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PM News

The Voice of Podiatrists

Serving Over 17,310 Subscribers Daily


April 16, 2016 #5,643 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block

online111


PM NEWS QUICK POLL

FINAL CHANCE TO VOTE

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Gordon10


APMA COMPONENT NEWS
ACFAOM Awards Honorary Membership to Incoming APMA President
 
Maintaining its tradition of many years, the board of directors of the American College of Foot & Ankle Orthopedics & Medicine (ACFAOM) awarded Honorary Membership to incoming APMA president Dr. R. Daniel Davis on March 18 in Washington, DC. Dr. Davis visited with the ACFAOM board to receive his framed membership certificate.  
 
Drs. R. Daniel Davis and Daniel Evans
 
Dr. Daniel Evans, ACFAOM President, told Dr. Davis that ACFAOM, as a long-time and loyal affiliate of APMA, appreciated his leadership in and commitment to the profession, and wished him, on behalf of all ACFAOM members, health and success in the year ahead. 

drjill


PODIATRISTS IN THE COMMUNITY
GA Podiatry Supergroup Ranked Among Top 25 Atlanta Physician Group Practices 
 
Village Podiatry has been ranked among the top 25 medical group practices in Atlanta. In 1992, Dr. David Helfman began his solo practice in Smyrna, Georgia as Village Podiatry Group. The practice has grown to encompass now over 30 locations with over 300 local support staff. 
 
Dr. David Helfman
 
Each podiatrist has ten or more years of training and is board certified or board eligible. In the podiatric profession, their staff is recognized for their leadership as surgical innovators and national lecturers. 
 
Source: Atlanta Business Chronicle [4/8/16]

OHOcc404


FROM PM's CURRENT ISSUE
Twice 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.
 
Today's Featured Article
 

apex229d


RELEVANT RESEARCH
Methods Used to Create Textiles Could Help Manufacture Human Tissues
 
Bioengineers determine textile manufacturing processes ideal for engineering tissues needed for organ and tissue repair. Tissue engineering is a process that uses novel biomaterials seeded with stem cells to grow and replace missing tissues. When certain types of materials are used, the “scaffolds” that are created to hold stem cells eventually degrade, leaving natural tissue in its place. The challenge is creating enough of the material on a scale that clinicians need to treat patients. Elizabeth Loboa, dean of the MU College of Engineering, and her team recently tested new methods to make the process of tissue engineering more cost-effective and producible in larger quantities.
 
Tissues could help patients suffering from wounds caused by diabetes and circulation disorders, and patients in need of cartilage or bone repair. The studies, “Creating tissues from textiles: scalable non-woven manufacturing techniques for fabrication of tissue engineering scaffolds,” and “Fabrication of novel high surface area mushroom gilled fibers and their effects on human adipose derived stem cells under pulsatile fluid flow for tissue engineering applications” recently were published in Biomedical Materials and in Acta Biomaterialia, respectively.
 
Source: University of Missouri News, [4/12/16] via MDLinx

neurogenx


PRACTICE MANAGEMENT TIP OF THE DAY

8 Last-Minute Tax Tips for Physicians - Part 6

"The Protecting Americans from Tax Hikes Act of 2015 (PATH Act) made the $500,000 Section 179 tax deduction permanent. This will allow physician practices to deduct (rather than depreciate over a number of years) the cost of purchasing eligible new or used assets, such as equipment, furniture, and off-the-shelf computer software.
 
The deduction begins to phase out dollar-for-dollar when total asset acquisitions for the tax year exceed $2 million and is completely eliminated above $2.5 million. The election can reduce net income, but cannot reduce it below zero to create a net operating loss."
 
Lydia M. Glatz, senior manager, MBAF LLC, Fort Lauderdale, FL
 
Source: Karen Appold, Physicians Practice [4/4/16]

prolabjul15


QUERIES (CLINICAL)
Query: Xiaflex Injectable Collagenase for Plantar Fibromas
 
Does anyone have any experience, thoughts, or comments on the use of Xiaflex injectable collagenase (clostridium) for treatment of plantar fibromas as an off-label use? 
 
