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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
April 15, 2021 #6,929  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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| STATE PODIATRY NEWS | |
Podiatrist Appointed Board Investigator/Consultant at the AZ State Board of Podiatry
Kamran D. Farahani, DPM, MPH has been appointed as Board Investigator/Consultant at the Arizona State Board of Podiatry. Dr. Farahani received his podiatric medical degree from the New York College of Podiatric Medicine.
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Dr. Kamran Farahani |
Farahani earned a Master of Public Health degree at the A.T. Still University of Health Sciences and is board certified by the American Board of Podiatric Medicine.
Source: Linkedin
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
FL Podiatrist Joins Atlantic Foot and Ankle Clinic
Karen Moon, DPM recently joined Atlantic Foot and Ankle Clinic in Orange City, FL. Dr. Moon received her podiatric medical degree from the Western University of Health Sciences in Pomona, CA.
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Dr. Karen Moon |
Dr. Moon completed her surgical residency training at Emory Decatur Hospital in Decatur, Georgia. She is a faculty member of the Podiatry Institute.
Source: Linkedin
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
KS Podiatrist Joins Hutchinson Clinic
Andrea Drieling, DPM, MHA has joined Hutchinson Clinic. Dr. Drieling received her podiatric medical degree from the College of Podiatric Medicine and Surgery at Des Moines University in Des Moines IA and a Masters of Health Services Administration from the Lake Erie College of Osteopathic Medicine.
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Dr. Andrea Drieling |
Dr. Drieling completed her surgical residency training at LECOM Health - Millcreek Community Hospital in Erie, PA.
Source: Linkedin
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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 | |
5 Ways to Maximize Your Referral Program - Part 2
Traditionally, obtaining referrals consisted of visiting a physician’s office bearing breakfast baskets and new literature, organizing open houses, or hosting referring physician lunches. Digital referrals, however, guarantee you’ll reach the right person at the right time in the right place. Often, digital is cheaper, faster, more efficient, and is preferred by physicians in some cases.
2. Craft Valuable Email Communications - While face-to-face meetings and phone calls are pleasant, they’re also a time investment. These days, 73% of busy physicians prefer to receive communications via email. Rather than positioning your emails as a digital cold call, consider creating a monthly newsletter packed with the same valuable resources and educational content you’re creating for your website. Sprinkle the email with links to interesting third-party articles to create a bite-sized, trusted communication physicians look forward to receiving. Be genuine and empathetic. The healthcare community has taken a hit over the last year. Use this shared experience as a bonding exercise and let them know you’re there to help with whatever they need.
Source: Adapted from Kerry Bailey, Physicians Practice [4/6/21]
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| CODINGLINE CORNER |
Query: Modifier -59
I am preforming routine foot care on a patient. I am billing CPT 11056, CPT 11720 and G0127. Can someone please let me know which procedure gets the -59 modifier?
Melissa Malamed, DPM, Chalfont, PA
Response: In this billing scenario: G0127 gets a -59 modifier because of CCI edit bundling with CPT 11720. CPT 11720 also gets a -59 modifier due to CCI edit bundling with CPT 11056. CPT 11056 does not require any modifier.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| QUERIES (NON-CLINICAL) | |
Query: Vendor of Diagnostic Ultrasound
Can I have a recommendation for a vendor for diagnostic ultrasound for use in the office?
Denise A. Levy, DPM, Bronx, NY
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| RESPONSES/COMMENTS (RELEVANT RESEARCH) | |
RE: New Stem Cell Therapy: Will This Make Diabetes-Related Amputations a Thing of the Past?
From: Leonard A. Levy, DPM, MPH
A clinical trial indicates that a new stem cell therapy shows promise of making diabetes-related amputations a thing of the past. Diabetes patients suffering from non-healing diabetic foot ulcers (DFU) were injected with a cell preparation containing adult stem cells harvested from their own fat, inducing regeneration of the blood vessels surrounding the DFUs, accelerated healing - with no serious side-effects. This work should be reviewed as it demonstrates the possibility of a novel cell injection therapy that can alleviate pain and infection, accelerate wound healing, and possibly avoid amputation. Worldwide, every 30 seconds a leg is amputated, with 85 percent caused by complications from DFUs, according to estimates by the American Diabetes Association. "Peripheral vascular disease (PVD) is an aggravating condition for DFUs and, either alone or in combination with diabetes, often culminates in recurrent, non-healing ulcers and amputations. An urgent need exists for therapies capable of improving blood supply to the affected foot," said Michael Carstens, MD, of Wake Forest University's Institute of Regenerative Medicine.
