The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

January 26, 2013 #4,675 Publisher-Barry Block, DPM, JD

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NY Podiatrist Issues Frostbite Alert

A frostbite alert has been issued for all of New York State by Dr. Gary Stones, President of the New York State Podiatric Medical Association. Dr. Stones recommends that anyone over the age of 65, people who have diabetes or poor circulation, and children under 13 years of age should remain indoors or limit time outside to no more than 20 minutes. Care should be taken to keep feet and hands covered, warm, and dry. Scarves, gloves, and hats should be worn.

Dr. Gary Stones

If you are exposed to the frigid temperatures and develop any numbness, tingling or discoloration of your feet and/or toes, contact a podiatrist. Soak feet in warm water. Do not apply hot compresses or soak feet in hot water.

NY Podiatrist Collects Supplies for Sandy Victims

For North Castle residents, Hurricane Sandy seems like it took place when it did — last year. However, for New York residents of places such as Far Rockway, Freeport, Long Beach, Island Park and Breezy Point, Hurricane Sandy is still happening right now. Dr. Kathy Reilly Fallon, co-founder and chairwoman of Armonk charity Heavenly Productions Foundation, has made sure to remember that.

Dr. Kathy Fallon (back right) with Crittenden Students

Fallon’s foundation’s latest efforts occurred last week when she visited H.C. Crittenden Middle School. Deborah DeFrancesco, a sixth-grade teacher at the middle school, helped Heavenly Productions organize a collection of food and supplies for Hurricane Sandy relief. Items such as toothbrushes, toothpaste, baby wipes, cleaning agents, cat and dog food, facial tissues, and bathing goods were donated by sixth, seventh and eighth-grade students.

Source: Michael Nocella,  Armonk Daily Voice [1/24/13]

TN Podiatrist Named to 40 Under 40 List

The Nashville Business Journal is pleased to recognize our 2013 40 Under 40 honorees. Our honorees, as selected by past 40 Under 40 winners, were deemed to be making a difference in their companies and community.       

Dr. Carmen April

Congratulations to Dr. Carmen April, podiatrist/medical practice owner, The Foot And Ankle Healthcare Center. Dr. April graduated Magna Cum Laude from Mississippi State University with a B.S. in Kinesiology. She earned her Doctor of Podiatric Medicine Degree from Temple University School of Podiatric Medicine in Philadelphia, PA. She then successfully completed a 3-year Podiatric Surgical residency at Providence Hospital in Southfield, MI.

Source: Eric Snyder, Nashville Business Journal [1/25/13]

MA Podiatrist lectures at PFA 53rd Annual Symposium & Exhibition

Little Rock, Arkansas, was the place to be for the Pedorthic Footcare Association’s (PFA) 53rd Annual Symposium & Exhibition.

Dr. Louis DeCaro

Workshop highlights this year included topics such as preventive treatments and developing new business and practice models in a changing and challenging economy. Specifically, Louis DeCaro, DPM, lectured on the “Top Five Pediatric Sports Injuries: How to Prevent Them by Treating the Foot.”

Source: Margaret Hren, Orthopedic & Prosthetic Edge [1/25/13]

Aussie Podiatrist Discusses Children's Shoes

With less than two weeks to the start of Spring term, parents have been busy trying to find the best footwear for the year ahead. Tasmanian Podiatry Association president Andrew Chappell said it is important for shoes to be the correct size. "And make sure they're not too large," Chappell said. He recommended shoes with laces or Velcro straps with strong support in the heel and midfoot. "Shoes should bend at the toes not through the midfoot."

Source: Elizabeth Lord, The Mercury [1/24/13]

EHR Incentive Payments Near $10.7B: CMS

The federal government's electronic health-record incentive payment program has paid out nearly $10.7 billion to more than 190,000 hospitals, office-based physicians, and other “eligible professionals” through December, according to the latest report from the CMS.

