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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 22,046 Subscribers Daily
March 12, 2024 #7,707  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2024- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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Was your practice affected by the recent Change Healthcare cyberattack? |
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| NEW CME ARTICLE POSTED ON OUR WEBSITE |
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March 2024 CME |
You can earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $299
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| PODIATRISTS AND PODCASTS | |
NY Podiatrist Shares Insights on Laser Therapy and Regenerative Medicine
Dr. Tami Patzer, host of Optimal Health Radio, recently interviewed Davinder Bhela, DPM a board-certified podiatrist specializing in laser therapy and regenerative medicine. Dr. Bhela discussed the benefits of laser therapy in treating various foot and ankle conditions, including plantar fasciitis, neuropathy, toenail fungus, neuroma, tendon inflammation, and arthritis.
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Dr. Davinder Bhela |
One of the most common conditions treated with laser therapy is plantar fasciitis, which causes heel pain and discomfort. Dr. Bhela highlighted how laser therapy can provide relief and complete healing within two weeks for acute cases, and 6-12 weeks for more chronic conditions. He also emphasized that laser therapy is a safe and non-invasive option for patients who prefer natural treatments and want to avoid medication or surgery.
Source: Fox 40 [3/7/24]
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| RELEVANT RESEARCH | |
An Augmented Vision of our Medical and Surgical Future, Today?
In a first-of-its-kind study titled “An Augmented Vision of Our Medical and Surgical Future, Today,” a collaborative team from the University of Southern California (USC), Italy, University of Texas Health Science Center, San Antonio, and the UK, led by Dr. David G. Armstrong, has published pioneering research on the use of Apple Vision Pro (AVP) in the operating room. This marks a significant milestone as the first documented instance of AVP’s application in surgical settings, specifically during limb preservation surgeries.
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Apple Vision Pro |
The study, co-authored by Dr. Armstrong, Sebouh Bazikian, Alexandria A. Armstrong, Giacomo Clerici, Andrea Casini, and Anand Pillai, evaluates the integration of consumer electronics into clinical environments, highlighting the potential enhancements AVP offers in surgical precision and team communication. The manuscript is published in the Journal of Diabetes Science and Technology, which has published other groundbreaking works in the field.
Source: Diabetic Foot Online
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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 | |
8 Strategies for Improving Employee Loyalty and Commitment
Building a culture of loyalty and commitment takes time, consistency, and effort. By effectively implementing these strategies, you can create an environment where employees feel valued, supported, and inspired to contribute their best, leading to improved retention, productivity, and overall success.
3. Built a collaborative team
Foster teamwork and collaboration among your staff. Encourage cross-functional cooperation and provide opportunities for employees to work together on projects or initiatives. Promote a sense of camaraderie and create a supportive atmosphere where everyone feels valued and appreciated.
Source: Mike Szczesny, Keith A. Reynolds, Physicians Practice [3/1/24]
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| QUERIES (CLINICAL) | |
Query: Recalcitrant Case of Posterior Tibial Tendonitis
I’m wondering if anyone has treated a recalcitrant case of posterior tibial tendonitis (found on MRI) of the slip to the medial cuneiform. It is tender just under the medial cuneiform. The patient wears HOKA shoes and custom orthotics, and was in a boot and using a knee scooter non-weight-bearing for 4 weeks. The main posterior tibial tendon is non-tender and the patient can do bilateral; heel raises without pain, but single leg heel raises hurt after a certain number of lifts. The patient is also seeing a physical therapist.
PM News Subscriber
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| QUERIES (BILLING AND CODING) | |
Query: Denial of Flexor Tenotomies
We are having difficulty receiving payment for a surgery. Here is the scenario: a diabetic presented with chronic pressure ulcers due to hammertoes. Flexor tenotomies were performed under local anesthesia in the office. We billed the patient’s Blue Cross Medicare Advantage PPO (advance checking for authorization was done and no authorization was needed).
Codes billed:
28230-T8
28230-T5
The payer denied charges stating, "denied for exceeds number/frequency approved/allowed". We called Blue Cross MA and asked what this meant and were told they do not allow that procedure to be performed twice in one day. We asked them to look at the modifiers. They said they see the modifiers on the claim and said we could appeal. We appealed with a copy of the operative report. They are still denying the claim. Any suggestions or advice for the next step?
