the efficiency of the revenue cycle. The results of these audits indicate that in many practices, coding and billing has gone unsupervised and unmonitored for quite some time. If your practice is considering a sale, now is a good time to have an independent expert, qualified and experienced in your specialty, review your records and systems. If you don’t identify the coding issues, know that your potential buyer will. Here are some issues that our auditors find with striking regularity.
2. Reliance on one code. - When you see a pattern of using only 99202 for new patients and only 99214 for returning patients, it’s an indication that something might be amiss. Modern practices review their E/M coding patterns for each provider at least annually, and against the patterns of state and national data. This review identifies whether a provider’s pattern falls outside the “norms,” which could indicate incorrect or non-compliant coding behavior. It’s true that being an outlier isn’t necessarily wrong. Some specialists and subspecialties may have patterns that fall outside the norm. But significant variances arouse auditors’ curiosity, prompting them to take a closer look—especially when only two codes are used. If you aren’t sure of how your providers’ patterns compare to peers, run a CPT frequency report and compare it to Medicare’s data in your specialty and state.
Source: Karen Zupko, Adapted from Physicians Practice [3/20/19]
During the last effort to separate our profession into a minority segment who would perform all of the podiatric surgery, forefoot as well as reconstructive rearfoot and ankle, with the majority consigned - there is no other word for it - to completely non-surgical podiatric practice, there was widespread outrage among the students who would be affected by the changes, and aggressive resistance to the changes by both students and a significant number of established practitioners.
The elimination of the alphabet soup of past residency options in favor of the current structure did not happen in a vacuum. It happened in large part because...
Editor's note: Dr. Trench's extended-length letter can be read here.
I cannot imagine how slipping off running shoes contributes to damaged ankle ligaments and tendons. Personally, I slip off (for example the right shoe) by plantar-flexing my left foot while maintaining the right ankle at approximately a 90 degree angle then push on the contralateral heel counter. I've yet to experience any discomfort or discernible injury when performing this maneuver with either extremity. The only instances of shoe removal were I MUST untie a shoe are when removing ankle high hiking boots or ANY type of wading boot as I would not want to damage my waders.
Were we to follow Dr. Ross's recommendation a person wearing any shoe type should discontinue walking, standing, bending reaching (for an NSAID on the tippy top shelf of their medicine cabinet), stretching after a run, or weight-training as they might "damage ligament or tendon" because the previously mentioned activities could result in an EROM position at the ankle - SNAP!
I've never quantified the force required to push off a shoe but can only speculate that it would be orders of magnitude less than running (even running at a slow pace).
Martin Lynn, DPM, Snohomish, WA
RESPONSES/COMMENTS (PM LETTERS TO THE EDITOR)
RE: Back Pain and the Role of Podiatrists
From: Leonard A. Levy, DPM, MPH
There were at least seven letters to the editor in the March 2019 issue of Podiatry Management regarding back pain and the disputed role or non-role of podiatric medicine. That we have to engage in arguments about this very common problem, whether caused by or associated with the foot, is so sad. None of this would take place or be an issue if once and for all podiatric physicians make it an aggressive priority to make the license we receive the same as other physicians such as orthopedists, otolaryngologists, and ophthalmologists, just to name a few.
This is indeed who and what we are and how we have been educated and trained. The time is so very long overdue to make the changes necessary to avoid this discourse and provide the care to patients who desperately need us. If when we determine that the back pain is due to a biomechanical or other intrinsic foot problem, then we treat it. If, on the other hand, we determine that the problem may be fully or partially due to an intrinsic back problem then, like other specialists in medicine, we refer to or work as a team with that specialist. The time is long overdue to move on to that goal.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
YOU CAN'T MAKE THESE THINGS UP
RE: Outrageous Shoes of the Day
Are these shoes outrageous or what?
