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| PM News | |
The Voice of Podiatrists
Serving Over 22,180 Subscribers Daily
February 18, 2022 #7,150  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
Last Chance to Vote
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Do you work at/own any business besides practicing podiatry?
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| APMA COMPONENT NEWS | |
APMWA Announces 36th Annual Student Writing Competition
The American Podiatric Medical Writers Association (APMWA) has announced its 36th Annual Student Writing Competition.
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All papers MUST be non-technical in nature. Appropriate subjects include practice management, ethics, law, education, healthcare, 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 one thousand dollars ($1,000), Second prize seven hundred and fifty dollars ($750) Third prize five hundred dollars ($500) 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 4/1/22 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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| PODIATRISTS IN THE NEWS | |
Hyperhidrosis Can Cause Peeling of the Feet: IL Podiatrist
Hyperhidrosis, which causes excessive sweating, is a genetic condition brought on by overactivity in the sympathetic nerves responsible for your fight-or-flight response, explains Sidney Weiser, DPM, founder/clinical director of Quality Podiatry Group. This also controls the sweat glands in your hands, feet, and other areas. “Moisture and darkness cause fungus to grow on your feet, and fungus causes itching and peeling of your skin.”
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Dr. Sidney Weiser |
To battle peeling skin caused by hyperhidrosis, Dr. Weiser suggests using anti-fungal prescription medications such as Lamasil cream or Loprox Gel 77%. “There are also systematic fungal medications such as Sporanox and OTC creams such as Lotrimin and Lotrisone.” If your peeling feet are caused by this condition, it’s important to thoroughly wash and dry them daily. “If you are wearing socks, you may want to change them multiple times a day to prevent moisture build-up.”
Source: Lauren Wellbank, Prevention [2/15/22]
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| ACFAS NEWS | |
ACFAS Regions Support Local Student Scholars
The American College of Foot and Ankle Surgeons has announced its 2022 ACFAS Region Scholars! Each Student Scholar earned a scholarship from his or her respective ACFAS Region in recognition of their strength as a podiatric medical student, future promise as a foot and ankle surgeon, and appreciation for their leadership of their local ACFAS Student Club on their school’s campus. Funds are used to support their travel to the ACFAS Annual Scientific Conference on an annual basis.
Big West Region: Dylan Mariano, AZPod ‘24, Great Lakes Region: Alexis Peters, Kent State '24, Midwest Region: Megan Palmer, DMU '24 and Taha Mahmood, Scholl '25, Northeast Region: Paul Jicman, NYCPM '23, Pacific Region: Youssef Moustafa, CSPM '24 and Donya Rabadi, WesternU '25, Southeast Region: Sheena Cherukara, Barry '24, Tri-State Region: Jacklyn Zvonar, Temple '24.
Source: This Week@ACFAS [2/16/22]
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| MEDICAL ECONOMICS | |
Podiatry 3rd in Average Revenue Per Case in ASCs
Orthopedics tops the pack for ASC revenue per case, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022. The specialty was only the fourth most-represented among ASC cases, however. Nationally, gastroenterology was the most-represented specialty among ASCs, with 32 percent of all cases, followed by ophthalmology, with 26 percent, and pain management and orthopedics, with 22 and 21 percent, respectively.
Average revenue per case:
1. Orthopedics — $3,791
2. Gynecology — $3,117
3. Podiatry — $2,990
4. Urology — $2,724
5. Otolaryngology — $2,617
6. General surgery — $2,508
7. Plastic surgery — $2,264
8. Ophthalmology — $1,487
9. Pain management — $1,273
10. Gastroenterology — $1,079
Source: Marcus Robertson, Becker's ASC [2/15/22]
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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 | |
Coding Mistakes That Cause Practices to Lose Revenue
These are only five areas of improper coding that lead to lost revenue; however, focusing on this list should make a significant, positive difference for the financial and operational well-being of your medical practice.