Both numbers climbed substantially in a month, with total payments up 15% from $9.3 billion in CMS' November totals, and paid providers, including those in Medicare Advantage plans, up 7.7% from 176,561 in November.

Source: Joseph Conn, Modern Healthcare [1/25/13]

Query: Pediatric Digital Deformity

I have a 2 year old patient with a slightly plantarflexed 3rd toe at the MTP, causing a slight abduction of the 2nd toe, and a slight adduction of the 4th toe both feet. This is creating a slight overlapping of the 3rd toe by the other lesser toes. The patient's toes are still very flexible, and there are no fixed contractures, however the deformity does not correct itself.

Pediatric Digital Deformity

X-rays were normal. The patient is not in any discomfort, however the parents are concerned this may cause a problem in the future. My questions are: 1) Does this problem need to be corrected at this time, and if so, in what manner? 2) Can treatment be delayed, and if so, what type of treatment protocols are recommended?

Edmond F. Mertzenich, DPM, MBA, Rockford, IL

Query: Management/Billing Software Program for ASCs

I have a single OR accredited surgery facility attached to my office. We only perform 8-12 surgeries per month in this facility. I have been using a management/software program called Advantx by Source Medical, but have been finding their customer service leaves much to be desired for the price I pay for the program. Does anybody have a similar set-up to mine who can suggest a better management/billing software program geared toward ASCs?

Wes Daniel, DPM, Gainesville, GA

Query: Medicare Denial of L4360

We billed L4360 with modifier "KX" and "RT". This was dispensed for a heel fracture post open reduction internal fixation. The claim was selected by Medicare for complex medical review. We sent in office notes, proof of delivery, and order form...and received an EOB stating service is not medically necessary. What are we doing wrong?

Denis Russell, DPM, Fountain Valley, CA

Response: Medicare requires that the place of service be the patient's home ("12"), not office. Was this done?

L4360 is a prefabricated device and falls under ankle-foot orthoses. Did your documentation follow this guideline? "Ankle-foot orthoses (AFO) described by codes L1900, L1902-L1990, L2106-L2116, L4350, L4360, L4386 and L4631 are covered for ambulatory patients with weakness or deformity of the foot and ankle, who require stabilization for medical reasons, and have the potential to benefit functionally."

David J. Freedman, DPM, Silver Spring, MD

Codingline subscription information can be found here

APMA Members: Click here for your free Codingline Silver subscription

Query: Changing Office Hours

I'd like to hear from podiatrists who have extended or unusual practice hours. I am considering changing my hours so that my staff and I see patients 10 hours a day Monday through Thursday, and are off Friday. Thank you in advance for any suggestions.

Olga Luepschen, DPM, Sebring, FL

RE:  PTTD Surgery (Tip Sullivan, DPM)
From: Mike Piccarelli, DPM

I agree that a TNJ fusion could possibly stabilize the foot. However, if there is lateral impingement at the sinus tarsi, I believe the patient is better suited with a triple.

Mike Piccarelli, DPM, Staten Island, NY, mcpdpm@verizon.net

RE: Elongated Halluces (Charles Morelli, DPM)
From: Joshua Kaye, DPM 
 
I was surprised to read the suggested treatment by Dr. Morelli for an elongated hallux. Considering that  he mentioned that the patient is a “young lady”, I cannot understand the rationale for the fusion of a functional and asymptomatic IP joint of the hallux when several other effective and function-preserving procedures are available. Perhaps he can indicate his reasoning.
 
Joshua Kaye, DPM, Los Angeles, CA, jk@joshuakaye.com

RE: Elongated Halluces (Charles Morelli, DPM)
From: Eric M. Hart, DPM
 
I have read many great suggestions for correcting this condition, and most have seemed quite reasonable. However, in a day of rising healthcare costs and litigation, I have to ask why Dr. Morelli suggests "correcting" this patient's metatarsus adductus, and why he suggests using "trinity" bone graft to fuse an interphalangeal joint. I admit I may be missing something here. I am a young practitioner and have much to learn yet.