Robert W. Sullivan, DPM, Virginia Beach, VA
ICD10

CODINGLINE CORNER
Query: Coding J3301 Units
 
The medical records note that 0.5cc of 0.5% Marcaine and 1.0 cc of Kenalog 10 were injected. The Kenalog bottle says 50 mg per 5 ml. 10 mg per ml. I need to report units on the claim. How many units? The product code for Kenalog 10 is J3301. Is the Marcaine included with the J3301? 
 
Laurie, Office of John Arsen, DPM, Lake Orion, MI
 
Response: J3301 is described in HCPCS as: "Injection, triamcinolone acetonide, not otherwise specified, 10 mg." The product description 10 mg triamcinolone acetonide per ml.  If you inject 1.0 ml of Kenalog 10, you would be injecting 10 mg, and billing 1 unit. If you inject 1.5 ml (10 mg), you would be billing 2 units, 2.0 ml, 3 units. And so forth.. 
 
The local anesthetic, be it Marcaine, lidocaine, etc., is incidental and not separately billable. 
 
Paul Kesselman, DPM, Woodside, NY 

Blaine28


RESPONSES/COMMENTS (NTHE FUTURE OF HEALTHCARE) - PART 1A
From: Vito J. Rizzo, DPM, Hartley Miltchin, DPM
 
Dr. Markinson is hitting this nail on the head. This system, with all the current reporting requirements, has extensively eroded the historical intimacy of the doctor-patient relationship. Hours of time are spent ensuring that the chart is complete, and this is to the benefit of all but the doctor and patient. To paraphrase a nominee for president, "We need a medical revolution in this country," because the status quo cannot be maintained.
 
Vito J Rizzo, DPM, Bay Shore, NY
 
Dr. Hrywnak is one of the few who has his finger on the pulse of the healthcare landscape and the coming changes. It all comes down to the U.S. going to a cash system while doctor’s fees will be at low Medicare rates. You will have two choices, take cash or become part of an interdisciplinary medical group of providers. Welcome to the Canadian healthcare system.
 
Hartley Miltchin, DPM, Toronto, Canada

realm


RESPONSES/COMMENTS (THE FUTURE OF HEALTHCARE) - PART 1B
From: Elliot Udell, DPM

Dr. Markinson is correct. The quality of healthcare in this country is rapidly declining. Obamacare plans with their high annual deductibles dissuade many people from seeking medical attention, allowing minor problems to evolve into serious ones. Other regulations alluded to by Dr. Markinson force doctors to spend more time fiddling with time-consuming government regulated  EHR programs than giving the time to their patients. Other cutbacks are causing downsizing of medical staffs in all areas of the healthcare system.

There is an old story about a farmer in the great depression who used a horse to plow his fields. One day he came up with a "brilliant" idea. He cut back on the amount of oats he fed the animal and guess what? The horse adapted and the farmer saved money. Each week, he fed the horse one less bag of oats and boasted to his friends that he will soon have a horse that will work his farm and not have to be fed at all. He finally reached a stage where he was able to wean the horse from all food, and lo and behold the horse dropped dead. I wish the bureaucrats in Washington would learn from this story before it is too late for all of us.
  
Elliot Udell, DPM, Hicksville, NY

OHICC314


RESPONSES/COMMENTS (THE FUTURE OF HEALTHCARE) - PART 1C
From: David Gurvis, DPM

I am in complete agreement with Dr. Markinson. I was dismayed and outraged by Dr. Hrywnak’s remarks. Some seem to have swallowed the hook, the sinker, the float, and are still going. How can we have come so far downhill? Is this kind of crap going to hit us and hit us hard? Sure. But as they say, do we have to enjoy it and embrace it? 

EMRs have done nothing good except build a tower of Babel. Yet some rave about how much it has improved medicine. If it has improved anything, it is...

Editor's note: Dr. Gurvis' extended-length letter can be read here.

