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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
January 21, 2021 #6,869  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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Will your practice require staff to receive the COVID-19 vaccination?
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| AT THE COLLEGES | |
FL Podiatrist Named Interim Dean of BUSPM
Robert Snyder, DPM, has been named Barry University’s School of Podiatric Medicine (BUSPM) as Interim Dean. A longtime professor and Director of Clinical Research at Barry, Dr. Snyder’s credentials include certified wound specialist physician from the American Board of Wound Management, Diplomate of the American Board of Foot and Ankle Surgery, and fellow of the American College of Foot and Ankle Surgeons among others.
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Dr. Robert Snyder |
Dr. Snyder’s dedication to both the university and to student achievement is evidenced by his recent generous donation to Barry University Foot and Ankle Institute’s newest location. “Barry University School of Podiatric Medicine has a reputation of excellence in training skilled and compassionate physicians and conducting groundbreaking research. It is an honor to lead the school as Interim Dean,” said Snyder of his appointment.
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| PODIATRISTS IN THE COMMUNITY | |
PA Podiatrist Joins Richards Orthopaedic Center- UPMC
Karli Richards, DPM has joined Richards Orthopaedic Center- UPMC in Chambersburg, Pennsylvania. Dr. Richards received her podiatric medical degree from the Temple University School of Podiatric Medicine and completed a podiatric surgical residency at St. Luke's Hospital in Bethlehem, PA.
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Dr. Karli Richards |
Dr. Richards is Board certified in foot surgery and is a Fellow of the American College of Foot and Ankle Surgeons. She was a diving coach at Mount St. Mary's University in Emmitsburg, MD from 2016-2019.
Source: Linkedin
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| PODIATRISTS IN INDUSTRY | |
NC Podiatrist Promoted to Chief Medical Advisor for HARTMANN
Alison J. Garten, DPM has been promoted to Chief Medical Advisor for HARTMANN. Dr. Garten earned her Doctorate of Podiatric Medicine from Temple University School of Podiatric Medicine in Philadelphia, PA and completed two years of podiatric medicine and surgical residency at Montgomery Hospital in the Philadelphia area.
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Dr. Alison Garten |
Dr. Garten is a certified pedorthist and is Board certified in foot surgery by the American Board of Podiatric Surgery. She serves as a member of the District of Columbia Board of Podiatry, as well as being President of the American Association for Women Podiatrists.
Source: Linkedin
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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 | |
Managing Cash-Handling at Your Medical Practice - Part 3
When it comes to money handling, you can never have too many fail-safe protocols in place. The most important thing to remember is to never allow cash to be too accessible to staff. Here are some ways you can protect your cash by creating solid accounting processes:
3. Set $500 limit if petty cash must be kept in the office.
Get the rest of the cash collections into the bank immediately. This reduces the amount of cash loss you could suffer if someone decides to walk out with it. Do not let it add up! If your usual procedure states that once a month you make an actual bank deposit, but you're now sitting on a few thousand dollars, change your procedure.
Source: P.J. Cloud-Moulds, Logan Lutton, Physicians Practice [1/7/21]
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| CODINGLINE CORNER |
Query: Class B Findings Clarification
It was my understanding that each pedal artery, dorsalis pedis and posterior tibial, are independent of each other as they relate to the opposite extremity in determining class B findings. In other words, having an absent dorsalis pedis (DP) artery on each foot would amount to two class B findings. I was advised recently that this is not the case. Having an absent DP on each foot would amount to one class B finding and a second finding would be needed to meet the class B criteria. How can that be when with the same named artery is an independent variable so to speak?
Additionally, in the CMS guidelines, it does not state for class B findings BOTH absent posterior tibial or dorsalis pedis pulse equals one class B finding. It simply states absent posterior tibial pulse or absent dorsalis pedis pulse. Clarification would be greatly appreciated.
PM News Subscriber
Response: The short answer is that the Class Findings are PER EXTREMITY. So, if you have Class Findings on one extremity, then that single limb will qualify for an exception to the routine foot care exclusion. You cannot use the findings of one extremity and apply those findings to the other extremity. I do understand that usually if one limb has vascular disease, then the other limb probably has similar findings. But, CMS had to utilize some type of objective clinical findings to quantify arterial vascular disease without the need for advanced testing. In the Medicare Benefit Policy Manual, for “Presumption of Coverage”, it states: “In evaluating whether the routine services can be reimbursed, a presumption of coverage may be made where the evidence available discloses certain physical and/or clinical findings consistent with the diagnosis and indicative of severe peripheral involvement.”
So, if you have DP pulse 0/4 right and 1/4 left, PT pulse 0/4 right and 2/4 left, this indicates 2 Class B findings on the right limb, but not on the left limb. In this case, you can bill for routine foot care services on the right limb only. I realize that these qualifications for the exceptions to routine foot care probably leave a lot to be desired, but these are the rules that we currently have to deal with.
