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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,710 Subscribers Daily
April 18, 2018 #6,168  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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| AT THE COLLEGES | |
IL Podiatrist Starts $100,000 Scholarship Program for 4th Year Students
Sev Hrywnak DPM, MD chair and founder of Project HUGS (Helping Under-insured Get Surgery) has started a scholarship program for 4th year podiatric medical students. “The current system places a financial strain on 4th year students who wish to visit residency programs or spend a month at a program. Additional financial resources will help level out the playing field and benefit those who do not have the means," stated Hrywnak.
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Dr. Sev Hrywnak |
Students are encouraged to apply during the end of their 3rd year. Scholarships will range from $1,000 to $5,000 dollars depending on the students' financial situation. "The cost of medical education has made the return on the investment more difficult and hopefully in the future a more logical and fair system will be put in place," added Hrywnak.
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| PODIATRISTS IN THE NEWS | |
Salon Pedicures Can Expose You to the Flu: CA Podiatrist
While not linked to the actual process of getting a pedicure, close and personal environments, like the nail salon, can lead to the spread of the flu. "If workers are not wearing gloves, not washing hands in between clients, or seeing clients while they're sick, it could spread the virus," warns Dana Cozzetto, DPM, a podiatrist with Mercy Medical Group in Carmichael, CA.
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Dr. Dana Cozzetto |
"Remember, the flu virus can live for up to eight hours, so an infected customer could spread the virus to you if the chairs are not wiped down in between customers."
Source: Jenn Sinrich, Reader's Digest [4/12/18]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatrist Uses Lower Level Laser Therapy (LLLT)
Lower level laser therapy (LLLT) is a recent addition to foot treatments. Podiatrist Margaret Dabbs advises it for a range of painful or inflammatory conditions including bunions, plantar fasciitis (heel pain), tendonitis, and wear and tear.
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Margaret Dabbs |
A colleague with a catalogue of chronic foot problems was so impressed with the Margaret Dabbs medical pedicure that she is booking in for the course of three to six laser treatments, as well as a three-monthly medi-pedi for routine upkeep. "My fungal nails look so much better and the gentle laser eased my arch pain," she says.
Source: Sarah Stacey, Daily Mail [4/14/18]
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| MEETING NEWS | |
Over 400 Attend DERMfoot
DERMfoot 2018 launched this past weekend in Baltimore's Inner Harbor to a record crowd of over 400 podiatrists, dermatologists, and industry professionals with a keen interest in dermatology of the lower extremity. Joel Morse DPM and Annette Joyce, DPM celebrated their third year as meeting chairs. Council for Nail Disorders President, Nat Jellinek, MD and past president of the American Academy of Dermatology, Clay Cockerell, MD conducted a lively open panel "DERMfanatics" discussion on melanoma and nail biopsy.
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(L-R) Drs. Clay Cockerell and Nat Jellinek |
Areas of of focus included regenerative medicine, skin and nail surgery, dermoscopy, inflammatory disorders, chemotherapy, wound care, and pediatrics. Standing room only biopsy cadaver workshops were taught by dermatology pioneers, "Dock "Dockery, DPM and Bryan Markinson, DPM. A poignant and uplifting keynote speech was delivered by Bradley Bakotic DPM, DO, which detailed Dr. Bakotic's lifelong journey into the fields of podiatry and dermatopathology along with his vision of an "even brighter future" for tomorrow's foot and ankle specialists.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Overall Tax Strategies for Physicians - Part 1
Now that the tax-filing deadline is here, the die is cast on last year's revenues, refunds, and amounts owed. However, smart planning throughout the year and effective management of expenses and deductions can leave physicians and medical practices better equipped for next year's filing season. Here are some tips that can help physicians maximize revenues and sail smoothly through tax season into next year.
1. Be Proactive -"Talk to your advisor or CPA during the year. Proactice planning can start after your tax return is filed, to make next year a better tax year. [Consider[ retirement plans and contribution planning, equipment purchase timing, better savings estimate for next April. With the new tax law and new withholding rates, pre-planning is even more important. Grouping large expenses in alternate years may help you beat the 199A thresholds. Tax decisions under the 2018 tax laws are going to differ not just from business to business, but from person to person within the same business." - Dawn Renner, CPA, member, National Society of Healthcare Business Consultants
Source: Julia Filip, Physicians Practice [4/6/18]
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| QUERIES (CLINICAL) | |
Query: Drawing up Injectables in Advance
What is the storage timeframe for pre-drawn injectables such as lidocaine in a syringe?
