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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
February 17, 2021 #6,888  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- 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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Are you in favor of podiatrists getting a plenary license?
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| PODIATRISTS AND SPORTS MEDICINE | |
IN Podiatrist Discusses Kansas City Quarter Back's Turf Toe
Patrick Mahomes' injury report for the remainder of the post-season included his well-documented concussion but also a left turf toe injury he had suffered earlier in the same playoff victory over Cleveland. Mahomes recovered from the concussion. No such luck with the turf toe. On Wednesday, he had the injury surgically repaired, which is rarely a necessity, perhaps because the diagnosis is so generic, synonymous with the mechanism of the injury rather than severity of the tissue actually damaged.
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Dr. Robert Clemency |
Usually, the damage is not severe enough to require victims to go under the knife, according to Rob Clemency, DPM, a podiatrist with Community Care Network in Munster and Schererville. “They typically do well with conservative treatment,” he said. Prior to arriving in Northwest Indiana, Clemency was the podiatrist for the Notre Dame athletic department. “People fail to appreciate, when you are talking about professional athletes, you are talking about a difference in milliseconds,” he said in reference to success or failure. “Little things matter a great deal, not only physically but mentally.” Upon recovery from the surgery, which usually requires 12-16 weeks, Dr. Clemency expects Mahomes to have recovered those milliseconds and his confidence.
Source: John Doherty, NWI Times [2/15/21]
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| PODIATRIC FELLOWS IN THE NEWS | |
VA Podiatrist Starts ACFAS Reconstructive Foot and Ankle Fellowship
Gary Driver, DPM recently started a PERI ACFAS Reconstructive Foot and Ankle Fellowship as in Roanoke, VA. Dr. Driver is an Associate of the American College of Foot and Ankle Surgeons.
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Dr. Gary Driver |
Dr. Driver received his podiatric medical degree from the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science and completed his podiatric residency at the Eastern Colorado V.A.H.C.S. in Denver, CO.
Source: Linkedin
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
CA Podiatrist Joins Santa Rosa Community Health
Emerson Valdez, DPM recently joined Santa Rosa Community Health. Dr. Valdez received his podiatric medical degree from the New York College of Podiatric Medicine.
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Dr. Emerson Valdez |
Dr. Valdez completed his podiatric residency at Wyckoff Hospital in Brooklyn NY. He is affiliated with the Alliance Medical Center.
Source: Linkedin
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Prince Harry's Bunions May be Result of High Impact Training: UK Podiatrist
Prince Harry may be suffering from bunions as a result of his high impact training and action in the Army, a podiatrist has claimed. Dina Gohil, who runs the practice DG Podiatrist and is an ambassador for CCS Footcare, told FEMAIL that while he boasts a "good arch profile," there are signs he could have a mild bunion deformity.
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Dina Gohill |
His feet seem to appear healthy and there is a good arch profile visible. However potentially he may have mild bunion deformity, whereby there is a medial deviation of the joint attached to the big toe, making the bony appearance prominent. "In his case, a likely cause of this condition is the high impact training and action he underwent while in the Armed Forces."
Source: FEMAIL, Daily Mail [2/15/21]
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| 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.
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Today's Featured Article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
2021 Remote Patient Monitoring Changes: Key Takeaways - Part 10
In December, the Centers for Medicare & Medicaid Services (CMS) released its 2021 Medicare physician fee schedule final rule. Within the final rule were some significant changes concerning remote patient/physiological monitoring (RPM) and the provision of other remote services. Here are the most significant takeaways from the final rule.
10. Approved Billing CPT 99091 Concurrently with Newer RPM Codes
Up until the 2021 final rule was released, it was widely believed that it was not permissible to bill the old (i.e., original) provider-specific CPT 99091 used for RPM at the same time as 99457, which went into effect in 2019. But the final rule seems to essentially reverse this interpretation, with CMS now permitting providers to bill for "complex" RPM management when the provider must spend significant time managing the patient and their RPM care plan.
