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PMNews
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PM News |
The Voice of Podiatrists
Serving Over 15,782 Podiatrists Daily
February 22, 2014 #4,995 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 |
LAST DAY TO VOTE
Quick Poll
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In the past year, have you been asked to return money to insurance companies for procedures deemed investigational or experimental ? |
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Click HERE for Results |
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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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PODIATRY IN THE NEWS |
Podiatrist Among "12 Gross Jobs That Pay Pretty Well"
Feet. Some people love them. Most people try to avoid them. The first issue with feet is that they can smell. And smell pretty bad, too. Being trapped in socks and shoes all day doesn't help, but then you get things like corns, bunions, athlete's foot, ingrown toenails, and nail fungus. Not the kind of thing anyone wants to see first thing in the day. However, the financial rewards are great. The average podiatrist takes home $177,000 per year. Of course, it takes time and money to become qualified, but that soon pays off.
Source: Paul Michael, Wisebread [2/20/14]
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ON THE LECTURE CIRCIT |
NY Podiatrist to Keynote at HIMSS Tech Meeting
Jaime Torres, DPM, MS will be the keynote speaker for the health disparities sesson of this year's HIMSS Meeting. Torres is Regional Director of the New York Regional Office for Health and Human Services (HHS), He will be speaking on “Eliminating Health Disparities in Underserved Communities” on Wednesday, February 26th.
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Dr. Jaime Torres |
The session will explore how the HITECH Act and ACA help address health disparities in underserved communities, as well as the critical role the adoption of health information technology and increased patient engagement are playing in chronic disease management and population health improvement. Also speaking at HIMSS will be podiatrist Dr. Michael Brody.
Source: HINSS News [2/21/14]
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PODIATRISTS AND FOOTWEAR |
Platforms Work Best for High Heel Wearers: NY Podiatrist
Many women are high on heels, but they neglect to realize that over-wearing them can be a step in the wrong direction. "Women do love their high heels, and rightfully so. They make a leg look fantastic. However, there are certain consequences with wearing high heels," says Dr. Thomas Goldman, a podiatrist from Mount Sinai Beth Israel.
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Dr. Thomas Goldman |
First, the incline is an anatomical disaster, so he says let your foot lay low. "Stick with a two-inch heel. When you start getting up above that, try to wear a platform type of heel that raises both the front of the foot and the back of the foot. This gives the image of a higher heel. However, it keeps the foot in a more optimal anatomical position," Goldman says.
Source: Jill Urbam, NY1 [2/20/14]
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CODINGLINE CORNER |
Query: Tibialis Anterior Repair Coding
I performed a tibialis anterior repair with excision of damaged tendon, slide graft, and re-attachment to the cuneiform. What is the appropriate CPT coding for this procedure?
Carl Ganio, DPM, Vero Beach, FL
Response: A tendon repair is a tendon repair no matter what steps are required to repair it. I suggest CPT 27665 (repair of extensor tendon of the leg).
Tony Poggio, DPM, Alameda, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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ACE USA and RPS Healthcare Expand Podiatrist Professional Liability Coverage
The Patient Protection and Affordable Care Act and Centers for Medicare & Medicaid guidelines and rules resulted in a record number of investigations and enforcement actions in 2011. ACE Medical Risk, a division of ACE USA, has responded through an endorsement that increases limits on Medicare/Medicaid legal expense reimbursements, raising coverage limits from $30,000 to $50,000 per action, with an annual aggregate of $50,000. This product is underwritten by companies within the ACE Group, an A.M. Best “A+” rated carrier, and is offered to podiatrists exclusively by RPS Healthcare, National Program Administrator of the Podiatry PLUS programs and one of the largest wholesalers and the largest Managing General Agent in the country. For more information Call 800-397-9697 ext 2646.
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RESPONSES/COMMENTS (CLINICAL) |
From: Stephen Musser, DPM
With all due respect, if I were a betting man (I'm not), this looks/sounds like a case of granuloma annulare. A biopsy is the way to go to rule out this self-limiting condition. Reasons why ringworm would be lower on my list are, first: in a young girl, ringworm is not very common (yes, it can happen, but it is not common); second: the condition is on the dorsal aspect of the foot.
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 |
From: Ken Hatch, DPM, Joseph Borreggine, DPM
I ALWAYS paid my staff if I shut down However, on MANY snow days my office manager came in anyway and WE worked on outstanding charts with insurance/billing questions.
Our office written policy allows our employees three paid "emergency days" that are considered "acts of God", which will also cover any weather conditions preventing the employees from coming to work. All employees who are hired are given these days upon the start of their employment. They are renewed annually. Each employee signs a receipt of all office policies.
It is an executive decision on my part (as I am liable for all parties involved regarding employment and commerce). This decision is solely based on the safety and welfare of not only the employees, but for the patients' safety as well. When a general public warning is or has been given to the surrounding community regarding emergency driving only, or the weather conditions have resulted in school closures, then I usually close the office that day.
When all three of the "emergency days" are exhausted, then the employee may choose to use their allowed "Paid Time Off" (PTO) or vacation days to receive compensation for that day. If they choose to do neither, then then they will not be compensated for that day. If an employee has already arrived at work and the weather or "Act of God" will or has happened, then they will be told to go home and be compensated accordingly based on their available "emergency", PTO, and vacation days. If the employee opts not to leave the office and continues to stay and work, then they will be doing so at their own risk.
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 |
From: Joel Lang, DPM
When I was in practice, we had 'defined policies' for handling snow days as well as most other office-related issues. I used paper appointment books at that time, but for those with electronic scheduling, the process can be modified accordingly.