Vince Marino, DPM, Novato, CA
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| RESPONSES/COMMENTS ((BILLING AND CODING) | |
RE: CPT 99213 for ICD-10 B35.1
From: Daniel Chaskin, DPM
Check to see if your Medicare carrier has the following wording in their LCD: "Medicare will cover debridement of mycotic nails as an adjunct to pharmacologic treatment with a prescription antifungal agent indicated per its Food and Drug Administration (FDA) label for the treatment of fungal nail infections." If such wording is present, then pharmacologic treatment with a prescription antifungal agent is another part of the definitive treatment for mycotic toenails.
Such prescription treatment should be reimbursed with B35.1, but the carrier might disagree. Either you could appeal all the claims and go before an administrative law judge and perhaps win, or you might consider if your state society has an insurance committee that might intervene. The APMA could intervene on a national basis to clarify with CMS that a nationwide policy should be distributed to every local carrier that even if the debridement of mycotic toenails may not be treated, there is no statutory exclusion of the definitive diagnosis as well as treatment of mycotic toenails. For example, even the dermatoscopic findings of this infective process should be covered as an evaluation and management service. The ordering of alcian blue staining should also be covered regarding this infective process.
Daniel Chaskin, DPM, Ridgewood, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Lawrence Oloff, DPM
Let me start off by saying I am happy with my chosen profession. I have read the posts over the years about the profession and its frustrations. As a side note, I wish such discussions did not surface on public forums as I fear that this likely has had a negative impact on student recruitment, but I guess that is the way of the world in an era of social media. Why we should be happy with our chosen profession is a complex discussion and probably needs two parts. Here is Part 1.
What I find interesting is that people think that these claims of unhappiness, discord, frustration, the haves and have nots is unique to podiatry. I can assure you it is not. I have had many podiatry lives: Dean of a podiatry school, practice in an orthopedic group who managed professional sports teams, large institutional medicine, and as the first podiatrist in the orthopedic department at Stanford with an...
Editor's note: Dr. Oloff's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Nails in Shoe Magic Trick
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How many nails can fit into a shoe? Click on photo to find out |
Source: Michael Carbonaro, The Carbonaro Effect
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $299
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, PA, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY*, NC, OK, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE | |
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
PRACTICE FOR SALE - MINNEAPOLIS, MINNESOTA
Amazing opportunity to take over a thriving established practice. Ideal for someone who wants to provide high quality foot care and practice the way you want with unlimited potential. Affordable with immediate income. Financing available. Wonderful place to live and practice. Serious inquiries only. Contact: wwfootclinic@gmail.com
PRACTICE FOR SALE - SOUTHERN VIRGINIA
Thriving 30 year 4-day practice with unlimited growth potential. All clinical aspects of podiatry including nursing homes, housecalls with multigenerational patient base. Significant physician referral source. Close to hospital. Retiring physician willing to stay during transition. Willing to sell building with practice (optional). PMNEWS@PODIATRYM.COM
PRACTICE FOR SALE - TREASURE COAST, FL
Treasure Coast (Martin/St. Lucie County). 40 YO part-time general practice 2 locations grossing average 200K. Please no brokers email practiceforsaleflo@comcast.net with phone number for information.
PRACTICE FOR SALE – MASSACHUSETTS
Modern, well established since 1986. Busy, 75 new patients a month. All aspect of podiatric services. Fully equipped, certified EHR, laser, digital x-ray, vascular machine, Pad net. In-house billing, well run. Located within a mile from hospital. Owner is willing to stay as necessary during transition. Contact drwaw54@aol.com
PODIATRY OFFICE FOR RENT AND SHARE – MANHATTAN &/OR PLAINVIEW, NY
Plainview Long Island and or Manhattan (22nd street between 2nd and 3rd Aves), Fully equipped, turn-key. Call (516) 476-1815 or e-mail podo2345@aol.com for details.
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2024. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact or jtfootcare@gmail.com. EOE employer.
