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| PM News | |
The Voice of Podiatrists
Serving Over 15,713 Podiatrists Daily
February 07, 2014 #4,982  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- 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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| AT THE COLLEGES | |
KSUCPM Honors the AACPM
Kent State University College of Podiatric Medicine (KSUCPM) honored the American Academy of Podiatric Practice Management (AAPPM) on January 31, 2014 for AAPPM’s continued support of the College and the students. AAPPM has been instructing students at KSUCPM for the last five years. The practice management curriculum is built into all four years of study and is exclusive to Kent State University College of Podiatric Medicine. The coursework is designed to provide students with the information and skills necessary to manage a successful podiatric practice.
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(L-R) Drs. Andrew Schneider (AAPPM Secretary), Hal Ornstein (AAPPM Chair), and Bryan Caldwell (KSUCPM Interim Dean) |
According to Dr. Bryan Caldwell, Interim Dean, “The partnership between the College and AAPPM has been incredibly beneficial over the years. Our students have a very unique opportunity to interact and learn from leaders in the field of podiatric practice management. This partnership provides Kent State CPM students with the management tools necessary to achieve success. We look forward to a continued partnership for years to come.”
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Codes for Podiatric Medicine and More! 2013/2014 (26th Edition)
Make the transition this year with minimal stress and ultimate convenience.
This two-volume set contains podiatric medicine specific ICD-9-CM, ICD-10-CM (cross-referenced), E/M, HCPCS, CPT, E/M, E, and V codes, modifiers, guidelines for wound care, diabetic foot care, the Medicare Diabetes Shoe Program, and more.
Telephone and email support is provided at no additional cost for help with your tough coding questions.
Accept no substitutes. My publication is the one that you hear about. Join the thousands of satisfied podiatrists using my coding manuals for over 25 years. Available for immediate shipping!
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| PODIATRISTS IN THE MEDIA | |
PA Podiatrist is a Finalist In GMA Wedding Contest
Hundreds of couples entered Good Morning America's Epic Wedding Showdown for the chance to compete to win an unforgettable Valentine's Day wedding ceremony, complete with a special performance by John Legend, live on " GMA." Four finalists were chosen from the pack and will face-off in competition with physical challenges and more that you don't want to miss on "GMA" on Feb. 5-7.
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Brittany Buck and Dr. Paul Stasko |
Brittany Buck and Dr. Paul Stasko are Team Green. He's a podiatrist and she's a claims adjustor. This couple says they already know what it means to pledge their undying love to one another, in sickness and in health. In 2010, Brittany was diagnosed at age 27 with ovarian cancer. Overwhelmed by her illness, Brittany says she tried to end things with Paul. But he was in it for the long haul and insisted on staying by her side, through multiple operations and rounds of chemotherapy. Now cancer-free, Brittany says she can't wait to say her "I Do's."
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| PODIATRIC STAFF AND THE LAW | |
MA Woman Pleads Guilty in $1.2m Theft from Podiatrist
A Dartmouth woman has pleaded guilty to stealing more than $1.2 million from the elderly doctor she had been hired to care for. Gloria Balestracci was sentenced Tuesday to two years in jail, 10 years of probation, and ordered to repay the entire amount. Balestracci, 68, pleaded guilty to a variety of charges including larceny over $250 from a person over 60 and forgery.
Prosecutors said she stole from the late Dr. Irving Snyder, a New Bedford podiatrist, between 2004 and 2009. Balestracci forged Snyder’s signatures on checks that she cashed for her personal benefit and made credit card payments from the doctor’s account to finance a gambling problem. Snyder died in 2009 at age 90.
Source: Associated Press [2/5/14]
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| QUERIES (CLINICAL) | |
Query: Practical Solution for Long Second Digit
I have a prospective patient with a size larger left foot and a long second toe. She has a short left leg due to hip replacement and scoliosis. The primary problem is that the left second toe is painful in closed shoes. She does buy larger shoes, but if she buys them too big, then the right shoe is too loose. I haven't seen her yet, but am thinking the only "practical" solution may be shortening the long second toe. Any suggestions, other then don't wear closed shoes would be appreciated.
