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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
April 13, 2021 #6,927  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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How do you record visit notes in a patient's chart?
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| PODIATRISTS AND THE CORONAVIRUS PANDEMIC | |
NC Podiatrist Volunteers in COVID-19 Vaccination Effort
Gretchen A. Lawrence, DPM of Foothills Podiatry in Shelby, North Carolina volunteered on April 10 at UNC Asheville Reuters Center. The Janssen COVID-19 Vaccine, a company of Johnson and Johnson, and the third vaccine approved by the U.S. Food and Drug Administration for emergency use in the prevention of the corona virus was distributed.
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Dr. Gretchen Lawrence |
Dr. Lawrence educated the participants of potential side-effects of this vaccine and ways to report those effects back to the FDA and CDC through the FDA/CDC Vaccine Adverse Event Reporting System (VAERS). She assisted a patient with anxiety and syncope and assisted a patient who lost consciousness and developed nausea and vomiting after the injection. She also helped a patient with severe swelling and arranged for further emergency medical treatment via transport to the hospital for further management.
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| PODIATRISTS IN THE NEWS | |
NY Podiatrist Discusses Heel Pain
You swing your legs out of bed, hit the floor with your feet and —ouch! — your heels are hurting. "Heel pain is one of the top five reasons that patients go to a podiatrist," Nelya Lobkova, DPM, a podiatrist at Step Up Footcare in New York, tells LIVESTRONG.com. The heel is a weight-bearing bone; constant repeated stress of walking barefoot at home, standing at a desk, or taking up running as a new hobby are a few reasons why foot docs have been seeing an uptick in heel pain problems lately.
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Dr. Nelya Lobkova |
As for why heel pain strikes in the morning? When you're resting in bed, the plantar fascia —the fibrous connective tissue that runs from heel to toe along the bottom of your foot — is contracted, Dr. Lobkova says. "The first step out of bed aggressively wakes up and stretches the fascia, causing pain and micro-tearing where the [tissue] inserts in the heel," she says. Then, the heel hardly has a chance to recover as you constantly move about during the day.
Source: Jessica Migala, LIVESTRONG.com [4/6/21]
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| PODIATRIC PRODUCTS AND SERVICES IN THE NEWS | |
CSI® Announces Agreement With Telehealth Company, CarePICS, LLC
Cardiovascular Systems, Inc. (CSI®) has announced that it has completed a minority investment and entered into an acquisition option agreement with CarePICS, LLC (CarePICS®), a telehealth company offering a virtual care platform designed to improve the outcomes of patients suffering from peripheral artery disease (PAD), critical limb ischemia (CLI), and lower extremity wounds.
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Dr. Chris Bromley |
Through a secure iOS, Android, and Web platform, CarePICS uniquely empowers podiatrists, skilled nursing facilities, home health agencies, wound care providers, and primary care physicians to capture patient information, wound images, and measurements. CarePICS' President, Chris Bromley, DPM, is a podiatrist.
Source: Decatur Democrat [4/8/21]
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| IN THE COURTS | |
Superior Court Rules in Favor of PA Podiatrist in Malpractice Suit
The Pennsylvania Superior Court on Friday refused to overturn a jury verdict in favor of a podiatrist who allegedly fouled up a surgery on a patient, saying the jury had plenty of evidence to support the conclusion that the doctor was not negligent. A three-judge panel affirmed the trial court's decision not to reconsider the verdict in Nicole Heyer's suit against Dr. Rosemarie Rynkiewicz and Achilles Foot Center PC, rejecting Heyer's argument that she had never given informed consent prior to the surgery.
Rynkiewicz performed the surgery in June 2010 to deal with a lesion on the bottom of Heyer's fifth metatarsal head, or the bone at the base of her pinkie toe, and nearly a year later, Heyer complained that her pinkie toe was overlapping with the next toe over. She sued in July 2012, alleging negligence and lack of informed consent. Based on that testimony and evidence in the record, the appeals panel found that the jury had plenty of evidence to conclude that Rynkiewicz had obtained informed consent and was not negligent in treating Heyer.
Source: Mike Curley, Law 360 [4/9/21]
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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 | |
Healthcare Compliance: Elements for an Effective Program - Part 7
By implementing a comprehensive compliance program, a practice can find and correct potential vulnerabilities while minimizing billing mistakes, reducing the chance of an audit, increasing payment of claims, reducing the chance of fraud and abuse, and promoting safe and quality care.
7. When vulnerabilities are identified, corrective action must be conducted in response to potential violations.
Source: Laurie Zabel, CHC, CPC, Logan Lutton, Physicians Practice [3/23/21]
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| CODINGLINE CORNER |
Query: United Healthcare and Proof of Delivery
How can I bill United Healthcare for L3000 without showing proof of delivery? Can I bill the patient upfront for orthotics and then reimburse the patient if and when UHC pays for them?
PM News Subscriber
Response: All DMEPOS under Medicare requires Written Proof of Delivery (WPOD). If UHC is now requiring WPOD (as stated in the foot orthotic policy), then you cannot bill for these items prior to delivery. If you are participating with UHC, then no, in most cases, you cannot bill the patient for the device unless you have performed your due diligence and ascertained that it is not covered. You can have the patient sign a financial liability statement stipulating their financial responsibility should the device not be covered.
