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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
April 02, 2021 #6,920  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 | |
Last Chance to Vote
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What is your primary treatment for Morton's neuroma?
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| PODIATRISTS IN THE NEWS - PART 1 | |
CA Podiatrist Discusses the Epidemic of Ankle Sprains
"Ankle sprains are an epidemic problem, and the numbers of sprains are astounding. It is estimated that there are over 3 million ankle sprains reported to doctors annually in the United States," says Bob Baravarian, DPM. "The problem is, for every ankle sprain that is reported, at least 10 are treated at home without proper care. Sprains that aren’t properly cared for create a great deal of short-term and long-term complications, many of which are only correctable with surgery. And that you want to avoid that at all costs."
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Dr. Bob Baravarian |
"Knowledge is power. By seeing an orthopedist or podiatrist for an ankle sprain, you will get a proper exam of the ankle and associated surrounding structure, an x-ray to ensure there is no fracture, and better care overall. Do it early to avoid a longer recovery time. A trained doctor will make sure you are put on the proper path to recovery, which often leads to a faster recovery. If you avoid doctors, ice and brace for the first two weeks. Or, if there is still difficulty with walking, standing, and motion of the ankle, please see a doctor for further care,” says Dr. Baravarian.
Source: Thrive Global [3/31/21]
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| PODIATRISTS IN THE NEWS - PART 2 | |
April is National Foot Health Awareness Month: ID Podiatrist
Since April is National Foot Health Awareness Month, what better time to remind you how to show a little love and respect for a body part many take for granted. “Most problems occur from poor footwear choices, poor hygiene or personal foot care, and lack of exercise,” says Dan E. Robinson, DPM, a board-certified podiatric surgeon who specializes in foot and ankle conditions with Bingham Healthcare Orthopedics & Sports Medicine.
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Dr. Dan Robinson |
“Examine your feet daily, looking for minor changes such as redness, irritation, calluses, and toenail fungus,” Dr. Robinson says. “And, if you have pain in your feet that lasts for two or more days, you should see a podiatric foot and ankle specialist.”
Source: Bingham News Chronicle [3/31/21]
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| PODIATRISTS AND POLITICS | |
VA Podiatrist Runs for VA House Seat
Jeffrey “Doc” Feld, DPM, a local podiatrist, has announced his bid to become Virginia’s next delegate in the 81st House District, which covers parts of Chesapeake and Virginia Beach. He is the official Democrat nominee challenging Delegate Barry Knight (R).
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Dr. Jeffrey Feld |
Dr. Feld has lived in Virginia Beach for nearly 20 years, where he runs his own medical practice. He is married to a public school teacher and they have three kids who attend Virginia Beach City Public Schools.
Source: Daily Kos [3/31/21]
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| PODIATRISTS IN THE COMMUNITY | |
FL Podiatrist Elected to FAPM BOD
Richard Polisner, DPM, MJ has been elected to the Board of the Florida Academy of Professional Mediators (FAPM). The Florida Supreme Court certified Dr. Polisner as both a Family and Circuit Civil Mediator in 2013. From 1971 until 2010, he was an ABFAS certified foot surgeon practicing in the Chicago suburbs and in Jacksonville, FL. He earned a Masters degree in health law from Loyola Law School in 1991 and participated in the inception of three podiatric medical malpractice insurance companies and lectured extensively on risk management from 1979 until 1999.
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Dr. Richard Polisner |
Concurrently, he had the opportunity to review hundreds of podiatric malpractice cases for both plaintiff and defense attorneys. Most recently, he served as COO of Acacia Designs, AB, developing a unique anesthesia device to objectively monitor the reversal of paralytic agents during major surgery. The merged company recently obtained FDA-approval for the monitor and sensors.
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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 6
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.
6. Offer Options
When it comes to encouraging health changes, especially for complex behaviors such as eating or physical activity, avoid the “Righting Reflex.” This is the common impulse to want to “make things right” when we see a problem. But instead of telling the patient what to do, try to engage them in the decision by asking for their ideas. If the patient does not have any ideas, offer two or three options and let him or her decide which seems like the best fit. Once a decision has been made, summarize the plan and verify that the patient feels confident in their ability to follow through with it.