David Kahan, DPM, Sacramento, CA
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Lawrence M. Rubin, DPM, Steven J. Kaniadakis, DPM
The x-ray findings are characteristic of a fracture due to avascular necrosis (AVN) of the sesamoid, sometimes referred to as "Renander's disease." MRI will probably show some characteristic marrow edema and trabecular compression. In my experience, if the patient can wait it out with biomechanical means of off-loading the sesamoid area, the bone regains its blood supply, the osteoclasts remove the necrotic bone, and the fracture eventually heals. My experience with this predates bone stimulation, but, in theory, I think it may speed up this process.
I suggest using an orthotic device with a "U" shaped padding in a forefoot extension immediately proximal to the metatarsal head. This patient is too young for surgery. It would not be my practice to be responsible for ruining his game, or developing other forefoot complications.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
RE: Unusual Tibial Sesamoid Fracture
From: Robert Colligan, DPM
First, kudos for taking excellent radiographs. Second, are you sure you are seeing a tibial sesamoind fracture? It looks to me like it's the medial side of the fibular sesamoid, thus an avulsion fracture due to the pull of the intersesamoidal ligament. My experience in very general terms is that such a small avulsion fragment rarely heals, despite aggressive conservative care; including non-weightbearing and partial weight-bearing modalities. I have not used a bone stimulator for sesamoidal fractures.
Many people are born with bipartite or even tripartite sesamoids, and are asymptomatic. So my goal in conservative treatment is not necessarily consolidation of the fracture, but to obtain a syndesmotic healing. Unfortunately, this rarely seems to resolve symptoms. Several have led to surgical excision of either the smaller segment or the entire sesamoid. The majority of the time, I find that the syndesmosis did occur, although it remained symptomatic, and I removed the entire sesamoid. It's not until I further dissect the sesamoid on the back table that I am able to find the fracture in segment(s).
I have removed fibular or tibial sesamoids. I've always feared, and indicated to patients prior to surgery, the risks of bunion development in tibial sesamoid excisions. But to this point in my career, I have not found that to actually occur. In a perfect world, repairing the fracture would be ideal, but with such a small avulsion, it's just not enough bone for internal fixation.
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ACE USA and RPS Healthcare Expand Podiatrist Professional Liability Coverage
The Patient Protection and Affordable Care Act and Centers for Medicare & Medicaid guidelines and rules resulted in a record number of investigations and enforcement actions in 2011. ACE Medical Risk, a division of ACE USA, has responded through an endorsement that increases limits on Medicare/Medicaid legal expense reimbursements, raising coverage limits from $30,000 to $50,000 per action, with an annual aggregate of $50,000. This product is underwritten by companies within the ACE Group, an A.M. Best “A+” rated carrier, and is offered to podiatrists exclusively by RPS Healthcare, National Program Administrator of the Podiatry PLUS programs and one of the largest wholesalers and the largest Managing General Agent in the country. For more information Call 800-397-9697 ext 2646.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2A | |
From: Evan Meltzer, DPM
Check out the following article: Zelen, CM, Poka, A, and Andrews, J. “Prospective, Randomized, Blinded, Comparative Study of Injectable Micronized Dehydrated Amniotic/Chorionic Membrane Allograft for Plantar Fasciitis- A Feasibility Study." Foot Ankle Int published online 14 August 2013.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2B | |
From: Paul R. Scherer, DPM
Ever since Kogler published his article in 1999, our profession understands that plantar fasciitis has a mechanical origin, the majority of times. Most organizations' “best practices” literature recommend mechanical control of the midtarsal joint with orthoses as the first line of treatment. The literature supports the positive outcome with orthotics (Scherer 1991, Lynch 1998, Landorf 2006, Roos 2006) in as high as 86% of the cases, and in all cases greater than with the use of oral or injectable anti-inflammatory meds.
Your particular case of a 42-year-old female with twice as thick plantar fascia on the symptomatic side might indicate a systemic origin of her plantar-fasciosis. This is an actual change in the collagen matrix from either a previous tear, if the symptoms are long-term, or a seronegative spondyloarthropy (SpA) in which orthoses would be symptomatically supportive until the diagnosis is made.
