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| PM News | |
The Voice of Podiatrists
Serving Over 17,229 Subscribers Daily
March 16, 2016 #5,622  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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Which x-ray system do you use? |
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| HOSPITAL PODIATRISTS IN THE NEWS | |
IA Podiatrist Joins Staff of Stewart Memorial Community Hospital
Doctor of Podiatric Medicine, Abby Williams, of the McFarland Clinic is now seeing patients and performing procedures at Stewart Memorial Community Hospital in Lake City.
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Dr. Abby Williams |
Dr. Williams received her Doctorate of Podiatric Medicine from Des Moines University and completed her residency at St. Luke’s University Hospital in Allentown, PA.
Source: Calhoun Couny, Carroll County, News [3/9/16]
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| PODIATRISTS AND FOOTWEAR | |
CA Podiatrist Launches "Fashion with Function" Shoe Collection
Inspired by Victoria Beckham's recent announcement that she can no longer wear her signature sky-high heels, California-based podiatric surgeon Dr. Joan Oloff has decided it's time to start a true footwear movement for women, where the long held belief in "fashion over function" is replaced by a newfound belief in "fashion with function", and it has been a long time coming. In 2013, she founded Joan Oloff Shoes, a brand built upon the simple desire to improve women's lives and save their feet.
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Dr. Joan Oloff |
Dr. Oloff may not be the first person to have spoken out about the idea that women don't have to suffer for style, but she's certainly the most experienced. In fact, she has been surrounded by feet and footwear her entire life, having spent her formative years working in her father's shoe store before following her own path and becoming a renowned podiatrist and podiatric surgeon. As a doctor, Joan Oloff has treated countless women and an exceptional number of professional female athletes, whose careers and livelihoods are very much dependent on the state of their feet.
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| SUCCESS TIPS FROM THE MASTERS | |
Bret Ribotsky: If the MD degree is not the way to achieve parity, how do we achieve it while maintaining our DPM degree?
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Dr. Jon Hultman |
Jon Hultman: To get the MD degree, we would have to convert podiatry schools to medical schools and they would have to be accredited by LCME. None of our schools want to do this. The reality is that the end product of our education and training is indistinguishable; thus the license a DPM gets should be the same as the license an MD gets.
The barrier we hit with a plenary license today is not how medicine is practiced; each provider specializes in an area of medicine, and the CMA (California Medical Association) realizes this. What we want is our license to be equivalent regarding payers and other physicians; and that it's known that we have a license based on a review of strong educational parameters by credible educators who have looked at our training and have agreed that this should be our license.
Meet the Masters airs live on Tuesday night. This week's guest is to be announced. You can register for this and future events by clicking here.
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| MEDICAL EDUCATION | |
Med Students Demand an End to Pricey Patient Care Skills Exam
Thousands of medical students across the country are demanding the elimination of a licensing exam that tests their patient care skills, arguing that it’s an expensive waste of time. Led by students from Harvard Medical School, the effort has drawn strong support nationwide. More than 6,000 students, residents, and faculty at 130 medical schools have signed a petition calling for the National Board of Medical Examiners to abolish the test.
The target of their anger is the Step 2 CS, a role-playing test that asks students to examine and diagnose patients or actors pretending to have specific conditions and fill out their medical charts. It’s meant to test their ability to interview patients, do physical exams, and explain their findings. The exam is only offered in five cities: Atlanta, Chicago, Houston, Los Angeles, and Philadelphia. That means many students need to spend hundreds of dollars on flights and hotel accommodations. The registration fee for the exam itself is $1,275.
Source: Jennifer Anyaegbunam, STAT [3/11/16]
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| RESPONSES/COMMENTS (EMR) | |
RE: Surviving a Meaningful Use Audit
From: Mark Stempler, DPM
I have important information for subscribers participating in meaningful use. I am now in my second consecutive audit. I was told by Dr. Brody, who is representing me, that I may need proof that I contacted the immunization registry and the syndromic surveillance department and show rejection letters. When I called for help from syndromic surveillance, they told me absolutely not to attempt to set up an account if I will not be submitting data.
I didn't listen to them and signed up. Surprisingly, there are check off boxes to indicate which data you will be submitting. So, in our case that would be the specialty registries. For the immunization registry and syndromic surveillance, just state “exempt”. Go to the DOH website and sign in. For help, call 877-646-5410 option 3. Do not let them tell you not to apply. Just get help in registration. Then they will email you your confirmation, and that's your ticket. Both immunization and syndromic surveillance are both listed on the confirmation.
May you never be audited by these ____ auditors, but if you are, be prepared. They require information that is totally unnecessary. Don't they know we don't administer immunizations or treat the flu? Why would we require proof to that effect?
