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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,712 Subscribers Daily
April 17, 2018 #6,167  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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How often do you order lower extremity MRIs? |
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| PODIATRISTS IN THE NEWS | |
Yearly Foot Exam Can Detect Foot Problems: MI Podiatrist
"Your feet are the foundation of your body, and it is important to keep them healthy. Too often foot issues are left unattended for long periods of time, causing the development of other problems throughout your body. Healthy feet lead to a better quality of life. We also know that early discovery of problems in your feet may help detect the onset of other life-threatening diseases, including diabetes and heart disease, says podiatrist Jodie Sengstock, DPM.
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Dr. Jodie Sengstock |
"A yearly exam with a podiatrist is vital to tracking changes, checking for proper sensation and circulation, and calling attention to abnormalities. Early detection and treatment of problems help keep you on your feet and active," says Dr. Sengstock.
Source: Seen [4/9/18]
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| PODIATRISTS AND DIABETES | |
Diabetics Should Avoid Pedicures: NY Podiatrist
Startling fact: An estimated 1.6 million New Yorkers with diabetes have foot ulcers, according to research by the New York Podiatric Medical Association (NYPSMA).
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Dr. Patricia Nicholas |
"People with this condition, as well as vascular conditions, should especially avoid pedicures, as they are at greater risk for infections, ulcers, and amputations," warns Patricia Nicholas, DPM, president of NYPSMA. "In 2010, 73,000 non-traumatic lower limb amputations were performed in the U.S. due to diabetes."
Source: Jenn Sinrich, Reader's Digest [4/12/18]
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| PODIATRISTS AND HUMANITARIAN EFFORTS | |
CA Podiatrist Holds Fundraising Dinner for Nepal Medical Mission
A fundraising dinner for healing the children of Nepal was a success. This was the first fundraising dinner event put together by Alireza Khosroabadi, DPM. Healing the children Southern California chapter has been going to Nepal on an annual basis. This is a surgical mission trip focused on treating children of Nepal in need of life-changing foot and ankle procedures. Dr. Khosroabadi was introduced to this group by Jennifer D’Amico, DPM four years ago. “My first trip to Kathmandu was amazing and I received so much more than I gave. I fell in love with the people of Nepal and have been going yearly ever since," said Khosroabadi.
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Dr and Mrs. Alireza Khosroabadi |
"What we mostly see in Kathmandu consists of neglected clubfeet, tibia and fibula hemimelia, cavus foot, severe flatfoot, neglected trauma, malunions, etc. We pay for the cost of surgery, hospital stays, medications AFOs, crutches, etc. We also take suitcases of medical and surgical equipment. This year we raised close to $18,000. This is the most we have ever raised. My goal is to make this event bigger and better next year so we can buy more equipments for Nepal Orthopaedic Hospital," Dr. Khosroabadi says.
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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 |
Best Ways to Play the Prior Authorization Game - Part 8
There is nothing more frustrating to physicians than knowing a patient needs a certain diagnostic test or medication and having them not be able to get it because their health insurance company won’t cover it. All too often, many services require prior-authorization (PA). How can this prior-authorization game be played for better odds of winning?
8) Talk to your provider rep at the insurance company. They often know the right person to talk to that may help you get the service covered.
While these tips may help get some services covered, they often still do not work. The insurance companies hold a lot of power over these medical decisions. The most important thing is to keep fighting the ones we don’t medically agree with. The day we all quit the battle is the day we lose the game and big insurance companies win and determine medical care. We must remain diligent in our fight for optimal clinical outcomes in all and each of our patients.
Source: Linda Girgis, MD, Physicians Practice [4/4/18]
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Randall Lee McArthur, DPM, MD, PhD
Dr. Randall Lee McArthur, 73, passed away on Monday, April 9, 2018.
Dr. McArthur was one of seven children born to Daniel and Edna Mc Arthur in Staunton, VA. As a young child, his family moved back to the family farm in Wakulla, NC. He earned his medical degree in podiatry from Kent State in Cleveland, OH. Dr. McArthur has lived in Jacksonville, FL for the past 25 years.
