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| PM News | |
The Voice of Podiatrists
Serving Over 17,225 Subscribers Daily
March 04, 2016 #5,614  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 | |
LAST CHANCE TO VOTE
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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| HOSPITAL PODIATRISTS IN THE NEWS | |
TX Podiatrist Part of Hospital's Amputation Prevention Team
Memorial Northeast Hospital has set its sights on stopping a growing trend by using expert, collaborative care to prevent amputations and save lives. Amputation surgeries performed in Texas increased 15 percent from 2007 to 2012, according to data published by the Amputee Coalition. More than 86 percent of Texans who underwent amputation surgery in 2012 were 45 years or older, the age group most affected by diabetes and peripheral arterial disease (PAD), which play a role in 54 percent of all amputation surgeries.
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(L-R) Drs. Don Sprague, Matthew Sheedy, and Koustah Foteh |
“Loss of limb is a devastating event in a patient’s life,” said Matthew Sheedy, DPM, a podiatrist and surgeon affiliated with Memorial Hermann Northeast. “Recovering, if possible, can be extremely challenging physically and emotionally. Our goal is to prevent amputations by working closely with each other and intervening as early as we can.”
Source: Our Tribune [3/3/16]
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| PODIATRISTS AND DIABETES | |
AZ Podiatrist Seeks Cuban Drug to Treat DFUs
Two University of Arizona physicians want to bring a prescription drug developed in Cuba to the United States to treat diabetic foot ulcers. Such ulcers can lead to death in some diabetics. UA’s Drs. David Armstrong and Marvin Slepian recently traveled to Cuba to partner with medical colleagues to bring the drug called Heberprot-P to the United States. They hope the normalization of relations between the two countries will help speed clinical trials and lead to approval by the Food and Drug Administration.
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Drs. Marvin Slepian and David Armstrong in Cuba |
The drug is used in 27 countries. It fosters rapid wound healing and a 75 percent reduction in amputations, the physicians say. Dr. Armstrong said it costs more to treat severe diabetic wounds than the five leading cancers in the U.S. Later this month, Armstrong will speak to the Congressional Caucus on Diabetes about Heberprot-P and other research at the Southern Arizona Limb Salvage Alliance at the UA.
Source: Sara Hammond, KJZZ [3/2/16]
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| MEETING NEWS - PART 1 | |
AAPPM Starts 2016 with “Best Event in Years”
Earlier this year, the leadership of the American Academy of Podiatric Practice Management (AAPPM) unveiled its new strategic plan which included ideas to reform and greatly improve its conferences. Based upon the results from the 2016 Midwinter Conference, which took place last weekend, the AAPPM clearly is off to a great start. According to one participant, a longtime member and frequent attendee of AAPPM events, “this weekend was one of the best Academy meetings I have been to in years!”
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Attendees at AAPPM Midwinter Conference |
“I am so pleased that the changes we made to this year’s Midwinter Conference were so well received,” said AAPPM Conference Chairman Andrew Schneider, DPM. “We had to accommodate overflow seating in seminars, we enjoyed a great venue, we returned to interactive workshops, and we accomplished a lot as we were providing more practice management ideas our members expect from the AAPPM.”
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| MEETING NEWS - PART 2 | |
Podiatrists Well Represented at Council of Nail Disorders Meeting
Recently in Washington, DC, a group of the leading dermatologists and podiatrists gathered together to share knowledge and research on the more advanced diagnosis and treatment of nail pathology. For the 20th year, the Council for Nail Disorders met the day before the American Academy of Dermatology meeting.
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(L-R) Drs. Bret Ribotsky, Patty Schultz, Annette Joyce, Chris Atigun, Tracey Vlahovic, Bryan Markinson, Brant McCartan, and Joel Morse |
Bryan Markinson, DPM, the first podiatric board member of the Council, was elated to see the room full to hear some incredible lectures on nail pathology. Tracey Vlahovic, DPM presented two outstanding lectures that were well received. Joel Morse DPM, president of American Society of Foot & Ankle Dermatology said, "the highlights from this event will be synthesized and re-delivered in a podiatric format at the DermFoot.com seminar in April.
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| FROM PM's CURRENT ISSUE | |
Twice 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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| CODINGLINE CORNER | |
Query: Diabetic Charcot Joint ICD-10 Coding
Our patient has diabetes with neuropathy (E11.42) and has developed a Charcot joint. When you look up Charcot joint, ankle and foot, you get the following codes depending upon laterality: M14.671 right M14.672 left. But this code has an Excludes1 which is Charcot joint in diabetes mellitus. (E08-E13 with .610). I would probably choose the E13.610, other specified diabetes mellitus with diabetic neuropathic arthropathy. This has an inclusion term of other specified diabetes mellitus with Charcot joints. Do you bill with E13.610 and E11.42 which doesn't really specify Charcot, or do you bill with M14.671 (or 2) and E11.42? This then documents which foot and specifies the Charcot. If I understand the coding book, I'm not supposed to use the M14.671 and the E13.610 together.
