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PM News

The Voice of Podiatrists

Serving Over 20,000 Subscribers Daily


April 27, 2021 #6,937 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

PM NEWS QUICK POLL
Do you have an emergency crash cart in your office?
 
alliedapr2621

PODIATRISTS IN THE NEWS
Flatfeet Most Prone to Damage from Being Barefoot: NJ Podiatrist 
 
"Our home-based lifestyle has caused a significant change in the shoes we wear," says Dana Canuso, DPM, a board-certified podiatrist and podiatric surgeon based in New Jersey. "Many of us have shifted from sneakers and boots to slippers and [being] barefoot, and this change significantly impacts many aspects of foot health."
 
Dr. Dana Canuso
 
While not all changes to footwear habits have been negative (i.e. Dr. Canuso notes more people are now inclined to wear sneakers all day so going for walks is more convenient), those wearing nothing but comfy footwear — or no footwear at all — could be building a foundation for future foot problems as a result. "Those with a pronatory or flat foot type are predisposed to more injury from not wearing shoes since they're already lacking the support needed to promote a neutral foot position," says Canuso.
 
Source: Krissy Brady, Shape [4/23/21]
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PODIATRISTS AND SPORTS MEDICINE
Arch Support Running Shoes for Low and High Arched Feet: NY Podiatrist
 
Finding running shoes with arch support is especially useful for people with flat feet or high arches since they need extra support to prevent injuries like heel spurs, says podiatrist Brad Schaeffer, DPM, owner of Sole Podiatry in New York City.
 
Dr. Brad Schaeffer
 
Runners with high arches should consider arch supports, because they're more prone to issues like plantar fasciitis, in which the connective tissue that runs between their heels and toe bones becomes inflamed. Those with high arches also tend to oversupinate (a.k.a. excessively roll outward with each step), so a supportive shoe can help keep strides more neutral, Schaeffer says. That said, anyone who pounds pavement may want to consider arch-support running shoes, says Schaeffer. 
 
Source: Jasmine Gomez, Women's Health [4/23/21]
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PODIATRISTS IN THE COMMUNITY
TX Podiatrists Named "Best of Best" in Professionals List
 
Andrew J Young, DPM - Podiatry Associates of Victoria has been named "Best of Best" by the readers of the Victoria Advocate. This is the sixth year Young has been voted the best podiatrist.
 
Dr. Andrew Young
 
Mark Lisch, DPM was named First Runner Up. Frank Henry, DPM was named Second Runner Up, and Neil Campbell, DPM was named Third Runner Up.
 
Source: Victoria Advocate [4/24/21] 
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PODIATRISTS IN POLITICS
OH Podiatrist Wants New Investigation into Congressional Baseball Shooting
 
An Ohio congressman is asking for a new investigation after he says the FBI determined a shooting at a congressional baseball practice was “suicide by cop.” U.S. Rep. Brad Wenstrup, DPM, a Cincinnati Republican, was on the field that day in 2017 when a gunman opened fire while a group of Republican lawmakers was practicing for a charity baseball game.
 
U.S. Rep. Dr. Brad Wenstrup
 
Dr. Wenstrup said he was later told by FBI agents that the shooting was classified as “a case of the attacker seeking suicide by cop” – a designation the lawmaker says “defies logic.” “Director, you want suicide by cop, you just pull a gun on a cop,” Wenstrup said to FBI Director Christopher Wray during a recent hearing. “It doesn’t take 136 rounds. It takes one bullet.”
 
Source: Hannah K. Sparling, Cincinnati Enquirer [4/22/21]
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PODIATRIC PRODUCTS AND SERVICES IN THE NEWS
MI Podiatrist Transitions to Executive Position at  Podiatry Risk Group 
 
Jeffrey Frederick, DPM has left his position at NEMO Health and transitioned into a full-time executive position at Podiatry Risk Group, LLC, managing SpeakEasytm, the innovative voice dictation software for podiatrists that populates chart notes using LCD compliant voice commands. 
 
Dr. Jeffrey Frederick
 
“I am thrilled that SpeakEasy is created on the Dragon Medical One platform integrating compliant podiatric LCD language. The future of medical charting technology is here for podiatry and I love being part of it,” said Dr. Frederick. 
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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.
 
Today's Featured Article
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PRACTICE MANAGEMENT TIP OF THE DAY
Ways to Play the Prior Authorization Game - Part 5
 
Prior authorizations (PAs) are a pain for physicians. Here are a few things you can do to improve your odds of winning. 
 
5. Don't give up.
 
If a test is denied, appeal it and keep appealing it. I find that this is not often successful but sometimes is. Plus, the insurance company should not be given an easy pass for refusing to cover something a patient needs.
 
Source: Linda Girgis, MD, Logan Lutton, Physicians Practice [4/8/21]
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CODINGLINE CORNER
Query: Lisfranc Amputation and Revision
 
On February 11, a patient has a transmetatarsal amputation. The patient is a non-compliant diabetic. The site deteriorates weeks after he leaves the hospital. On March 24, he was re-admitted for an infection at the amputation site. On March 26, the remaining 5 metatarsal stumps are removed, and the wound is kept open. I have searched all over Google. How would you recommend coding for the 2nd surgery? What is the code for removing the 5 remaining metatarsal stumps?
 
