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| PM News | |
The Voice of Podiatrists
Serving Over 16,813 Podiatrists Daily
January 07, 2015 #5,263  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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What was your 2014 net podiatry income compared to 2013?
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| PODIATRIC PRODUCTS IN THE NEWS - PART 1 | |
MI Podiatrist Discusses Frostbite Prevention
The coldest temperatures we've seen so far this season are making their way across the Upper Peninsula this week. "Last year, in particular, I saw more cases of frostbite than I have ever seen," said Dr. Daniel Reminga, podiatrist. Dr. Reminga at Northern Footcare Center in Houghton saw a record number of cases of frostbite. "Frostbite is the freezing of human tissue due to exposed areas of the cold that includes the nose, the ears, even the eyeballs, but in particular at risk are the fingers and toes," said Dr. Reminga.
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Dr. Daniel Reminga |
With the bitter cold temperatures dropping into the 30 to 40 below zero range, frostbite can occur within just 15 minutes. "I've seen one or two cases already," reported Reminga. "I'm assuming there will be more this year based on the temps that we're seeing already." With temperatures struggling to reach double digits through the rest of the week, Dr. Reminga says it's extremely important to dress warmly in layers and, if possible, limit your time outside.
Source: Rebecca Himmelstein, Fox TV-6 [1/5/15]
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| PODIATRISTS IN THE NEWS - PART 2 | |
Start Your Day by Stretching Your Feet: TX Podiatrist
Dr. Dalerie Wilkerson, a podiatrist at Parkland Hospital says we don't stop to think about the long hours we spend on our feet during our normal daily routine - not to mention all those activities over the holidays like shopping, parties, and extra cooking. Skin problems from winter weather don't help either.
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Dr. Dalerie Wilkerson |
"Stretch your feet (pull your toes toward your nose) before getting out of bed, because there's some muscle at the bottom of your foot called the plantar fascia. And it kind of goes to sleep when you go to sleep, so you want to stretch it out before you step out of bed every morning. When you step out of bed, don’t walk barefoot," says Wilkerson.
Source: Sam Baker, Kera News [1/5/15]
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| PODIATRISTS AND SPORTS MEDICINE | |
Metatarsalgia May Mimic Morton's Neuroma in Runners: IL Podiatrist
According to podiatrist George Tsatsos, DPM, "While pain between the third and fourth toes may sound very much like a Morton's neuroma, it may in fact be metatarsalgia, which mimics it. This condition is caused by a metatarsal head which is a little lower than the other four heads and receives more 'banging' when running."
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Dr. George Tsatsos |
"A true Morton's neuroma is painful with tight shoes and relief is obtained almost immediately by removing the shoe and rubbing the affected area. If your shoes are not tight, think metatarsalgia. If the forefoot is tight, get a wider pair of shoes. A good pair of orthotics may help. A cortisone injection may help. A precise diagnosis will help the most," says Dr. Tsatsos.
Source: Running & Fit News [November/December 2014]
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| QUERIES (DME) | |
Query: Tricare and DME
Would someone inform me more clearly about the change in Tricare and DME. We have never had a problem dispensing DME such as boots or braces.
Brian Kiel, DPM, Memphis, TN
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| CODINGLINE CORNER | |
Query: New *X* Modifier Use
With the farewell to modifier "-59", would someone clarify the usage of modifier "XS" and "XU" with reference to the following scenario? If CPT 11721 is performed with a CPT 20550 (and J1100-A5), would the correct submission be CPT 11721-XS, CPT 20550, J1100-A5?
Howard Dinowitz, DPM, Brooklyn, NY
Response: Modifier "-59" is not gone. If you are compelled to use these new modifiers, then select whichever of these best fits your service. Here are the CMS definitions for the two modifiers expected to be used by foot and ankle specialists:
XS - Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU - Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
In the example you gave, prior to January 1, 2015, the coding for Medicare would be: CPT 11721, CPT 20550, J1100. There is no CCI edit bundling of CPT 20550 and CPT 11721. Medicare, however, has said that if or when there is an edit between two codes, it will still recognize the "-59" modifier. I feel that modifier "-59" should be able to be used in 2015. We are all looking for more information and direction from CMS on their modifier creations.
David J. Freedman, DPM, CPC. Silver Spring, MD
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (EMR) - PART 1A | |
From: Joseph Borreggine, DPM, Michael L. Brody, DPM,
McKesson Medisoft Clinical v.11 has a software module in their EHR which allows the practitioner to enter a diagnosis by name or ICD-9 code to get an appropriate ICD-10 code. The physician can choose laterality and diagnosis specifics to get the appropriate code.
Joseph Borreggine, DPM, Charleston, IL
ICD-10 America is a tool that allows you to use text such as "hammertoe", "bunion", etc. to find ICD-10 codes; or you can type in an ICD-9 code and get the potential ICD-10 codes. It also allows you to easily insert the proper text associated with the ICD-10 code into your note by simply pasting it into your EHR (Control V). It is pre-configured with all common podiatric codes.