ASSOCIATE POSITION – ST. GEORGE, VERNAL, PRICE, MILLCREEK OR WVC, UTAH
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: St. George, Vernal, Millcreek, Price or WVC , Utah. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to laney@summitmedicalpartners.com
OPPORTUNITY OF A LIFETIME! - GAINESVILLE, FL
Surgically trained podiatrist needed. 40% of collections first year and equity partnership after that. Looking for someone to start now in Gainesville, FL. Located close to the surgical center and hospital. Seriously interested podiatrists please send CV to podiatry42984@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
Established Podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Benefits include: competitive six-figure compensation ranging from $155,000-$250,000, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and 401(k) plan. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your podiatric medical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITIONS – SOUTH CAROLINA
KG Health Partners is seeking full-time and part-time podiatrists to provide mobile lower extremity care to long-term care residents in these territories: Greenville/Spartanburg, South Carolina; and Charleston, South Carolina. Monday through Friday schedule, competitive wages, malpractice insurance, and benefits for full-time employees. Email CV to Kgadmin@kghealthpartners.com
FULL TIME PODIATRIST - NORTHERN NEW JERSEY
Busy Sports Medicine-Surgical Practice looking to hire motivated individual with interest in sports medicine getting patients back to activities ASAP thru conservative and surgical treatments. Must be willing to learn and/or perform reconstructive Foot, Ankle and related leg surgery including Nerves and other soft tissue microsurgeries. Board qualified ABFAS necessary. Potential partnership. Competitive salary, malpractice, health insurance, vacation, 401K and CME allowance. email CV to DrRunUSA@gmail.com
ASSOCIATE POSITION - PHILADELPHIA, PA
Full time associate with partnership opportunity for a well-trained, highly motivated individual. Competitive salary with commission structure. Benefits include PTO, CME allowance, health and malpractice insurance. Must be confident in surgical and wound care practices. Please email Cover Letter and CV to dgvc88a@gmail.com
ASSOCIATE POSITION - LATHAM, NY
Expanding, busy practice seeking BQ/BC well-trained, hardworking and motivated associate. Great opportunity with competitive salary, performance base incentive, comprehensive benefits package including potential equity offering at 18 months. Email: CV to rbauer.dpm@gmail.com www.summitfootandankle.com
ASSOCIATE POSITION – FLORIDA
PT to possible FT mobile positions throughout sunny Florida for responsible DPM team players. Primarily home visits and ALF/ILF's. No call. No ER. Flexible 9-5. Weekends optional. Generous commission salary. Great for new grads, semi-retired, or those looking to help fill their schedule. Serious applicants email contact@PodiatristAtHome.com
ASSOCIATE POSITION - NYC
Busy multi-doctor podiatry practice with 5 locations across 3 boroughs looking for a DPM ready to work. Part-time and full time available. Candidates should be personable, driven and hard working. All phases of podiatry including forefoot and rearfoot surgery. Generous salary, malpractice, 401k, vacation days and holidays. For inquired, please contact drlevy@starrettpodiatry.com
ASSOCIATE POSITION - VANCOUVER, CANADA
Busy, well-established practice looking for motivated podiatrist with excellent clinical and people skills. 2 office locations. CASH PAY. Lots new patients monthly. Huge growth potential. Practice allows great work-life balance. NO CALLS. Competitive pay structure and sign-on bonus. Non-Canadian, new graduate, experienced DPM applicants welcome. Email CV to podiatryvancouver@gmail.com
ASSOCIATE POSITION - MICHIGAN (OAKLAND COUNTY/DETROIT SUBURBS)
Outstanding opportunity, well established group practice, general podiatry, surgical forefoot, rearfoot & ankle (full time). Responsible, motivated team player with good communication skills, base salary + bonus,+ benefits, malpractice, continuing education. Confidential reply CV & letter of interest to: DPMposition@AOL.com
ASSOCIATE POSITION – NEW JERSEY
Looking for a podiatrist, part-time or full time, to service nursing homes in NJ with possibility to work in office for the right person. Looking to start ASAP. Please email resume to ghcp@globalhealthcarepartner.com. Days and Hours are flexible. Good compensation.
SEEKING PODIATRISTS THROUGHOUT OHIO
Onyx health group is looking to hire p/t or f/t podiatrists for nursing homes and assisted living facilities throughout Ohio. Set your own hours, clinical support, excellent commission pay. New grads as well as those with experience welcome to apply. Send CV and inquiries to Info@onyxhealthgrp.com.
