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| PM News | |
The Voice of Podiatrists
Serving Over 16,870 Podiatrists Daily
January 28, 2015 #5,281  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 do you treat onychomycosis? |
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| AT THE COLLEGES | |
Scholl Faculty Publishes Study on Custom Balance AFOs
Older adults may be able to avoid falls due to balance instability by wearing custom-made ankle foot orthoses, according to a study conducted at the Center for Lower Extremity Ambulatory Research at Rosalind Franklin University of Medicine and Science in North Chicago, IL, home to the Dr. William M. Scholl College of Podiatric Medicine. The study, published December 2014 in the journal Clinical Biomechanics and reported this month by O&P Business News, saw improved balance and stabilization in subjects, age 65 and older, who were provided custom-made AFOs (Moore Balance Brace, Arizona AFO) developed by podiatric physician Jonathan Moore, DPM, MS.
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(L-R) Adam Fleischer, DPM, MPH; Ryan Crews, MS; Jacquelyn Ortiz, CCRP; and Sai Yalla, PhD. |
“This was an initial evaluation at initial presentation of the device,” said Ryan Crews, MS, CCRP who, along with fellow CLEAR researcher and assistant professor Sai Vikas Yalla, PhD, led the study. “We definitely saw improvements in balance and stability, which ultimately could lead to a reduction in falls due to [participants] being more stable,” Crews said. The study showed improvement in all balance-related assessments. Adam Fleischer, DPM, MPH, associate professor in Scholl College’s Department of Podiatric Medicine and Radiology, co-authored the journal publication.
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| PODIATRISTS AND SPORTS MEDICINE | |
CT Podiatrist Provides Winter Safety Running Tips
Winter running presents hazardous conditions that may not be present at other times of the year. "In the winter, we are often forced to work out in the darkness of early morning or after work. One of the most important pieces of safety equipment for added visibility is a reflective vest. It is a small investment but may be the best life insurance one can buy for winter running. Also available are reflective tapes and arm bands. In addition, many runners carry a flashlight to alert oncoming motorists, as well as to see the road in front of them, "says sports podiatrist Dr. Robert Weiss.
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Dr. Robert Weiss |
"Safety in footgear must also be followed; good traction in snow and on wet roads is very important. Also, make sure the shoes are roomy for movement of the toes, as tight shoes will reduce blood supply to your feet," says Weiss.
Source: Westport News [1/27/15]
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| MEETING NEWS | |
Economics of Podiatric Medicine and Surgery Draws 71 Participants
The Conference on The Economics of Podiatric Medicine and Surgery held in Chicago this past Jan 23 and Jan 24 proved to be a success as participants gave it a thumbs up. "The information presented here is exactly what is needed to move forward in today's healthcare world," Stated attendee Dr. John Meyers.
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Dr. Sev Hrywnak |
The faculty included leaders in the healthcare field including hospital CEOs, attorneys, and healthcare consultants. An excellent Presentation by Dr. Joseph Borreggine titled "Is the Future Bright in Podiatry?" and another by Dr. Sev Hrywnak on "How to Use Metrics and Gain Entry into an ACO" highlighted the conference. As the keynote speaker for the conference, state representative Jim Durkin, of Illinois, spoke on the current condition of the health insurance exchange. The next seminar is scheduled for this coming June of 2015.
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| OBAMACARE UPDATE | |
Obama Would Have Few Options If SCOTUS Rules Against ACA
If the Supreme Court tears apart Obamacare this summer, the president won't be able to put it back together all by himself. Executive action is all the rage in the White House these days, and it's hard to imagine a better candidate for unilateralism than fixing the Affordable Care Act in the wake of a crippling Supreme Court decision.
There's just one problem: A good administrative solution might not exist. "There are no administrative fixes that are realistic," said Neera Tanden, president of the liberal Center for American Progress. "We don't believe there's any administrative fix."
Source: Sam Baker, National Journal [1/25/15]
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| QUERIES (CLINICAL) | |
Query: Genetic Testing
I recently diagnosed peroneus brevis insertional tendonitis vs. 5th met base stress reaction in a 22 year old male patient. I prescribed non-weight bearing in a CAM boot for 3 weeks, likely to be followed by 3 weeks weight-bearing in the Cam boot. I reviewed DVT signs/symptoms/risk factors with the patient and discovered that his mother has protein S deficiency. I explained the condition to him and recommended that he be tested. He agreed, and signed a consent for this. I tested for Protein S and Factor V Leiden. The protein S returned abnormal.
I notified his PCP as a courtesy to see if he wanted to treat the patient for DCT prophylaxis, as I understand that if he is immobilized, it is warranted with his condition. He agreed to, and in his note wrote that the patient received no counseling as mandated by law prior to getting genetic testing, and this could require lifelong therapy and could have potential career-ending consequences for the patient for his particular occupation. So should we test for this, or set up genetic counseling prior to getting these tests?
