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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,792 Subscribers Daily
March 23, 2018 #6,149  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- 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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Do you use compounding pharmacies? |
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| APMA NEWS | |
APMA Announces A5513 and K0903 Victory!
The American Podiatric Medical Association (APMA) has announced that after much advocacy by APMA and the American Orthotic and Prosthetic Association (AOPA), diabetic shoe inserts fabricated using scanning devices will be reimbursed the same as those inserts made over a positive model of the patient’s foot, effective April 1, using a temporary HCPCS code, K0903.
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Dr. Brad Wenstrup |
After a lengthy multi-pronged advocacy approach by APMA and partners, CMS reached the decision that as the processes were essentially equivalent, the fee needed to also be identical. APMA is grateful for the partnership with AOPA, the O&P Alliance, and the Amputee Coalition, as well as indebted to the congressional assistance of Rep. Brad Wenstrup, DPM (R-OH), to reach this successful resolution. As this situation does not represent the only area in which medical technology has evolved, APMA is hopeful that it will serve as the correct precedent as to how other technological advancements will be addressed prospectively.
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| PODIATRISTS IN THE NEWS | |
PA Podiatrist Discusses Treatment of Heel Pain
Heel pain that is present for more than four weeks and has not responded to changes in support or anti-inflammatory medications are signs it is time to seek help. According to Jason Miller, DPM, FACFAS, a Pennsylvania foot and ankle surgeon and Fellow member of ACFAS, if the heel pain is interfering with normal daily activities, work, or recreational activities, then it's time to see a foot and ankle surgeon. When visiting a foot and ankle surgeon, patients need to be honest about how their pain developed, their level of activity, what type of shoes they wear and what type of treatment they've completed, if any.
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Dr. Jason Miller |
Foot and ankle surgeons will look to conservative treatments first – such as stretching exercises, icing, modifying footgear and activity and sometimes physical therapy. They may also recommend using a night splint or a cortisone injection for patients who experience chronic pain in the morning. "A lot of patients will get better with conservative therapy if done correctly," said Dr. Miller. "The good news is that, for patients who don't respond well to conservative approaches, we have more treatment options than ever before."
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
PA Podiatrist Receives Lifetime Achievement Award
Richard DiBacco, DPM, an Erie native, received a Lifetime Achievement Award from the Greater PA Education Foundation. DiBacco, who serves as director of Podiatry Associates Foot and Ankle Center, which has offices in Erie, Meadville and Conneaut, Ohio, earned a bachelor’s degree from Gannon University and his medical degree from Ohio College of Podiatric Medicine. He went on to complete his residency at the Foot and Ankle Clinic of Youngstown Osteopathic Hospital.
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Dr. Richard DiBacco |
He is the founding director of the podiatric surgical residency program at Millcreek Community Hospital and has served as chief of podiatric surgery at multiple hospitals in northwestern Pennsylvania. Past honors include Doctor of the Year at Union City Memorial Hospital. He currently serves as president of the Kent State University Foot and Ankle Board of Directors.
Source: Goerie.com [3/18/18]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
3 TX Podiatrists Named Best of Texoma
Congratulations to all the Best of Texoma Top 3 Winners.
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Drs. Craig Cranford, John Sciortino, and Matthew Jackman. |
Best Podiatrist: Drs. Craig Cranford, John Sciortino, and Matthew Jackman.
Source: Herald Democrat [3/18/18]
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| INTERNATIONAL PODIATRY IN THE NEWS | |
International Podiatric Leadership Attends the APMA HOD
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(L-R) Dr, Dennis Frisch, Christian Jerome, and Dr. Matthew Garoufalis |
The American Podiatric Medical Association (APMA) House of Delegates always includes many in leadership from our profession. This year, not only do we have our new APMA President, Dennis Frisch, DPM but also, Christian Jerome, the current Vice President if the International Federation of Podiatrists (FIP), and past APMA President and current FIP President, Matt Garoufalis, DPM. These international leaders stressed the importance of APMA's leadership position in the world of podiatry.
