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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
March 31, 2021 #6,918  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- 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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What is your primary treatment for Morton's neuroma?
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| PODIATRISTS AND THE CORONAVIRUS PANDEMIC | |
OH Podiatrist Gives Shots to Promote Vaccinations
A Republican congressman gave COVID-19 vaccinations Sunday to promote efforts to get reluctant people to get the shots. An early advocate of getting vaccinated, Rep. Brad Wenstrup, DPM is among Republicans concerned about their voters getting inoculated because of unfounded claims about the vaccines.
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Dr. Brad Wenstrup gives vaccination |
“A lot of it is distrust in the government,” said Dr. Wenstrup a podiatrist who served as an Iraq War combat surgeon. “Everyone is going to have a different reason, I think.” “I think it’s mixed messages that people have been getting. Get the message from someone you trust, I think is the most important thing,” he said. He has given shots at several clinics in his district, including twice in his role as an Army Reservist.
Source: Dan Sewell, Associated Press [3/28/21]
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| PODIATRISTS IN THE NEWS - PART 1 | |
SD Podiatrist Discusses Ankle Repacement Surgery
Yes, ankle-joint replacement technology exists. That’s something Garrett Wobst, DPM, Avera Medical Group foot and ankle surgeon, more often will say to patients who face arthritic ankle pain. “In just the last 10 years, they have become more commonplace as the technique and the technology and materials have matured,” said Wobst. “Modern ones are long-lasting and give many patients a great alternative to ankle fusion surgery, as well as relief.”
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Dr. Garrett Wobst |
Ankle replacement is an intricate approach to surgery. Still, once the 90-minute procedure is completed, patients may spend one or two nights in the hospital before beginning therapy and the journey back to full mobility. In most cases, they should avoid bearing weight on the ankle for about three to four weeks. “Ankle fusion patients are asked to be non-weight-bearing for eight weeks in most cases, so the contrast is striking,” said Dr. Wobst. “Among all the joints, the ankle is the one that gets a tremendous pounding onto a very small surface area. The surgery can be challenging, but for the right patient, it’s a cure for pain.”
Source: Argus Leader [3/29/21]
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| PODIATRISTS IN THE NEWS - PART 2 | |
TX Podiatrist Comments on Callus-Removing Booties
So, how do these callus-removing booties work? They’re essentially a chemical peel for your feet, with acids that strip away dead skin. However, Larissa Rolim, DPM, MS, a board certified podiatrist at Maverick Foot and Ankle Specialists in Irving, Texas, says that the glycolic, salicylic, or lactic acids that are often in these foot peels can potentially burn your skin.
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Dr. Larissa Rolim |
“Many times, the acid percentage in these foot peels is not regulated or reported and can cause a chemical burn requiring medical attention,” Dr. Rolim says. Rolim and other health professionals we contacted say that diabetics should avoid foot peels altogether because high blood glucose levels affect the body’s ability to heal wounds.
Source: Brittany Anas, WCPO [3/26/21]
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| ACFAS NEWS | |
ACFAS 2021 Scholars Announced
Every year, the American College of Foot and Ankle Surgeons (ACFAS) recognizes its student club presidents from each of the podiatric medical school campuses for all the work they do throughout the school year on behalf of the organization. Each ACFAS Scholar receives a scholarship for $1,000 to defray their costs of travel and lodging to ACFAS 2021 in Las Vegas in May. They also receive complimentary registration. This year's recipients are:
AZPod: Kayla Weber, ’22, Barry University: Karissa Badillo, ’22, CSPM: Shane Hall, ’22, DMU: Travis (Drew) Anderson, ’22, Kent State: Hamidat Momoh, ’22, NYCPM: Justin Erfanian-Taheri, ’22, Scholl College: Trevor Page, ’23, Temple University: Alexandra Brown, ’22, and WesternU: Kevin Trinh, ‘23.
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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 | |
Health Conversations: Six Ways to Engage Patients - Part 4
A growing body of research suggests that people who are actively involved in their health and healthcare tend to have better outcomes. Here are six practical suggestions for how to enhance your patients’ engagement in your conversations about their healthcare.
4. Learn to move slowly
If your patients are resisting a discussion, try simply offering additional resources on the topic. Let them know that, whenever they are ready to discuss the topic, the door is open. If they do give permission to discuss a sensitive topic, make sure to use motivational interviewing and ask open-ended questions. For example, you could ask, “How is your weight affecting your quality of life and your health?” or “How do you feel about your alcohol consumption?” Your tone should convey empathy and a genuine desire to help the patient.
