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| PM News | |
The Voice of Podiatrists
Serving Over 17,200 Subscribers Daily
February 19, 2016 #5,604  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
FINAL CHANCE TO VOTE
Quick Poll
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Do you provide co-pay assistance or drug manufacturers' coupons to your patients? |
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| PODIATRISTS AND DIABETES | |
SVS, APMA and SVM Publish First-Ever Guidelines for Treating Diabetic Foot
The Society for Vascular Surgery, the American Podiatric Medical Association and the Society for Vascular Medicine collaboratively have published their first-ever set of clinical practice guidelines for treating the diabetic foot, based on a meta-analysis of the available literature. The guidelines, The Management of the Diabetic Foot, were developed after three years of study and were published online in late January and in print in the February 2016 edition of Journal for Vascular Surgery.
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Drs. Lorraine Loretz, Kathya Zinszer, Vickie Driver, and Robert Frykberg |
Podiatric contributors to the article were Lorraine Loretz, DPM, MSN, NP, Kathya M. Zinszer, DPM, MPH, Vickie R. Driver, DPM, MS, Robert Frykberg, DPM, MPH. The committee synthesized the points of view of the three different medical professions by researching one another's treatment protocols. Vascular surgeons and vascular medicine specialists read literature from podiatry and vice versa, for example, and all participants concentrated on infectious disease control and guidelines, a large component of the finished document.
Source: Medical Devices & Surgical Technology Week [2/17/16]
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| HOSPITAL PODIATRISTS IN THE NEWS | |
CA Podiatrist Named Physician of the Year by Hospital
Dr. Salvatore Garofalo, podiatrist at Goleta Valley Cottage Hospital is among the Physicians of the Year honored by Cottage Health. Cottage Heath's Physicians of the Year Awards recognize and reward physicians on the Medical Staff for exemplary performance.
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Dr. Salvatore Garofalo |
Garofalo graduated from the California College of Podiatric Medicine and completed a three-year foot and ankle residency at Benedictine Hospital in Kington, NY.
Source: Noozhawk [2/17/16]
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| ON THE INTERNATIONAL LECTURE CIRCUIT | |
IL Podiatrist Lectures in Costa Rica
Rockford native Dr. Philip W. Seeber recently lectured at Hospital CIMA San José in San José, Costa Rica. Seeber spoke about the treatment of torn Achilles tendons, correcting flat feet, and the use of local anesthetics.
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Dr. Philip Seeber |
Seeber is a second-generation podiatrist at Seeber Foot and Ankle Clinic, which was established in 1938 in Rockford.
Source: Rockford Star [2/11/16]
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| MEETING NEWS | |
Another Record-Breaking ACFAS Scientific Conference
The largest number ever of foot and ankle surgeon attendees from around the world took over Austin, Texas to discuss patient outcomes at the 74th Annual Scientific Conference of the American College of Foot and Ankle Surgeons. With over 1,750 foot and ankle surgeons and 140 exhibiting companies, the 74th gathering of the profession’s premier educational event made history as the largest-ever Annual Scientific Conference held by the College.
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Attendees at 2016 ACFAS Scientific Conference |
“When so many colleagues come together to share in the exceptional educational opportunities ACFAS provides, the results are truly remarkable. Thank you to the hard work of the ACFAS 2016 Committee and ACFAS staff for yet another outstanding conference. Attendees had an unforgettable experience,” said Sean T. Grambart, DPM, FACFAS, president of ACFAS. The 75th Annual Scientific Conference will be held on February 26- March 2, 2017 in Las Vegas.
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| PODIATRIC PRODUCTS IN THE NEWS | |
Neurogenx Opens Second NerveCenter in TN
The second Neurogenx NerveCenter in Tennessee opened Feb. 8 in Jackson, TN. One of only six NerveCenters across the country, the Jackson medical facility is a partnership between David Dowell, DPM, and Neurogenx, the creators of an innovative nerve treatment program that has helped physicians end neuropathy pain for hundreds of patients.