Further, CMS noted that 99091 can be billed each 30 days whenever such complex provider management occurs without affecting the practice's ability to bill clinical staff time via CPT 99457 each calendar month.
Source: Daniel Tashnek, JD, Physicians Practice [1/29/21]
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| CODINGLINE CORNER |
Query: Problems With L Codes
I practice in Virginia and we are experiencing denials for L codes. We are being told that patients are only allowed one L code per every 5 years! It does not have to be from our practice. Has anyone had any issues with this and is it true?
PM News Subscriber
Response: We have been up against this 'Same and Similar" issue now for 2 years and it is not going away. The RACs are denying L1900-L4631 DME as are both Noridan and MyCGS along with SMRCs too! Even if we provide what we feel is a medically necessary AFO, it is possible they have received any device L1900-L4631 within the past 5 years known as “RUL” (Reasonable Useful Lifetime). For Medicare, payment can be made for replacement of DME that is lost, stolen, irreparably damaged, or has been in continuous use for the equipment’s RUL. It is important that your staff does check with all 4 DME MAC’s portals, so both JA/JD at Noridian and MyCGS JB/JC for Same and Similar.
When looking at the reasons on the surface, they seem you can get at least one of these “lost, stolen, irreparably damaged” but the DME MACs make it very hard to get to one of these three. What we have found works best is a new condition that makes the new device medically necessary and explains why the previous device is no longer appropriate. Can you document that the old device is no longer medically necessary, or harming the patient? You will have to appeal these denials so be prepared to do so. Make sure your patient has signed their proof of delivery and have them sign the ABN stating a reason why the same and similar issue may preclude Medicare from paying for the AFO you are dispensing.
David J. Freedman, DPM, CPC,Silver Spring, MD
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Michael DiGiacomo, DPM
In response to the question about treatment for Raynaud’s, if my patient exhibited fixed coloration changes in the digits, I routinely prescribed Nitropaste in the ointment form and had it applied proximal to the affected area. The application was done using an applicator and was done up to three times a day. I instructed the patient to surround the area, meaning if the coloration change was in a distal digit, the circumference of the base of the digit was subjected to the application.
Michael DiGiacomo, DPM, (retired) Oakland, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
RE: CPME 320 and Wound Care Rotations (Bryan J. Roth, DPM)
From: Steven Kravitz, DPM
I would like to take the opportunity to make brief comments regarding Dr. Roth’s note on wound care rotations in the new CPME 320 rewrite and training in podiatric medicine. He is spot on target and makes a very good logical argument for the rationale to ensure that going forward all
podiatrists are trained in residency training programs in the basic concepts of wound healing.
Wound healing has taken on a different form for podiatric medicine and allowed it to become mainstream, fully engaged with equal parity across the field, for treatment in our area of anatomical specialty and provide full services for...
Editor's note: Dr. Kravitz's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
RE: Prescription Orthotics Pearls (Tom Silver, DPM)
From: David Stoller, DPM
For High arch feet: Use standard arch fill, deep heel cup, medial very skive, 4 degrees of varus heel post.
For Low arch feet: use low arch fill, deep heel cup, medial very skive, vertical heel post, overlap like a medial arch area extension of only the top cover over the device giving extra padding to the medial arch in the shoe.
The patient should be plaster-casted NWB with locking in the mid-tarsal joint position.
David Stoller, DPM, Tulsa, OK
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Ivar E. Roth, DPM, MPH
I read the article quoting Dr. Mark Mendeszoon about plantar fasciitis. I think as podiatrists, our message needs to be on point to what we do and what mainstream treatments are. Bringing up dry needling and the like only confuses the public and potentially harms the message.