I would opt for a shortening phalangeal osteotomy and 1st metatarsal shortening osteotomy. But if IPJ fusion were chosen, I would see no problem using a simple 4.0 cancellous screw or crossed K-wires which can be buried. I cannot fathom suggesting surgical correction for metatarsus adductus for this patient. Addressing the chief complaint and clinically symptomatic pathology with a weight-bearing surgery would suffice. I think we all need to ask ourselves, "Which procedure would I want performed on my own foot, and which would I be willing to pay out-of-pocket for?"
 
Eric M. Hart, DPM, Bismarck, ND, erichartdpm@gmail.com

RESDENCY PROGRAM DIRECTOR - MICHIGAN

Genesys Health System in Grand Blanc, MI is seeking an exemplary leader to serve as the Program Director for the Hospital's Podiatric Medicine and Surgery Residency with the added Credential in Rearfoot/Ankle Surgery (PMSR). Apply online www.genesys.org.

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty. New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to mook863@comcast.net

EQUIPMENT FOR SALE - USED PINPOINTE LASER

Used PinPointe Laser for sale! $16,500.00 Firm. Please send email to dman1hansen@gmail.com or call 801-870-4161

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA
 
Well established successful West Palm Beach practice grossing $ 475 with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E- mail wpbfootdrs@gmail.com

PRACTICE FOR SALE - WESTERN SUBURBS OF PHILADELPHIA

General practice with minimal managed care. Older routine care population mixed well with younger group of new patients. I am moving to an orthopedic practice and will no longer be doing routine care or surgery. Looking for someone to take over practice that is 3 days/week seeing 55-70 patients per week. Need sale ASAP. Please respond with interest to podpractice.2013@aol.com

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com

ASSOCIATE POSITION - ORANGE COUNTY, NY

Looking for a highly motivated surgical trained podiatrist in the Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Center, and takes ER call. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. The practice is a 1 hour car ride from NYC and is close to hiking ,fishing ,skiing and state parks. Please Email a CV and contact info to clsp4@yahoo.com

ASSOCIATE POSITION - COASTAL NORTH CAROLINA

Seeking a well-qualified PSR 24/36 trained podiatrist to join established practice with two locations. Individual must be motivated, ethical, and have great personal skills. Position may lead to partnership for right candidate. Please send CV to PodJobNC@gmail.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to cmedders@atlanticpodiatry.com

ASSOCIATE POSITION - CT - (FAIRFIELD AND NORTH HAVEN)

Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to Dr.Kassaris@yahoo.com

ASSOCIATE POSITION - MONTANA

Needed podiatric surgeon skilled in reconstructive procedures for complex deformities of the foot and ankle. All benefits are generous. Position provides an opportunity for immediate case load and professional fulfillment in a nationally profiled practice in Montana. 3 year PM&S or equivalent. Inquire at www.Selectapplications.com

ASSOCIATE POSITION - VA (SOUTH CENTRAL)

Thirty year established practice seeking associate. PSR 24/36 training, must be highly motivated, personable, ethical and willing to provide all aspects of podiatric care. Early partnership opportunity with potential ownership. Competitive salary and benefits. Excellent opportunity for a successful career. Please send CV to footcare2020@aol.com or fax to 804 733-5946.

ASSOCIATE POSITION - SOUTH/CENTRAL PENNSYLVANIA

PSR-24/36 trained individual for busy practice in family-friendly college town. Seeking personable, ethical, motivated individual to join our well established practice providing all aspects of podiatric care. Competitive salary and benefits package with partnership opportunity. Reply with letter, CV and photo to Jagerone@aol.com.

ASSOCIATE POSITION – MARIETTA, GA

An associate is needed for a dynamic practice located in Marietta, GA, a suburb of Atlanta. We are looking for a well trained, motivated and personable candidate. This is a great practice opportunity. 2 years or more of a surgical residency is required and practice experience is a bonus. Our office has a licensed and certified surgical center.This is a modern practice with ultrasound, digital x-ray and EMR. We offer a competitive salary and benefits along with potential for partnership. Please e-mail your cover letter, curriculum vitae, letter of references and picture to light@eastcobbfoot.com.