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Dr. David Dowell at grand opening of Neurogenx NerveCenter |
NerveCenters are staffed by specially trained clinicians, certified in the Neurogenx treatment protocol. The centers are independently owned and operated, but receive training, marketing, and business support from Neurogenx corporate headquarters. The treatment is non-surgical and non-narcotic. The technology behind the treatment is patented and FDA-cleared.
Source: The Jackson Sun [2/17/16]
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| QUERIES (CLINICAL) | |
Query: Non-Responsive Plantar Fascial Pain
I have a patient that came into my clinic with classic plantar fascial pain symptoms. After injecting the area with steroid injection and providing pre-fab orthotics, he came back one week later with worse and more severe pain to the plantar and medial heel and foot. He has symptoms of allodynia and will not really allow me to touch his foot. I have treated him with immobilization and physical therapy with no improvement.
An MRI performed to rule out a suspected plantar fascial rupture shows thickening but no tears. He has a negative Tinel’s sign. There are no signs to suggest any sort of seronegative or seropositive arthropathy. I sent him to a pain management doctor who states that after a lumbar injection, there was no relief of the pain. He is not a diabetic. Radiculopathy has been ruled out. I do not suspect this person to be a drug seeker. Any suggestions for other conservative measures?
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| QUERIES (DME) | |
Query: Diabetic Therapeutic Shoe Bill
I was reading the the article regarding podiatric economics in the February issue of Podiatry Management, when I came across the section regarding diabetic shoes. When did the tide turn around that Paul Kesselman now states most claims "are processed without a hitch and are not subject to pre- or post-payment audits." I had stopped dispensing diabetic shoes due to oppressive audits and wondered what changed.
Dale Feinberg DPM, Yuma, AZ
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| CODINGLINE CORNER | |
Query: Bulla - Open Wounds: ICD-10
My patient has complications from large bulla formation related to lymphedema producing open wounds on the anterior surface of each lower leg. This occurred within the last week. The patient is diabetic with acceptable glycemic levels. Would the appropriate code be found in the acute/traumatic S81- open wound lower leg codes or would this fall under the chronic ulcer category L97-? What is the ICD-10 definition of chronic? From my view, the wound is neither traumatic nor chronic.
Jeff Leibovitz, DPM, Indianapolis, IN
Response: It sounds to me what you are describing are stasis ulcers. I believe your starting point for these ulcers is either ICD-10 I83.0- (varicose veins of lower extremities with ulcer) or I83.2- (varicose veins of lower extremities with both ulcer and inflammation). The hyphen (-) after both of those indicates more characters are necessary to complete the codes.
Both of those codes carry with them the instruction to use an additional code to identify severity of ulcer (L97-) so you would need the appropriate L97- code second. The word "chronic" is not always appropriate when we are directed to use it. Don't let it stop you from using the proper code even if you think your ulcer isn’t truly chronic. In ICD-10 language, a wound is something traumatic.
Jeffrey Lehrman, DPM, Springfield, PA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Working Toward Parity though DPM Participation in MGMA Surveys
From: James R. Christina, DPM,
To assist our efforts in the ongoing quest for parity, our members need hard data in reliable industry sources reflecting the actual compensation of today’s podiatric physicians and surgeons relative to other medical professions. To this end, APMA has recently been encouraging its members to participate in the Medical Group Management Association (MGMA) Provider Compensation and Production Survey and Management and Staff Compensation Survey.
By participating in these surveys, participants achieve access to rich compensation data while also ensuring that the MGMA database contains the most up-to-date data reflecting the current education and training of today’s podiatrist and illuminating the full range of services we provide. Keep in mind that the medical industry is already accessing this data when making hiring and compensation decisions, and this profession has a clear interest in making sure they are getting it right.
We encourage all podiatrists to participate so that the data available to healthcare stakeholders and other decision-makers are reflective of the podiatric physicians and surgeons who contribute to the success of our profession. The deadline to participate is March 4; if you have any questions contact APMA’s Health Policy & Practice department at healthpolicy.hpp@apma.org.