Source: The Robesonian [4/15/18]
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| QUERIES (CLINICAL) | |
Query: Treatment for Dystrophic Nails in 12 Year Old Female
A 12 year old Hispanic female patient presented with bilateral dystrophic hallux toenails. Her parents report this has been present since birth. It is not painful. A Bako pathology report of the nail from 2 years ago revealed saprophytic mold. She was treated at that time with a 3- month course of oral Itraconazole, 100mg/day without improvement.
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Dystrophic Hallux Nails in a 12 Year Old Female |
The patient now returns to the office interested in other treatment options. She would prefer to not have the nails permanently removed. Would oral Lamisil be a reasonable and safe option in a patient this young? Other thoughts?.
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| CODINGLINE CORNER |
Query: Neuropathy ICD-10
I have a patient who has diabetes with neuropathy and had a gastric bypass. Her A1c now is 5.2 but she still has neuropathy. What neuropathy ICD 10 should I use?
Doan Trinh Pham, DPM, Tracy, CA
Response: Medically speaking, a normal HgA1c does not necessarily eliminate the diagnosis of diabetes. You may be able to continue to use E11.42 (if type 2) depending on the medical diagnosis. If she truly is no longer diabetic, you can consider:
G60.0 – Hereditary motor and sensory neuropathy
G60.3 – Idiopathic progressive neuropathy
G60.8 – Other hereditary and idiopathic neuropathies
This is my opinion.
Jeffrey D Lehrman, DPM, CPC, Springfield, PA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Lawrence J. Kansky, DPM, JD
As a criminal defense attorney, I have been involved in many felony theft cases such as the one written about by Name Withheld (MA) podiatrist. First, you did not make a mistake in agreeing with the district attorney to dismiss your employee's criminal charges in exchange for full restitution of the stolen $13,000 (In Pennsylvania this is called a "586" which is the PA Criminal Code Rule number that allows for Court dismissal upon satisfaction or agreement of the parties). If your employee became a convicted felon, you would likely have had no chance of getting your stolen money back, because in our judicial system, convicted felons lose just about everything.
In my PA cases, when a criminal defendant breaches the restitution part of their agreement, the victim usually contacts the district attorney, the criminal charges are immediately re-instated, and a warrant is issued for the defendant's arrest. The case then starts all over again, and the defendant cannot claim a due process right violation for lack of a speedy trial. Your state, (MA) is likely very similar to PA, so contact your district attorney as soon as possible.
You are not out of luck just yet, because many times after a defendant is re-arrested, the restitution money magically appears and the victim is quickly paid. Good people sometimes make bad mistakes for a variety of reasons, so I commend you for giving your employee at least a chance for a better life.
Lawrence J. Kansky, DPM, JD, Kingston, PA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Simon Young, DPM
I agree with Dr. Jacobs. The one word he used that must be analyzed is “normal”. Insurance companies rate you in relation to your peers. If let’s say, 90% only do C & C, then anyone who does more and deviates from the norm and bills for it falls out of “NORMAL”. The more standard deviations away from normal, the more ABNORMAL your practice is and they don’t question and evaluate why a practitioner is more observant and caring, but instead can consider it fraudulent.
We as a profession “old” or “new” must change NORMAL. No one will admonish you for raising a patient's pants legs and looking for abnormalities for referrals, if needed. This will save lives and hopefully garner respect. It’s sad we don’t look at legs routinely, no matter what the state laws. It’s preposterous to think we only did it for whirlpool treatments!
Simon Young, DPM, NY, NY
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Ira Baum, DPM
What a beautiful story. Godspeed to Dr. Hodson and his family!
Ira Baum, DPM Naples, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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The latest in glow-in-the-dark shoes? |
Source: Luke Grant-Muller via Virtual Shoe Museum
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MEETING NOTICES
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PM PODIATRY HALL OF FAME CEREMONY & RECEPTION
July 12, 2018 – Gaylord National Resort - Washington, DC
Honoring Brad Wenstrup, DPM and Dan Vickers
Sponsored by Bako Diagnostics (Bronze), PICA (Bronze), and Sammy Systems (Bronze)
PM News subscribers are invited to see Dr. Wenstrup and Mr. Vickers inducted in the PM Podiatry Hall of Fame, including roasts by special guests.
All ticket proceeds go to the APMA Educational Foundation Student Endowment Fund. Reserve your tickets now by sending $100 per ticket to: APMA Educational Foundation Student Scholarship Fund, 9312 Old Georgetown Road, Bethesda, MD 20814 or via the APMA Meeting registration form.