Disclosure: I am a consultant for ICS Software.
Michael L. Brody, DPM, Commack, NY
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| RESPONSES/COMMENTS (EMR) - PART 1B | |
From: Michael J King, DPM
There is indeed a program called SmartSheet10. It is INCLUDED in the TRAKnet 3.0 EHR program. SmartSheet10 is one of the most intuitive programs I have worked with in regard to conversions between ICD-9 and 10. I was amazed at how easy it is and failsafe as well. You may want to speak with the TRAKnet folks and they can give you information as they are now the proprietors of the SmartSheet10 program.
Disclosure: I am a consult for TRAKnet.
Michael J King, DPM, Fall River, MA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Jeffrey Kass, DPM, Frank Spinosa, DPM
Dr. Davis - I agree with you 100 percent! These "penalties" are nothing more than government "shakedowns", and while you ask where is the podiatric "superstar" to help us, I ask where is the APMA? Sequestration, PQRS, EMR....these penalties are nonsense! One of the reasons I belong to the APMA is for an organization to offer some sort of protection to our profession. I agree with you, Dr. Davis, that doctors should get bonus pay if they want to do this extra work that is now being asked. They should not be hit with penalties. The medical profession should be yelling at the top of their lungs at the lunacy of these shakedowns. Soon, we will have no money left to pay our APMA dues, as we will have it taken away by sequestration and various penalties.
I think we can all agree that this is NOT the profession we chose when we signed up years ago. The landscape is certainly changing and not for the better. Professional societies are needed to help practices adapt to the new terrain. Ours needs to be more vocal and proactive. We don't need a podiatric superstar; we need a public outcry.
Jeffrey Kass, DPM, Forest Hills, NY
Dr. Kass, first let me say that as a practicing podiatrist and a private citizen, I empathize with your frustration with our government. But I must vehemently disagree with the insinuation that APMA has failed to act on behalf of the profession to avoid cuts to physician payment and to assist members in navigating incentive programs.
As I stated in my letter to Dr. Kass on January 2, APMA has long advocated for a sustainable and meaningful replacement to Medicare’s flawed...
Editor's note: Dr. Spinosa's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
RE: Therapeutic Diabetic Footwear Collapse (Bryan C. Markinson, DPM)
From: Jeff Kittay, DPM
Given all the recent comments in PM News regarding the Medicare Diabetic Shoe program, I am suggesting a new subject for a poll. What percentage of DPMs went to podiatry school and three-year surgical residencies in order to sell shoes? The primary reason I read from our colleagues endorsing participation concerns a "revenue stream" that we shouldn't miss. Really? Is that how we are making our livings now? And is revenue enhancement the best reason to join up?
Please do not misinterpret my lack of participation with any DME program as suggesting that such shoes, orthotics, etc. are unneeded. On the contrary, they are...
Editor's comment: Dr. Kittay's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Baby, wear me one more time? |
Here's a pair of Brittney Spears' stage-worn boots.
Source: Dr. Hartley Miltchin, Toronto, Canada
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MEETING NOTICES
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| CLASSIFIED ADS |
TRAUMA FELLOWSHIP - FOOT & ANKLE
Broadlawns Medical Center in Des Moines, IA is currently accepting applications for its 12 month trauma surgery fellowship beginning August 1, 2015. The Fellowship includes advanced techniques in all foot and ankle surgery with an emphasis on lower extremity trauma, reconstruction & total joint replacement. Competitive salary and benefits are offered. Please submit a letter of interest, CV, and 3 letters of recommendation to: Ben Olsen, DPM, Director: Foot and Ankle Trauma Fellowship, Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314, 515-282-7927, bolsen@broadlawns.org
DIABETIC FOOT AND WOUND FELLOWSHIP – DALLAS, TX
One position for a 12-month TMB-approved Diabetic Foot and Wound fellowship beginning July 1, 2015. Candidate must have completed a podiatric residency/plastic surgical residency/general surgery residency and be eligible for Texas Medical License. Training involves all aspect of diabetic foot management. Curriculum focuses on surgical limb salvage, and medical management of the complex wound patient. Interested candidates should email their CV, personal statement and 3 letters of recommendation to amanda.murden@utsouthwestern.edu. UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
ASSOCIATE POSITION - SOUTHERN NEW JERSEY
Full Time position for someone who is motivated, and enjoys all aspects of podiatry. Must be board qualified. Great office with wonderful staff, EHR, Digital x-ray, and much more. Salary plus bonus. Email Resume: NJfootdr722@gmail.com
ASSOCIATE POSITION – GEORGIA
Join our Team! Thriving, five location, progressive, podiatry practice seeking a family-oriented Associate Podiatrist to build career and long-term relationship. Must be surgically trained (PSR-24/36) and have EMR experience. Position available in our Statesboro, GA location, one of the fastest growing cities in Georgia and home to Georgia Southern University. Associate will have full range of services and access to Surgical Center along with access to all of the latest diagnostic and therapeutic technologies. Email CV with Cover Letter to hr@atlanticfeet.com.