Ivar E. Roth, DPM, MPH, Newport Beach, CA
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Worn by modern day jesters? |
Source: lifeartcollide.blogspot.ca
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MEETING NOTICES AND WEBINARS
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
MOTIVATED PODIATRIST WANTED - CENTRAL TEXAS
Seeking full-time motivated podiatrist to join our busy practice in Waco, Texas. Candidates should be proficient in diagnosing/treating all foot and ankle related pathology including trauma, rear foot and ankle reconstruction, forefoot procedures, wound care, and diabetic foot related conditions. We are offering a competitive compensation package. Specific details of the compensation package will be discussed with interested qualified candidates. Please email your CV to aszanto@wacofootcare.com www.wacopodiatry.com
ASSOCIATE POSITION - ABINGDON, MARYLAND
Immediate associate position for a well-trained, highly motivated and compassionate individual. Rapidly growing, well established practice with a loyal patient following and strong physician referral base. Offering competitive salary with bonus structure, 401K, PTO, CME allowance, health (including vision and dental) and malpractice insurance. All aspects of podiatry with emphasis on wound care/diabetic surgery/limb salvage. Please email cover letter and CV to michael@mkblockdpm.com
ASSOCIATE POSITION - CENTRAL PA
Once in a lifetime opportunity for a highly motivated physician. We are located in the fastest growing county with a top-rated school district. Our newly expanded office features digital x-ray, MLS Laser, EPAT, DME, 4-D Orthotics, ABI, extensive OTC products including orthotics and footwear. We service a large hospital system and train residents in a 3-yr PMSR. Must be BQ /BC FF/ RRA and interested in Limb Preservation. Offering six figure salary with sign on bonus, PTO, full medical/dental, STD/LTD, 401K, malpractice insurance, all dues and CME paid, partner opportunity. Send CV to footpainpros@gmail.com.
ASSOCIATE POSITION - GREATER HARTFORD, CT
Our four-doctor practice is looking for an associate to join us this coming Summer. Competitive six figure salary with a bonus structure, health insurance, 401-k and vacation benefits. You must be personable. Surgical training is desired. Send resume to latifdpm@gmail.com
GREAT OPPORTUNITY IN RURAL NORTH CAROLINA
20+ year old practice in North Carolina, all aspects of podiatry. Loyal patient following, physician referral base. EHR, staff in place. Low overhead. Great potential for any type of podiatrist. Will stay for transition if desired. 252-813-3136.
ASSOCIATE POSITION - NW FLORIDA/COASTAL ALABAMA
Busy, well-established practice, EHR, digital x-ray, diagnostic ultrasound. Offering competitive six-figure salary w/bonus structure, health/malpractice insurance, and PTO. PSR-36 required. Partnership path to motivated and compassionate associate. Must obtain Florida and Alabama licenses. Send CV: Brentmharwood@gmail.com
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS credentialed fellowship avail, must be BQ ACFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION WITH OPTION TO BUY – BRONX, NY
Full time or part time with option to purchase. Co-Op City, Bronx New York. Established in 1969. Full scope of podiatry. MUST PARTICIPATE IN INSURANCE PLANS. Pleasant office; great patients; Great opportunity. Call or text 914-772-3842 or email: Lwolstein@aol.com
ASSOCIATE POSITION - FLEETWOOD, PENNSYLVANIA- SOUTHEASTERN PA
Suburban 3 office practice looking for a full-time, motivated, outgoing associate for immediate opening leading to possible partnership. Well trained surgically & board qualified/certified. Competitive salary, bonus, health insurance, and malpractice insurance. Email CV to Kathy.Geist@FleetwoodFootcare.com
ASSOCIATE POSITION - HUDSON VALLEY, NEW YORK
We are a high-volume, diversified, multi-office podiatry practice utilizing state-of-the-art modalities. Ample growth opportunity for a personable and highly-motivated DPM. Please forward CV to: jobs@hvfa.com
ASSOCIATE POSITION - NEW YORK CITY
Looking to hire podiatrist for nursing home facilities in 5 boroughs and podiatry office in Brooklyn. Please respond with resume and work history to jayray822@aol.com.