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an exciting, immediate full-time position open for a board qualified or board-certified foot and ankle surgeon. You can view our website at footanklenm.com. Spanish speaking and Fellowship are a plus but not a requirement. Billing/coding experience is preferred. Compensation is a competitive salary plus a percentage bonus structure to start. 20k sign-on bonus for provider that starts before April 1st, 2021. Please email CV and cover letter to ACharlie@footanklenm.com
ASSOCIATE POSITION – SANTA BARBARA, CALIFORNIA
Looking for a motivated podiatrist to be part of the Foot & Ankle Concepts Inc. team in Santa Barbara California and Ventura county California. Our practice includes surgical and non surgical care of the foot and ankle. Starting salary of 250K, please send resume to alangroudi@gmail.com www.footsurgeon.com
ASSOCIATE POSITION - THE WOODLAND, TEXAS
Successful, well respected multi-location, podiatric group seeking one physician with experience in wounds/diabetic care, and one physician with experience in biometrics/orthotics. Please send current resume with availability and Texas license status to alexandra@nevillefeet.com
ASSOCIATE POSITION – COASTAL SOUTH CAROLINA
Expanding, busy practice seeking BQ/BC associate with training in F&A surgery, wound care, hospital in-pt management and well-rounded clinical skills. Great opportunity for continued growth with great diversity in patient mix. Opportunity for great incentive salary. Email cover letter, CV and LORs to podiatrypracticesc@gmail.com
ASSOCIATE POSITION - MARYLAND
Immediate associate position to join our team. An expanding, dynamic podiatry practice with lots of room to grow. Limb salvage, deformity, trauma & clinic. Multiple hospitals to take call, hospital call required. Maryland license preferred, BQ required. Full benefit package available. Please email CV to footanklerecon@gmail.com
ASSOCIATE POSITION – CALGARY, CANADA
We are looking for a podiatrist comfortable with all aspects of podiatry, ranging from surgery to foot care. We have four exam rooms and an accredited in-office surgical suite, digital x-ray, shockwave and EMR. Must be able to work in Canada. Partnership opportunities available. Please contact lalani@alpinefootankle.com
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
Join a Dynamic multi-specialty 6 location group with cutting-edge equipment, storefront presence, physical therapy. Competitive starting salary of $150k, with the potential to easily earn up $200k with bonus. Send CV to Cnunez1940@gmail.com (Texasfootdoctor.org)
ASSOCIATE POSITION - MASSACHUSETTS
Well-established, well-rounded hospital-based group practice located just North of Boston seeking full-time DPM. Applicant must be ABFAS Board Qualified/Certified, well-trained with interest in wound care and limb salvage. We are well integrated within the medical community and are active in both hospital in-patient care and out-patient clinic. Excellent referral base and high volume of new patients. Competitive compensation and benefits package. Excellent opportunity for qualified candidate. Please email CV to footdocsma@gmail.com
FULL TIME PODIATRIST - MIAMI, FL
Immediate position available for well-trained podiatrist to join a busy practice to see patients in office, hospitals and skilled nursing facilities in Miami area. Must have good bedside manners. Compensation starting at $160,000 plus bonus. Please send your resume to podiatry001@gmail.com
ASSOCIATE POSITION – MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA
Immediate opening for a podiatric surgeon with interest in wound care, podiatric medicine, foot surgery and clinical research. Ankle surgery and reconstructive rearfoot surgery is not available. Ideal candidate is board-certified/qualified with prior clinical experience. MGH is affiliated with Harvard Medical School and our podiatric physicians are eligible for faculty appointments through department of orthopedic surgery. Excellent salary and benefits. Please contact Dr. Landsman. alandsman@mgh.harvard.edu
ASSOCIATE POSITION - GREENVILLE, SC
Busy two-office practice with three doctors in Greenville SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401 K, malpractice, health and dental insurance, CME, short and long-term disability. PTO. (All other standard benefits) Please send cover letter with CV to podiatryresumes@upstatefootdocs.com
ASSOCIATE POSITION – FLORIDA
Join a busy professional practice with 13 locations across SWFL. Associates in Medicine & Surgery LLC is a well established leader in the podiatry space in SWFL. Excellent long-term opportunity for a well-trained podiatrist with enormous potential in all aspects of foot and ankle surgery, and clinic. Large and diverse demographic of patients. The position is full time and will be paid a base salary with bonus incentive. For more information, please email Wyatt Hilderbrand (Operations Director) at whilderbrand@aimsfl.com. Please include your curriculum vitae, and a brief message expressing your interest in our area and position
PART TIME PODIATRIST - CALIFORNIA
Established Southern California practice currently looking for a part-time, motivated, and caring podiatrist. We are seeking someone with interest in wound care, diabetic care, and surgeries. Please send your current CV with availability and per diem rate. socalfootcare@gmail.com
MOBILE PODIATRIST NEEDED - SAN DIEGO
Well-established and fast growing House-call podiatry practice (www.barefeet-podiatry.com) is looking for podiatrists to see patients in their homes, assisted living facilities, & skilled nursing facilities. We offer a flexible schedule (Part-Time/Full-time), excellent monthly compensation, and dedicated support staff. Immediate open position. Also July 2024 graduates are welcome. Please email CV to: barefeetpodiatry1@gmail.com
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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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