DrRem37


YOU CAN'T MAKE THESE THINGS UP
RE: Outrageous Shoes of the Day
 
The rare and ancient discovery of a mummified woman in Mongolia has been overshadowed by an obsession with her footwear, as people liken the 1,500-year-old boots to a pair of Adidas sneakers. Archaeologists unearthed the female’s remains on the Mongolian side of the Altai Mountains, more than 2,800 meters (9,186ft) above sea level.
 
What early Mongolian marathoners wore? (photo: Khovd Museum)
 
Alongside the ice-preserved body, a number of artifacts including an iron kettle, pillows, cotton coats, and a sacrificed horse were found in what is believed to be an ancient Turkik burial site. Researcher B Sukhbaatar told the Siberian Times that the grave is a “rare phenomenon”.
 
Source: rt.com [4/13/16]
MEETING NOTICES

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CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ACADEMIC PODIATRIC PHYSICIAN AND SURGEON
 
The new College of Podiatric Medicine and Surgery located in Illinois and leading to a degree of DPM/MD, is seeking licensed podiatric physicians to become part of the clinical teaching faculty where, under a new curriculum, students will begin clinical training their first year. Applicants need to be licensed and their academic rank will be that of clinical professor which will also include student rotations through their offices. For additional information please send your CV to: Dominic@ColPodMedSurg.com The new College of Podiatric Medicine and Surgery is an equal opportunity/affirmative action employer.
 
FELLOWSHIP – DIABETIC FOOT & WOUND (TEXAS) 
 
One position for a 12-month TMB-approved Diabetic Foot and Wound fellowship beginning July 1, 2016. Candidate must have completed a podiatric residency/plastic surgical residency/general surgery residency and be eligible for Texas Medical License. Training involves all aspect of diabetic foot management. Curriculum focuses on surgical limb salvage, and medical management of the complex wound patient. Interested candidates should email their CV, personal statement and 3 letters of recommendation to latonya.rosales@utsouthwestern.edu. UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
 
ASSOCAITE POSITION - ST. LOUIS, MISSOURI/SURROUNDING AREA 
 
Well-established practice seeking experienced, highly skilled associate. Partnership opportunity. Board qualified-certified, PSR-36 trained. State-of-the-art office, Digital X-Ray, EHR, Laser, EPAT.  Send cover letter, CV/Resume to stcpod@att.net or call 314-565-2739.
 
ASSOCIATE POSITION - JACKSON, NJ
 
Well-established practice serving Monmouth and Ocean County is looking for highly motivated associate. Modern office that is rapidly growing with a second office opening soon.  Must be willing to provide care for all aspects of podiatry including sports medicine, biomechanics, palliative care, wound care, surgery, and several nursing homes. Send CV to: podiatrynj1212@gmail.com
 
ASSOCIATE POSITIONS- HOME FOOT CARE, INC 
 
We are looking for podiatrists to visit home patients in these areas:  Los Angeles, CA, Ventura County, CA, Santa Barbara, CA, Lancaster/Palmdale, CA, San Bernardino/Riverside, CA, Palm Springs/Palm Desert, CA, Las Vegas, NV, Honolulu, HI. Full/part time, independence, excellent compensation, dedicated support staff, electronic billing/medical records. email CV to: homefootcare@hotmail.com
 
ASSOCIATE POSITION – SOUTHERN CALIFORNIA 
 
Successful, growing full-scope practice with offices in Oxnard, Camarillo, Ventura and Santa Barbara seeking a full time podiatrist with excellent patient skills to add to our team. Competitive salary and benefits offered including health insurance and 401K. Potential for partnership. Please send CV to Kelly@footsurgeon.com.
 