Mark Stempler, DPM, Staten Island, NY
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| RESPONSES/COMMENTS (DME) | |
RE: Diabetic Shoe Denial
From: Jack A. Reingold, DPM
We have taken the time and effort to fight every therapeutic shoe denial from Medicare. They seem to "up the ante" with each denial. Every time we change our forms or get more signatures, they seem to want some other minute detail. It is obviously not about patient care! Recently, our second level denial was due to them not accepting a physician's note that was written by their PA and countersigned by the MD.
To quote "co-signing the document does not meet the policy article requirement for criterion 3. The in person visit must be preformed by the certifying physician." If a PA can do everything in an office, under the supervision of an MD, how does this make sense? Does anyone have any experience with this or feedback? These denials, for the most minor of issues, come after the service has been rendered and the costs can not be recouped. They are killing the benefit.
Jack A. Reingold, DPM, Solana Beach, CA
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| RESPONSES/COMMENTS (CODINGLINE) - PART 1A | |
From: Barry Mullen, DPM
I respectfully disagree with Dr. Zlotoff's coding reply for a plantar plate repair. He opined for either using a flexor tendon repair code with the osteotomy code, or an unlisted code. In actually, when a CPR is correctly performed, one preserves the long flexor tendon. It is carefully retracted away from the plantar plate prior to the plate's incision. Therefore, that code is inappropriate. I'm unsure about my colleague's experiences using unlisted codes, but remuneration takes forever and only after multiple appeals. No thanks! I avoid them if a suitable code exists that reflects the work I perform.
So, when we think of the pedal pathology and the surgical repair, don't almost ALL plantar plate tears ultimately lead to...
Editor's note: Dr. Mullen's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) - PART 1B | |
From: Steven J. Kaniadakis, DPM
These are the types of posts that the profession reads which lead to so-called illegal "unbundling" acts of the CPT-related codes. Is there a global code for these two procedures? What is the authoritative source which truly provides the answer, and not just a response to these related type questions? Why wait to find out until a federal court and another paid expert tell you that the answers are not so clear, or until you are the one "sitting in the hot seat".
Steven J. Kaniadakis, DPM, Saint Petersburg, FL
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) | |
From: Larry Huppin, DPM
Just as Labcorp does, we require all of our patients to put a credit card on file (CCOF) if we are to bill insurance for them. We have required this of all patients for just over two years. The only patients who do not put a credit card on file are those self-pay patients who pay in full at time of service.
Using a feature in our practice management system (Athenahealth), once each year, we swipe the patient’s credit card. Athena’s credit card partner (Elavon) stores the credit card information securely. The patient signs a one-year contract that gives us permission to bill that card for any outstanding balances. This is no different than having a...
Editor's note: Dr. Huppin's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Michael Forman, DPM
Dr. Ronald Renzi has some great and not so great advice for us regarding vascular testing. We use a hand-held Doppler unit from Summit that produces wave forms on select arteries. This, in addition to other history and physical examination maneuvers, gives us a better understanding of the arterial supply to the patient's foot.
However, please be aware that Medicare does not pay for screening exams. If you perform a vascular test on EVERY diabetic, it can be construed as a screening process. When I purchased a Doppler unit, I took a course in its use. They told us of a diabetic clinic which used in on all of their patients and were forced to return all funds. That is not to say you shouldn't use it on anyone you feel would benefit - just don't bill for it every time.
So, I agree with Dr. Renzi that this is a great tool, but if you bill for its use, remember:
1. Document the need (diabetes alone is not documentation)
2. Be sure your unit can produce a hard copy of the patient's wave forms.
Michael Forman, DPM, Cleveland, OH
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Stood too close to a chocolate fountain? |
Source: Chengxu Tian via Virtual Shoe Museum
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MEETING NOTICES
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PM PODIATRY HALL OF FAME LUNCHEON
July 15, 2015 – PHiladelphia Marriott
Honoring Bret Ribotsky, DPM and James Lamb
Sponsored by Bako Integrated Physician Services (Silver), PICA (Bronze), and Sammy Systems (Bronze)
PM News subscribers are invited to see Dr. Ribotsky and Mr. Lamb inducted in the PM Podiatry Hall of Fame, including roasts by special guests.
All ticket proceeds go to the APMA Educational Foundation Student Endowment Fund. Reserve your tickets now by sending $75 per ticket to: APMA Educational Foundation, 9312 Old Georgetown Road, Bethesda, MD 20814 or via the APMA Meeting registration form.