2. Missing E/M Codes
Oftentimes, this is the result of incomplete charting, typically due to provider distraction. Charts without follow-up typically result in the claim being sent late or unbilled.
Source: Roni Berlin, BSHCM, CPC, CPB, Logan Lutton, Medical Economics [2/8/22]
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| CODINGLINE CORNER |
Query: New at the Wound Care
Our group has recently started working at a wound care clinic in town and this has brought us some coding scenario with skin substitutes that we have not had experience with before. When applying skin substitutes for chronic wounds, we generally use CPT 15004 and CPT 15275. However, it does not appear that billing these together is appropriate. Any guidance would be appreciated.
Codingline Member
Response: With the advent of these products, I provided evidence of their efficacy in front of many MACs with the question of the viability of the wound always on the minds of those representing the MAC. Others in wound care involved in similar discussions, also came to the same conclusion; that is, the body part had to be ready for the acceptance of the graft, otherwise the graft would be rejected. Can you imagine a third-party payer covering the heavy reimbursement for these products for patients with poor vascularity or high HgbA1C? A total waste of taxpayers' money. Most, if not all, agreed the preparation of the wound was included in the application. And so the current principle of the LCD and/or CPT and that any “tidying” up one has to do on the wound to have it ready for the CTP is included in the payment for the application of the CTP.
Certainly one should be doing everything possible to assure that the recipient site for the CTP is ready for its receipt. In my opinion, that starts prior to the date of application. This includes all the standard elements of good wound care. And on the DOS of CTP application, once again, one should be checking the wound to be sure it is in optimal condition for receipt of the CTP. Any tidying up of the wound on the date of application should be relatively minor and thus included in the application of the CTP. As far as which CPT code you select for the preparation of the wound site, that is going to be based on the procedure you actually performed.
Paul Kesselman, DPM, Oceanside, NY
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Diabetes and Eye Health: A Guide for Primary Care Clinicians
From: Leonard A. Levy, DPM
Why not a guide on diabetes and foot health? The American Diabetes Association (ADA) just published a guide, Focus on Diabetes, a three-part series on diabetes-related eye health education for primary care providers. Topics include Overview of Diabetes and Eye Health, Ocular Manifestations of Diabetes, and Supporting Patients and Fostering Collaborative Care.
Why is there not an effort by the podiatric medical profession to encourage the ADA to produce such a guide focusing on foot health in people with diabetes? As in the guide on eye health where each part is written by optometrists and an ophthalmologist, the guide on foot health should be written by podiatric physicians.
With a rapidly rising population of over 65-year-olds in the U.S. population and the corresponding rapid increase of those with type 2 diabetes, such a guide is needed. We desperately need to concentrate more on preventive care, especially but not limited to foot problems and their sequelae among people with diabetes.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (PM ARTICLES) | |
From: Paul Kesselman, DPM
RTM is not remote temperature monitoring. I applaud the recent article in Podiatry Management about utilizing a mat to remotely measure a patient's plantar temperature and the study performed at the VA. However, the use of the acronym RTM mentioned for remote temperature monitoring is certainly bound to cause confusion. RTM more accurately should be reserved for remote therapeutic monitoring, which will give the provider the ability to monitor their patient's response to therapeutic modalities. RPM (remote physiologic monitoring) actually measures physiologic parameters such as temperature, which is exactly what the authors were aptly identifying.
It is thus important for readers to understand that the future use of RTM should be reserved for therapeutic monitoring.
Disclosure: I am a consultant for Siren Care.