Source: Karli Burridge, PA-C, MMS, FOMA, Physicians Practice [3/16/21]
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| CODINGLINE CORNER |
Query: Coding for an Intermetatarsal Ligament Release
I have been having problems finding the proper code to use for an intermetatarsal ligament release to decompress a Morton’s neuroma. The codes I have used for this, CPT 64722 and CPT 64726, have both been rejected by insurance as invalid codes. What is the best code to use for this procedure?
PM News Subscriber
Response: I have performed this procedure in the past and I have billed CPT code 64722 (Decompression unspecified nerve(s) (specify)) and CPT code 64726 (Decompression; plantar digital nerve) and have been reimbursed successfully using ICD-10-CM code G57.61 (Lesion of plantar nerve, right lower limb) or G57.62 (Lesion of plantar nerve, left lower limb) as indicated. Back in the day, the correct ICD-9 code to use was 355.6 (Lesion of plantar nerve).
There is no indication in the post which health insurance carrier or carriers were billed and rejected the claim(s) nor is there any indication what the ICD-10-CM code was that was appended to CPT codes 64722 and 64726. If the coding scenario was billed as I have indicated above and the claim was rejected, it is now time to put Plan B into action. Plan B has two CPT codes to bill. The first one is CPT code 28899 which is defined as: Unlisted procedure, foot or toes. The second one is CPT code 64999 which is defined as: Unlisted procedure, nervous system. When either of these CPT codes is billed, they would be appended by either the RT or the LT modifier as appropriate.
The ICD-10-CM code that would be linked to either of the CPT codes would be G57.61 or G57.62, depending upon the laterality of the procedure. The claim would have to be submitted hard copy along with a copy of the operative report. If you pinned me down, I would bill CPT 28899. After all, it is an intermetatarsal ligament that is being released to decompress the Morton’s neuroma.
Michael G. Warshaw, DPM, CPC, Lady Lake, FL
For information on Codingline subscriptions, click here
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| QUERIES (NON-CLINICAL) | |
Query: Collecting Annual Medicare Deductibles
I am watching this 800-pound gorilla rear its ugly head once again. Being retired (from a solo Florida practice), I am no longer aggravated by the pain of collecting Medicare deductibles. But I can certainly empathize with anyone who is still involved. I am curious as to how much of a problem this presents in other parts of the country.
Howard Lepolstat, DPM, Coconut Creek, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Steven Finer, DPM
Sounds like a good idea. My son is in the business world. He is involved in complex litigation. The lawyers have a huge six figure retainer before they do one bit of work. This is standard procedure for them, other than for the personal injury lawyers. Go to the dentist for procedures and try to leave without a healthy payment. We have been saying this same mantra for fifty years. Preparation work is hardly ever considered by the patient.
Steven Finer, DPM, Philadelphia, PA
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Peter J. Bregman, DPM
I could not disagree with you more regarding the size of the neuroma which is why I did not mention it. I have decompressed huge “neuromas” and the only difference is that the enlarged part of the neuroma is scar and fibrosis, which under loupe magnification is relatively easy to dissect off with proper instrumentation and technique. I see very little difference in the success rate. This is also similar to that of my colleagues in the AENS.
I assume you have not decompressed bigger neuromas or at least not enough to make your opinion regarding bigger neuromas being doomed to failure. I always tell my patients that size does not matter when it comes to decompression. I have decompressed hundreds of Morton’s nerve entrapments and success is not dependent on size. Maybe it took a bit longer to resolve, but not much more than usual.
Peter J. Bregman, DPM, Las Vegas, NV
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Kenneth Meisler, DPM
I answered steroid injection as my primary treatment for Morton's neuroma because it is my first treatment. By far, my most successful treatment is a series of 10% alcohol sclerosing injections. We have given many thousands of alcohol sclerosing injections under ultrasound guidance with significant success. The injection is given directly into the nerve, directed distal to proximal through the webspace. Over the years, we have very gradually increased the alcohol percentage from 4% to 10% and for the last the last 5-7 years, we have only used 10% alcohol solution. We have found 10% to be significantly more successful than 4% and have seen no change in adverse reactions as compared to traditional steroid or alcohol sclerosing injections. Usually 3-8 injections are required.
We have a very high success rate with alcohol sclerosing injections with 10% alcohol. Extremely few patients require surgery. If you are comfortable injecting directly into the nerve, you can be comfortable knowing little steroid or alcohol is leaking into surrounding tissues.
Kenneth Meisler, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Post-op shoe for a beer drinker? |
Source: Submitted by Dr. Paul Durney
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MEETING NOTICES AND WEBINARS
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NEED CME CREDITS FAST?
