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PM News

The Voice of Podiatrists

Serving Over 18,790 Subscribers Daily


March 27, 2018 #6,152 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

richieoct1617

PM NEWS QUICK POLL

Quick Poll

What is the biggest challenge facing podiatry?
rhettmar2618

APMA COMPONENT NEWS

APMWA Announces 32nd Annual Student Writing Competition

DEADLINE APRIL 1, 2018

The American Podiatric Medical Writers Association has announced its 32nd Annual Student Writing Competition.

  • All papers MUST be non-technical in nature. Appropriate subjects include practice management, ethics, law, education, or any topic that would be suitable for a lay publication.
  • There is no word limitation. Papers will be graded for content, style, grammar, neatness, and overall impact.
  • First prize one thousand dollars ($1,000), Second prize  seven  hundred and fifty dollars ($750)  Third prize five hundred dollars ($500) sponsored by an APMA Educational Foundation endowment from Dr. and Mrs. Steven Berlin, and recognition in the APMA NEWS and the APMWA Newsletter. Honorable Mention Certificates may also be awarded.
  • This competition is open to ANY enrolled podiatric student.
  • Entries must be received by 4/1/18 via e-mail at bblock@podiatrym.com
  • Entries become the property of APMWA, which may arrange publication of the entry.
Drjillfeb518

amerxmar1218

PODIATRISTS AND SPORTS MEDICINE
NY Podiatrist Stresses Importance of Strength Training
 
"I have always said that a healthy runner is a strong runner. Most runners are quite good about putting in the miles, but actually concentrating on strength training is out of their comfort zone. The runner's gait is a kinetic chain...meaning that what happens in one area of the body has a profound effect on another part," says Robert M. Conenello, DPM.  
 
Dr. Rob Conenello
 
"I screen all my athletes by challenging them with simple tests. One such is a single leg squat. Running is a series of single leg squats. Many of these well-conditioned athletes are unable to perform this simple task. They may need to use their upper body to gain balance or they exhibit a drifting of the bent knee inward on the bent leg. These are indications of poor core strength as well as weak hip abductors. Simple exercises such as planks and clamshells can be performed to increase strength in these areas," says Dr. Conenello.
 
Source: Jackie Cunniff, OOFOS [3/22/18]
2020mar1918B

PODIATRISTS IN POLITICS
SC Podiatrist Again Challenges for House Seat
 
Rep. Jerry Govan, D-Orangeburg, has officially announced he’s seeking another term.
 
Dr. Kevin Ray
 
Orangeburg podiatrist Dr. Kevin Ray, who announced his candidacy in December, and marketing and outreach specialist for the Dalton House for Veterans and Non-Veterans Gene Gartman Jr. have both filed for the seat. Govan defeated Ray two years ago.
 
Source: Marietta Daily Journal [3/25/18]
realm

ortho10

FUTURE PODIATRISTS IN THE NEWS
MN Swimming Champion Prepares for Podiatry School
 
Danielle Nack can't remember the last time she took two weeks off from swimming. Nack, who was an all-state swimmer at Mankato West before becoming an All-American with the Gophers, will graduate in May with a degree in psychology. She will relax and get a job around Mankato this summer and attend podiatry school in Des Moines, Iowa, in the fall.
 
Danielle Nack
 
Nack will long be remembered for her swimming, dominating as a prep star by winning state championships, putting her name on several school records, and setting the standard at many pools in the Big Nine Conference. Last weekend, she earned All-American honors with the Gophers, swimming on three top-8 relays and setting school records in the 800 freestyle relay and 400 medley relay. At the Big Ten championships a month earlier, she set personal-best times in the 50 freestyle, 100 butterfly, and 200 butterfly, taking second in each event.
 
Source: Chad Courrier, Mankato Free Press [3/25/18]
apexaug2817G

PRACTICE MANAGEMENT TIP OF THE DAY
Areas of Financial Waste to Cut at Your Practice - Part 1
 
Here are a few ways to reduce financial waste, according to practice management and accounting professionals from across the country:
 
1. Cut Back on Supplies
 
"Most medical offices tend to order supplies in huge, unnecessary quantities; anything and everything from printer paper to syringes. It happens because of a lack of communication. The doctor or office manager tells an employee to stock something...[and] tells another person to stock the same things. I can't tell you how many times I've seen double orders. You need a system of checks and balances and have a supplies checklist." Thomas Moore, CEO of healthcare management firm The Caduceus Group, Atlanta, GA
 
Source: Bob Sandrick, Physicians Practice [3/19/18]
schedinstitutemar2618

CODINGLINE CORNER
Query: A5512 Returns
 
The LCD for A5512 states that heat moldable inserts cannot be used in other than diabetic shoes. If a patient decides to return the shoes after dispensing & billing, we know we need to reimburse the insurance company for the shoe payment (A5500). The question we have is, what do we do with the payment of the 6 units of the A5512 after they have been heat molded to the patient? The manufacturer will not accept the heat molded inserts after they have been heat molded to the patient's foot.
 
Dawn Dryden, DPM, Batavia, NY
 
Response: This is a tricky situation because, in theory, the shoe and inserts have to be dispensed as a unit. Medicare will not reimburse for a shoe alone or an insert alone. You did not mention why the shoe was returned. Possibly, it could be exchanged for a shoe that fit better? You may return the shoe for some credit but obviously not the inserts.
 
The next question is refunding Medicare the money since the shoe was returned. You should also refund Medicare for the inserts. The patient could pay you cash for the inserts with an ABN as they technically are not covered in this scenario.
 