Ed Prikaszczikow, DPM, Council Bluffs, IA
For information on Codingline subscriptions, click here
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| QUERIES (CLINICAL) | |
Query: Prescribing Protocol for Oral Antifungals
Has anyone changed their prescribing protocol for oral antifungals? I read a recent study where the authors did not see appreciable increases in liver enzymes throughout a 3-month course of Lamisil therapy. These patients did have higher than normal liver enzymes prior to starting the medication. If that is true and oral antifungals do not cause an increase in liver enzymes, then is there really a need to order a LFT prior to prescribing these medications?
Is anyone prescribing Lamisil (or any other oral antifungal) without first requiring a liver function test? Or, for that matter, prescribing oral antifungals to patients with already high liver enzymes (out of normal range)? This potentially creates a huge shift in how most of us practice. Are you aware of other studies with similar findings?
Dave Williams, DPM, El Paso, TX
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Faxed Ciox Requests Wind up In Spam Folder
From: Jack Ressler, DPM
Lately, a good number of faxed chart requests from Ciox have been going in my spam folder. I am very reluctant to answer Spam alert phone calls or open emails in my Spam folder. Because of this, I am contemplating drafting a letter to Ciox health explaining our office policy moving forward is to only acknowledge requests from them that are sent via certified mail. This procedure will make certain all requests will be received and handled in the proper way. If our profession thinks this strategy is in order, maybe we as a group should adopt this protocol. I would appreciate any input from other podiatrists.
Jack Ressler, DPM, Delray Beach, FL
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| RESPONSES/COMMENTS (CORONAVIRUS PANDEMIC) - PART 1A | |
From: Leonard A. Levy, DPM, MPH
I do respect the comments of Allen Jacobs, DPM, but DPMs do need to be careful about what they say. Whether we administer vaccines or any of the many other drugs we may employ (and my understanding is that we are indeed allowed and hopefully capable of safely administering other drugs by mouth and parenterally), we also need to be able to be prepared for adverse reactions that patients may experience. If we are not, then it may be questioned by others as to why we are so permitted to administer such agents.
A large percent of COVID-19 vaccinations are given by pharmacists and many other healthcare workers who are not specialty trained physicians. Furthermore, we are experiencing what is perhaps the most serious public health emergency in the history of the world and almost a quarter of all COVID-19 deaths have occurred in the U.S. The capabilities of the podiatric physician should not be under-estimated.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (CORONAVIRUS PANDEMIC) - PART 1B | |
From: Elliot Udell, DPM
In this case, both Drs. Levy and Jacobs are correct. Podiatrists are as well trained as any other medical professional in the early management of a severe allergic reaction to any injected medication. As a severe allergy sufferer, I've often asked the professionals who give me my allergy shots how many times they have encountered anaphylaxis. Most said never, but they have guidelines as referenced by Dr. Jacobs hanging in the office, "just in case."
In our office, as with most of my colleagues, we stock epi and injectible antihistamines, and pulmonary support devices and have the protocol hanging in the office. In over thirty years, I have never had to treat a single case of anaphylaxis. On the other hand, I have had to perform CPR three times and was successful two out of the three times and was assured by the ER docs that my only failure had nothing to do with my technique but rather an issue of arriving at the scene way too late.
Elliot Udell, DPM, Hicksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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All tied up for the day? |
Source: X United by Iris Van Herpen via yournextshoes.com
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MEETING NOTICES AND 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 $249 (less than $17 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, 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, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an exciting position open for a board qualified or board-certified foot and ankle surgeon to start in the fall of 2021. You can view our website at footanklenm.com. Spanish speaking and Fellowship is a plus but not a requirement. Billing/coding experience is preferred. Compensation is a competitive salary plus a percentage bonus structure to start. Please email CV and cover letter to rrivera@footanklenm.com.
ASSOCIATE POSITION – KENTUCKY
Associate position available for a compassionate physician for busy, well-established office in beautiful Central Kentucky. Extensive range of services offered with ancillary services onsite and hospital surgical privileges available. Enormous potential for rapid growth. Generous salary with incentive/full benefits and partnership opportunity. Email CV and cover letter to: Kyfootdr@gmail.com
ASSOCIATE POSITION - STATE COLLEGE, PA
Seeking Full Time Surgical Physician Immediate Opening, Top Salary Immediate or delayed buy-in option available Established high-end surgical practice since 1990's State College, PA FAX CV to 814-231-1817.
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 – BERGEN COUNTY, NJ
Looking for a full-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com, should you have any further questions you may call Gerry 201-523-9489 ext 101.