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| CODINGLINE CORNER | |
Query: Hardware Removal
Our doctor removed a pin and an external fixator under fluoroscopy in the ASC. The patient was under IV sedation (not general anesthesia) with the soft tissue locally anesthetized. Can we code both procedures, CPT 20680 and CPT 20694-52 (reduced because no general was administered)?
Codingline Archive Question
Response: If the pin is buried (not protruding above the skin), and it requires an incision to remove it, you can bill CPT 20680 (if deep - at level of bone) or CPT 20670 (if superficial, buried in the subcutaneous tissue).
You cannot bill CPT 20694 if you remove it under a local with sedation. "CPT Assistant" (July 2000) notes: "CPT code 20694, Removal, under anesthesia, of external fixation system, may be reported if the removal procedure is performed under general anesthesia. General anesthesia is not usually required to remove an external fixation system, therefore, removal not requiring anesthesia is not a separately reportable service." You cannot alternatively add a "-52" reduced service modifier since the value assigned the application includes removal without general anesthesia.
Harry Goldsmith, DPM, Cerritos, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Lawrence Edwards, MD
While Parkinson’s disease is typically associated with a low uric acid level, it would be best to check the patient’s serum uric acid level sometime when they are not having a flare to determine if the patient has a high uric acid level and would need to start a uric acid lowering therapy.
Lawrence Edwards, MD, Gainesville, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Lawrence M. Rubin, DPM
Dr. Amarantos hits the nail on the head when he comments on not complying with the onerous IT requirements and says, "...who cares?" Let Medicare take their %. Will a 7-10% decrease in Medicare reimbursement really change your quality of life?" If you think about it from a business perspective, if you calculate the expense of all the human resource time needed to comply, and if you take that amount of money and invest it in solid practice marketing programs, you should be able to profit far in excess of your Medicare loss.
Lawrence M. Rubin, DPM, Las Vegas, NV
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Lawrence J. Kansky, DPM, JD
The PM News article about me was originally published in the newspaper The Standard Speaker, over four (4) years ago, and therefore, is very old news. PM News excerpted a reprinted copy of the article.
Since the foregoing was published again, I hope other podiatrists who are suffering from a civil or criminal injustice, or who are seeking to change careers, will find my story interesting.
Lawrence J. Kansky, DPM, JD, Wilkes-Barre, PA
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Two Feet of Shoe (Classic)
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Two feet of snow in the Northeast |
Source: Published in PM News 3/10/10
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MEETING NOTICES
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| CLASSIFIED ADS |
PRACTICE FOR SALE – TUCSON, ARIZONA
Tired of cold, clouds, congestion and crazy cost-of-living? Consider warm, sunny, dry and affordable Tucson. Retiring after 35 enjoyable, rewarding years. Well-rounded, well-respected solo practice begun in 1951 by previous DPM. Same central location. Truly unique opportunity to assume tastefully landscaped 3000 sq. ft. well-maintained home/office on 12,350 sq. ft. property; 12 car parking. Potential for 2 DPMs, in-office surgery or wound care. Have control over your professional life with this smart investment. Details: gdshapiro@comcast.net
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
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
LIMB SALVAGE FELLOWSHIP – SAN FRANCISCO
University of California, San Francisco Medical Center is currently accepting applications for its 12 month Limb Salvage fellowship beginning July 1, 2015. The Fellowship includes advanced techniques in limb salvage with many research opportunities. The fellow will receive: $60,000 salary and benefits with 2 fully funded conferences to attend. Please submit a Letter of interest, CV, and 3 Letters of recommendation to: Dr. Alex Reyzelman,, Director at alexander.reyzelman@ucsf.edu.
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.
POSITION WANTED
3rd year surgical resident seeking position starting this summer. Looking to help practice grow for a potential long-term position. Self motivated, hard working, honest and personable. Well trained in all facets of podiatry including rearfoot, ankle, reconstruction and trauma, in addition to wound care and general podiatry. Specific interest in sports medicine and trauma. From Chicagoland with ties to the Midwest. Currently looking in Illinois, Wisconsin, Iowa and Colorado, but willing to move for the right situation. Please contact me at PMNewsAd@gmail.com if interested.
ASSOCIATE POSITION – HARRISBURG, PA
Advanced Podiatry is seeking a full-time podiatrist in a professional environment for all ages in the office and nursing homes. Applicants must be BC/BE in ABPM or ABPS. Advanced Podiatry is located in Harrisburg, PA. Position pays salary plus benefits. If interested call 717-657-5050 or email at lvgreerdpm@verizon.net.
ASSOCIATE POSITION - EAST ORANGE, NJ
Part time or Full time position available in modern 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 - 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 - 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 – 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 – 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 - 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 - SOUTHWEST FLORIDA.
Established thirty year practice seeks responsible motivated Associate to become part of a growing upscale community. All phases of podiatry, multi-office practice. Hospital and Surgery Center. E-mail CV & letter of introduction to Litebill@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 – 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 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.
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
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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