James R. Christina, DPM, APMA CEO & Executive Director
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Joe Agostinelli, DPM
As to the various responses to this matter, it seems that our larger podiatric conferences (ACFAS/APMA/FPMA/NYSPMA/CPMA/Midwest, etc.) should have panels on this issue at their respective meetings for the practicing DPMs as well as our resident DPMs. There is a cadre of us who have been in orthopedic surgical practices for many years as well as those with few years of experience in these types of practices.
During my 23 years of active duty in the USAF, the DPMs were in the orthopedic clinics/operating rooms with MD/DO orthopedists every day. When I retired from the USAF in 2004, I joined an existing orthopedic practice with three orthopedic surgeons. To be honest, I only looked at this option because of...
Editor's Note: Dr. Agostinelli's extended-length letter can be read here.
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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 "marbelous"? |
Source: Ellis White via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FELLOWSHIP – DIABETIC FOOT & WOUND (TEXAS)
One position for a 12-month TMB-approved Diabetic Foot and Wound fellowship beginning July 1, 2016. Candidate must have completed a podiatric residency/plastic surgical residency/general surgery residency and be eligible for Texas Medical License. Training involves all aspect of diabetic foot management. Curriculum focuses on surgical limb salvage, and medical management of the complex wound patient. Interested candidates should email their CV, personal statement and 3 letters of recommendation to latonya.rosales@utsouthwestern.edu. UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
WOUND CARE FELLOWSHIP - NEW YORK
CPME-approved 12-month fellowship beginning July 1st, 2016. Hospital and clinic environment with on-site hyperbaric medicine. Work with infectious disease, vascular, general, and podiatric surgeons in wound management. Must have completed a 3-year PMSR program. Please contact drarnoldhertz@aol.com OR jtfootcare@gmail.com EOE
ASSOCIATE POSITION - NEW JERSEY
Seeking energetic podiatrist. You must be trained in all aspects of Podiatric Surgery including forefoot and rearfoot surgery. Be willing to follow and learn proven systems for practice success. Competitive remuneration package. Position available for Summer 2016. If you meet all these qualifications, please apply with CV attached. njpod2013-1@yahoo.com
ASSOCIATE POSITION – WISCONSIN
Our well established podiatry practice in central Wisconsin is looking for a full-time Podiatrist to join our team and who enjoys developing long-term care relationships with their patients. Position will involve seeing patients at Clinic, Assisted Living Facilities, Surgery Centers and Hospitals. Very competitive salary tgleason@familyfoot.org.
ASSOCIATE POSITION - TEXARKANA, TX
A well-established practice is seeking a full time associate podiatrist. Must be BC or BQ by ABFAS. Practice offers a good general mix of all aspects of podiatric medicine and surgery. Competitive salary and benefits/Partnership buy-in. Email CV and letter of interest to office manager at toejob40@yahoo.com.
ASSOCIATE POSITION – YONKERS, NY
Well established podiatry practice is looking for part-time podiatrist to work 2-3 days per week, including some Saturdays. Will work to get you on as many plans as possible. Competitive compensation package with bonus structure & partnership/ownership opportunity for the right individual. Please submit resume: Podiodoc@gmail.com
ASSOCIATE POSITION – MASSACHUSETTS
We are a well-established, very busy, hospital-based multi-doc practice located just north of Boston, seeking full time podiatrist. Excellent referral base and high volume of new patients. We are well integrated within the medical community and active in both hospital out-patient and in-patient care. Competitive compensation and benefit package. Please email CV to footdocsma@gmail.com
ASSOCIATE POSITION - KANSAS CITY (MO) SUBURBS
Not just another job. Associate needed for busy multiple office practice. Three-year surgically trained, either board certified or qualified. Busy surgical practice with strong office volume. Competitive salary and benefits. Partnership track. Send resume to MCrosby518@gmail.com
POSITIONS AVAILABLE - BUFFALO, ROCHESTER, SYRACUSE, AND SURROUNDING AREA
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Buffalo, Rochester, Syracuse, and their surrounding areas. Great opportunity for full-time or part-time income. Positions available immediately! inquiries to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY
