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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,462 Subscribers Daily
March 07, 2019 #6,369  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- 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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How often do you prescribe opioids for chronic foot or ankle pain?
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| PODIATRISTS IN THE COMMUNITY | |
TX Husband-and-Wife Podiatrists to Open Practice
Crystal Falls Foot + Ankle Specialists will open March 15 in Leander. Husband-and-wife podiatrists Brian Hochman, DPM and Van Dao, DPM operate the podiatry practice, which offers basic office visits and surgery. Dr. Hochman received his Doctorate in Podiatric Medicine from Barry University and completed a rigorous three-year surgical residency at Roger Williams Medical Center in Providence, Rhode Island where he served as Chief Resident. Dr. Hochman co-authored a textbook chapter on metatarsalgia as well as presented original research on the incidence of hot foot in the cycling community.
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Drs. Brian Hochman and Van Dao |
Dr. Van Dao received her Doctorate in Podiatric Medicine from Barry University in Miami Shores, Florida. She completed a prestigious three-year surgical residency at Beaumont Hospital - Farmington Hills (formerly Botsford Hospital). During residency, Dr. Dao was actively involved in Operation Footprint, a mission trip in Honduras where she spent a week evaluating and treating congenital deformities in young children.
Source: Marisa Charpentier, Community Impact [3/4/19]
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| PODIATRISTS AND SPORTS MEDICINE | |
NY Podiatrist Discusses When to Replace Running Shoes
If you're unsure whether or not your own sneakers need replacing, we've got you covered. podiatrist Miguel Cunha, DPM, founder of Gotham Footcare said that "good" shoes are designed to last for 300 to 400 miles. So, he advised they'll need to be replaced every six months if you're running in them and every 10 months if you're walking. He recommends taking note of the date every time you buy a new pair.
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Dr. Miguel Cunha |
Another way you can check on your running shoes is by twisting them, Dr. Cunha explained. They should be firm, so "make sure they can't bend when you attempt to twist them." Also, if the soles are worn down and your shoes don't feel as comfortable as a new pair, those are signs that they should be replaced. "It doesn't matter if they still look new," Dr. Cunha said. "If the support has been worn out, you're at a much higher risk of injury." You can develop foot pain or shin splints as well.
Source: Samantha Brodsky, MSN.com [3/4/19]
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| MEETING NEWS | |
Morrison Hospital Foundation Holds 7th Annual Complications Course
The Morrison Hospital Foundation hosted its Seventh Annual Complication Course this past weekend in Rockford, IL. Over 50 doctors participated, including physicians from Illinois, Indiana, and Wisconsin. Course coordinator David Yeager, DPM stated, "It was a great turnout with many participants having attended all seven years of its existence.”
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Attendees at 7th Annual Complications Course |
Attendees were able to work cohesively as a group to discuss complications and different alternatives. Attendees worked together to address certain complications and discuss ways of surgically correcting existing complications. All sponsorship money from this course went to the hospital foundation which aids in community health awareness programs and service.
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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 | |
4 Steps to a Successful Post-Merger Integration Process - Part 1
In order to be successful, a merger must be followed up with a detailed course of action. Here are several specific places where physician groups routinely stub their toes when merging. But, if you get them right, your success rate will soar.
1. People - Mergers succeed or fail based on the quality and dedication of the people who execute them. Start with your leadership team. Determine the composition of the new management team as far ahead of time as possible. This helps mutually ensure physician owners that the integration process is beginning to unfold both smoothly and sensibly. Then, identify those individuals (and occasionally teams) who are outside the leadership realm but still essential to retain. Develop specific strategies to keep them engaged during the transition.
Source: Nick Hernandez, Physicians Practice [3/5/19]
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| CODINGLINE CORNER |
Query: E&M with Procedure
Can you bill an additional E&M after the first diagnosis, while at the same time billing a procedure? For example: You diagnose someone with plantar fasciitis at their first visit and they come back the following week for follow-up, but you still spend time educating them on the topic, discussing various treatment options and then decide on an injection for the treatment that day. Can you bill another E&M due to the discussion/education or can you just bill the injection?
Rebecca Sundling, DPM, Grand Rapids, MI
Response: Yes, you can….if (big IF) that E&M is separately identifiable from the procedure. That means you need to be able to pull all the components of the E/M out of the note, separate it from the components of the note that deal with the procedure, and still have two completely separate services that each stand on their own with no overlap. Furthermore, none of the pre-service work for the procedure, the decision to perform the procedure, or the post service work for the procedure may be counted toward a separately identifiable E&M. A different diagnosis is not required for a separately identifiable E&M but all of the above requirements must be met.
With all that being said, in the scenario you describe, without a significant change to the diagnosis or nature of the diagnosis, I think it would be very rare that a separately identifiable E&M be necessary at this second visit. I say that because the patient was just there one week ago for the same problem and it sounds like all of the non-procedure work that was performed at this second visit was either repeated from what just happened one week ago and/or was related to the procedure that was performed at this same encounter.