Olga Luepschen, DPM, Sebring, FL
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: John J. Brummer, DPM, Allen Jacobs, DPM
I think that Lamisil 250 mg Qd x 3 months with LFT monitoring is a good treatment option along with topical Jublia with or without a total nail avulsion Discuss all possible side-effects with the child's parents .
John J. Brummer, DPM, NY, NY
Part of wisdom is knowing what you do not know. Refer this child to a pediatric dermatologist. By virtue of the inquiry, it is likely you are not experienced in this area. You have completed your job by making an appropriate referral to someone with more experience with this pathology.
Allen Jacobs, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Ira Baum, DPM
The cause of the dystrophy of this nail will never be found. If it was present at birth, maybe the trauma was intrauterine or it's even possible that the nail matrix was oxygen deprived; whatever the exact cause, the nail matrix now outputs an abnormal nail plate. The nail plate is not only abnormal in appearance but in all probability is and always will be susceptible to fungal, saprophytic, and bacterial infections.
In my experience, the use of systemic or topical antifungal agents will not cause a normal appearing nail to grow. There may be some who advocate steroid injections into the nail matrix, but in my experience, they are of little benefit. I understand the psychological effect that an abnormal nail may have on her, but the only solution would be to remove the nail and use cosmetic nail replacements periodically, or routinely file the nail to a normal thickness and paint the nail. Sometimes, conditions are not resolvable.
Ira Baum, DPM, Naples, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Richard A. Simmons, DPM
Dr. Forman wrote: “I received notification from Medicare that 33% of my visits submitted included an E/M charge. I was told it was above the average.” To me, there are two issues here: 1) do you really want to go toe-to-toe with Medicare defending your E&Ms and 2) I am surprised that 33% is above average. I know that some doctors will challenge Medicare personally and spend a lot of time and effort defending their claims. If your office is equipped to handle this, then go for it. The 33% number seems low and may be something that APMA could look into.
That said, there may be a lot of practices where “non-medically licensed” personnel are trimming toenails, corns, and calluses, and these offices may simply have a high turnover of procedures without examinations. On a side note, if a PA (physican assistant) or NP (registered nurse practitioner) submits a bill to Medicare, it is paid at a lower fee profile than if submitted by an MD, DO, or DPM; however, when “non-medically licensed” personnel perform routine foot care, that procedure is billed as if the DPM personally performed the procedure. Even though Dr. Forman may be practicing good medicine, it appears that the numbers may simply be against him.
Richard A. Simmons, DPM, Rockledge, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Thomas Silver, DPM
I have tons of patients sent to me for "routine care" from large managed care clinics in my area. I often hear from these patients that they were seen by the podiatrists in their clinic and told by them, "I'm a surgeon. I don't trim toenails or calluses!" and that they often don't even look at their feet. They refer them out to the few clinics in my area (population >1 million) that do "routine care".
In most all cases, I do a full lower extremity exam for these "routine care" patients. Many of the elderly have had knee or hip replacements, so I routinely measure for leg-length discrepancies, excessive pronation, collapsing or collapsed medial column, and I have them stand and walk. As a result, we fit...
Editor's note: Dr. Silver's extended-length letter can be read here
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Mrs. Malaprops Meets Me at the The Gym
I was recently working out on the ellipical machine at my health club on a very crowded Sunday. A buxom female patient who was fitted with orthotics earlier that week recognized me and came over to say "hi" and proceeded to tell me quite loudly how much she loves her new implants! There were a lot of sly grins around me!
Tom Silver, DPM, Minneapolis, MN
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MEETING NOTICES
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NEED CME CREDITS FAST?
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You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
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All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MD, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, ID, IA, 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
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| CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - NAPLES, FL
Associate podiatrist Naples, Florida. PSR 24/36, ABFAS certified/qualified for surgical practice. Must have FL license. Hospital privileges available. No HMOs, no nursing homes. Naples is upscale area and wonderful place to work and live. Prefer someone personable, hard working and team player. Email CV draustin@gulfcoastfootcare.com
ASSOCIATE POSITION – GREAT NECK, NY
Hard-working podiatrist needed for busy Great Neck practice. Associated with Northwell Health. Maintain excellent reputation in community for 25 years. High volume of diabetic wound care, surgery, podiatry clinics, wound centers, hospital rounds and office. Excellent opportunity for well-trained individual who enjoys working in hospital. Great reimbursement. NSUHFOOT@AOL.COM
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 - 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.
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 2- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - PORTLAND, OREGON AREA
Walk to one major hospital in 3' and drive to another in 9'. Prosperous area. 4 full treatment rooms. Digital x-ray, diagnostic U.S., Doppler. Will stay 6 mos. to help transition. Respond to: OfficeofPodiatry@gmail.com
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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