Source: Karli Burridge, PA-C, MMS, FOMA, Physicians Practice [3/16/21]
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| CODINGLINE CORNER |
Query: Hospice Status
Is there any way to find out when a patient is on hospice care except by asking them directly? We are constantly running into this problem when doing housecalls. In many instances, patients are being switched to hospice care, but we have no way of knowing until later when services are denied and must be rebilled with a GW modifier. We are checking eligibility before each visit with software provided by Trizetto, but can not find if there are any indications of hospice care.
Boris Raginsky, DPM, E. Brunswick, NJ
Response: If you sign up for e-services with you local Medicare carrier, you can find this information. I’m not sure why Trizetto doesn’t include this in the information that you get from them. If you look up each patient yourself, it might take more time, but then you will have a clean claim on the first try. Each MAC is different, but you should be able to find help either online or by calling them.
Katherine Sharp, Woodbury, TN
For information on Codingline subscriptions, click here
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| QUERIES (NON-CLINICAL) | |
Query: Sanexas Neuropathy Treatment
I just heard from a patient about a clinic in my area that is using a new neuropathy treatment called Sanexas. This treatment uses "electric cell signaling-therapeutic pulsed energy waves that are comfortably and non-invasively delivered directly into the body's desired anatomical region". According to the clinic brochure and the company website, patients require 3 treatments a week for 3-4 months and that "Medicare and most major PPO insurance plans typically reimburse up to 24-36 treatments". They also claim it will increase circulation.
Is anyone familiar with Sanexas? If so, what results have you seen? If it is in fact covered by Medicare and most insurance plans, then what code is being used for this and what is typical reimbursement?
Tom Silver, DPM, Minneapolis, MN
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| RESPONSES/COMMENTS (NEWS STORIES) | |
RE: Are There Mobile Applications Related to Nail Disorders?
From: Leonard A. Levy, DPM, MPH
A study of iOS (Apple’s iPhone operating system) and Android apps was done to determine the types of nail health apps available for patient education. A standard app analytics and market data tool was used to search and analyze iOS and Android nail apps for several nail health keywords. The availability of apps related to nail disorders has not been explored. This study investigated iOS and Android apps, using psoriasis and hair loss apps as comparator groups.
A standard app analytics and market data tool (App Annie; appannie.com/en/) was utilized to search for iOS and Android nail mobile apps. The analysis was performed on a single day (March 23, 2020), given that app searches can change on a daily basis. The search included the following keywords: nail, nail health, toenail fungus, nail tumor, brittle nails, onychomycosis, onycholysis, subungual melanoma, nail melanoma, paronychia, and nail squamous cell carcinoma. The only search terms that returned specific nail apps were onychomycosis and toenail fungus. Neither of the 2 medical apps for onychomycosis and toenail fungus referenced a physician involved in the app development. (Ishack S and Lipner SR, Cutis 2021 March;107(03):153-156.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (CLINICAL) | |
RE: Neuroma Symptoms In the 2nd Innerspace
From: Burton J. Katzen, DPM
Throughout the years, I have noticed that almost every patient who exhibits neuroma symptoms in the second innerspace has 2nd and 3rd toes of the same length, which usually means the 2nd and 3rd metatarsals are of the same length. MRIs are usually negative for an actual neuroma, and I explain this to my patients as a juxtaposition of the two metatarsal heads causing “rubbing” on the nerve. If conservative therapy fails, I perform an osteotomy of the 3rd metatarsal using minimally invasive techniques. The results are immediate and dramatic as far as relief of symptoms.
In my mind, this not only decompresses the nerve but restores the normal metatarsal parabola with the head of the 3rd now behind the head of the 2nd, leaving room for the nerve to pass. Using an MIS metatarsal osteotomy, the patient is off his/her feet for only one day and back in shoes within two weeks with additional home taping for three weeks.
Burton J. Katzen, DPM, Temple Hills, MD
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
I, too use alcohol injections and find them highly successful. I use 4 percent and, like Dr. Meisler, inject into the region of the neuroma. I have similar results, however, with 4 percent not 10, and without any ultrasound. If we suspect the neuroma is being squeezed between the met heads and under the DTML, then that is a pretty easy location to find without ultrasound. (I have no issue with those who use it and those who bill for using it- good for you). When I was taught the technique by Dr. Dockery - he taught to inject proximal to the neuroma. I recall him giving more injections than the three I tend to, and the difference may be injecting into the nerve vs proximal to it as opposed to the difference between the percentage 4 vs 10.