When snow was in the forecast, my secretary would take home a photocopy of the appointment schedule for the day(s) in question, as well as the next 5 days of appointments. Next to each name for the next day or two, she would...
Editor's note: Dr. Lang's extended-length letter can be read here.
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RESPONSES/COMMENTS (PM ARTICLES) |
RE: Valleix’s Sign (Tarsal Tunnel Syndrome, Jan 2014 PM)
From: David Secord, DPM, Kyle Scholnick, DPM
On page 123 of the January 2014 Podiatry Management Magazine, Dr. Scholnick refers to “Apositive Tinel’s or Valleix’s sign is when paraesthesias course along the involved nerve distally or proximately, respectively.” This is my favorite 'medical urban legend' and has been my personal quest to expunge from our schools and usage.
As opposed to what many of us were taught in medical school, Tinel's sign is both proximal and
distal tingling upon percussion of a nerve. Valleix’s sign does not exist. There is no such thing. Valleix’s POINTS are as follows: 1. Where the nerve emerges from...
Editor's note: Dr. Secord's extended-length letter and Dr. Scholnick's response can be read here.
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MEETING NOTICES - PART 1
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RESPONSES/COMMENTS (PM JURY VERDICT REPORTER) |
From: Bryan C. Markinson, DPM
Once again another discourse about the righteousness of defense experts and their loathsome plaintiff expert counterparts. While the debate is perpetual, it simply hinges too much on our visceral reactions in this space. Of course, in this debate, it's easy to find support for the defense side, harder for the plaintiff side.
Making the statement, "I will never review for the plaintiff again (Jacobson)" and rationalizing it with, "They'll always find someone to testify against the truth," is simply out of touch and quite frankly immature. If Dr. Jacobson found himself on the bad side of a alleged deviation, you bet he would...
Editor's note: Dr. Markinson's extended-length letter can be read here.
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MEETING NOTICES - PART 2
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $179
(Less than $13 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, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, FL, GA, ID, IL, IA, MO, MT, NH, NY, NC, OK, PA, PR, TN, TX, UT, VT, WA, and DC
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 - MINNEAPOLIS, MN
Downtown Location. Well-established with loyal referral base. Traknet EMR, Digital x-ray, equipped for office-based surgery. Uniquely positioned to thrive in today's healthcare environment. Interested party must be strong in all phases of podiatry. Outstanding opportunity for right person. Inquiries: skywayfoot@yahoo.com
PRACTICE FOR SALE – DELRAY BEACH, FL
Priced to sell. Owner relocating. Established practice, turn- key, EMR compliant. Net revenue of 250K+. All office- based revenue. Email for more information or call after 6pm. Bonedoc3@yahoo.com Contact phone: 561-926-8369. Serious buyers only.
PRACTICE FOR SALE - NORTHERN MARYLAND
Retiring in June 2014. Practice in northern Maryland (near Wilmington, DE) for sale. Grosses over $200k working less than 25 hours a week doing minimal surgery. Ripe for expansion of hours and services. Can stay for patient introductions. If interested contact Ed Strogen at strogdoc@aol.com.
PRACTICE FOR SALE - SOUTHERN ARIZONA
Terrific opportunity! Profitable practice with outstanding growth potential – surgery, lots of physician referrals. Within a medical/professional office complex. EMR system with 3 computer stations. Meaningful use met thru Stage II. Very reasonably priced. Will remain through transition period. Contact 520-304-2443 in evenings (PST) or reflisa@centurylink.net - serious buyers only.
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 – WISCONSIN
Experienced podiatric physician and surgeon seeking a motivated associate with the ability and drive to join a multi-faceted, exceptionally busy, and firmly established Midwestern practice located within driving distance of Chicago. Those who apply need be well-rounded yet humble and willing to provide all types of foot and ankle care, from diabetic and neuropathic treatments and biomechanical exams, to minor office procedures and complex surgical corrections. Please send your CV along with a cover letter describing your treatment style along with your desire to grow with a successful practice to Associatematch@yahoo.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 - PHOENIX, AZ
Part-Time Permanent Position. Ideal candidate would be independent, mature and experienced in all phases podiatry. Please send CV to pdxbaba@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 - 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 POSITIONS – TENNESEE
Immediate full & part-time positions available for fully credentialed. Buy in/Buy out options available for this high volume practice in Knoxville area. Principal, also seeking like-minded to share semi-retirement, e.g., 2 weeks on/ 2 weeks off or 1 month on/ 1 month off, etc. Please email letter of intent and CV to:easttnpodiatry@gmail.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Multi Physician Practice – Multi Practice Locations Competitive Salary and Benefits. Experienced support staff. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.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 – OH
Join our thriving practice of 3 podiatrists in the fastest growing county in Ohio (Delaware located north of Columbus). We are looking for a motivated, personable, caring doctor with solid training who wants to work in a positive environment and enjoys our profession every day! Contact footandanklewellnesscenter@gmail.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. Willing to live in a College town with rural settings. E-mail cover letter & CV to melissafoot@atlanticfeet.com.
HOUSE CALL OPPORTUNITY - CHICAGO, IL
Chicago-America’s Disabled, a not-for-profit medical group is looking for a podiatrist. You decide when you want to work and we will prepare your schedule. Competitive Compensation ($500-$1000 a day). Send CV to dberliant@totalhealthcaregrp.com or call 773-774-7300.
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@GMail.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 - 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 - CAPITAL DISTRICT (NY)
Associate position with option to purchase practice. Upstate NY, Capital District. Applicants require NYS podiatric license and Medicare # ,Board certified or qualified. Position available immediately. Salary negotiable. Send CV and inquiries to: Gopodiatry@gmail.com
PM News Classified Ads Reach over 15,500 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 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.
| Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- 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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