He and Diego Correa, MD, PhD, of the University of Miami, were leaders of the study that also included researchers at the Universidad Nacional de Nicaragua-León. Stromal vascular fraction (SVF) cells were locally administered along the vascular trajectories distally feeding the foot in an effort to concentrate the cell product around the diseased arteries. SVF cells are injected into the ulcer bed, around the periphery, and along the course of the dorsalis pedis and posterior tibial arteries.(Carstens, M.H., et al. (2021) "Treatment of chronic diabetic foot ulcers with adipose-derived stromal vascular fraction cell injections: Safety and evidence of efficacy at 1 year." Stem Cells Translational Medicine.)
Leonard A. Levy, DPM, MPH, Ft Lauderdale, FL
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| RESPONSES/COMMENTS (CLINICAL) | |
RE: Reducing the Need for Neuroma Surgery
From: Robert D Teitelbaum, DPM
When I started in private practice some decades ago, neuroma was a surgical condition. For every 10 patients I saw with it, four were going to be surgerized. I used steroid injections/metatarsal pads, and counseling to reduce barefoot walking on hard floors which complicates many podiatric ailments. I also counseled against shoes that were tight in the forefoot, which causes metatarsals heads to come too close to each other, pinching the nerves. Some years later, I found myself needing to do far fewer surgeries. The condition hadn't changed but I became more adept at treating it. The following are what I do to heal more neuromas without surgery.
1. I massage the anesthetic steroid mixture in after I inject it. This does two things -- it brings the therapeutic mixture away from the skin and deeper where it will do its work. Many of the complications of steroid injection have to do with dermatologic effects like atrophy, telangectasia formation,...
Editor's note: Dr Teitelbaum's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Don Peacock DPM, MS
The comparative studies between traditional and MIS HAV corrections have shown some slight differences in VAS scores in the early recovery period. However, the VAS scores even out fairly quickly at 3 weeks or so. Trying to answer the question as to which is best is not easy to conclude. Scientifically, there seems to be no difference between the disciplines with respect to HAV correction.
I do believe the increased popularity of MIS HAV correction will continue and will be patient driven. People like small scars, especially in the case of percutaneous procedures. There is psychology involved here as well; similar to the well-known placebo effect. It is likely that percutaneous scars are going to be well received by the patient and better results reported because the wounds appear smaller. If it looks like less trauma is done, then it will be perceived as such.
These questions are just as much answered by psychological effects imparted by a perception of less invasive techniques. These effects cannot be understated. If the patient thinks it is less invasive, it probably will be perceived as such. The placebo effect is well documented in medicine and patients can even get better with sham surgery. We have only scratched the surface on understanding how we heal and how our patients perceive healing.
Don Peacock DPM, MS, Whiteville, NC
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1B | |
From: Burton J. Katzen, DPM
In response to Dr. Loshigian's post about there being no significant evidence that there is faster recovery time with minimally invasive surgery, I will agree that the long-term results of traditional vs. MIS might be the same depending on the procedure and surgeon. I assume what Dr. Loshigian calls “significant evidence” means evidence-based medicine. Unfortunately, it would be extremely difficult to satisfy surgeons who require level 1 or 2 evidence.
At level 1, you would have to have patients agree to have one foot performed traditionally and one foot using MIS techniques. At level 2, you would have to have patients sign up for surgery and randomly...
Editor's note: Dr. Katzen's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
One of my patients built his own off-weight-bearing shoe.
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I might hire him as a pedorthist! |
Alec Hochstein, DPM, Great Neck, NY
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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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| LASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - CHICAGO
Available immediately. Home visits/ some facilities/ some office hours . Illinois license is required. Existing patients’ base. Net $250-325K. logistics are provided. Full- and part-time are available. Contact vadim.goshko@gmail.com or 312-375-6430.
ASSOCIATE POSITION - CAPE COD, MA
Practice seeks associate to join practice in partnership track. Established practice. Opportunity to be the surgeon of the practice and have a strong established base to work from. Competitive compensation plan. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE – SOUTHERN, NJ
Due to patient demand, this established practice is seeking an associate to join and help practice with meeting demand. Great place to live and work. Full array of office based services along with local hospital, surgery center and wound center participation. Partnership track established. Competitive salary and benefits. Contact: MCrosby518@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
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
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 - WHITE PLAINS, NY
This established practice has been operating for more than 25 years in key market location. Full range of office services and surgery. Opportunity to grow practice and have outstanding return on investment. Priced to sale. Contact: MCrosby518@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.
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
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
either timely or free of viruses.
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