ASSOCIATE POSITION – NORTH CAROLINA
Immediate Full-time or Part-time. General podiatry. Offices in Durham and Oxford. Diabetic foot care, diabetic shoes, custom orthotics/AFO, reconstructive surgery, wound care, shockwave therapy, laser nail, hospital/surgery center. Ideal for experienced podiatrist or recent graduate. Salary plus bonus and benefits. Must have NC podiatry license and BC/BQ. oxfordjob123@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New 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, guaranteed 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 – MIAMI, FL
We are a growing practice in Miami, FL with three podiatrists working in 1 office and on staff at 3 hospitals. Attractive Salary Practice is equipped with certified EMR, digital x-ra, and laser. Send CV to JenniferRoselloDPM@gmail.com
ASSOCIATE POSITION – MCALLEN, TEXAS
Offering competitive compensation, Foot Center McAllen/Weslaco, a 40+ year, 2-location practice searching for highly motivated and responsible Associate. A great opportunity for those looking to join a well-established practice with huge potential for continued growth. Located in McAllen, Texas – ranked #3 of 150 cities in the U.S.A. according to U.S. News and World Report. Experienced, new graduates, or soon graduating 3rd-year-residents will be considered. Email cover letter and CV to Dr. Tin Quach to equach@mcallenfootcenter.com.
ASSOCIATE POSITION – NEW YORK
Seeking a highly motivated individual interested in evolving in private practice to a wealthy and knowledgeable affiliate entity with a large surgical based podiatry group. Surgeons with a two or three year residency preferred. Come join and Let’s keep New Yorkers on their feet! Please email your CV at podiatrynewyork@gmail.com
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an exciting position open for a board qualified or board-certified foot and ankle surgeon to start in the fall of 2021. You can view our website at footanklenm.com. Spanish speaking and Fellowship is a plus but not a requirement. Billing/coding experience is preferred. Compensation is a competitive salary plus a percentage bonus structure to start. Please email CV and cover letter to rrivera@footanklenm.com.
ASSOCIATE POSITION – KENTUCKY
Associate position available for a compassionate physician for busy, well-established office in beautiful Central Kentucky. Extensive range of services offered with ancillary services onsite and hospital surgical privileges available. Enormous potential for rapid growth. Generous salary with incentive/full benefits and partnership opportunity. Email CV and cover letter to: Kyfootdr@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 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
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE- WEST COAST/TAMPA FLORIDA SUBURB
World class beaches, top rated communities, water sports, golf, reasonably priced real estate, active lifestyle and “Champa Bay” pro sports await you. Unique opportunity to own a reputable, profitable practice. Control rental overhead as this medical condo is also available for purchase. Practice in a well-integrated foot & ankle environment, including hospital privileges. Serious inquiries only please email Sunpodiatry5@gmail.com.
PRACTICE FOR SALE - TEXAS
COVID Proof practice grossing 500K in 2020 - 2 ½ days weekly. Primarily biomechanics - orthopedics. Easily double gross by retaining surgery & wound care. Freestanding office included with 4+ TX rooms. No money down owner financing available. Can stay for transition. Contact fjhenry2111@yahoo.com
PRACTICE FOR SALE - SOUTHEASTERN VIRGINIA
Well established practice with sustained high income, great location. Diverse surgical and general practice with full hospital privileges available, Digital x-ray, ultrasound, DME program, EMR linked to National billing company. Willing to stay for transition. Email: officemail1@cox.net
PRACTICE FOR SALE - MANHATTAN EAST SIDE
Part-time practice opportunity on Manhattan's upper east side. Hospital and public transportation one block away. Ground floor. Fully furnished. Expansion of hours possible. Contact 917-841-6805.
PRACTICE FOR SALE - ROCKLAND COUNTY, NY
38 year old practice well established high patient load and new patients. Focus on biomechanics, orthopedics, and general podiatric care with some surgery and wound care. Great potential for surgery, wound care and DME Will stay for transition. Contact sfessel@gmail.com
PRACTICE FOR SALE - VAN NUYS, CALIFORNIA
Motivated Seller. General podiatric 53 year old practice for sale in Van Nuys California, next to hospital. Great growth potential. Will stay to help transition. Call Ron Miller at 310-980-1822 or email to remillerdpm@sbcglobal.net
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details.
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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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