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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 | |
Drive Down Expenses at Your Medical Practice - Part 3
3. Take a look at services.
How much are you paying for your bank charges? For credit card processing? For phone and Internet? Shop around for the best deals. Simply asking your bank for a better deal can produce nice savings. A recent client – single location, four-physician group - saved $4,500 a year in fees by switching to a new bank, but also gained process efficiencies with free remote deposit (no staff time wasted going to the bank every day) and online access to all their accounts through a single sign on.
Shop around for better credit card rates too. You can also approach your current vendor and ask them to reduce their fees — there is not much they can do on the credit card company rates (Amex, Visa, MC), but they can reduce monthly fees and per transaction costs. Call your phone company and ask them what special offers they have. If they are not willing to extend those deals to existing customers, tell them that you will be happy to switch to a new company for a better deal. Every time we’ve used that approach, we’ve received a better offer from the carrier.
Source: Susanne Madden, Physicians Practice [3/14/18]
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From Ron Werter DPM
It was probably a specialty pharmacy which would deal with Novartis to make sure the prior approvals are expedited. Compounding pharmacies are a completely different story. But most likely, even if the patient got the prescription through their own Medicare part D plan, the situation would have been the same.
I assume all of us in practice understand that no matter what the drug rep says about minimal cost to the patient, the true medication cost is between high and outrageous. The rep will tell us, "If your patient can't afford the price of the medicine, we have a special discount so they can get the product for $50." BTW, that doesn't apply to Medicare patients because of the machinations of Congress. I've never understood how the drug company can afford to give away a $1,000 product for $50. Unless...!
Yes, we should discuss the possible cost of the medications we prescribe, and maybe decide we will not prescribe those medications. But we can also offer alternatives to the prescription topical medications for nails. The OTC nail preparations that we can dispense from our office would cost the patient $40-$50 out-of-pocket for a reasonable size bottle. I can't believe that the efficacy of those preparations could be worse than the 10% quoted for the prescription medication.
Ron Werter, DPM, NY, NY
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Simon Young, DPM
I don't necessarily disagree with the conclusions (without reading the study), but the study can be misleading. What were the biomechanical and pathophysiologic diagnoses of the PHP, for prescribing the orthotics. Not all PHPs are the same and respond to orthotics.
My empirical clinical experience indicates combined therapy treatment seems to be a reliable path to treat PHP - custom-molded orthotics in combination with other modalities i.e.: NSAIDs, physiotherapy, stretching, etc. Unitherapy modalities, in my clinical experiences, are not as effective for treating PHP.
Simon Young, DPM, NY, NY
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1B | |
From: Michael J. Schneider, DPM
I'm assuming that PHP refers to plantar fasciitis. In 1976, I developed severe “PHP”. I saw a podiatrist who prescribed functional foot orthotics. I walked into his office on my toes to pick up the devices and walked out without heel pain. This actually led to my going back to school to become a podiatrist at the age of 42. In the years since, I have prescribed thousands.... yes thousands of orthotics to treat biomechanical issues... mostly plantar fasciitis.
I'm retired now (kind of). I still get positive feedback from patients whom I treated years ago. I am pretty certain that the majority of podiatrists who have treated “PHP” would agree that functional foot orthotics, done by professionals, have produced positive results in many if not most patients. Is it possible that the orthotics used in this “sham study” were not fabricated by true professionals?
Michael J. Schneider, DPM, Denver, CO
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| RESPONSES/COMMENTS (PM NEWS QUICKPOLLS) - PART 1A | |
From: Richard J. Manolian, DPM
As referenced on sterilization options from previous posts, I have to wonder how these burrs being re-used are cleansed and sterilized for reuse.
In the end, this is a lot of discussion on a $32 or less procedure, which does not really sustain a profitable practice on today’s environment.
Richard J. Manolian, DPM, Cambridge, MA
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| RESPONSES/COMMENTS (PM NEWS QUICKPOLLS) - PART 1B | |
From: Estelle Albright, DPM
It is my hope that the discussion of nail grinding has resulted in, I pray, at least one podiatrist to stop grinding mycotic nails. We, as physicians, should treat the infection of nail fungus, not perpetuate it, and thus place ourselves, staff, and patients at risk.
To those who think they are not at risk, a recent study reported on MSN.com, revealed the incidence of lung infections in dentists as an occupational hazard to tooth grinding. Dentists glove, mask, and take precautions with far more respect for the dangers they encounter in their work than we do, and yet, they too are at risk.
