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| PM News | |
The Voice of Podiatrists
Serving Over 16,869 Podiatrists Daily
January 22, 2015 #5,276  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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How many biopsies do you perform per month? |
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| OBITUARIES | |
Robert Levoy
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Bob Levoy |
It is with great sadness that we must report the passing of Bob Levoy. Bob was a giant in the field of practice management. He was the author of 7 books, the newest of which is 222 Secrets of Hiring, Managing and Retaining Great Employees in Healthcare Practices published by Jones & Bartlett. He a regular columnist for Podiatry Management and was inducted into the PM Podiatry Hall of Fame in 2012. PM News extends condolences to his wife Martha. Bob will be sorely missed by the entire podiatric community that he served so well for over four decades.
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| PODIATRISTS IN THE NEWS | |
WA Podiatrist Discusses Charcot Foot
Because they cannot feel pain, many people do not realize they have Charcot foot until the late stage, when severe complications have occurred. "People think they don't have a problem because they feel no pain, but that isn't the case," says Valerie L. Schade, DPM, FACFAS, FACFAOM, a foot and ankle surgeon in Tacoma, WA. and a Fellow Member of ACFAS.
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Dr. Valerie Schade |
"Anyone at risk for neuropathy, including diabetics, alcoholics, and some chemotherapy patients, should see a foot and ankle surgeon early and at least once every year, even if they are considered low risk," says Dr. Schade.
Source: KAIT8 (ABC) [1/21/15]
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| PODIATRISTS IN THE COMMUNITY | |
VA Podiatrists Team Up with Salvation Army for 34th Annual Shoe Drive
The salvation army and local podiatrists are coming together for the annual "Shoes For The Homeless" campaign. The project provides foot protection to local community members by offering free shoes to those in need. The campaign began in 1990, and this year marks the 24th annual Shoes For The Homeless project.
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Dr. Samuel Schustek |
"Unfortunately, we have people who are just making ends meet, people who can't afford to have proper shoes," says local podiatrist Dr. Samuel Schustek. "Being podiatrists, we see terrible things happen due to cold and improper foot gear, whether it be cold injuries, sores, or infections."
Source: The Charlottesville Newsplex [1/21/15]
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| E-HEALTH NEWS | |
EHR Use Does Not Result in Coordinated Care
Although more than 70 percent of U.S. doctors use electronic health records, up to half don't routinely receive the data necessary to coordinate patient care effectively. That is the conclusion of a study published in Medical Care. “The study findings highlight the continuing challenges to using health information technology to coordinate care among providers," said lead author Chun-Ju Hsiao, of the U.S. Agency for Healthcare Research and Quality.
Doctors using Health Information Technology (HIT) were only slightly more likely to receive the necessary information than those who did not use HIT. For example, 48 percent of physicians who used HIT routinely received information on patients referred from other practices, compared to 40 percent of those who did not use HIT. Using HIT did not significantly affect receipt of hospital discharge information. Even among physicians who routinely received the needed information, many were still getting it by fax or other non-electronic means. This was the case for three-fourths of doctors receiving information from other practices, and about half of those receiving hospital discharge information.
Source: Greg Goth, Health Data Management [1/19/15]
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| QUERIES (CLINICAL) | |
Query: Isolated Rash
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Isolated Rash |
This is a 21 year old female, with well controlled IDDM. There was acute onset which was pruritic. It is no longer pruritic and is not raised. It is approximately of 7 days duration now, This lesion is not present anywhere else. This patient presently takes Synthroid. Her neurological, orthopedic, and vascular exams was normal. Suggestions?
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| QUERIES (MEDICAL-LEGAL) | |
Query: Communication Between Treating Physicians and Privacy Laws
I had a patient who requires surgery. When he called to schedule, he informed my office that just several weeks prior, he had had either a “small stroke or a seizure,” On that basis, I declined to schedule his surgery until I had more information from the treating physician. He has no family physician and is refusing follow-up. I received a telephone call from this same patient telling me if I did not book his surgery, he was going to go see Doctor X who would. Do I have any obligation to Dr. X, whom I know to be a good and ethical surgeon, who would never book a case with a “possible small stroke or seizure” that has not been followed up? If I call Doctor X, am I violating privacy laws? Is there any safe way to protect this patient from himself, not to mention protecting the other doc?
David E Gurvis, DPM, Avon, IN
Editor's comment: PM News does not provide legal advice. Communications between treating physicians are allowed under HIPAA and most state privacy laws. The ethical thing to do is first to call Dr. X and make sure that he or she is actually treating this patient. If this, in fact, is the case, under most state laws, you would be legally obligated to inform Dr. X of the patient's status.