ASSOCIATE POSITION -  LOS ANGELES, CA 
 
Busy, well-established solo practitioner in Los Angeles area seeking associate leading to partnership/ownership opportunity. PSR-36 required. Office across from major hospital.  Balanced medical, surgical, & orthopedic practice birth to geriatrics. Send CV and contact info to new.pod@yahoo.com
 
TEMPORARY PODIATRY POSITION IN ILLINOIS
 
During June and July temporary (may lead to a permanent full or part time) position available in Central Illinois servicing nursing homes within 90 miles of Springfield. Excellent pay and bonus for this short period!  Lodging and travel stipends available. Join our great team. Please email GH@Podiatryplus.net
 
ASSOCIATE POSITION – MANHATTAN 
 
Unique opportunity. Upscale, Park Avenue Manhattan. Need an experienced, motivated, caring doctor with excellent podiatric surgical skills to see in-network patients and to cover out-of-network patients. Salary based on experience with performance bonuses if earned. Part or full time. Partnership a possibility if qualified candidate exhibits outstanding performance and skills. Send CV to: institutebeaute885@gmail.com.
 
ASSOCIATE POSITION -  NASHVILLE, TN AREA 
 
Unique opportunity for the right individual. Spanish language skills preferred. Send your CV, two references and a letter containing the following information: 1. Why we should consider you for the position 2. Top 5 ways our patients benefit from having you in our practice. E-mail responses to NFAAPC@gmail.com.
 
ASSOCIATE POSITION - EAST ORANGE, NJ
 
Associate wanted for practice in East Orange NJ PSR 24-36 trained. Must be motivated to grow practice, especially wound care and surgical services. Looking for the right person who will start the buy-in process. Send CV to Drfoot44@gmail.com
 
ASSOCIATE POSITION – SAN FRANCISCO, CA 
 
Immediate, full-time opening in fast-paced Sports Medicine Center. No wound care. No Medicare. Candidate must have strong biomechanical, surgical and sports medicine background. Applications accepted online at http://www.fdfac.com/z/about-careers.html
 
ASSOCIATE POSITION - NEW MEXICO 
 
Growing practice in need of F/T podiatrist. Remote clinic requiring hard-working board certified/qualified candidate who is well-trained in rearfoot, ankle trauma, reconstruction, wound care. Call/hospital work necessary. Looking for self-motivated candidate who is interested in partnership. Send CV to nlhuge@gmail.com
 
ASSOCIATE POSITION - SOUTHEAST CONNECTICUT
 
Looking for a well-trained associate to join a 60+ year old multi-doctor, multi- location practice. Walk in to an established patient base and full schedule on day 1. No nursing homes or house calls.  Competitive salary and benefits. Send CV to lakesidenh@att.net.
 
ASSOCIATE POSITION - PODIATRY PRACTICE SERVING BEAUTIFUL, SAVANNAH, GEORGIA 
 
and the Low Country Empire, is seeking a third Board-eligible/Certified podiatrist. Position is part-time. Surgery, general podiatry, wound care…specializing in diabetic foot care and sports injuries. Service area nursing homes. Superior medical assistants, scribe, administrative support and EMR technology. Great opportunity for semi-retired podiatrist looking for a beautiful place to retire or a graduate, looking to relocate near the beach, or to practice with podiatrists who are seasoned veterans. Must be highly motivated, ethical professional, with excellent patient skills. Send CV to U.W. Plummer at drjadandy@yahoo.com. For additional info contact Mrs. Plummer at 912-927-8011.
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 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 16,500 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 (800) 284-5451.
CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
SPACE AVAILABLE WITH BILLABLE MRI – MANHATTAN AND LONG ISLAND 
 
Are you letting income walk out your front door? Do you order MRIs but refer them to outside radiology facilities? Why not perform the MRI yourself and keep all the income? At our turn-key facilities on Long Island and Manhattan, rental of the office gives you access to our state-of-the-art equipment, including a fully-functioning extremity MRI where ankles and feet can be scanned. Once you run the numbers, you'll see that the added income to you makes this proposal a no-brainer. Call 516-476-1815 or e-mail podo2345@aol.com  for further information. 
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 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 16,500 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 (800) 284-5451.
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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Barry H. Block, DPM, JD
 
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