Paul Kesselman, DPM, Woodside, NY
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (RELEVANT RESEarch)) | |
RE: Methods of Diagnosing Onychomycosis
From: Leonard A. Levy, DPM, MPH
The most prevalent nail condition worldwide is onychomycosis, with 10 million physician visits for nail fungal infections according to a National Ambulatory Medical Care Survey from 2007 to 2016, more than double the number of all other nail diagnoses combined. Diagnosing onychomycosis using clinical examination alone has poor sensitivity and specificity and may lead to progression of disease and unwanted side-effects from inappropriate therapy. A useful adjunct is dermoscopy but it is still inferior compared to mycologic testing.
Classical methods of diagnosis include potassium hydroxide staining with microscopy, fungal culture, and histopathology. Polymerase chain reaction is a newer technique with wide accessibility and excellent sensitivity and specificity. Artificial intelligence recently has been studied for the diagnosis of onychomycosis but mycologic confirmation is still necessary before initiating treatment (Shari R and Lipner M; Cutis. 2021 March;107(03):113-114).
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Bret Ribotsky, DPM
I read with such excitement this week's survey regarding how people enter and generate clinical notes for their practice. But it begs us to re-evaluate why we do this. When I was a student, we were all taught that you generated significant information in your medical records so that if one day, an accident happened and you could not see your patients, any other competent physician could pick up your notes and be able to treat the patient competently without skipping a beat.
Over the last few decades, there seems to be a significant paradigm shift. We started transcribing notes to justify billing and third-party reimbursement and most recently, we added on top of that medical malpractice protection. For example, it’s crystal clear that not every DPM checks for pulses on every patient on every visit but it’s important that you document this for reimbursement and legal protection. Today, as a patient, I get copies of beautifully transcribed and computer-generated notes that go on for pages that have nothing to do with why I am being treated. It seems that the data has become noise and is of rare value to the practitioner.
I have witnessed multiple errors because the important information is so difficult to find within the notes. For example, allergies, drug interactions, and contraindications have disappeared from a simple sticker on the front of the chart; thus, this is no longer top of mind for the physician. For example, when I was on a blood thinner post DVT/PE, I was shocked how many times I was offered an NSAID. Does anyone think that the care of the patient has gotten better since the change in notetaking over the last decade or two?
Bret Ribotsky, DPM, Boca Raton, FL
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| RESPONSES/COMMENTS (AT THE COLLEGES) | |
From: Nate Sabin, DPM
I have some fond memories of "Harry" when we were classmates and neighbors at PCPM. There was another side to him where we pulled pranks and did some other youthful indiscretions. I wish Harry and Cheryl all the best.
Nate Sabin, DPM, Morristown, NJ
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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The ultimate foot soak? |
The SICIS’s ‘shoe shaped’ bathtub, Audrey, is covered with a precious glass mosaics in an artistic way.
Source: Massimiliano Della Monaca (SICIS) via Virtual Shoe Museum
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MEETING NOTICES AND WEBINARS
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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 $249 (less than $17 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, 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
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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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 – NEW JERSEY
15 min. from Philly; 38 y/o practice; all phases of podiatry office and hosp. surgery EMR, digital x-ray, great staff. Grosses 300 K in 2 1/2 days can easily expand to full time. Optional building purchase. Retiring but will stay as long as needed for transition. contact jay195322@gmail.com
PRACTICE FOR SALE - NEW HAVEN COUNTY, CONNECTICUT
40+years established, well-rounded practice located in medical building. Easily accessible to major thoroughfares. Near university medical center and several community hospitals. Established referral sources. Reputable, profitable practice. Owner retiring, will transition. Office space to purchase or rent. Prudden79@gmail.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.
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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| LASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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 – NASSAU COUNTY, NY
Multiple office practice located in Nassau County, New York seeking motivated, energetic individual to become an Associate in Merrick and Westbury locations. Multi lingual a plus. Leading to partnership and eventual ownership of practices. Please email CV to dgrossman5@optimum.net.
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 Connecticut, Florida, Missouri, and Rhode Island. Send inquiries and CV to: phasetwopodiatry@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 - ATLANTA, GA
Immediate associate position for a well-trained, highly motivated individual. Competitive salary with commission structure, PTO, CME allowance, health and malpractice insurance. All aspects of podiatry. ABFAS RRA Board Certified is preferred but will consider the right Board Qualified Candidate. Must be confident in working solo in your own office environment. Please email cover letter and CV to atlantafootankle@gmail.com
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 – 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
PART-TIME ASSOCIATE - GLENSIDE, PA
Looking for a part-time associate DPM in our main office in Glenside. Private outpatient practice that sees all aspects of podiatry but with a Sports Medicine focus as well. Incentive-based pay. In suburbs of Philadelphia. More info/to apply email CV to gordonpodiatry@gmail.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 - HARRISBURG, PA
Multi-office practice seeking surgical BQ/BC DPM. FT position covering all aspects of podiatry. We are associated with outpatient surgical centers, hospitals, wound care centers and a local residency program. Salary with production based bonus and benefits package included. Please send CV to: tbeidemandpm@keystonefootdoc.com.
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 – 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 - CENTRAL COAST OF CALIFORNIA
Well-established, respected, fast-paced, and growing medical and surgical office seeking one podiatric surgeon and one non-surgical podiatrist to join our group on the Central Coast of California. If personable, motivated, well-trained, and driven to succeed, we would be happy to discuss an associate position with you. Applicants must submit a CV and Cover Letter in PDF format. Professional references must be provided at the time of submission. Please submit to: podiatrycentralcoast2017@gmail.com
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 – 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
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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| 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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- 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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