Paul Kesselman, DPM, Oceanside, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Would you say this shoe is "marbleous"? |
Source: Ellis White via Virtual Shoe Museum
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $279 (less than $19 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-7/1/22 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE – LUNULA LASER
PRACTICE FOR SALE - NEW HAMPSHIRE, SOUTHWESTERN
Established practice with history of strong cash flow (avg $325K collections - two days per week). Opportunity to expand or enter practice. No routine care. Full array of services with growing patient base. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - QUEENS/NASSAU BORDER, NY
40 year successful well established full time solo practice store front. All phases podiatry. 4 treatment rooms, digital x-ray, physical therapy. Free parking. Most insurances accepted. Current owner looking to retiring, Will stay for transition. Contact bkfootdr@aol.com
PRACTICE FOR SALE - NEW YORK CITY
26 year old Park Ave. practice for sale. Lease till 2028. 575K gross pre-pandemic, Current 250K for 3 1/2 days. 2 Midmark chairs, Orthoscan Fluoroscopy, Digital X-ray, Q-clear Laser, Autoclave, Desks, Waiting Room furniture, New ACs, Computers, Printers, etc. Turnkey.Serious inquiries only for entire practice including equipment. Great for new doctor. 917-328-1510 or email JYouner@iCloud.com
PRACTICE FOR SALE - OREGON
Well established, successful, 35 plus year practice for sale in the Willamette Valley. Fully equipped, 2 locations with lasers, EMR, digital x-ray, shockwave etc., all well maintained. Hospital and surgery center privileges readily available, opportunity for partnership in surgery center. Looking to retire, will stay for transition and assist in your success. Orpod22@gmail.com
ONE-OF-A-KIND PRACTICE FOR SALE - PHILADELPHIA, PA
Turn key upscale boutique 85-year-old podiatry practice. Great location by Rittenhouse Square in Philadelphia, PA. Non-surgical 2021 gross was $378,000/ four days weekly. Majority of practice is fee for service in low overhead beautiful office setting. Seller will stay on for transition.Serious inquiries only. This is a rare cream puff practice / Call (215) 715-1570
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
WOUND CARE/RECONSTRUCTIVE SURGERY FELLOWSHIP - LOS ANGELES, CA
Attention graduating residents! Multi-specialty reconstructive surgical group adding wound care and reconstructive surgery podiatry fellowship for 2022-2023 academic year. Will train in multiple settings alongside plastic surgery and podiatry in new facility. Full salary, health insurance, housing stipend, with more associate opportunities after completion. Send CV to: woundcaredocs@gmail.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2022. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact or jtfootcare@gmail.com. EOE employer.
ASSOCIATE POSITION – NORTH CAROLINA
Foothills Podiatry is an independent, well-established, podiatry practice in the foothills of North Carolina, with easy access to a major city. Looking for a motivated, ethical, and friendly podiatrist with excellent people skills. With one DPM retiring and one in the near future, searching for an immediate and future ABPS board eligible/certified podiatrist to join as an associate/partner. Surgery, wound care, podiatric medicine, and routine care. Busy schedule from the start. Privileges available at 2 local hospitals/surgery center. Competitive Salary/Benefits. Contact bbrackett@foothillspodiatry.com.