Paul R. Scherer, DPM, Owner ProLab Orthotics, Napa, CA, hpoc@aol.com
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Jeffrey M. Robbins, DPM
The American Board of Podiatric Public Health does indeed exist, as evidenced by my latest annual dues bill from ABPM which is the current administrative entity. That said, this certification is no longer available to anyone else as there was not the critical mass of interested practitioners to maintain it as a separate specialty of practice for podiatric medicine. With the loss of Marty Mussman last month, we have one less board-certified public health podiatrist in our midst, which is estimated to be approximately 40 podiatrists. If there is enough interest to re-establish this certification, it will require a ground swell from the field.
I submit that there are a lot more providers who should consider themselves public health podiatrists than we think. Anyone involved in our professional societies that include in their mission, goals, and objectives an obligation to public health (APMA, Component Societies, State Boards, CPME, etc.), every college faculty member, residency director, or residency faculty who protects the public health by ensuring that graduates are qualified to practice on the public, are practicing public health. Anyone who works in a community clinic, participates in medical missions or is involved in any federal service facility (Military hospitals, DOD, VHA, IHS, PHS) is practicing public health. The real question becomes…does this certification have any value? I think it does, and so I am board certified in Podiatric Public Health.
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MEETING NOTICES - PART 2
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ARGENTINA IS CALLING YOU -
BUENOS AIRES, BEAUTIFUL ESTANCIA & MENDOZA
3 Stops - Leisure Agenda - CME Hours - Great Food !
Director-Sam Mendicino, DPM. Program benefits Houston Residency Programs.
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| CLASSIFIED ADS |
ASSOCIATE POSITION - UPSTATE NEW YORK
Mmulti-specialty, busy practice looking for highly motivated Podiatrist. Outstanding opportunity, excellent salary and benefits, working with three Podiatrists as well as residents, high volume of surgical cases, advance wound care, broad based referrals, and Electronic medical records. Opportunity for partnership. Please submit CV toassociateinfoot@yahoo.com or fax 607-723-1567.
ASSOCIATE POSITION - MISSOURI
Midwest practice opportunity for candidate with practice experience, PSR 24/36 trained, BQ/BC. Associateship leading to ownership. Surgical and general podiatric practice with high volume foot surgery, wound care and hospital affiliations. Email mailto: Email stcpod@att.net
ASSOCIATE POSITION - TENNESSEE
Opportunity for fully credentialed podiatrist(s) needed to join or purchase a high-volume practice with enormous growth. Located on the largest medical center/hospital campus in East Tennessee. Please email CV, letter of intent, and references to PodiatryFootAnkle@gmail.com.
ASSOCIATE POSITION - NY (ROSLYN AND HUNTINGTON)
Join one of the largest podiatry groups on the East Coast. Well established and progressive offices, including EMR, digital x-ray, PVR and NCV studies, PinPointe laser, and Microvas therapy. For more info, www.GreatFootCare.com. Send resume to: Dr.Kassaris@yahoo.com.
ASSOCIATE POSITION – CONNECTICUT
High volume practice seeking a hard-working, motivated, Connecticut licensed podiatrist. Duties to include diabetic foot care, wound care and minor office procedures. Please submit CV to: podiatrypeople@gmail.com
ASSOCIATE POSITION - CALIFORNIA (SANTA CRUZ COUNTY)
The Foot Doctors of Santa Cruz County is a multi-office podiatric group looking for a self-motivated, committed podiatrist with a CA license. Offices are up-to-date with EMR, digital x-ray, and laser. Duties include all aspects of podiatry including wound care, surgical cases and nursing homes. There is great surgical growth potential. Must intend to reside locally. Send CV to: srfctysc@gmail.com
ASSOCIATE POSITION - KENTUCKY
Immediate opening for palliative/general podiatric care provider in established clinics, nursing home and assistive living settings in beautiful Southern Kentucky. Travel involved, but transportation provided along with ability to provide a wide range of clinical care including DME. Board certification not mandatory, but must be eligible for KY state license. Base salary with incredible bonus opportunity/full benefits. Join Kentucky’s largest and most respected podiatric group. Email CV and letter of interest to:jonkim12000@yahoo.com
ASSOCIATE POSITION – SOUTHERN, NJ
Part-time position available in Southern NJ. Podiatrist wanted for house calls as well as some facilities. Flexible schedule, possibly leading to office hours in the future. Well established practice, now extending services. Looking to fill this position immediately if you are available. Please respond to drjpel@aol.com.