Excellent opportunity to join a busy high visibility office with digital x-ray, diabetic shoe store, and 5 years experience in EMR. All phases of podiatry. Good patient volume, lots of DME, and steady reliable income stream. Potential for partnership or purchase. Contact samuel10530@yahoo.com
ASSOCIATE WANTED - SO CAL COAST
Excellent opportunity for the right doctor. Looking for a young, hard working, full time doctor who wants to learn how to run a practice from top to bottom. Need an outgoing, very personable doctor to shadow me and practice similarly. Want someone who would want to take over the practice in the near future. asbf@pacbell.net
ASSOCIATE POSITIONS - FLORIDA
KG Health Partners, Inc., the largest mobile podiatry service in Florida has openings for full time podiatric physicians servicing SNFs, ALFs and Senior Independent Living located throughout Florida. Physicians are provided local facilities, assistants, administrative support including scheduling and billing. All expenses including malpractice insurance, travel allowance, etc. are covered. Exceptional benefit package includes paid holidays, vacation, 401K retirement plan with company match as well as excellent health insurance. First year six figure salary is guaranteed! Second year profit sharing. Most second year doctors earn $150,000 and up. FL License required.Email CV to Rob Cash admin@KGHP.net
ASSOCIATE POSITION - TEXAS - DALLAS SUBURBS
Seeking well rounded individual to join our well established, modern practice. Surgery, orthopedics, wound care, primary care and sports medicine. Very competitive salary with bonus structure and benefits. Early partnership opportunity for the right person. This is a rare opportunity. Please send letter of interest and CV to: Podiatrysbest@gmail.com
ASSOCIATE POSITION – SOUTHERN CALIFORNIA
Are you finishing your residency in June? Full-time associate leading to partnership. Immediate position available. Busy office with multiple locations. Full scope practice. ABPS Board qualified/certified. California license required. Benefits included. Inland Empire. Please forward resume to familyfootcenter@verizon.net
ASSOCIATE POSITION – NORTH TEXAS
Are you looking for a group practice in North Texas? Do you like a fast paced environment? Are you board qualified or certified in surgery? Can you start as early as this summer? If you answered yes to ALL of these questions, please send an email to greatplacetowork@faant.com with the caption "I'm your next associate" in the subject line.
ASSOCIATE POSITION - TAMPA BAY
Well established, dynamic multi-doctor practice in the Tampa Bay, high-tech with EMR and digital x-rays. Sports medicine, surgery and potential partnership. No NH/ HMOs. Excellent hospital privileges. Choose an area of practice concentration that you are passionate about & enjoy a lifestyle 2nd to none. CV to floridapodiatrist@tampabay.rr.com
ASSOCIATE WANTED - WESTERN NY/PA
Busy multi-location practice seeks personable energetic hardworking podiatrist. Come utilize the full extent of your Podiatric training! Competitive salary, bonus, and partnership. NY/PA license required. Send CV to: jhs.podiatry@gmail.com
ASSOCIATE WANTED - NORTHERN VIRGINIA
Seeking an associate to join our practice now or summer who is ethical, skilled, hard working, personable to join our team. Candidate must have a minimum PMSR/36 with RRA training. Must be BC or BQ. Open also to already established seasoned podiatrist. Email to: novapodjobs@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 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 (800) 284-5451.
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| CLASSIFIED ADS PART 2- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - SOUTHEAST FLORIDA
Busy well established successful turn-key podiatry practice for sale. Active adult community. Professionally designed and decorated. Office is immaculate. Working 3 1/2 days a week with a gross approaching 400k. Medicare and cash patients. No managed care. Owner willing to stay for transition. Well trained staff. Make an Offer!. Click on link to view website.
PRACTICE FOR SALE – NORTHERN NEW JERSEY
Established 30 year old practice for sale or for partnership with buy-in. Fully equipped modern upscale office. All the newest technology, including laser, diagnostic ultrasound, digital x-ray, and EMR System. Fully trained experienced staff. Contact drfoot44@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 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 (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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