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Stanton C. Southward, DPM, Todd O’Brien, DPM
Any good neurology text will refresh your podiatric medical school training; certainly your eyes and hands will be essential as well as the patient history.
Stanton C. Southward, DPM, Colorado Springs, CO
You may want to check out our electronic version of the tuning fork (ETF128). It’s a point-of-care screening instrument that’s designed to be part of the usual neurological exam. We’ll be debuting the ETF at DFCon in March.
Disclaimer: Todd O’Brien is the owner and CEO of O’Brien Medical, manufacturer of the ETF128.
Todd O’Brien, DPM, Orono, ME
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Medicare Reductions
From: Gary S Smith, DPM
When I signed a contract with Medicare 25 years ago, it said I would get paid from them 80% of what they approve. Any amount deducted from the approved amount like co-insurance and deductable is billable to the patient. It did not say they would pay 80% unless the govt. was low on funds, you didn't use computers, or you didn't use computer prescriptions. I'm not an attorney but a contract is a contract. Why aren't other doctors billing the 2% "sequester", etc. to the patients? Did other contractors with the govt. get cut 2%? Did govt. employees get cut 2%? The answer of course is no. None of these reductions are noted in our Medicare agreement. Why isn't the APMA or other organizations suing on our behalf? Am I missing something here?
Gary S Smith, DPM, Bradford,PA
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| RESPONSES/COMMENTS (MEDICAL/LEGAL) | |
From: Michael L. Brody, DPM
The incentive is for using certified technology and meeting meaningful use. It is for the provider who met meaningful use. That being said, the money can be assigned to any entity. In order to attest for you, the group must have access to your PECOS username and password. The only way they have this is if you provided the group with this information.
In many cases that I have encountered, there was some sort of agreement between the group and the employed podiatrist. The group has access to all of the documentation necessary to allow you to attest for meaningful use, and you have access to your PECOS credentials. Generally, I would advise against giving out your username and password for any account as important to you as the PECOS, In the situation you present, much depends upon your employment agreement. This situation can get even more complicated when a provider works part time for different groups and the data from each group must be aggregated to allow a provider to attest for meaningful use.
It is possible that some time in the future, you will be audited for that meaningful use attestation. If you do not have all of the necessary documentation to pass the audit, it is YOU who will be responsible for refunding the incentive payment to CMS. It is imperative that you obtain copies of all documents necessary to respond to an audit now, because if you leave that group it can become difficult to get the documentation in the future. You may wish to consult with an attorney to properly protect yourself in case of potential future audits.
Michael L. Brody, DPM, Commack, NY
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| RESPONSES/COMMENTS (DME) - PART 1A | |
From: Keith L. Gurnick, DPM
My office is located in a hospital adjacent medical building (all on the same campus) and there are many covenants, conditions, and restrictions (commonly called CC&Rs), including door signage written into my lease. The door signage restrictions conflicted with the DME requirements, so I too had a problem with this. I resolved the problem as follows. Maybe this technique will assist you.
First, I posted a paper sign indicating my days and hours of operation, and they promptly removed it and sent me a letter that I...
Editor's note: Dr. Gurnick's extended-length letter can be read here.
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| RESPONSES/COMMENTS (DME) - PART 1B | |
From: Stanton C. Southward, DPM
I solved this little problem many years ago. Buy your own office building; then you make the rules.
Stanton C. Southward, DPM Colorado Springs, CO
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Now, these are real crocs! |
Source: atbreak.com
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| CLASSIFIED ADS |
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
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 - EAST ORANGE, NJ
Part time or Full time position available in modem up to date practice. PSR 24-36 trained individual, but previous practice experience a plus. Looking for the right person to buy into the practice within 1 year. Send CV to DRFOOT44@gmail.com
ASSOCIATE POSITION - SOUTH CAROLINA
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Salary range $120k-$140k (base + bonus) and benefits. Please send Letter of Interest and CV to:scdpmjobs@gmail.com
ASSOCIATE POSITION - PT/FT - NY (WESTCHESTER/ROCKLAND)
Well-established, cutting-edge, modern private practice in multi-specialty office with over 45 years experience looking to hire an enthusiastic and passionate Podiatrist for PT/FT. We serve the Rockland, Westchester, and entire Tri-State Areas successfully with full diagnostic and treatment facilities, including: Fluoroscope, Diagnostic Sonogram, PinPointe Laser, Juvederm, ESWT, and in-house physical therapy. Affiliated with local hospitals and privileges available. Surgical skills preferred but not required. Join our friendly and knowledgeable office staff with decades of experience! An entrepreneurial and medical opportunity combined! Guaranteed signing bonus. Send CV and cover letter to: linchpindpm@yahoo.com
ASSOCIATE POSITION – MIAMI, FL
Associate needed - house calls, etc. Miami, Dade, Florida. Please contact Lcohn1952@aol.com 305-338-4668
ASSOCIATE POSITION - FORT WORTH, TX
25-year-old practice is seeking a personable, hard-working, self-motivated individual looking to practice in Fort Worth Texas. Candidate must be board qualified/certified by ABFAS. Office is state-of-the-art offering EMR, digital x-ray and orthotics, ultrasound, multiple lasers. Full-service opportunity including pediatrics, DME, wound care, hospital consultation, surgery center membership opportunities, pharmacy ownership opportunity, ancillary income opportunity. In MS Word format, Please email resume/CV, photo and References to gbeededpm@sbcglobal.net.