Coleen Merrill, Office Manager, Office of Evan Merrill, DPM, Medford, OR
Response: If you have a Type 2 diabetic (E11-) patient, they CANNOT be an E13. The key with ICD-10 is that it provides additional options (co-morbidities) for you to apply to the patient's conditions. In your example, you already have the diagnosis of E11.42 (Type 2 diabetes mellitus with diabetic polyneuropathy). If they developed a Charcot joint, look at the same series, E11- for the specific code. There you will find E11.610 (Type 2 diabetes mellitus with diabetic neuropathic arthropathy; Inclusion Term: Type 2 diabetes mellitus with Charcot joints).
Your statement about M14.6 (Charcot joint, Excludes1: Charcot joint in diabetes mellitus [E08-E13 with .610]) is correct. You DO NOT use the musculoskeletal coding because of the Excludes1 rule.
David J. Freedman, DPM, CPC, Silver Spring, MD
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| QUERIES (NON-CLINICAL) | |
Query: Grand Rounds Second Opinion Service
Last year, I performed a posterior tibial tendon reconstruction on a patient who had recalcitrant posterior tibial tendonitis associated with a flat foot (PTTD). Prior to the surgery, she exhausted PT and was non-weight-bearing for episodic periods. When I initially saw her, she was in peroneal spasm but after a common peroneal block, the STJ had about 30 degrees of motion. I visualized this with a mini “C” arm.
I ultimately did a PTT advancement and used a tendon anchor to re-attach the tendon. Prior to the surgery, we discussed the options of flat foot reconstruction vs. repair the tendon and use a brace or orthoses. We opted for a tendon reconstruction to avoid joint fusions at this time (30 y/o). The patient had some post-operative edema and went to PT for several months where STJ ROM was again documented as inversion of 18 degrees and eversion of 8 degrees.
The patient requested a second opinion and requested that records be sent to “Grand Rounds” which is...
Editor's note: This extended-length query can be read here.
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| RESPONSES/COMMENTS (RESEARCH) | |
RE: Pre-diabetes and Peripheral Neuropathy: The Promise Cohort Study
From: Richard H. Mann, DPM
The study confirms that risk factors for diabetic neuropathy, such as age, height, and glycemia, are associated with peripheral neuropathy, even in the absence of a clinical diagnosis of diabetes. They conclude that these results support efforts toward early detection and intervention as a means to reduce the incidence of peripheral neuropathy and its downstream consequences in high-risk populations.
Those of my colleagues treating patients with a polyneuropathy of unknown etiology would do well to consider these findings in their clinical work-up and evaluation of these patients.
Richard H. Mann, DPM, Boca Raton, FL
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| RESPONSES/COMMENTS (DME) | |
From: Jerry Peterson, DPM
It isn’t just diabetic shoes you can submit for. Don’t let your DMEPOS billing privileges expire, as they include other DME, like fracture walkers, etc. These fall under the same category. I just went through the re-activation process because I too got dropped for inactivity. I was billing, but NEVER getting paid because of problems with our software agent not getting the bill to the DEPMOS carrier... or so DEPMOS said! The billing company said that bills were being sent.
We have been calling Medicare DEPMOS and faxing, etc. for over a year to get paid on a couple of fracture walkers. We are getting the runaround and then being informed that we were told we were de-activated for lack of billing in a calendar year. Talk about frustration. So, I filled out the 855 forms and got re-activated, but still haven’t gotten paid for the fracture walkers that I dispensed to patients last year. So, don’t let your privileges expire, and check on them regularly if your billers aren’t.
Jerry Peterson, DPM, West Linn, OR
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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| A unique way to carry push pins? |
Source: Tomas Kroes 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
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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.
ASSOCIATE POSITION - MANHATTAN
Well-established practice on Park Avenue seeking part time (Wednesdays and 9-12 mornings) long-term associate. You must be skilled in trauma, nail surgery, nail laser, and all aspects of current protocols on pod med and surgery. Good social and clinical skills, ACFAS Board Certification or Qualification with private practice podiatric medical and surgical experience with EHR and ICD-10 a must. NO RESIDENTS. Please email CV and cover letter to healthyfeetny@gmail.com or fax to 212-889-6150.
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 – 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 – MANHATTAN
Unique opportunity. Upscale, Park Avenue Manhattan office on Upper East Side. Don’t miss the opportunity to work with the premier innovator in the emerging field of aesthetic podiatry. Need a motivated, caring doctor with excellent podiatric surgical skills. Must have in-network provider insurance status to see in-network patients and to cover out-of-network patients. Salary based on experience with performance bonuses if earned. Part or full-time. Partnership possible if candidate exhibits outstanding performance and skills. Send CV to: institutebeaute885@gmail.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
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 – 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
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
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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