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PM News

The Voice of Podiatrists

Serving Over 18,579 Subscribers Daily


January 16, 2020 #6,594 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020- No part of PM News can be reproduced without the
written permission of Barry Block

blainejan1320


PM NEWS QUICK POLL

Quick Poll

How many days did you take off from work in 2019 due to illness or injury?
 
kevinjan1320B

PODIATRISTS IN THE COMMUNITY
MA Podiatrists' Sock Drive Helps the Homeless
 
Local podiatrists Drs. Angela Barnes and James J. DiResta partnered again this year with Anna Jaques Hospital in the Docs for Socks program, collecting 400 pairs of new socks for people in the community affected by homelessness.
 
Drs. James J. DiResta and Angela Barnes
 
The collection focused on socks because homeless men and women who live in shelters and on the streets spend much of their time outside and are often exposed to rain, snow, ice, and cold temperatures, leaving many to wear soaking wet socks and shoes for days or weeks at a time. These circumstances can result in serious infections and ailments, such as immersion foot or frostbite. The best way to prevent these conditions is to keep feet clean, dry, and warm. 
 
Source: Daily News [1/14/20]
richieoct118

PUBLISHED PODIATRISTS
Retired NY Podiatrist Publishes Sci-Fi Civil War Time Travel Novel
 
Retired Buffalo podiatrist, Sam Ruggiero, DPM has a new book coming out called The Time Arrow. It’s the story of an Atlanta trauma surgeon who tries an untested and deadly method of time travel back to the Civil War Battle of Jonesboro, Georgia to hopefully avoid the modern day murder of his grandfather by altering history in 1864. 
 
Dr. Sam Ruggerio
 
“I’m a huge Civil War buff and love the concept of time travel. While visiting the beautiful city of Atlanta and seeing the Jonesboro Battlefield, I thought why not integrate both ideas," says Dr. Ruggerio. After his retirement in 2018, Ruggiero moved to Charleston, South Carolina to be closer to his children and grandchildren. 
anodynejan1320

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.
 
Today's Featured Article
 
danidec919

PRACTICE MANAGEMENT TIP OF THE DAY
6 Ways Your Practice’s Website is Hurting Your Bottom Line - Part 1
 
Here are some of the most common website mistakes we see practices make, and how your practice can avoid them:
 
1. Underdeveloped sites. Consumers can easily tell if your website hasn’t been given proper resources or attention. If they find that yours is lacking, they will suspect that you don’t have funds to invest in it, or that you are out of step with the times. Both assumptions will hinder your ability to grow. If your website is outdated or needs a refresh, gather your team and make a plan to make improvements. You may want to consider assistance from a marketing firm with medical practice-specific expertise related to website design and visual branding. 
 
Source: Boh Hatter, Physician's Practice [1/10/20]
bakojan1320

CODINGLINE CORNER
Query: Removal Broken Plate/Fractured Metatarsal/Replace Broken Plate
 
The doctor had to remove a broken plate (ICD-10 – T84223D) (CPT 20680) at the 5th metatarsal right foot. There was an underlying fracture of the metatarsal (ICD-10 – S923541) with no evidence of fragmentation which was repaired using bone matrix and another reconstruction plate. At this point, I am at a loss as to code out the entire three-faceted procedure.1) Remove broken plate 2) Repair fracture 3) Reconstruct new plate. How do we bill it?
 
Jill from the office of Howard C. Miller, DPM, Manteca, CA
 
Response: If you are doing all at the same session, you have to remove the hardware to do the overall corrective procedure so you should not be billing CPT 20680. This only is applicable if you do it on another operative session. The ORIF is the surgery; you should be only billing it, that is CPT 28485. The ORIF includes the application of the new plate. 
 
David J Freedman, DPM, CPC, Silver Spring, MD
 
For information on Codingline subscriptions, click here
ortho10

RESPONSES/COMMENTS (OBITUARIES) - PART 1A
RE: The Passing of Edward H. Fischman, DPM
 
Edward Fischman, DPM, 81, passed away on January 13th. He was a 1962 graduate of the New York College of Podiatric Medicine and practiced in Jupiter, FL. His son David M. Fischman, DPM had the honor of practicing alongside him for 30 years.
 
