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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,214 Subscribers Daily
March 03, 2016 #5,613  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 |
Quick Poll
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If a patient suffered a stroke prior to treatment, would you bill an E/M code? |
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| PODIATRISTS AND POLITICS | |
CA Podiatrists Opts for Re-Election to Ed Board Over Run for Supervisor
Allen O. Clyde, DPM a Fresno County Office of Education board member who announced earlier that he intended to run for Fresno County Supervisor Debbie Poochigian’s seat in November, said Tuesday that he is dropping out of the race. Instead, Clyde said, he will run for a fifth term on the Fresno County Office of Education on the November ballot. From 1987 to 1991, he served as a trustee for Clovis Unified School District. Clyde has a podiatry practice in Clovis. He also is a rancher near Tollhouse and operates Clyde Pack Outfitters.
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Dr. Allen Clyde |
“I enjoy medicine and my board of education seat, and I’m not ready to leave either one,” Dr. Clyde said. “Down the road, it may be a different story.” Clyde said he is now setting up his committee for re-election to the county school board.
Source: Marc Benjamin, The Fresno Bee [3/1/16]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatrist Uses 3D Gait Analysis to Prevent Injuries
StEPS podiatry, which works with professional footballers and athletes, wanted to provide a service to help prevent injury by using an in-depth study of feet. Working with the University of Strathclyde, StEPS podiatry owner Dr. Vicki Cameron accessed highly specialized equipment including the Vicon Motion Analysis system, a 3D gait analysis machine which, in addition to video, uses micro-cameras to create a highly detailed 3D image of the foot.
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Dr. Vicki Cameron |
A range of information obtained from the scan, such as arch height and the alignment of the Achilles with the leg, provided StEPS with valuable data which could be used in the development of Dr. Cameron’s preventative screening equipment. Dr. Cameron is one of the few independent podiatrists in Scotland trained in the use and interpretation of computerized three dimensional gait analysis.
Source: Siobhán Jordan, The Scotsman [2/29/16]
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| MEETING NEWS | |
KSB Hospital Residency Holds 3rd Annual Foot and Ankle Complication Course
On Saturday February 27th, the KSB Foot and Ankle Educational Foundation held its third annual Foot and Ankle Complication Course in Rockford, IL. With over 68 participants, the course entailed didactic complication lectures with lively discussion in the morning and hands-on cadaveric activities in the afternoon. All participants received 6 free CMEs in addition to being able to participate in the complication discussions and cadaveric activities.
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Attendees at KSB Complication Course |
The KSB Foot and Ankle Educational Foundation was established three years ago in conjunction with its residency to promote foot and ankle care for the greater Northwest Illinois area. "With an increase in attendance this year almost doubling from last year's number, I believe that participants are seeing the value of the diversification and variety of this course. They are receiving an awesome course at a fantastic price," states KSB Residency Director and past Chair of the American Society of Podiatric Surgeons, Dr. David Yeager.
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| PODIATRISTS AND THE LAW | |
CT Podiatrist Sentenced for False Medicare Claims
A Stamford podiatrist has been ordered to pay back three times the amount of money she stole by submitting false claims to Medicare and other health insurance plans. The U.S. Attorney’s Office in Connecticut says 53 year old Amira Mantoura of Greenwich has also been sentenced to three years probation. She also has to perform 200 hours of community service for knowingly submitting false claims for performing nail avulsion’s between 2009 and 2013. Court documents state that as a podiatrist she knew what a nail avulsion was and that she was not doing that surgical procedure to treat an ingrown toenail. The U.S. Attorney’s Office say overall Mantoura will end up paying $618,000 and she is now excluded from the Medicare program and can no longer submit federal healthcare claims.