MOBILE PODIATRISTS NEEDED IMMEDIATELY! – SOUTHERN CALIFORNIA
Home Foot Care, Inc. Mobile Podiatry Co. is hiring FULL OR PART TIME Podiatrists to treat home bound patients throughout SoCal. Choose your own days/hours, excellent compensation, cloud based EHR, equipment/supplies, support staff, we teach billing/coding. Email CV to: homefootcare@hotmail.com Check out www.footdocs2u.com
PODIATRIST POSITIONS – FLORIDA/SOUTH CAROLINA/GEORGIA
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based lower extremity care to residents living in long-term facilities throughout the states of Florida, South Carolina, and Georgia. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and State licenses. Email CV to kgadmin@kghealthpartners.com
ASSOCIATE POSITION – LA COUNTY, CALIFORNIA
Seeking a full-time podiatrist to provide care at several clinical locations located in LA County. Must have proof of California license, alongside experience in working in a fast-paced clinic. Individual must be trained in practicing rear and forefoot surgery. With patient care being our main focus, associate must be outgoing and personable. Excellent opportunity for those looking to expand their exposure to podiatry in both a clinical and surgical setting. CV can be emailed to lobatswsc@gmail.com
ASSOCIATE POSITION - HAGERSTOWN AND FREDERICK MARYLAND
Offices located in Frederick and Hagerstown Maryland, as well as Gettysburg, PA. Motivated seller/owner of 27 years is ready to sell Hagerstown and Gettysburg practices after one year associate position. Would consider selling outright from the start. Will be available for advising, teaching, and practice management as long as needed. Will sell Frederick office in 5 years as well and owner will become a part time employee. Highly producing, full scope podiatry office. Frederick Surgical Center shares and real-estate ownership are also available. drhenrock@yahoo.com
ASSOCIATE POSITION - NEW YORK- DUTCHESS COUNTY
Large number of new patients monthly, which includes general podiatric pathology, sports medicine, surgery, and wound care/ limb salvage. Currently 5 DPMS and 5 offices. Benefits and stability of bigger group, with culture/environment of a smaller private practice. Offices located 75 miles north of New York City, in the beautiful Hudson Valley. Must be willing to relocate to area. Must take call. Seeking an associate leading to potential partnership. Please email CV to eriksims@hotmail.com.
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Energetic group practice looking to expand. Seek ABPS certified or PSR-36 trained DPM. Must be well versed in footcare, rearfoot and ankle surgery and diabetic wound care. Senior physician considering retirement or transition to part time work. Early partnership opportunity. Please send resume with cover letter to schudson87@gmail.com
ASSOCIATE POSITION – SOUTH CAROLINA
Busy two office practice in Upstate SC seeking a full time Podiatry Associate. Senior doctor looking to slow down. Partnership potential. General Podiatry and Surgery. Benefits include 401K, malpractice, health and dental insurance, CME, short and long term disability. PTO. Please send CV to podiatryresumes@upstatefootdocs.com.
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. A great opportunity for driven personable individuals. Please e-mail Cover letter, CV, short introduction video Email: cnunez1940@gmail.com
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an immediate and exciting opportunity for a full-time, board qualified or board-certified foot and ankle surgeon. Surgical opportunities and privileges available at all major hospitals, as well as mandatory office and hospital call rotations that require experience in foot and ankle trauma. Fellowship training preferred, but not mandatory. Pay structure will consist of salary and bonus. Interested candidates can email ACharlie@footanklenm.com.
PODIATRIST POSITION - NORTHERN DELAWARE
Brandywine Podiatry is looking for a non-surgical full time doctor. Primary role would be to provide care in nursing homes/house calls as well as some added office base non-surgical work. Please send CV to: savage6026@comcast.net
ASSOCIATE POSITION – PINELLAS PARK, FLORIDA
Busy two location practice looking for a full-time associate. General podiatry, wound care, sports medicine, surgery, inpatient. Competitive salary, malpractice, paid time off, CME included. Applicant must be highly personable, caring, and self-motivated. New graduate or experienced provider. Submit letter of interest and CV to precisionfootandankleFL@gmail.com
ASSOCIATE PODIATRIST POSITION- NORTHERN VIRGINIA (MT. VERNON)/SUBURB WASHINGTON, DC
Large fast growing full scope practice, across the street from hospital. No nursing homes or assistive living. 30-year established busy private practice, looking for potential partnership. Base salary $135K, plus incentive pay, malpractice, PTO, paid CME, and retirement. Send cover letter (“Why I am your next superstar”) and CV to hottoe@capitalfeet.com. Website- Capitalfeet.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