ASSOCIATE POSITION - FREDERICK, MD

Office and Hospital-based Podiatry group is seeking a highly trained, "high powered" surgical associate to compliment our 4 doctor group. Minimum PSR 36 trained with Rearfoot Reconstructive experience is required. Previous practice experience is preferred. Competitive salary and benefits package along with amazing working environment. Please forward cover letter and CV to cocsbnb@aol.com

ASSOCIATE POSITION IN SOUTHERN CALIFORNIA

Part time position available immediately, leading to full-time employment, for a motivated, outgoing associate. We are a multi-office, multi-doctor practice based in Orange County and are looking for a hard working individual to treat a wide range of patients in all aspects of podiatry. PSR 24 training a must and Spanish fluency a definite advantage. Email your CV to ocpodiatryoffice@gmail.com.

ASSOCIATE POSITION - WESTERN MASSACHUSETTS

Busy, well-respected practice in Western Massachusetts looking for associate and offering future partnership. New, large office offering all levels of podiatric care with state-of-the-art technology and EMR. Excellent opportunity for podiatrist who is ready to settle down or getting started. Search is confidential. Send CV/ references to tapoflife@aol.com.

ASSOCIATE POSITION - MISSOURI – EAST CENTRAL

Podiatric medical group seeks recent graduate or 2013 graduate who is interested in working with former residency director who can enhance your already strong training Full scope practice with the cases to fast track to board certification. We are located close to St. Louis for day use. Exceptional school system in a low crime, low cost of living area. E-mail resume to: drfootski@hotmail.com

ASSOCIATE POSITION - PHILADELPHIA SUBURBS

Seeking top-notch, motivated candidate with excellent clinical & surgical training to join established, well regarded practice with full spectrum of podiatric care. Great opportunity for the right person. Please respond to poddoc2@aol.com with Resume & CV and any references.

ASSOCIATE POSITION – FENTON, MICHIGAN

Looking for a well-trained, entrepreneurial-minded podiatrist to add to a busy modern practice.(EHR, Digital x-ray, Diagnostic U.S., etc.) Looking for long term associate for growing practice. Please send CV with cover letter to Stephanie@FentonFootCare.com.

ASSOCIATE POSITION - NEW YORK

Established and modern podiatry practice seeking well trained podiatrist for our two offices located in the Hudson Valley. Individuals must be highly motivated, ethical, and have PM & S-36 training. Partnership potential! Please see our recruitment video (845) 471-2243, esims@simspodiatry.com

ASSOCIATE POSITION - ILLINOIS

Established podiatric practice seeking a full-time podiatrist to take over current practice. Position is an employed hospital based position with excellent family medicine referral/support. Current practice profile does approximately 50% routine foot/ankle care, 50% surgical care, wound care and orthopedic care. Practice located in vibrant small college town in western Illinois. For further information, contact Patty Luker, CEO at 309-734-1400 or email patty.luker@osfhealthcare.org.

PODIATRIC PHYSICIAN/SURGEON - CHICAGO AND SUBURBS

Chicago Podiatric Surgeons is searching for a full-time podiatric physician/surgeon. Prefer ABPS qualified/certified with experience in private practice. Great benefit package and partnership opportunities. Please send letter of interest, CV to dr.tcarr@gmail.com.

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.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. Above average salary and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com.

ASSOCIATE POSITION - WEST COAST FLORIDA

Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com

ASSOCIATE POSITION – NORTHWEST INDIANA

Looking for a well-trained, entrepreneurial-minded podiatrist to compliment a busy modern (EHR, Digital X-ray, Diagnostic US, etc.) practice. Highly competitive compensation package. Great area to work, live and raise a family. Send resume/CV to: Pjames@cffaac.com

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