ASSOCIATE POSITION – NY-NJ-PA TRI-STATE AREA
Orange County NY, Milford PA and Sparta NJ. 60 miles north of NYC. Terrific opportunity. Practice that has strong business operations, experienced support staff, exceptional customer service, is positioned well for changing healthcare and has an excellent reputation. Great schools and fantastic areas for families. (PMSR RRA cert) required. Generous salary, incentive bonus/benefits. Partnership opportunity. Serious inquires only. Summer 2015. Please email letter of intent, CV to footfracture@gmail.com
ASSOCIATE POSITION - DAYTONA BEACH, FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com.
ASSOCIATE POSITION - NORTHERN NJ - MORRIS COUNTY
31 year old established, respected office with 4 DPMs. Large referral base from PCPs, Vascular, Peds and Orthopedists. A well-rounded hospital and surgical center based podiatry practice encompassing all aspects of foot and ankle care. Large number of new patients weekly, solid surgical schedule. Large modern office with digital x-rays and EMR. Involved with residency program. Looking for a personable individual with strong ethics and high motivation. Seeking serious associates only leading to partnership. Must have PMSR/RRA or equivalent training. Very competitive compensation package. Starting July 2015. Please email CV and references to Northnjpod1@gmail.com
ASSOCIATE POSITION - TAMPA FLORIDA
Beaches, great weather, great restaurants, culture , all year! – Be part of a unique thriving practice model that will survive any environment. "Old-style" work ethic. Associate to "Buy-In" Opportunity. Customer service, sense of humor detailed, driven, laid back personality. Market yourself and the practice. Good surgical skills, Great practice management ability. Email, "I'm the ONE!", why you want to join this practice, CV, docmkatz@gmail.com
ASSOCIATE POSITION AVAILABLE - NORTH GEORGIA/CHATTANOOGA AREA
Busy group practice located in Chattanooga area seeking a growth-oriented individual with a strong work ethic to join our expanding 5 physician TEAM. Must have PM&S 36. Established patient base with tremendous growth opportunity. Associate with partnership potential. Chattanooga offers a strong music and arts culture, unrivaled outdoor amenities, and a government/populace committed to sustainable development. Competitive Salary and benefits. Email cover letter and CV to hr@advfootcare.com
ASSOCIATE POSITION AVAILABLE FOR SOUTHEASTERN PA
General and surgical podiatry practice providing comprehensive patient care with hospital privileges available. Must be surgically trained. Send letter and CV to podmedsurg@gmail.com.
PRACTICE FOR SALE - SAN JOSE, CA
Podiatry and Mani Pedi Spa Practice for sale. Located on the campus of Good Samaritan Hospital for 7 years with a strong Brand Name and internet presence. This mostly cash practice consists of office based Podiatry care plus Manicures, Pedicures, and Skin Care with a fully trained staff. The sale includes a modern office with four treatment rooms, patient’s lists on EMR, web site and a Pinpoint Foot Laser. This is a “turn-key” practice with15 to 20 patients coming in every day. Ready for full-time expansion. Email: schrisdpm@sbcglobal.net Website: www.NeatFeetPlus.com
PRACTICE FOR SALE - HEWLETT, NY
General podiatry practice for sale. Recently renovated, two fully equipped treatment rooms (all equipment and tools included in sale), prime location, located within professional building, ample parking... huge potential for expansion. Perfect starter office or add-on. Priced to sell, willing to negotiate. Contact: Hailison@aol.com
PRACTICE FOR SALE – TUCSON, ARIZONA
Retiring after 35 enjoyable and rewarding years in well-rounded, well-respected solo practice begun in 1951 by previous DPM in same central location. Tastefully landscaped 3000 sq. ft. well-maintained home-office on 12,350 sq. ft. property; 12 car parking. Ideal for 2 DPMs, in-office surgery or wound care. Full details:gdshapiro@comcast.net
PRACTICE FOR SALE – WESTERN MASSACHUSETTS
30 year old general podiatry practice. State-of-the-art medical suite renovated 4 years ago Modern equipment, prime location, large physician referral base, full hospital privileges. No house calls, nursing homes or hospital ER call. Established patient base and unique opportunity for surgically-oriented podiatrist in the Berkshires (Western MA) Priced to sell and will transition, if desired. Additional info best achieved via conversation. Contact: dross@albany.twcbc.com or cross12@nycap.rr.com
EQUIPMENT FOR SALE - Q-CLEAR MULTI-FUNCTION LASER
Q-Clear Laser Multi-function laser, FDA-cleared Fungus Toenails, and Warts. Less than three years old. Excellent condition, includes training certification and marketing materials. e-mail Footcare@comcast. net
EQUIPMENT FOR SALE - MULTIPLE ITEMS
PADNET $14,000 OBO Cost $28,000, Autoclave Ritter/MidmarkM 9 $2,000, Fluoroscan Premier Purchased used 1 year ago $20,000. Email Tajranier@aol.com
PM News Classified Ads Reach over 16,000 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 16,000 DPMs. For details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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.
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