Jeffrey D Lehrman, DPM, CPC, Fort Collins, CO
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Allen Jacobs, DPM
Dr. Graziano, with reference to distal metaphysical osteotomy, suggests that we are deforming a normal bone to correct a deformity. Do we not do the same when we perform a calcaneal osteotomy for correction of a pronation deformity? Or resect bone in performing a digital arthroplasty? Or a “cheater Akin“? There are many theoretical benefits to the Lapidus procedure. But the theoretical is not always practical.
Recently, I followed a local 3 year residency-trained “foot and ankle” surgeon in the OR. The pre-op and post-op films were still up on the screen. Literally, the only difference was...
Editor's note: Dr. Jacobs' extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
RE: IM Angle Correction from Austin Bunionectomy
From: Greg Caringi, DPM
I greatly appreciate the overwhelming response to my original question. In my 30+ years, I have seen many trends in our profession. I no longer do PMO or floating-V lesser metatarsal osteotomies. I think I have removed about half of the Silastic implants I put-in years ago. I hope that the modern Lapidus procedure stands the test of time. During my training, we were taught that there is no free ride when you fuse a joint. Sooner or later the adjacent joints will show the signs of increased wear and pressure. Mid-tarsal joint arthritis is a difficult problem to treat.
Distal 1st metatarsal osteotomies, especially the one described by Dr. Dale Austin, have stood the test of time. I have seen my work 20+ years later and the patients remain happy with their cosmetic and functional result. "We don't treat x-rays" is something I was told early in my career by two renowned foot surgeons, Dr. Abe Plon, a pioneer of minimally invasive surgery, and Dr. James Ganley, a personal friend and founding father of our profession. Dr. Ganley extended that thought further by advising us to "Do the procedure that best benefits the patient. Don't do more than is necessary simply to gratify your own ego."
Greg Caringi, DPM, Lansdale, PA
Editor's note: This topic is now closed
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| RESPONSES/COMMENTS (PODIATRIC PRODUCTS AND SERVICES IN THE NEWS) | |
From: Dennis Shavelson, DPM
Orthotics relying on biomechanics are built on the sciences of engineering, architecture, and physics. Dr. Splichal’s claim that flat insoles stimulate nerves may be true, but does that make them capable of taking flexible, weak, poorly leveraged and collapsed feet to where they can overcome the devastating forces of gravity, ground reactive force, and the negative impact of footgear.
Sketcher’s rocker bottom shoes were designed to make feet imbalanced and hypermobile. They promoted increases in muscle activity that claimed to restore feet and postures back towards optimal posing and function. I wrote the 41-page brief proving that soft rockers added to the crippling constants instead of dampening them, leading to injury, deformity, and performance issues. The $147 million Sketchers settlement upheld biomechanics over marketing claims.
Nerve stimulation has never been proven capable of activating weak muscle engines, optimizing structural collapse, or rebooting the brain preventing injury or promoting athletic excellence. Dr. Splichal’s insoles, I am sure, provide benefit to those with foot types that are biomechanically sound, but who are looking at the increasingly high rate of injury in competitive sports. However, for those who have pathological biomechanical underpinning, denying architecture, engineering, and Newton’s laws using a flat, soft insole will fall short if not properly disclaimed. This is especially true with a 350 pound 6’-7” NFL lineman with a flexible, undervaulted foot type.
Dennis Shavelson, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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| Here's how to stand out in the crowd! |
Source: Keiko Hirosue via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
POSITION AVAILABLE – BURLINGTON, VERMONT
Looking for podiatrist to see residents in nursing homes and skilled nursing facilities in Burlington, Vermont. Great opportunity for part-time income. Position available immediately! Send inquiries to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION – KNOXVILLE TENNESSEE
Turn-key practice with a well-established patient base located 30 minutes outside of downtown Knoxville. Extremity Healthcare has an immediate opening in its Lenoir City practice. We are a 65 physician-plus podiatric super group with outstanding practice management and support services. Looking for compassionate individual with good interpersonal and critical-thinking skills. Must be motivated, hardworking, positive, and dedicated to growing the practice as well as individual career and reputation. ABFAS board qualification in foot and RRA required. Great benefit package to include 401k/health insurance/vacation time/CEU allowance and much more! Contact Director of Business Development, Dr. Ira Kraus, ikraus@extremityhc.com or Talent Acquisition Manager, Loren Erikson, lerikson@extremityhc.com
POSITION AVAILABLE – OTSEGO COUNTY, NY
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in and around Cooperstown, Utica, and Norwich NY. Great opportunity for part-time income. Position available immediately! Send inquiries to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION - NASSAU COUNTY, NY
Busy practice seeking full time Podiatrist. Competitive salary. State of the art facility. Please email resume to: Medicalofficeinquiry@gmail.com or call: 516-902-1073.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary and benefits offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION - CHICAGO & NORTHERN IL SUBURBS
Well Established 26 year Growing practice seeking an associate interested in partnership who wants to build a sports medicine oriented practice. Practice has two locations and opportunity to grow. Infrastructure in place. Surgery at local surgery center's and hospital. Contact: Mike Crosby at MCrosby518@gmail.com
MOBILE PODIATRIST NEEDED - SOUTHERN NJ
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Part-Time ( 2 week days,no weekends) podiatrist to do home visits to home-bound patients in Southern parts of NJ - Monmouth, Ocean, Atlantic Counties. Email your resume - Lana.Raginsky@homefootcareservices.com
ASSOCIATE POSITIONS - NATIONALLY
If your passion is to enhance people's independence and quality of life through helping them improve their mobility, then a career as a Preferred Podiatry Group podiatrist could be for you. Flexibility, autonomy, resources, location - they're all yours! Oh, did we mention that there's very high earning potential based on patient volume? Please send an email to recruiting@PPGpc.com if you're interested in learning more about PPG podiatric care for residents in long-term care homes.