Finally, the question of what code to use to bill for it comes up often. Some argue it isn’t truly sclerosis, etc. I really wish when issues like this come up, the profession would give a clear cut answer. Due to the success of the procedure, if it isn’t a covered code as one doctor likes to bring up on this forum... then good; we should all charge cash. The lack of consensus on issues like this is unnecessary and the profession should be more definitive with consensus.
Jeffrey Kass, DPM, Forest Hills, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Foot of The Day
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Now this is what you call a foot stool! |
Source: Submitted by Dr. Joseph Borreggine
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MEETING NOTICES AND WEBINARS
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail Cover letter, CV, short introduction video Email: cnunez1940@gmail.com
ASSOCIATE POSITION - PENSACOLA FLORIDA
Pensacola Podiatry, PA is fast growing, multi-location practice in Northwest Florida looking for a motivated, driven upcoming or recent residency graduate or experienced practitioner to join our practice. We average 180 new patient visits per month for two providers. If personable, motivated, well-trained, and driven to succeed, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package. Please send a cover letter and cv to: info@pensacolapodiatry.com. We look forward to hearing from you.
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 – 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 PODIATRIST - NAPLES, FL
PSR 24/36, ABFAS certified/qualified for surgical practice. Must have FL license. Hospital privileges available. No HMOs. Naples is an upscale area and wonderful place to work and live. Prefer someone who is personable, team player and hard working. Email CV draustin@gulfcoastfootcare.com
JOB OPPORTUNITY FOR UPCOMING GRADUATES – JACKSONVILLE, FL
We are looking for a full-time surgical podiatrist in Jacksonville FL starting this summer. Three busy practice locations, inpatient service, need to be board qualified for hospital privileges (ABPM or ABFAS or ABMSP) Growth opportunities. Please sent CV or text to Dr.Barnouti@gmail.com 904 887 4531 and DrNamen@DrNamen.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 - WESTERN NY
Full time associate position in Western New York. Multiple city centers a short drive away. Great place to live and raise a family. Opportunity for experienced DPM as well as a new graduate who desires to be part of a team and be a partner in private practice with ownership. Willingness to merge into an already established protocol based office with state of the art facility and equipment. Practice includes all aspects of podiatry ranging from surgery to routine care. Yourpracticenow@gmail.com
FULL TIME PODIATRIST – SCOTTSDALE, ARIZONA
We are an established family medicine practice in beautiful Scottsdale with an immediate opening for an experienced podiatrist. A large percentage of our patient population are diabetic, which necessitates a skilled podiatric physician to work hand-in-hand with our primary care and orthopedic team. Candidate will enjoy unlimited freedom to practice without the worry of managing a solo practice while taking over an existing podiatric patient population of this thriving medical practice. The candidate will enjoy competitive compensation, bonus and incentive structure, health insurance, vacation malpractice insurance. Please submit your CV to amy@aveonhealth.com
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 – 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
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 FOR SALE - NORTHEAST PHILADELPHIA
Office building and 40 year practice and equipment for sale in Northeast Philadelphia. On staff at major Philadelphia hospital and Wound Care Center. On most insurance panels. Will stay to introduce patients. Contact Dr. John Pron johnprondpm@comcast.net
PRACTICE FOR SALE - TULSA, OKLAHOMA
30+ years established practice in stand alone medical building, perfect location in key market, Established referral sources, Fully equipped, current owner retiring, will transition, Great place to raise a family. Email: footman@tulsacoxmail.com
PRACTICE FOR SALE - WEST COAST/TAMPA FLORIDA SUBURB
World class beaches, top rated communities, water sports, golf, reasonably priced real estate, active lifestyle and “Champa Bay” pro sports await you. Unique opportunity to own a reputable, profitable practice. Control rental overhead as this medical condo is also available for purchase. Practice in a well-integrated foot & ankle environment, including hospital privileges. Serious inquiries only please email Sunpodiatry5@gmail.com.
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.
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.
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
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