Estelle Albright, DPM, Indianapolis, IN
Editor's note: This topic is now temporarily closed.
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| YOU CAN'T MAKE THESE THINGS UP | |
No Socks, No Entry at Royal Ascot
Men who wear shoes without socks may be refused entry to the Royal Ascot this summer under new rules. For decades, Ascot has been renowned for its strict dress code, and this year, male attendees have been warned that they could be unceremoniously turned away if they arrive without socks.
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Seen at on Red Carpet at Royal Ascot |
Last year, the College of Podiatry warned that they were seeing a rise in the number of 18-25 year-old men who were suffering from fungal infections. This was directly linked to the increase in young men wearing shoes without socks and ill-fitting shoes. Not wearing socks causes sweat to seep into the shoe's leather, which then turns the inside of the boot into a breeding ground for bacteria.
Source: Kerry McDermott, The Daily Mail [3/20/18]
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MEETING NOTICES
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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 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $219 (less than $15 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MD, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, ID, IA, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE-TO-OWNERSHIP - UPPER PENINSULA, MICHIGAN
Associate needed for long-standing successful practice, with option to purchase. Encompasses every aspect of modern podiatry (orthopedics, diabetic medicine, surgery, wound care, etc). Area is nationally renowned for the nature. We're on a large lake, rivers, mountains, downhill skiing, mountain biking, cross country skiing, snowmobiling, hunting, all at hand. The practice is located in a professional building. Practice very well equipped: ultrasound, digital x-ray, in-office surgery, pain laser, fluoroscopy, etc. Hospital privileges available in state-of-the-art, new hospital. A unique work-to-own situation. E-mail: ctmthor4@hotmail.com
ASSOCIATE POSITION – BALTIMORE, MD
Busy Podiatrist Office in Baltimore, MD is looking for a part-time associate Podiatrist. Excellent compensation and friendly environment. Must be Board Certified by ABFAS. To apply, send your CV to hillsforrent@gmail.com
ASSOCIATE NEEDED - WARREN/YOUNGSTOWN, OHIO
Ankle & Foot Care Centers operates 20 locations in Northeast Ohio. We are looking to add a full-time podiatric physician to help cover expanding office hours. Tremendous growth opportunity for a hardworking individual with an interest in reconstructive surgery and wound care. To learn more about us, visit our website at www.ankleandfootcare.com Please email your letter of interest and CV to Michael Vallas, Practice Administrator at mike@ankleandfootcare.com.
NEW POSITION-PHOENIX, ARIZONA
Established practice in the Phoenix Metro area is seeking a podiatric physician. This position is an excellent opportunity for a highly motivated individual who is looking for growth potential in a professional, well-equipped environment. Please reply with your CV at ValleyFeet@Gmail.com
ASSOCIATE POSITION – KENTUCKY
Associate position open for well trained, compassionate physician for busy clinic in the beautiful Danville area of Kentucky. Wide range of services to be offered with several ancillary services onsite. Generous base salary with incentive/full benefits and partnership opportunity. Email CV and letter of interest to: MCrosby518@ mail.com
ASSOCIATE POSITION - LOUISVILLE, KY
Associate position available leading to partnership or ownership. Great opportunity for motivated practitioner. 30 year practice with well established patient base, excellent referral base. 2 office locations. Hospital, wound care and ER call privileges. Excellent mix of patients, high surgical volume. Great potential to take to the next level. Late into the game for new graduates but if interested, email me at Afootdr@aol.com
ASSOCIATE POSITION WANTED - HUDSON VALLEY, NY
Full time associate position in a busy office. Broad responsibilities including wound care, trauma call, hospital rounding, etc. Surgical based practice with privileges to local hospital and surgical center. Comparable pay. Position available Sept. 2018, will wait for right graduate. Office is located in the beautiful Hudson Valley. Close proximity to NYC as well as a multitude of outdoor activities. Please send CV in an email to hudsonvalleypodiatrist@gmail.com
POSITION AVAILABLE - GETTYSBURG, PA AND FREDERICK, MD
Well-established practice is seeking associate for partnership and buy out. One senior partner looking to slow down and then retire. I will teach you to become a top earner in the field. Don't miss this opportunity! drhenrock@yahoo.com. Dr. Scott Henry 301-514-9781. AtlanticFootSurgeons.com
ASSOCIATE PODIATRIST - TRISTATE AREA, MARYLAND
Great team players wanted for Group Practice with several locations. Full time associate positions are available. We offer state of the art facilities with well-trained support staff, in-office surgical center, ultrasound, DME, EMR, x-rays, etc. This amazing opportunity comes with a competitive salary, excellent benefits and bonus structure. Please email letter of intent and CV to mynewposition75@gmail.com
ASSOCIATE POSITION - PODIATRY GROUP IN LOS ANGELES
Join the group/limb preservation team and teaching faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Send CV to podiatricri@yahoo.com, attention Stan Mathis, DPM.