ASSOCIATE POSITION - NW FLORIDA
Energetic, compassionate, teachable and hardworking individual. Full or part time position in a growing practice. Competitive salary and benefits package. Must be BQ/BC. Please email CV, Reference letters, and a brief essay or video as to what makes you a good candidate for this position. nffhumanresourcesac@gmail.com
POSITION AVAILABLE – MARYLAND
Great opportunity to join a well-rounded, growing, podiatry practice in Maryland. We expect a physician with high integrity, and a passion for our brand. We strive for accuracy and consistency. We desire a physician centered on patient commitment. Cleanliness is a must. If you are an energetic, enthusiastic, and tenacious candidate with a cutting-edge knowledge base, email us your CV for more information. info@HLESfootcare.com
ASSOCIATE POSITION - MIDWEST
ONCE IN LIFETIME OPPORTUNITY to join a thriving practice with instant patient volume. State-of-the-art practice with Advanced Derm, Limb Salvage, Sports Med, Pediatrics, in-office-lasers, formulary. Seeking ambitious DPM with surgical and patient management skills. Early board-certification with the ability to outpace your peers financially. Buy-in anticipated after initial contract. Starting six-figure salary with generous bonuses. No nursing homes. Perks include Paid Med-Mal, Vacation & CME days. Hospital & Medical Organizational Dues, Health & Disability Insurance, Phone & Car Allowances, 401k, and $5,000 Signing Bonus. If interested, email CV to DPMPROFESSIONAL2021@GMAIL.COM
GREAT OPPORTUNITY IN RURAL NORTH CAROLINA
20+ year old practice in North Carolina, all aspects of podiatry. Loyal patient following, physician referral base. EHR, staff in place. Low overhead. Great potential for any type of podiatrist. Will stay for transition if desired. 252-813-3136.
ASSOCIATE POSITION - NW FLORIDA/COASTAL ALABAMA
Busy, well-established practice, EHR, digital x-ray, diagnostic ultrasound. Offering competitive six-figure salary w/bonus structure, health/malpractice insurance, and PTO. PSR-36 required. Partnership path to motivated and compassionate associate. Must obtain Florida and Alabama licenses. Send CV: Brentmharwood@gmail.com
ASSOCIATE POSITION - KENTUCKY
Associate wanted for 2 office practice and eventual ownership. Start your new year off right with an exciting future that will lead to financial and career success. Looking for a well-rounded surgically trained podiatrist who has the desire and drive to eventually own his future. Great opportunity, excellent pay, benefits, hospital privileges, residency program, wound care available. Located in the great state of Kentucky. Great place to live and raise a family. This is it!! Do not let it slip away, act fast!! Email CV to Poddoc2019@gmail.com. Serious motivated inquiries only please
ASSOCIATE POSITION - HARRISBURG, PA
Multi-office practice ISO a surgical BQ/BC DPM. FT position covering all aspects of podiatry. We are associated with surgical centers, hospitals, wound care centers and a local residency program. Salary with production based bonus and benefits package included. Please send CV to tbeidemandpm@keystonefootdoc.com.
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS credentialed fellowship avail, must be BQ ACFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
HOME FOOT CARE, INC.- MOBILE PODIATRISTS-GREATER LOS ANGELES AREA
PODIATRISTS NEEDED IMMEDIATELY! Full or part time available to see homebound patients in the following areas: San Bernardino/Riverside, Lancaster/Palmdale, Ventura/Oxnard, East Los Angeles, West San Fernando Valley, and West Covina, Pomona, Ontario, Rancho Cucamonga. Choose your own days/hours, excellent monthly compensation, cloud based EHR, dedicated support staff. If interested, email CV to: homefootcare@hotmail.com. Check us out @ www.footdocs2u.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2021. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE employer.
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 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
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - VAN NUYS, CALIFORNIA
Motivated Seller. General podiatric 53 year old practice for sale in Van Nuys California, next to hospital. Great growth potential. Will stay to help transition. Call Ron Miller at 310-980-1822 or email to remillerdpm@sbcglobal.net
PRACTICE FOR SALE - SOUTHWEST MO
This solo practice is leading provider in market. Busy office based practice with opportunity for growth and expansion. Owner desires to transition and retire. Contact MCrosby518@gmail.com
PRACTICE FOR SALE - BOSTON, MA
Opportunity for experienced podiatric surgeon to join practice and become owner. Very high volume of surgery with large referral base. Well established infrastructure and operating strategy. Owner financing available. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - TARZANA, CALIFORNIA
Thriving practice for sale in optimum location next to pharmacy and across from major hospital in Tarzana California Established 1982 Ground floor free parking Patients are PPO Medicare and cash Serious inquires only text 818 451-8441.
PRACTICES WANTED TO BUY – TRI-STATE AREA (NY, NJ, CT)
Building out a network of podiatry practices throughout the Tri-State area (NY, NJ, CT). We are looking to buy podiatry practices large, small, rural or urban. Podiatrists who are looking to join a larger group to manage business operations, or retire, can contact us at podiatrymanagementinc@gmail.com. Competitive compensation and benefits package for those who would like to sell and work within the larger company.
ACTIVELY SEEKING TO ACQUIRE A FOOT ORTHOTIC COMPANY
Well-funded group looking for both solvent and insolvent Orthotic companies. Join an established industry partner who has successfully integrated numerous acquisitions over many years. In strictest confidence, Please contact enquiries@Brandcontrol-holdings.com to explore further
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 subscribers. For details, click here or write to: bblock@prodigy.net 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.
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