Source: WTNH News [3/1/16]
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| ACA UPDATE | |
Obama Administration Backs Off on ACA Rules for 2017 Health Plans
In a major win for the industry, health insurers will not be forced to have minimum quantitative standards when designing their networks of hospitals and doctors for 2017, nor will they have to offer standardized options for health plans. The CMS released a sweeping final rule Monday afternoon that solidifies the Affordable Care Act's coverage policies for 2017. The agency proposed tight network adequacy provisions and standardized health plan options in late November, which fueled antipathy from the health insurance industry.
Monday's rule relaxes those aggressive proposals, a move that likely will raise the ire of consumer groups that have pushed for stronger insurance protections for patients. It does, however, include some victories for transparency advocates. The federal government, for example, will now have to publish all changes to premium rates, not just increases that are subject to review.
Source: Bob Herman, Modern Healthcare [2/29/16]
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| HIPAA UPDATE | |
Feds to Begin Auditing Healthcare Providers for HIPAA Violations
This year, the federal government plans to begin audits to ensure compliance with privacy and security provisions under the Health Insurance Portability and Accountability Act (HIPAA). The audits signal a shift to proactive enforcement of HIPAA rules, in contrast to the past when the feds typically reacted to complaints of alleged breaches.
If you are a healthcare provider, far from the elaborate schemes of hackers, your greatest threat is more likely to be in carelessness or neglect. In recent years, the top two issues in the most serious HIPAA investigations related to: 1) Impermissible uses and disclosures of patient information 2) Inadequate safeguards. Often, violations get down to basic lapses in judgment, such as leaving computers containing patient information in unlocked rooms.
Source: Diane Evans, thedoctorweighsin.com [2/23/16]
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| QUERIES (EMR) | |
Query: EHR and Drug Interactions
I am using an EHR that I really like. It shows up drug interactions as mild, moderate, or severe. It also tells what said interactions "could" be. But here is the problem: when I enter meds that the patient is taking into the EHR, and when it shows a possible drug interaction, whom do I call or what do I do next? This now seems to happen every day. The few times I called the pharmacies, they seemed to be appreciative, but I wonder why their software did not find the problem. Worse though, when I call the PCP, neurologist, etc, they are particularly unappreciative, even rude e.g. "thanks for the heads up," and hangup. What do I do going forward: keep on banging the drum or against my Hippocratic proclivity, be quiet?
A. James Fisher, DPM, Eureka, CA
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| RESPONSES/COMMENTS (DME) | |
RE: DMEPOS Billing Privileges Can be Lost Through Inactivity
From: George Jacobson, DPM
I would like to warn everyone of a nuance that will cost you the ability to bill Medicare for your DME. It was a painstaking process to obtain this privilege, and although I stopped providing diabetic footwear, we did not want to lose this privilege. Had I known the following information,
I would have continued providing shoes for a selected number of patients.
We received a letter from Palmetto GBA stating that they have received information from the National Supplier Clearinghouse (NSC) indicating that we have not billed the Durable Medical Equipment Medicare Administrative Contractor (DME MAC) within the last four consecutive quarters.
As per 42 CFR 4214.540 (a)(1), the NSC is de-activating your Medicare billing privileges. To re-activate your DMEPOS billing privileges, you will be required to...
Editor's note: Dr. Jacobson's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Shortage of MD/DO Residency Positions
From: Leonard A. Levy, DPM, MPH
AAMC STAT, a bulletin of the Association of American Medical Colleges, announced February 29, 2016, that without an increase in GME support, there may not be enough residency positions for the additional medical school graduates needed to address the growing physician shortage. AAMC indicated that medical school graduates are having trouble finding residency positions since 412 did not match in 2014. Without congressional action now to lift the cap on Medicare support for residency positions, growth in the physician workforce will not keep pace with increasing demand.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (ETHICS) | |
From Michael G. Warshaw, DPM
With all due respect to Dr. Kass, I am in the dark. What exactly do you think that you should be able to bill for an office emergency? In order to bill an E/M service, three key components need to be addressed, assuming that this is a new patient. They are history, examination, and medical decision-making. A podiatrist can perform the appropriate levels of history and medical decision-making. Where podiatrists fall short is the examination component.