ASSOCIATE POSITION - HOUSTON, TX
Established, growing multi office, multi doctor practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be personable, outgoing and motivated with excellent clinical and surgical skills. Practice is protocol-based, state-of-the-art equipped with the latest technologies and cutting-edge procedures with an extremely competent staff. Send CV, salary requirements to faajobs@gmail.com.
ASSOCIATE POSITIONS - MARYLAND
Come join our team of top docs. Foot and Ankle Specialists of the Mid-Atlantic, LLC has associate positions available in several of our established MD locations. We have all the administrative, marketing, and assistant help in place to help make your practice, with us, a success. See patients, do your charting, and leave the rest to us. Email your resume and cover letter to newdpm@footandankle-usa.com . We look forward to receiving your information
POSITIONS AVAILABLE - UPSTATE NEW YORK and NEW JERSEY
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Upstate New York and New Jersey. Great opportunity for part-time income. Positions available immediately! Send inquiries to: phasetwopodiatry@gmail.com
MOBILE PODIATRISTS NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for PART-TIME podiatrist to do home visits to home- bound patients in NJ, in Southern Counties of NJ, primarily - OCEAN county .
ASSOCIATE POSITION - CHICAGO/NEAR WEST SUBURBS
Multi-location group - Immediate opening for ABFAS Board Certified/Eligible associate. Minimum 1 year’s private practice experience required. Surgical/ortho patient load. DME, Rx, Minimal Incision Sx, EMR, digital x-ray, laser, ultrasound, shockwave & MRI. Top pay, associateship & practice equity available for experienced candidates. Send CV drtsatsos@anklenfoot.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME-APPROVED 12 month fellowship beginning July 1st, 2018. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as plastic, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE (equal opportunity employer)
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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 davidekagan@gmail.com or call (215) 808-0770.
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| CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - PHOENIX METRO/EAST VALLEY
Small office, well established location. Primed for growth in family oriented area with bonus large retiree population. Close to multiple hospitals, surgery centers. New home developments/subdivisions literally around the corner. Email dlmeb5@yahoo.com for details.
PRACTICE FOR SALE - SEATTLE SUBURB
25 year old sports and family oriented practice located in a highly desirable, affluent and well insured area. For details, reply to: footdoc@aol.com
PRACTICE FOR SALE - NORTH PHOENIX/SCOTTSDALE/ PARADISE VALLEY, AZ
A well established, successful solo practice in a prestigious medical center. Office suite recently built. All aspects of podiatric medical care for adults and children. Excellent opportunity for referrals and continued practice expansion. Doctor willing to stay and help with transition. Call 602-740-1686 for details.
PRACTICE FOR SALE - NORTHERN CALIFORNIA
Retiring. The practice comes with ready patient base in area of unlimited potential. Awesome locale with lakes, mountains and rivers in every direction. $200,000 buys the building and well established practice. Seller willing to partially finance and stay as needed during transition. Seller also willing to consider renting or lease to buy. Please contact me with serious inquiries only and I will be pleased to discuss the particulars with you. A great opportunity!!! reddingpodiatry@sbcglobal.net
OFFICE SPACE FOR RENT – NYC SUBURB
Busy urban location with patients walking in every day. Ground floor accessibility. You will be busy from Day 1 if you are not afraid to work hard. Highly rewarding experience with established office-patient relationship in the community. Suburbs of New York City but city-like atmosphere. recruitjobs18@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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 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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