Multi-office practice in New York's Hudson Valley. Full-scope Podiatry. Partnering with a NJ Ortho group to be their exclusive NJ foot/ankle provider and acquiring an additional established NY Podiatry practice. Entrepreneurial practice that thrives by offering excellent surgical outcomes, minimally invasive surgery, complex repairs and revision surgery. In-house marketing team, educated staff, CLIA lab, Vascular PADNET, digital x-ray, Podiatry-Specific EMR. Must be confident, detail-focused, surgically skilled and lives and breathes foot and ankle. We are financially strong with increasing revenues annually. Email CV, surgical logs(case details/numbers). Salary $130K-150K/Incentives/Benefits. Drfrankel@frankelfoot.com
PODIATRISTS WANTED – NORTHERN NJ AND LONG ISLAND
1 for NJ nursing homes and assisted living facilities (Passaic County and Northern New Jersey). 1 for Long Island assisted living facilities (Nassau and Suffolk counties) and possible practice work in East Meadow. Great opportunity to earn six figures for the right doctors. Email CV to Jaypurvin@gmail.com
ASSOCIATE POSITION – NASHVILLE, TN
Busy, growing multi-location practice looking for 1-2 new associates in and near Nashville, TN. Looking for partnership-minded individuals to start around August 2022. Competent in hospital care, full-scope podiatry surgery, and business-minded. Looking for hard-working team players. Multiple office-based revenue streams available. Aggressive pay structure with intensive practice management. Relocation stipend, health insurance, and 401k available once vetted. Encourage current senior residents and fellows to apply. sodom@gfacenter.com
ASSOCIATE POSITION - CALIFORNIA
Concierge Mobile Podiatry Practice is looking for providers to cover various areas of Southern and a few areas of Northern CA. Part-time or full-time. Diverse patient demographics treating multiple pathologies primarily at patients' homes or senior living. Structured as an independent contractor with exceptional compensation (55% to 60%) and bonus structure. Choose your own schedule and areas to cover. Office provides full assistance and supplies with many benefits and services. Send CV to: info@anywherefootandanklecare.com
ASSOCIATE POSITION – NEW JERSEY
Seeking an associate to join a fast-growing multi locations, busy expanding podiatry group practice in NJ. Looking for a well trained in all surgical podiatrist in forefoot, rearfoot, and ankle procedures. Independent practice, partnership opportunity, competitive compensation and benefits provided. Start date July 2022 Send CV kmercado@footandankleps.com
ASSOCIATE POSITION – RICHMOND, VA
Foot and Ankle Specialists of the Mid-Atlantic, LLC is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in beautiful and historic Richmond, VA. We are a growing group of 141 providers and 87 locations. If personable, motivated, and well-trained, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed to be considered for this position.
PODIATRIST WANTED - HOUSTON, TEXAS
Seeking highly motivated podiatrist interested in joining a multi-specialty private practice group. Practice includes cardiovascular medicine and podiatry. Looking for podiatrist interested in wound care, foot & ankle surgery, sports medicine, limb salvage. New graduates are encouraged to apply. Send CV to: INFO@THVMG.COM
ASSOCIATE POSITIONS – VA, MD, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA, CT, DE and PA for immediate start)
ASSOCIATE POSITION - BERGEN COUNTY, NJ
Expanding practice, established in the community for forty years, is seeking a full-time associate. Candidates must be highly motivated with great people skills. Well rounded office based practice with no nursing home or assisted living work. ABFAS qualified individual could easily get surgical numbers within 1.5 years if this is your goal. Benefits include: generous transparent bonus structure, PTO, paid malpractice, paid CME and positive working environment. Email CV to: bergenfaa@gmail.com
ASSOCIATE POSITION - SYRACUSE/UTICA, NY
Great opportunity for a new associate to join a rapidly growing team. Looking for a self-motivated, positive individual who would be ready to get their board surgical numbers within the first year. Please send resume to: docryanlee@gmail.com
MOBILE PODIATRIST NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time or Part-time podiatrists to do home , assisted living, nursing homes, adult daycare center visits in NJ. Full Time Position: $100,000 Base Pay Plus BONUS, Paid Gas, Malpractice Ins., Health Ins, Car allowance, Administrative/EMR support. Email resume - Lana.Raginsky@homefootcareservices.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com 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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