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| CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS |
WOUND CARE FELLOWSHIP - NEW YORK
CPME-APPROVED 12 month fellowship beginning July 1st, 2018. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as plastic, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE (equal opportunity employer)
ASSOCIATE POSITION - CENTRAL FLORIDA
KG Health Partners, the largest podiatric practice in Florida, is revolutionizing the continuum of care for seniors living in more than 200 long-term facilities in Central Florida. We currently have an opening in the Sarasota, FL area. If you are committed to helping seniors live healthy lives, this mobile-based position could be your perfect fit. Our physicians work Monday thru Friday and must maintain active Medicare and Florida licenses. We cover malpractice insurance, medical supplies, travel allowance, etc. Exceptional benefits include paid holidays, vacation, health insurance, and 401K retirement plan. Salary and RVU Bonus Structure. Email CV kgadmin@kghealthpartners.com
ASSOCIATE POSITION - LONG ISLAND, NY
Immediate Opening on Long Island. Part-time possibly leading to Full time permanent position. One of our Doctors has personal issues and must leave indefinitely. Must be personable, energetic and highly motivated. Well rounded practice incorporating all phases of podiatry Please email CV to: jobke@aol.com
ASSOCIATE POSITION – NY/PA REGIONAL GROUP PRACTICE
Involving 3 hospitals, wound care center, 3 Offices- well staffed/well equipped-EPAT, digital X-ray, ultrasound, EMR, DME digital scan, etc. Beautiful area/easy commute/low cost of living. Generous base salary with incentive. Seeking ABFAS qualified DPM. Email CV chipmunklane59@gmail.com
ASSOCIATE POSITION - NORTHERN NEW JERSEY
Busy, well established, well equipped, podiatric practice looking for a second associate. ABPS board certified is a plus but not required. Salary commensurate with qualifications. Incentives available. Associate expected to market and grow the practice. Must be a well- trained, highly motivated individual. Practitioners in Bergen/Passaic counties with established practices will be given special consideration. Email CV to: minggao@optonline.net
PODIATRIST WANTED - NORTHERN AND SOUTHERN CALIFORNIA
Podiatrist needed for practice throughout California. Professionally managed practice in long term care facilities. Excellent income potential with discretionary time. Please send CV and interest letter to dwayne8543@gmail.com
ASSOCIATE POSITION – MANHATTAN/LONG ISLAND
Seeking board certified/eligible person to work on Long Island and or Manhattan. Must be in-network with most of the carriers. Must have hospital privileges and have the capabilities to perform basic podiatric surgical procedures. Offices fully equipped with x-ray MRI CT scan and is associated with a surgicenter.
ASSOCIATE POSITIONS - RURAL NORTHEASTERN NORTH CAROLINA
Great opportunity in rural Northeastern NC! 20 year, well established practice with multiple locations, ready to continue to grow, seeking hard working Podiatrist/s just entering practice or with experience, to join us. North Carolina license a must, Send questions and/or CV to iiicms@aol.com
ASSOCIATE POSITION – KENTUCKY
Associate position open for well trained, compassionate physician for busy clinic in the beautiful Danville area of Kentucky. Wide range of services to be offered with several ancillary services onsite. Generous base salary with incentive/full benefits and partnership opportunity. Email CV and letter of interest to: MCrosby518@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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 davidekagan@gmail.com or call (215) 808-0770.
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| CLASSIFIED ADS PART 1- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – HAMPTON ROADS, VIRGINIA
Established in 1976 - fully staffed podiatry practice located in Hampton roads, Virginia across from a class A hospital. The practice has in-house x-ray, ultrasound and PAD ABI waveform devices, as well as a Styker command II system. The custom design 4000 ft² medical building includes a private parking lot, 6 fully stocked treatment rooms and an OR. Tremendous growth and expansion opportunity. Send cover letter & CV to vapodiatry18@gmail.com
PRACTICE FOR SALE – ARIZONA
Small, non-surgical practice in Youngtown, AZ. Near retirement communities west of Phoenix. Front door parking. Hospitals nearby. Great starter or satellite office. Good potential for growth. Very reasonable. Email Art at Igogolfing2@aol.com.
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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 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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