Dr. Edward Fischman
 
Dr. Fischman was past president of the American College of Foot and Ankle Surgeons and the New York State Podiatric Medical Association. He was Chairman of the New Podiatric Medical Association's Clinical Conference, Chairman of the SE Florida Health Council, and former Team Podiatrist to NFL (Buffalo Bills) and NBA (Buffalo Braves).
Earthwalknov419

RESPONSES/COMMENTS (OBITUARIES) - PART 1B
RE: The Passing of Edward H. Fischman, DPM
 
We're saddened to learn of the passing of Dr. Edward H. Fischman. Yesterday was a sad day for the podiatric medical community and all those who knew Dr. Fischman, a wonderful physician who was devoted to the profession. On behalf of the Bako Medical Education Foundation (BMEF), we extend our heartfelt condolences to the entire Fischman family. May you rest in peace, Eddie. We will carry on your legacy here at BMEF and will greatly miss you as a board member.
 
Steve Berlin, DPM on behalf of the Bako Medical Education Foundation
midmarkjan1320

QUERIES (MEDICAL-LEGAL)
Query: Are Cell Phone Photos HIPAA-Compliant? 
 
I do house calls. I want to know if it would be HIPAA-compliant if I took photos of patient ID cards and feet with my cell phone which is password and fingerprint protected. Also, can I store these on Apple Cloud which would also be password protected?
 
Myron Bergman, DPM, Bridgewater, NJ
 
Response: Password protection is not encryption. If you want to store patient data on a service such as Apple cloud, you first need to have a Business Associate Agreement in place with the service that is storing the data, and second you need to make sure that the data is encrypted. Therefore, unless you have both of these in place, I strongly recommend against storing the information in the cloud.
 
As far as taking a picture with your cell phone, once again password protection is not encrypted. Your device is not secure and straight patient information on the cellular phone puts it at much greater risk of being breached. I recommend that you purchase a digital camera and as soon as you get back to your office, transfer the images off of the digital camera onto your computer and then wipe the memory of the digital camera. That is the least risky method of capturing the images of your patient identification cards though that still does pose a risk. If the camera is lost or stolen with patient information on it, it is a HIPAA breach.
 
Michael Brody, DPM, Commack, NY
Gillfeb1218B

RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 2
From: Paul Busman, DPM, RN, Vladimir Gertsik, DPM
 
I wholeheartedly agree that you should never let a patient dictate what procedure and/hardware should be used for any surgery. This is particularly true if the procedure and hardware are not familiar to the surgeon. Tell the patient what procedure you recommend and are really good at. If they don't like that (because they saw something they like better on the Internet?), send them on their way. 
 
Paul Busman, DPM, RN, Frederick MD
 
I find it bizarre for a patient to request such a specific thing. If the patient is so knowledgeable, he or she should perform the surgery on himself or herself. You should send the patient to the author of the YouTube video. It is certainly appropriate to have a discussion about some aspects of the surgery, but not to this level of specificity. A Seinfeld episode comes to mind, when Kramer was complaining about surgical retractors. Send this patient to the manufacturer of the plate, or anywhere else!
 
Vladimir Gertsik, DPM, NY, NY
2020 IS FINALLY HERE!!
 
The New, Exclusive, More Inclusive 2020 Podiatry Coding Manual 
From Michael G. Warshaw, DPM, CPC
 
It is fully updated. It has been streamlined to allow for easier access and reference. It contains the most up-to-date information to aid in coding and billing for appropriate reimbursement and documentation to support what was billed. You will again see why so many podiatry offices across the country refer to this book as their “Bible” when it comes to billing, coding, and documentation. 
Only $125 including shipping!!!
Available in Book and Flash Drive Formats
To order by credit card, just access the website drmikethecoder.com
No credit card? No problem. Just mail a check or money order to: 
Michael Warshaw, DPM, CPC, 2027 Bayside Ave, Mount Dora, FL 32757

RESPONSES/COMMENTS (CLINICAL) - PART 1
From: Dennis Shavelson, DPM
 
Dr. Gurnick raises valid points regarding iatrogenic complications and the overuse of the Lapidus procedure. I respectfully suggest that the underpinning etiology of these complications and overuse are a lack of modern closed chain biomechanics in the decision-making process. Biomechanically, correcting a high forefoot SERM-PERM Interval when existing should be a fundamental biomechanical goal of any bunionectomy. The surgical procedure is often not capable of making this crucial change on its own.
 
Diagnostically, the surgeon must define the amount of “hypermobility” that needs to be corrected. This is because...
 