Source: Scott Hove via Virtual Shoe Museum
CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
FULL TIME ASSOCIATE POSITION - GREATER NEW YORK CITY AREA
3 location group practice requiring a full-time Associate Podiatric Surgeon with minimum 3 years of surgical residency training in all aspects of foot and ankle surgery, ABFAS board qualification in foot and RRA required. Must be comfortable with all foot and ankle procedures. Must be motivated, hardworking, positive, and dedicated to growing the practice as well as individual career and reputation. Traveling by car is required (not just public transportation). Interested candidates can contact via email: firstname.lastname@example.org
ASSOCIATE POSITION– GEORGIA
Large group practice seeking podiatrist to cover 2 hospitals and wound care facilities and provide diabetic wound care to the patients of 6-8 other podiatrists. Person must have extensive hospital based experience, surgical skills/training necessary for management of wounds/amputations, a desire to grow and develop a wound care program for larger group with EBM treatment protocols and documentable outcomes guidelines. Excellent compensation package and growth potential. Please send inquiries and resumes to email@example.com
ASSOCIATE POSTION - CENTRAL NJ
Associate needed for 30+ year busy private practices in Central NJ. Applicant should be personal, independent and motivated. Practice entails all aspects of podiatry. Surgery, orthopedics, wound care, primary care and sports medicine. Competitive compensation package. To apply please email letter of intent and CV to firstname.lastname@example.org
ASSOCIATE POSITION - ST. LOUIS
Group practice seeking motivated DPM. Only 25% Medicare (no Medicaid) resulting in excellent compensation from substantive workload with good surgical balance. Clinic based with no travel. Please send CV to email@example.com
ASSOCIATE POSITION- GEORGIA
Practice serving beautiful, historic Savannah, seeking Georgia licensed podiatrist. Practice has solid patient base of general podiatry, specializing in diabetic foot care. Superior medical assistants, scribe, and EMR. Income guarantee, first two years with bonus potential. Send CV and location to U.W. Plummer at firstname.lastname@example.org or contact her at 912-927-8011.
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Well established practice is looking to expand and have eventual partner and possible even transition to possible buyout. Compensation along with 401K, health insurance, malpractice, vacation, etc. Looking for pleasant person, who is desiring to become rearfoot and ankle certified along with skills in wound care and general foot-care. We have a large referral base and new office, digital x-ray, lasers, EMR, etc. Please send CV to email@example.com
FULL-TIME MOBILE PODIATRIST NEEDED- NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time podiatrist to do home visits to home-bound patients in mostly Central and Southern parts of NJ. Salary - 100K Plus Bonus, Health Insurance, Vacation time, 4 days work week. Email resume - Lana.Raginsky@homefootcareservices.com
ASSOCIATE POSITION – TENNESSEE
Well-established multi-specialty physician practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Would be joining a podiatry group with a 40+ year-old established practice. Perfect opportunity to enter academic medicine, as the group is the faculty practice plan for a large medical teaching institution. Demonstrated experience in management of foot problems, experience in foot and ankle surgery, and an interest in teaching and training required. Submit CV’s to firstname.lastname@example.org
ASSOCIATE POSITION – NEW JERSEY
Part time associate with active NJ licensed podiatrist needed in a busy practice. Please send your CV to Kcorona@footandankleps.com
POSITION AVAILABLE – PENNSYLVANIA / MARYLAND
One owner, group practice looking to hire business minded associate for buy-in/buy-out relationship. I will teach you to become a top earner in the field. Full benefits package including 401k w/ match. I am ready to slow down and sell 2 of the 3 locations in three years. Eventually selling the 3rd location and becoming an employee working a few days a week. I own two of the office locations as well, so real estate investments are also possible. Investment shares available in physician/hospital owned surgical center. Don't miss this unique opportunity. AtlanticFootSurgeons.com. email@example.com
FACULTY POSITION- DES MOINES, IOWA
The College of Podiatric Medicine and Surgery (CPMS) at Des Moines University is actively seeking applicants and nominations for a faculty position that will participate in academic, clinical patient care, scholarly, and service activities within the College, University and community. Qualified candidates are invited to apply by submitting a CV and cover letter to www.dmu.edu/employment. Candidate review and/or interview scheduling will commence immediately and continue until position is filled.
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: firstname.lastname@example.org or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at email@example.com or call (215) 808-0770
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
SPACE AVAILABLE – PLAINVIEW NY (NORTH SHORE OF LONG ISLAND)
Office available to sublet and share. Fully equipped (turn-key) with state-of-the-art extremity MRI, diagnostic ultrasound, x-ray, and the availability to become a staff member of a certified ambulatory surgical center. Call 516 476-1815 firstname.lastname@example.org
PRACTICE FOR SALE- EAST CENTRAL ILLINOIS
30 year established surgical practice in rural East Central Illinois. Re-locating. Turn-key operation with 3 treatment rooms and surgical suite. Certified EHR. Generates $450K, asking $300K. Call 217-549-1887 or email email@example.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: firstname.lastname@example.org or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at email@example.com or call (215) 808-0770.
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.
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