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Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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
ASSOCIATE POSITION - GREATER HARTFORD, CT
Our four-doctor practice is looking for an associate to join us this coming Summer. Competitive six figure salary with a bonus structure, health insurance, 401-k and vacation benefits. You must be personable. Surgical training is desired. Send resume to latifdpm@gmail.com
FUTURE PARTNER/ASSOCIATE PODIATRIST – ARKANSAS
We are a busy well established and highly respected three man group. This position is available to a well-trained, personable, motivated, goal oriented, entrepreneurial minded physician. This practice offers all facets of podiatric medicine with an onsite ASC. Located in a rapidly growing city with a Division I University. You would be hard pressed to find a better city to settle down and raise a family. Send CV to podiatrygrouppharm@gmail.com
ASSOCIATE POSITION – MICHIGAN
Associate position for well-known Southeastern Michigan 5-doctor practice. Looking for full time/ part time forefoot and rear foot trained surgeon. Must have outgoing personality. Guaranteed salary with great bonus structure, healthcare, malpractice, vacation, CME, etc. Must be Board Qualified/ Certified in Surgery. State-of-the-art office and staff. Every doctor has a scribe.Contact Dr. Vicki Anton Athens. vathens@mac.com with CV. Athens Podiatry Group.
ASSOCIATE POSITION - HORSEHEADS, NY
Seeking BQ/BC podiatrist with residency training to join busy practice serving the NY Finger Lakes Region as well as Corning, Elmira, and northern PA. (Surgical privileges in NY & PA hospitals) Excellent Opportunity. Generous Compensation Package. Send CV, references to career@thurberandthurber.com
ASSOCIATE POSITION - EASTERN SHORE of MARYLAND
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our five existing physicians. We are an expanding practice with focus on all aspects of podiatric care. Offices equipped with ultrasound, digital imaging, 3-D scanners, onsite Ambulatory Surgery Center and many other state-of- the-art amenities. Excellent salary and benefits package. DPMemploy@gmail.com
ASSOCIATE POSITION -TUCSON, AZ
Growing practice in Tucson, Arizona is looking for a motivated associate. Candidate must be enthusiastic, with strong clinical and surgical skills. Outgoing personality is a must in this busy and flourishing practice. Arizona license required. Check with Arizona State Board for application deadline if you do not currently hold a license. Send CV and letter of interest to transcription697@aol.com.
ASSOCIATE POSITION – BERGEN COUNTY, NJ
Looking for a full-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com, should you have any further questions you may call Gerry 201-523-9489 ext 101.
ASSOCIATE POSITION – WESTERN PA
Well-established podiatry practice in Western, PA looking for a full-time podiatrist to join their team. Position will involve seeing patients at multiple hospitals, wound care centers and satellite offices. Basic qualification: Graduation from an accredited medical school and completed accredited residency program. Board Certified/Qualified in surgery. We offer a competitive compensation and benefits package to our team members. email CV to: dysteindpm@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing 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. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION – CENTRAL MASSACHUSETTS
Full-time position available 7/1/21 in busy 2-doctorm 2-office well-established practice in Central Massachusetts. Must be surgically trained. Must be willing to get Board Certified. Hard-working, professional and goal oriented who is looking for a long term position with growth. We cover all aspects of Podiatric care including private office, long-term care facilities, surgeries, and wound care center. Please send cover letter and CV to greatpodiatryjob@gmail.com
ASSOCIATE POSITION – MCALLEN, TEXAS
Associate position for a well-trained, highly motivated, and ethical podiatrist. With 2 locations, we are a well-established, fast paced, high patient volume practice. Offering competitive salary, bonus structure, benefits, including possible future partnership. Experienced, new graduates, or soon graduating 3rd-year-residents will be considered. Please email CL and CV to equach@mcallenfootcenter.com.
POSITIONS AVAILABLE - CONNECTICUT, FLORIDA, MISSOURI, AND RHODE ISLAND
Looking for reliable and ethical podiatrists to service Nursing Homes, Skilled Nursing and Assisted Living Facilities in Florida, Missouri, Connecticut and Rhode Island. Send inquiries and CV to: phasetwopodiatry@gmail.com
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 20,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE AVAILABLE FOR SALE- MASSACHUSETTS
North of Boston. 30-year-old solo practice. Affluent community. EHR. Digital x-ray. 5 year avg. over $700k gross. Dedicated staff. Owner can stay for transition. Email podpractice2021@gmail.com.
PRACTICE FOR SALE - WESTERN MI
This progressive 30 year old practice is seeking a new owner. Opportunity to live and work 40 minutes from Lake Michigan. Prime opportunity for well-trained surgeon to harvest untapped cases. Practice fully equipped with digital x-ray, EHR, computerized orthotic measuring device and DME. Transition from owner available. Contact: MCrosby518@gmail.com
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 20,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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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.
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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
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