Tony Poggio, DPM, Alameda, CA
 
For information on Codingline subscriptions, click here
bakomar2618A

RESPONSES/COMMENTS (EMR)
From: Arden Smith, DPM
 
I have used DOX EMR for about 5 years now. This system is podiatry-specific. It has every diagnosis and treatment we use in podiatry pre-programmed into the system from the start. Drs./users do not need to build any templates – building templates and entering details we need in podiatry can be frustrating and very time-consuming.  None of that is required with DOX – they have done all that work for you. The system is ready for use from day one. Easy to learn – a few nuances, but very intuitive. DOX is extremely good in their handling of Meaningful Use/ MIPS – with only a little extra work selecting PQRS measures. It is a very good system – I highly recommend it.
 
Arden Smith, DPM, Great Neck, NY
2020feb1918

RESPONSES/COMMENTS (NON-CLINICAL)
RE: Where Did that Foot Skeleton Come From?
From: Paul Busman DPM, RN
 
Today, they're probably all plastic replicas, but back when I was in podiatry school, we got real bone specimens. I still have a whole wired foot ,a disarticulated foot strung on nylon cord, and a whole leg with half of a pelvis. I've always wondered where the bones came from and I just came across an interesting NPR video that sheds a bit of light.
 
Paul Busman DPM, RN, Frederick, MD
AOTIMar518

RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 1A
From: Ira Baum, DPM
 
It's hard for me to believe that this issue is still being addressed for more than 20+ years. I'm not sure that I understand the purpose of regurgitating studies that compare these devices for treatment of foot pain. Most studies on this topic have obvious flaws, such as a person's weight, foot type, and structure, activities, footgear, and primary weight-bearing surface. Besides all those variables, it's a waste of time to compare the two. Either you believe in abnormal foot function as a cause of deformity and pain or you don't. 
 
As a profession, I hope we believe the former. However, we will never educate the public or the insurance companies on the superior benefit of custom foot orthotics to OTC arch supports, so why bother. Insurance companies will never capitulate to reimbursing for custom foot orthotics and there will always be people looking for simple solutions; that's their choice. That's not to say that every person with foot pain won't benefit from OTC arch supports; they may. For those that do, great; for those that don't, well thought-out and well made custom orthotics should benefit them if their problem is due to abnormal foot function - period.
 
Ira Baum, DPM, Naples, FL
vircinjan118B

RESPONSES/COMMENTS (REVEVANT RESEARCH) - PART 1B
From: Nicholas A. Ciotola, DPM 
 
What I have found problematic in most studies on the role of various orthotic devices in plantar fasciopathy is that they all treat this disease like it is a homogeneous entity. Future investigations would be more robust by specifying the factors placing the patient at risk for plantar fasciopathy. It seems intuitive to me that plantar fasciopathy secondary to sagittal plane deformities (e.g. equinus) will do fine no matter what you place under the patient's foot, since a heel lift is probably all they needed.
 
On the other hand, I believe heel pain with severe coronal plane deformities will benefit from an appropriately posted customized device. This paper, while limited in its methodology, hints that there may be some substance to this approach.
 
Nicholas A. Ciotola, DPM Methuen, MA
extremityjan118

RESPONSES/COMMENTS (NEWS STORIES)
From: Ira Baum, DPM
 
Court reporting by PM News can be a good resource to teach podiatrists what not to do and how many of our colleagues fare in court decisions. However, I don't see any value in naming a podiatrist in a DUI incident in sharing it with its readers. 
 
Ira Baum, DPM, Naples, FL
Redig-thotics

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

World's longest laces? (Photo: Radek Leski)

Source: Daryl van Wouw via Virtual Shoe Museum

tetrafeb1918R

MEETING NOTICES

gramedicajan2918

IFAFarthro125

ohfamaapr317

NEED CME CREDITS FAST?

PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn up to 5Continuing 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

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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS
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)
 
ASSOCIATE POSITION - LONG ISLAND, NY 
 
Well rounded surgically trained podiatrist to join state of the art practice EHR, digital X-RAYS, etc, on Long Island. Multi-podiatrist practice needs qualified practitioner to join our team. All phases of Podiatry including surgery, wound care, and orthopedics. Board Certification preferred, excellent salary. Email CV: jbmbcw@yahoo.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
 
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
 
ASSOCIATE POSITION - QUEENS, NY 
 
Seeking a motivated, hard-working, part time podiatrist to join an established but growing practice in Queens. Must be personable and hard working. Has the potential to become full time based on performance. Hospital privileges available for growth opportunity. Incentive based salary. Email CV to KGPodiatry@gmail.com
 
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.
 
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.
CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
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
 
EQUIPMENT FOR SALE – MASSAPEQUA, NY 
 
Medical equipment in good working condition for sale: 2 Boyd Podiatry Chairs, X-cel X-ray machine with developing tank, whirlpool, 1 steel cabinet with medical supplies (immobilization boots, orthotics grinder, 2 sterilization tanks)  Equipment available after May 5, 2018.  Best offer accepted.  Contact Loreto Capogna (516) 752-0070 or lcapogna@aol.com
 
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.
 
IDEAL STARTER PRACTICE FOR SALE - NORTH CAROLINA
 
30k per year gross working 6 weeks per year serving 5 assisted living facilities and nearby house calls.  No call, no weekends, very low overhead.  Excellent foundation to build upon.  Medicare and cash only.  Asking 20k.  North Carolina Coast.  mobilepodiatry1@gmail.com
 
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 
 
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.
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 other publications or listservs without our express written permission.
  • Notes must be in the following form:
    RE: (Topic)
    From: (your name, DPM)
    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
    Your name, DPM City/State
  • Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.

Barry H. Block, DPM, JD
 
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