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| PM News | |
The Voice of Podiatrists
Serving Over 15,717 Podiatrists Daily
February 08, 2014 #4,983  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 | |
FINAL DAY TO VOTE
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| APMA COMPONENT NEWS | |
APMWA Announces 28th Annual Student Writing Competition
The American Podiatric Medical Writers Association has announced its 28th Annual Student Writing Competition.
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All papers MUST be non-technical in nature. Appropriate subjects include practice management, ethics, law, education, or any topic that would be suitable for a lay publication.
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There is no word limitation. Papers will be graded for content, style, grammar, neatness, and overall impact.
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First prize will be one thousand dollars ($1,000), sponsored by an APMA Educational Foundation endowment from Dr. and Mrs. Steven Berlin, and recognition in the APMA NEWS and the APMWA Newsletter. Honorable Mention Certificates may also be awarded.
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This competition is open to ANY enrolled podiatric student.
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Entries must be received by 4/15/14 via e-mail at bblock@podiatrym.com
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Entries become the property of APMWA, which may arrange publication of the entry.
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| INTERNATIONAL PODIATRY IN THE NEWS | |
GA Podiatrist Bequests Gift to APF in Honor of CA Podiatrist
Mort Wittenberg, DPM, a long-time supporter of American Physicians and Friends for Medicine in Israel (APF) recently made a generous gift in recognition of the efforts of its immediate past president, Dr. Paul R. Scherer. Dr. Wittenberg's gift will help support the Fellowship Program that brings exceptional Israeli physicians to the United States for a year of education at a major University Hospital setting with the intent of the doctor returning to Israel to educate other physicians.
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Dr. Mort Wittenberg |
Dr. Wittenberg and his wife have been dedicated supporters of Israel and the APF for more than 40 years. Dr. Wittenberg took time out of his practice in Georgia each year to establish a small clinic at Kfar Menachem in Israel to treat patients before Israel had official podiatrists in the Ministry of Health. He was one of the driving forces, which ultimately resulted in the establishment of the foot clinic at Hadassah Ein Kerem in Jerusalem.
Source: AFP Newsletter [February 2014]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatrist Gets Boost from MP
A podiatrist who is embroiled in a battle to highlight what he claims is a flaw in the regulation of his profession has received backing from his Member of Parliament (MP). Mark Russell took himself off the Health and Care Professions Council (HCPC) register in protest at the way it protects patients from chiropodists and podiatrists who have been struck off for malpractice.
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Mark Russell |
Russell says only podiatrists and chiropodists are protected titles by HCPC standards, meaning anyone struck off from the register can still practice in the industry under other titles, like foot health specialists or podologists. Now he has won the backing of MP Mark Menzies, who has written to the health secretary, Jeremy Hunt, calling for a legislation review.
Source: The Blackpool Gazette [2/6/14]
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| ON THE INTERNATIONAL LECTURE CIRCIT | |
AZ Podiatrist Lectures in Vienna on Advanced Technologies for Diabetes
Professors David G. Armstrong, Director of the Southern Arizona Limb Salvage Alliance (SALSA) at the University of Arizona College of Medicine, Andrew JM Boulton of the University of Manchester, and Jim Reekers of the University of Amsterdam delivered three impactful lectures at the Advanced Technologies and Therapeutics for Diabetes (ATTD2014) Symposium in Vienna. "What we are seeing is a merger of consumer electronics with medical devices-- and it is unprecedented and relentless." noted Dr. Armstrong.
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Drs. David Armstrong and Andrew JM Boulton |
The three speakers described research from their teams that detailed everything from phone-based technologies that can prevent wounds and gangrene to cutting edge vascular technologies that can predict healing. "The future is enormously bright," posited Professor Boulton, who is also President of the European Association for the Study of Diabetes (EASD).
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| HEALTHCARE LEGISLATION | |
Bipartisan Plan Calls for SGR Repeal, 0.5% Increases to 2018; Then Value-based Care
Congressional lawmakers on Thursday unveiled a bicameral, bipartisan agreement to repeal Medicare's physician payment formula and replace it with a system that would provide stable payment updates for five years and shift Medicare to a system based on value versus volume of care. The deal is the product of three congressional committees—Senate Finance, House Ways and Means, and House Energy and Commerce—working to eliminate Medicare's sustainable growth-rate formula and offer incentives for Medicare-participating physicians to move to alternative payment models.