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - BAKERSFIELD, CA
Office and hospital-based podiatry group seeking a highly trained surgical associate to complement our group. Minimum PSR-36 trained with rear-foot reconstructive experience required. Must have CA license and x-ray and fluoroscopy license. Previous practice experience is preferred. Competitive salary and benefits package. Please forward cover letter and CV to modpm@aol.com
ASSOCIATE POSITION – SOUTHERN CALIFORNIA
Successful, growing full-scope practice with offices in Oxnard, Camarillo, Ventura and Santa Barbara seeking a full time podiatrist with excellent patient skills to add to our team. Competitive salary and benefits offered including health insurance and 401K. Potential for partnership. Please send CV to Kelly@footsurgeon.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 – 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 - PHILADELPHIA SUBURBS
Excellent opportunity to join our team. Minimum PMSR/36 with RRA training or experienced podiatrist with same qualifications. Candidate should be outgoing, personable, have a strong work ethic and be highly motivated. All aspects of podiatry including wound care. Part-time leading to full-time will be considered. Please send a cover letter and CV to: tricountypods@gmail.com
ASSOCIATE WANTED – BOSTON, MA
Resident or practicing podiatrist wishing to relocate to Boston; great opportunity to become full partner in a practice with no investment. Please e-mail resumes to tritownpodiatry@gmail.com or fax to 781–641–1020
F/T PODIATRIST – PENNSYLVANIA
Expanding, well rounded, multi-site, state-of-the-art group with offices throughout Lehigh County, Pennsylvania. We offer: Competitive salary Benefits Partnership opportunity We're associated with hospitals, wound care centers, and a residency program. Requirements: Hard-working, self-motivated, board qualified/certified, and surgically trained. 2016 graduating residents welcome. Please email CV to: recruiting@foi-solutions.com
ASSOCIATE POSITION - NORTHERN VIRGINIA
Busy practice looking to expand. Looking for a well-trained, well rounded, energetic podiatrist. Should be competent in forefoot, rearfoot and ankle surgical procedures as well as wound care. All aspects of podiatry, pediatrics, orthopedic and surgical. Competitive salary, bonus, benefits and buy-in potential. Send cover letter, CV to footdocva@cox.net
ASSOCIATE POSITION – CALIFORNIA
Podiatry group specializing in long-term care and assisted living facilities seeks podiatrists all over California immediately. Part-time and full-time positions available. Also need a doctor for an office-based practice in Los Angeles area. Must have a good work ethic, easy-going and friendly attitude. Email CV to footdoctor4u@gmail.com
ASSOCIATE WANTED - SOUTHWEST OF BOSTON
Well rounded established practice outside of Boston seeking well trained associate BQ/BE to join the practice. Excellent referral base and high volume of new patients. Opportunity for partnership for the right person. Please contact pmlepdpm@aol.com
ASSOCIATE POSITION - EAST 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.
F/T PODIATRIST – PENNSYLVANIA
Expanding, well rounded, multi-site, state-of-the-art group with offices throughout Lehigh County, Pennsylvania. We offer: Competitive salary Benefits Partnership opportunity We're associated with hospitals, wound care centers, and a residency program. Requirements: Hard-working, self- motivated, board qualified/certified, and surgically trained. 2016 graduating residents welcome.Please email CV to: recruiting@foi-solutions.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 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE - ULTRASOUND
SIUI CTS-5500 with rolling stand with a 7.5 MHz probe is ideally suited for soft tissue and some bone and joint applications. Mitsubishi printer with 5 rolls of thermal paper, plus Sonicgel and US Gel. $5,000 OBO. Please contact Amanda Reidhead @ amandar@aafaz.com or (480) 559-8404.
EQUIPMENT FOR SALE: CAST REMOVAL INSTRUMENTS
Stryker 940 cast saw, Ortho Vac 864 portable vac, 2 new blades, new cast spreader and new cast shear. Excellent condition. Complete package with shipping. $1,800. Please email hjddpm@gmail.com
PRACTICES WANTED TO BUY
Two graduating residents seeking to buy a practice or buy into a practice. Well trained in conservative care, forefoot surgery, and wound care. No preference on location. Please email footdoctors2016@gmail.com with practice and financial information.
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. www.turnkey-podiatry.com
PRACTICE FOR SALE - SOUTHERN NEW HAMPSHIRE
30 year busy solo practice. Close to Boston, mountains and ocean. High growth potential with surgery, diabetic and wound care. Large patient base. Hospitals close by. EHR & ICD-10. $250k gross and asking one year's gross. Please contact officeforsalenh@gmail.com.
PRACTICE FOR SALE – CENTRAL FLORIDA
Practice available in a small town in Central Florida. Podiatrist retiring. Was full 4 day practice but now 2 days due to illness. Easily expanded. Same location over 30 years. Surgical and hospital privileges available but not required. Purchase equipment and assume patient care . Send inquiries to: DDave9388@aol.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.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
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RE: (Topic)
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Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
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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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