ASSOCIATE POSITION - TEXAS
Seeking three-year surgically trained podiatrist for busy podiatric medical and surgical practice in Texas. Must be hard-working, open to direction, and willing to do all phases of podiatric foot and ankle care. Please send CV, and salary history to: jmh6122@yahoo.com
ASSOCIATE POSITION – FL
BQ in Foot & RA required: candidate for 1 year post-residency fellowship in FL. Add to your knowledge and skills on: Reconstructive RRA surgery, arthroscopy of STJ / ankle, sports medicine and practice management. ACFAS poster and research project. Starts 8/2015. Send resumes to: mny1029@gmail.com
ASSOCIATE POSITION – TEXAS
Seeking three-year surgically trained podiatrist for busy podiatric medical and surgical practice in Texas. Must be hard-working, open to direction, and willing to do all phases of podiatric foot and ankle care. Please send CV, and salary history to: jmh6122@yahoo.com
ASSOCIATE POSITION - HOME FOOT CARE, INC.-GREATER LOS ANGELES AREA
Join the fastest growing podiatric house call company on the West coast! Part/full time, we schedule around you & your area, EMR, electronic billing, payment monthly, excellent road support staff. great for new graduates, semi-retired, building own practice, or anyone looking to make extra income. email CV to:homefootcare@hotmail.com check us out @ www.footdocs2u.com
POSITIONS AVAILABLE - FULL TIME/ PART TIME WISCONSIN
Opportunities to serve residents of long-term care facilities in Madison and Milwaukee Wisconsin. High earning potential with competitive benefits as part of a 40 year old company for the right candidates. Contact ckestner@preferredpodiatry.com for additional information.
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.
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 – LAPLATA, MARYLAND
Well-established practice with multiple offices located just south of Washington DC. Practice amenities include EHR, digital x-ray, state-of-the-art surgical suite, shoe stores, PADnet, and large support staff. Recently renovated hospital minutes away. This is an extremely busy practice with high patient, new patient, and surgical volume with both forefoot and rearfoot surgery. We enjoy a large referral base due to our own practice marketer. We are looking for a highly motivated, personable individual. Must be well trained in forefoot and rearfoot surgery at PMSR-36/RRA. Competitive base salary with bonus structure. Send CV to: feet_r_neat@aol.com
ASSOCIATE POSITION - MICHIGAN
Multi-doctor practice looking to add associate for two offices in Flint, MI area. Partnership opportunity for right person. We are looking for a surgically proficient doctor. Rearfoot/ankle training is a plus, but not a necessity. Competitive salary with paid vacation and seminars. Patient schedule available “now” from a retiring associate. Email resume to giordanodpm@hotmail.com.
ASSOCIATE POSITION LEADING TO PARTNERSHIP NORTHERN VIRGINIA
Well established high volume Podiatric Surgical practice seeking associate to join 4 doctor/2 office opportunity. Excellent salary plus incentives and great benefits. All Board Certified Fellow Podiatric Surgeons highly respected in the medical community. Prefer forefoot and rearfoot reconstructive surgical trained practitioners only. Please email CV and references to medical 622@aol.com. If you are seeking a position in July 2015 when you finish your residency, this is an opportunity you should investigate.
PRACTICE FOR SALE - SAN JOSE, CA
Podiatry and Mani Pedi Spa Practice for sale. Located in the Medical Center with a strong Brand Name and Internet Presence. This cash practice grossed $349,000 with 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. Ready for full-time expansion. Price to sell $84,000. Email: schrisdpm@sbcglobal.net Website: www.NeatFeetPlus.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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- 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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