The examination component is NOT based upon what you can examine, but what you are LICENSED to examine and treat. We are limited scope practitioners. We can only evaluate and manage a presenting problem based upon our scope of license. We can’t treat and bill for a cardiac issue. An MD can certainly bill for an office emergency. An MD is not a limited scope practitioner. This is tantamount to a pregnant lady going into childbirth in the waiting room of a podiatrist. If the podiatrist delivers the baby, can the podiatrist bill for that service? I think not.
Michael G. Warshaw, DPM, Lady Lake, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What to wear to a White Stripes concert? |
Source: Carolin Holzhuber via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – LONG ISLAND
Large and expanding multi-office state-of-the-art group with offices in Nassau and Suffolk counties, seeking a well-trained F/T podiatrist. We offer a competitive salary, benefits and partnership opportunity. We are associated with outpatient surgical centers, hospitals, wound care centers and a residency program. Requirements: Hard-working, board qualified/certified, self- motivated, surgically trained, willing to live nearby. 2016 graduating residents who would start in July welcome. Please email CV to: drbrook@countryfootcare.com.
ASSOCIATE POSITION - SOUTHEAST TEXAS
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 - 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 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 JERSEY
Successful Practice in North Jersey with 2 locations is seeking a full-time associate with Partnership in one year. Must be surgically trained. Six figures starting salary with benefits and bonus. Send resume to njfootandankle@hotmail.com
ASSOCIATE WANTED - SOUTHWEST OF BOSTON
Well rounded established practice outside of Boston seeking well trained associate BQ/BE to join the practice immediately. Excellent referral base and high volume of new patients. Opportunity for partnership for the right person. Please contact pmlepdpm@aol.com
ASSOCIATE POSITION – CONNECTICUT
40 Year old busy three-office practice in CT seeking full time BQ/BC podiatrist. Established patient volume with salary and bonus, malpractice and health insurance, profit sharing and CME allowance. Email CV and letter of interest to jtread6692@aol.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 - CENTRAL VALLEY/SOUTHERN CA/COASTAL
Seeking associates with partnership availability. Must be highly motivated and have good patient skills and personality. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital-based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short bio to: Tonya@wetreatyourfeet.com
ASSOCIATE POSITION – DALLAS, TEXAS
A multi-office practice is seeking a well rounded podiatrist with strong work ethic and skills. Must be BQ/BC by ABFAS. Competitive salary, bonus structure and benefits. Excellent growth potential for the right individual. Position available this July. Send CV, picture and letter of interest to: ntexaspod@gmail.com
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
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.
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 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
SPACE FOR RENT – FORT LEE, NJ
Great Location on Anderson Ave, Fort Lee NJ! Ample street parking. Updated office zoned for professionally licensed. Chiropractic office for 40 years. Furnished, 800 sq. ft., 2 treatment rms./ Large waiting room/2 private offices- Rent $1,500/mth with HHW included. Click here to see office. Email@ RTSQUARED2@GMAIL.COM
PRACTICE FOR SALE – WESTERN MASSACHUSETTS
30 year old general podiatry practice. State-of-the-art medical suite renovated 4 years ago Modern equipment, prime location, large physician referral base, full hospital privileges. No house calls, nursing homes or hospital ER call. Established patient base and unique opportunity for surgically-oriented podiatrist in the Berkshires (Western MA) Priced to sell quickly due to personal and medical concerns. Additional info best achieved via conversation. Contact: drross@albany.twcbc.com or cross12@nycap.rr.com
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 - BOSTON, WESTERN SUBURBS
Established practice with 2 offices for sale. Owner transitioning to part-time and desires to sell and retire. Surgically active and strong patient flow. Balance of surgical and office based care. Privileges at local hospital and surgicenter. Contact: MCrosby518@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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