Called the SGR Repeal and Medicare Provider Payment Modernization Act, the legislation would permanently repeal the SGR and provide an annual update of 0.5% from 2014 through 2018. The 2018 payment rates would be maintained through 2023 so physicians have time to receive additional payments through a merit-based incentive payment system.
Source: Jessica Zigmond, Modern Healthcare [2/6/14]
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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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| CODINGLINE CORNER | |
Query: Excision of Os Trigonum
How would I code an excision of os trigonum?
Donald Sheller, DPM, Peoria, IL
Response: CPT 28120 [partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (e.g., osteomyelitis or bossing); talus or calcaneus] is the appropriate code to bill for an excision of talus bone. The os trigonum is considered part of the talus.
Walter Pedowitz, MD, Linden, NJ
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: Sarah Goldberg, CPed
We at Eneslow find that when a patient has one foot significantly longer (a size and a half or more is the general rule, though this may vary depending on the patient's needs) than the other foot, the patient will be more comfortable if she fits each foot individually and purchases two pairs of the same style. If the patient does not wish to do this, she would do better in shoes with adjustable closures so that each foot can get a more specific fit.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2A | |
From: Coyle DeMoss, DPM, Roody Samimi, DPM
I have seen many of these in the last 40 years of practice. It always did not seem to matter about the severity of the fracture or the plane of the break. Many treatment plans have been suggested, not the least of which is wiring the segments back. My experience has shown that the most effective and successful way is to meticulously excise the sesamoid, leaving all soft tissue as close to intact as possible. This solves the problem without fear of hallux deviation. A sharp 15 blade is the best solution to a chronic problem.
Put the patient in a BK cast for 3 to 4 weeks, then switch to a dancer's pad. If he is still symptomatic after three months, do a bone scan to check if there is delayed union. It won't hurt to try bone stimulation, but do this in a cast while the foot is immobilized. If still symptomatic, resection of the entire sesamoid from a plantar (vs. medial) approach may be more practical. I wouldn't worry about hallux deviation if you can stitch the capsule on that medial side, and get some scarring medially. But of course, make the patient aware that this could still happen.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (CLINICAL) - PART 2B | |
From: Barry Mullen, DPM
Since the fracture is 18 months old, intra-articular, exhibits sclerosed, smooth ends with no evidence of periosteal remodeling, and considering its poor blood supply to begin with, this likely represents an atrophic non-union, or pseudoarthrosis. This can be confirmed by bone scan or MRI. However, if there is any residual activity (unlikely), then a bone stimulator is certainly worth a try, but would not be expected to work in the absence of non-viable bone (which is likely what the patient has).
Assuming symptoms warrant, and IF he fails conservative treatment (an orthotic with kinetic wedge and dancer pad accommodation is worth a 3-month trial), then TOTAL removal of the sesamoid makes the most sense since it is unlikely one would prevent the hallux drift from a partial sesamoidectomy anyway.
Post-op, I'd likely still place him in an accommodative orthotic with the same accommodations anyway, so it makes sense to try it pre-op. I think the KISS approach makes the most sense here.
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MEETING NOTICES - PART 2
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
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Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
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| CLASSIFIED ADS |
PRACTICE FOR SALE - NORTHERN NEW JERSEY
Suburban part-time(2 days a week) practice. established for over 30 years. Relatively young patient base. About 20% Medicare. No Medicaid. contact kaymullen18@gmail.com.
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
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
ASSOCIATE POSITION - SOUTHEAST GEORGIA STATESBORO & SURROUNDING AREAS
Beautiful weather year round. Seeking experienced, Family-oriented, podiatrist looking to build a career & long-term relationship. Must be PSR-24/36 trained. Multiple locations. Full range of services with access to Surgical Center. Live in a College town with rural settings. E-mail cover letter & CV to melissafoot@atlanticfeet.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
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 - 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 to associateinfoot@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: 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.
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.
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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- 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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