POSITION AVAILABLE - MARYLAND
One owner, group practice looking to hire business minde associate for buy-in/buy-out relationship. I will teach you to become a top earner in the field. Full benefits package including 401k w/ match. I am ready to slow down and sell 2 of the 3 locations in three years. Eventually selling the 3rd location and becoming an employee working a few days a week. I own two of the office locations as well, so real estate investments are also possible. Investment shares available in physician/hospital owned surgical center. Don't miss this unique opportunity. AtlanticFootSurgeons.com. drhenrock@yahoo.com
FULL TIME ASSOCIATE POSITION - GREATER NEW YORK CITY AREA
3 location group practice requiring a full-time Associate Podiatric Surgeon with minimum 3 years of surgical residency training in all aspects of foot and ankle surgery, ABFAS board qualification in foot and RRA required. Must be comfortable with all foot and ankle procedures. Must be motivated, hardworking, positive, and dedicated to growing the practice as well as individual career and reputation. Traveling by car is required (not just public transportation). Interested candidates can contact via email: delucia@faasny.com
ASSOCIATE POSITION W/BUY IN OPTION – MARYLAND
Very busy established practice looking for a full-time or part-time podiatrist! We are participating with three local hospitals and all insurances. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general foot care. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol-based office. Great benefit package to include 401k/health insurance/vacation time/CEU allowance and much more!! Please send C/V and cover page to: marylandpodiatry@gmail.com
ASSOCIATE POSITION – TENNESSEE
Well-established multi-specialty physician practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Would be joining a podiatry group with a 40+ year-old established practice. Perfect opportunity to enter academic medicine, as the group is the faculty practice plan for a large medical teaching institution. Demonstrated experience in management of foot problems, experience in foot and ankle surgery, and an interest in teaching and training required. Submit CV’s to uch_hr@uthsc.edu
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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 davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - BROOKLYN, NEW YORK
80 year old podiatry practice for sale. All phases of podiatry, primarily palliative care close to hospital and public transportation. Two fully equipped treatment rooms, x-ray and dark room, whirlpools, phone system, motorized entry gate long-term lease available with flexible terms. feetdpm@aol.com and drsiegel32@gmail.com
PRACTICE FOR SALE - VESTAL, NEW YORK
Well established, part-time practice. Average 3 days/week. Yields personal income range of $200-$250K. Well maintained 2500 sq.’ office and equipment. Willing to introduce and train. Contact: uniquepractice@gmail.com
PRACTICE FOR SALE - CALIFORNIA - SAN FERNANDO VALLEY
Long standing, busy 5 Star practice for sale in an updated medical building in the San Fernando Valley. Strong referral base. Seller retiring. Active participation in managed care. Price to sell. Contact: MCrosby518@gmail.com.
PRACTICE FOR SALE - CHICAGO - LINCOLN PARK
Established practice for sale. Conveniently located with opportunity for expansion. Owner retiring. 30% of business cash basis. Excellent patient mix. Full array of services. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - PITTSBURGH – SOUTHERN SUBURBS
Established practice with consistent volume and good reputation for sale. Physician ready to retire. Will transition. The practice is ideal for starting out or practice looking to expand. Priced to sale. Contact Mike Crosby at Mcrosby518@gmail.com
PRACTICE FOR SALE - CENTRAL TEXAS
Small independent office for sale. Includes all equipment /turnkey. Serious inquiries only. Please call for pictures and price. Located in a lovely small community. Wonderful for families. Physician retiring. Email to Susieintx@aol.com
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS
30 year established surgical practice in rural East Central Illinois. Re-locating. Turn-key operation with 3 treatment rooms and surgical suite. Certified EHR. Generates $450K, asking $300K. Call 217-549-1887 or email drjoe@myfeethurt.net.
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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 davidekagan@gmail.com or call (215) 808-0770
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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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