Editor's note: Dr. Shavelson's extended-length letter can be read here.
2020jun2419

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

Black patent heel with pink satin lining for infants size 0-6 months.
 
Too young for high heels?
 
Extremely funny, completely soft shoes for babies, designed to look like high heels. Your little one will look fabulous in these soft crib shoes designed to look like high heels! Each pair of heelarious heels is packaged in a darling purse-shaped gift box, complete with a rhinestone closure.

Source: Britta Bacon via Virtual Shoe Museum 

ACPMjan1320

MEETING NOTICES

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midwestjan620

Presentjan1320d.jpg

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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE PODIATRIST - TRISTATE AREA, MARYLAND 
 
Great team player wanted for Group Practice with several locations. Full-time associate position is available to start this summer. State-of-the-art, well-trained support staff, in-office surgical center, ultrasound, DME, EMR, x-rays, etc. Competitive salary, excellent benefits and bonus structure. Please email CV to Greatpodiatristjob2020@gmail.com
 
ASSOCIATE POSITION – CENTRAL NEW YORK 
 
Multi-doctor, multi-office podiatric practice looking for a full-time associate to support our growing patient demand. Candidates must be highly motivated, hardworking, and exhibit excellent bedside manner. Competitive salary (base + bonus) offered with benefits. Four season fun abounds in beautiful Central New York. Must be actively seeking Board Certification or already Board Qualified or Board Certified. Send CV to Practice Manager at info@westsidepodiatrycenter.com
 
ASSOCIATE POSITION - WASHINGTON
 
Successful, well rounded multi office podiatry practice with lasers, digital x-rays, mini C-arm imaging, diagnostic ultrasound, diagnostic vascular, shockwave therapy, therapeutic laser and SANEXAS seeking: highly motivated, hard-working podiatrist proficient in forefoot and rearfoot surgery. Compensation 120K base salary + unlimited production bonus, PTO, Health ins, Malpractice coverage, Partnership opportunity, CME credits, Our clinics are located in Kirkland, Everett, Renton. We also visit some nursing homes. Please send CV to seattlefootdoctor@yahoo.com
 
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 -TEAM PFC – SOUTH CAROLINA 
 
Physicians Footcare, SC largest provider of foot & ankle services, is seeking a highly skilled and personable physician to join our TEAM.  If you are ready to live, work, and play comfortably; send letter of interest and CV to: scdpmjobs@gmail.com
 
ASSOCIATE POSITION – NORTHERN, NJ 
 
Full time. Fast growing, multi locations, North Jersey podiatry group practice. Seeking highly motivated, entrepreneurial, well trained surgical and clinical podiatrist, who desires to join private independent practice, Foot and Ankle Premier Specialists LLC. Have NJ license by July 30th 2020. Excellent fast track opportunity to ownership, with full supported medical, billing management services. Send your CV to Kcorona@footandankleps.com
 
FULL-TIME ASSOCIATE POSITION – FLORIDA PANHANDLE 
 
Immediate position available for hard-working, motivated individual in a well-established practice. Equal mix of primary care and surgery. Excellent opportunity to get on all insurance panels. Board qualified/Certified with ABPS preferred. Competitive salary and benefit package. Please email CV and letter of interest to kmoore@feetareneat.com.
 
ASSOCIATE POSITION - CALIFORNIA
 
Come Work for Us, We are a running multiple fulltime clinics thru out the greater Los Angeles area. We are seeking a talented full-time Podiatrist to join our growing team of DPMs. The right candidate will have strong clinical and surgical skills and must be able to hit the ground running. Your success is measured by how quickly you can assimilate into our protocol and procedures. Earn a very competitive salary on top of generous bonuses paid quarterly, additional benefits include medical insurance, paid vacation and holidays, and malpractice, not to mention growth opportunity up to partnership. Please send C/V to: comeworkforDPM@gmail.com
 
ASSOCIATE POSITION - DURANGO, CO / 4-CORNERS AREA 
 
Busy 4-corners foot and ankle clinic searching for podiatrist with 3-year residency training. Practice expanding and in need of motivated doctor who can appropriately treat operative and non-operative patients. Partnership track preferred. Multiple ancillary streams available. Income Guarantee $150-200K first year. Please send CV to nlhuge@gmail.com
 