ASSOCIATE POSITION - PUERTO RICO
Looking for a well-motivated surgically trained podiatrist for a 20 year-old hospital-based multi-office practice. WILL BE INTERVIEWING PERSONALLY AT 2014 ACFAS MEETING IN ORLANDO Candidate must be personable, ambitious, and knowledge of SPANISH language a must. Hospital surgical privileges available with heavy load of high-risk diabetic foot patients. This position leads to PARTNERSHIP, and eventually ownership. Offices located near San Juan Metro area nearbBeaches, great schools, and major shopping malls. Please send CV to medicopodiatra@aol.com.
ASSOCIATE POSITION - CENTRAL PA
Looking for an associate with strong surgical training. Personal and energetic a must. The physician will provide all aspects of podiatric practice, including sports medicine, wound care, and foot and ankle surgery. Competitive compensation package. Partnership opportunity for right person. To apply, please email, letter of intent and CV to premierfootpa@outlook.com
ASSOCIATE POSITION - WASHINGTON, DC/MD
High volume practice with sports medicine emphasis looking for a PSR24/36 month trained full-time associate to replace retiring senior partner. Work with a prominent residency program with an opportunity to invest in an outpatient surgery center. Please send CV and cover letter of practice philosophy to hgodpm@gmail.com
ASSOCIATE POSITION- MANHATTAN AND BROOKLYN
Podiatrist wanted for busy, expanding group practice which covers all aspects of podiatry including surgery. Must be able to work in both Manhattan and Brooklyn locations. Position available asap. Please send resume and references to yfrierson@starrettpodiatry.com.
FULL TIME PODIATRIST NEEDED - BROOKLYN, NY
Excellent opportunity for a motivated, ethical and enthusiastic associate. Practice is established and hospital affiliated. PSR 24/36 and Board eligible/certified by ABPS preferred. Must be competent in forefoot and rearfoot surgery. Competitive salary with incentives. Email CV to manfootcare@aol.com or fax to (718) 875-3171.
ASSOCIATE POSITION – SW FLORIDA
Immediate position available in SW Florida. Podiatrist to join a small group. Must be Florida licensed, surgical privileges pending experience. Board Certification or Qualified preferred but not necessary. Some nursing home care and limited travel. Excellent pay and lifestyle. Send CV to: 1foot.ankle@G-Mail.com
ASSOCIATE POSITION – CHICAGO, IL
Podiatrist in Chicago. Independent, energetic Dr. needed to do house calls; schedule will be accommodated due to Dr.'s preferences; both full- and part-time will be considered. Send your inquiries to: dpms2@hotmail.com
HOME FOOT CARE, INC. – LOS ANGELES, CALIFORNIA
Be part of the fastest growing podiatric house call company on the West Coast! We need motivated, honest, caring podiatrists to treat our growing network of home patients located in the greater LA area. Flexible hours, independence and great compensation! If interested, send CV to:homefootcare@hotmail.com. Check us out @ www.footdocs2u.com
ASSOCIATE POSITION – TEXAS
Corsicana Foot and Ankle is seeking an PSR-24 associate with possible future partnership. Brand new state-of-the-art facility, one hour south of Dallas, complete with EMR, digital x-ray, PADnet, ultrasound and hospital privileges. Competitive salary with benefits. Please send Letter of Interest and CV to footdoc3143@gmail.com
PODIATRY OFFICE FOR RENT - STATEN ISLAND, NY
1000 square foot (approximate) office in large modern medical center. Good parking, public transportation, 36 years as a podiatry office. 5 exam rooms, business office, lab, reception room, bathroom, central air. Great layout. Designed for Podiatry/medical. Call 212 794 0089.
PRACTICE FOR SALE - CONNECTICUT
Well-established, 35-year-old reputable practice/condo with approx 2,500 Square ft. Grossing approximately $450,000. Outside Hartford area. All phases of podiatry. Contact drsch52@hotmail.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
PM News Classified Ads Reach over 15,500 DPMs and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 15,500 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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