CURRENT RESIDENT/FELLOW SUMMER 2020 POSITION - SOUTHERN CA 
 
Position for one incredibly talented graduating resident/ fellow to follow their dream and make a difference in our profession. Come join Concierge Podiatry and Spa. You must be entrepreneurial, ambitious and love our profession. Send resume and references to. DrRoth@CPSNewport.com
 
ASSOCIATE POSITION – LOS ANGELES, CA 
 
Established multispecialty private practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Expertise in complex and chronic wounds is needed but residency or wound care certification not required. Full-time and well compensated based on a private practice productivity model with salary and benefits guaranteed. Our experienced team provides beautiful, fully equipped offices with on-site ASCs. We provide trained office staff, marketing and expert revenue cycle management, ensuring doctors can focus on patient care. Excellent opportunity to build a great wound care and podiatry practice as part of a reputable and established company. TWCCJobs@gmail.com
 
ASSOCIATE POSITION – ROCKLAND/WESTCHESTER/SUBURBAN NYC 
 
For experienced podiatrist or recent graduate: Well-established foot and ankle surgery/sports medicine practice looking to hire a Talented Team Player to add to our successful family. Must be surgically trained, willing to work hard, and grow with us. Highly competitive salary. Modern, advanced equipment, including PinPointe laser. Terrific opportunity for the right doctor. Signing bonus. Partnership potential. Please send cover letter and CV to: linchpindpm@yahoo.com 
 
ASSOCIATE POSITION - SUFFOLK COUNTY, NY 
 
Multi-office podiatry practice in Suffolk County seeks full time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to newpodiatrist@optimum.net
 
ASSOCIATE POSITION - NEW YORK- DUTCHESS COUNTY
 
Well rounded podiatry practice includes general podiatric pathology, sports medicine, surgery, and wound care/ limb salvage. Must take call. Currently 6 DPMs and 5 offices. Large number of new patients monthly, digital x-rays, EPAT/shockwave.  Offices located 75 miles north of New York City, in the beautiful Hudson Valley.  Must be willing to relocate to immediate area. Excellent opportunity as 2 senior DPMs continue to cut down. Seeking an associate leading to potential partnership. Please email CV to eriksims@hotmail.com.
 
ASSOCIATE POSITION – SOUTHWEST, FL
 
Immediate and July 2020 positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Athena  EMR, Digital x-rays, Ultrasound, DME. Base salary, plus bonus w extensive benefits. Also 1 fellowship position: ACFAS-approved surgical fellowship open for 2020 yr. MIS, RRA Surgery, Practice Management w over 2400 procedures/650 cases/yr.  Must have foot/RRA ABFAS qualified status by 8/2020.  DrLam@NaplesPodiatrist.com
 
ASSOCIATE PODIATRIST - METROPOLITAN MARYLAND 
 
Established practice (3 locations) looking for a full-time podiatrist with opportunity for partnership. Must be motivated, personable and dedicated to our growing practice. Must have strong skills in wound care, diabetes, general podiatry and surgery. The ideal candidate will be able to merge into an already protocol-based office. State of the art, fully staffed facility including EMR, PadNet, DME, digital x-rays and shoe stores on premises. Staff privileges at 3 local hospitals. Great location close to Washington D.C. and Virginia. Please send CV to marylandpodiatryjobs@gmail.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PHILADELPHIA AREA HOME CARE PRACTICE FOR SALE 
 
Established ten years. Broad referral base includes Home Care & Hospice departments of Penn, Main Line Health, Crozier-Keystone, VA. Mercy, VNA, Private Agencies, MD/DOs & DPMs not doing house calls. Territory includes Philadelphia, Delaware Counties & Main Line. Medicare & Cash Only. Low Overhead! Huge number of homebound patients need care. Great expansion potential into Bucks & Chester counties & world of Managed Care. Leonard Goldsmith, DPM  610-529-7505. captlengoldsmith1@comcast.net
 
PRACTICE FOR SALE - NORTH SAN DIEGO COUNTY, CA
 
30 yr surgical practice 50% ankle/rearfoot. Modern building (seller owned) 1 block from Hosp. PCP, Ortho, urgent care surgical referrals. Will stay for transition. Contracts with ACO and panels transferable. Dedicated staff willing to stay on. Recent grads could acquire enough cases for boards in the first year. Anklepractice@yahoo.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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.
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.
Guidelines
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Barry H. Block, DPM, JD
 
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