David VonSteuben, DPM, Bel Air, MD
 
Response: From a purely description standpoint, it appears that you have converted your original transmetatarsal amputation into a Lisfranc amputation. I suggest considering CPT 28800 Amputation, foot; midtarsal (e.g, Chopart type procedure) in this scenario. Since you indicate that the first surgery was meant to be definitive, I would certainly look at adding modifier -78 (Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Post-operative Period).
 
Jon Goldsmith, DPM, CSFAC, Omaha, NE
 
For information on Codingline subscriptions, click here
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RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 1A
From: Leonard A. Levy, DPM, MPH
 
A question arose by a reader of PM News regarding a submission that I wrote for the April 23, 2020 edition on Mohs surgery. Currently, such procedures are performed by dermatologists and, in some cases, by plastic surgeons. However, podiatric physicians in all states are licensed to perform foot surgery with virtually no restrictions. I suggest that the manufacturer that makes the materials to perform Mohs surgery be contacted (e.g., Henry Schein Medical). Perhaps they may also have the resources to train or arrange for the training of DPMs interested in becoming proficient in this now commonly performed procedure.
 
The profession should make whatever arrangements are needed for DPMs to acquire the required skill set for this potentially invaluable procedure. 
 
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL 
The Sacramento Regional Fellowship in Foot and Ankle Surgery
 
We are accepting applications for a two-year lower extremity surgical fellowship starting July 1, 2021 (pending timeline for applicant's California license). The scope of work will include reconstructive surgery and limb salvage techniques. Comprehensive wound care. Lower extremity peripheral nerve surgery and training in vascular medicine. 
 
The fellowship includes the fundamental and advanced AENS peripheral nerve surgery cadaver courses, training in microsurgical techniques at the Mayo Clinic, and qualification for fellowship status in the Association for Extremity Nerve Surgeons upon completion. Applicants will need a California license. And have completed a CPME accredited three-year residency. 
 
Send your CV, and two letters of recommendation and a cover letter to  Dr Tracy Basso  at drtbasso@vincsacramento.com

RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 1B
From: Bryan C. Markinson, DPM
 
I am not sure if Dr. Levy's intention on paraphrasing the article on Mohs surgery was informational only or if he was recommending that podiatrists employ it. Clearly, Dr. Wolf interpreted it as the latter and asks how one could "get the training and qualification" to do it. I am also confused about his point on leaving the nail plate in place, but that point is moot when it comes to excising a melanoma for which surely a preliminary biopsy has been performed, and total excision is now the reason for further surgery. Mohs surgery is not at all new.
 
The short answer to Dr. Wolf's question involves multiple steps towards getting the training and qualification to perform this surgery. Step one: Graduate from an accredited MD/DO program Step two: Complete a ACGME-approved dermatology, surgery, or plastic surgery residency. Step three: Complete a certified dermatopathology fellowship since Mohs surgery requires...
 
Editor's note: Dr. Markinson's extended-length letter can be read here
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RESPONSES/COMMENTS (NON-CLINICAL)
RE: Don’t Give Ciox Access to Your EHR
From: Jack Ressler, DPM
 
Ciox is making it "easy" for podiatrists to submit requested medical records by allowing them remote access to your EHR system. “Out of the goodness of their hearts,” they are providing this service to eliminate the time-consuming burden podiatrists have sending Ciox requested medical records. I truly hope podiatrists do not partake in this. 
 
A simple solution that takes less than 2-3 minutes would be to send Ciox an invoice for your service based on the number of charts requested times the amount per chart you wish to charge. Their chart reviews end up costing Medicare millions of dollars. 
 
Jack Ressler, DPM, Delray Beach, FL
Astepbovejun1719

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

Would you call these oil pumps?

Source: Anastasia Radevich via Virtual Shoe Museum

picamar2921

MEETING NOTICES AND WEBINARS

IFAFmar2921

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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn up to 5Continuing Education Contact Hours (CECH) Online

Earn 15 CECH only $249 (less than $17 per CECH)

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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


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION AVAILABLE - RICHMOND VIRGINIA 
 
Immediate position available in a well-established (23-year) one doctor -  surgical practice attached to a busy orthopedic hospital.  Looking for a well-trained surgeon who can perform rearfoot/Charcot reconstructions, Ankle arthroscopy, as well as forefoot surgery. No nursing homes. Candidate needs to be personable and communicates well with patients.  Confidence and motivation is a must. Generous salary package with potential partnership. Please email CV, cover letter, and short introduction video to lookingfordocinva@gmail.com
 
FULL TIME NURSING HOME ASSOCIATE/PARTNER – BUFFALO, NY
 
Full time nursing home associate/partner wanted to work as part of a team, traveling to Nursing homes and Retirement Homes in Buffalo, NY Opportunity for buy-in, partnership or sale. Please e-mail CV and salary expectations to mpswny@msn.com
ASSOCIATE POSITION - BROOKLYN, NY
 
Busy practice in Brooklyn is looking for a full-time podiatrist with excellent compensation with excellent growth potential. Must be motivated, and hardworking. Send CV to:  Footcareemployment@gmail.com
 
ASSOCIATE POSITION - NYC 
 
Fast growing, multi-location practice in Manhattan, NY is looking for a motivated, driven practitioner to join our surgical, sports-medicine based practice.  Our full-time associates average $200k+ per year. If personable, motivated, well-trained, and driven to succeed, we would be delighted to discuss a position with you. We offer a strong compensation package including health benefits and a healthy pension. Please send a cover letter and cv to: footdocnyc@outlook.com 
 
ASSOCIATE POSITION - WESTERN NY  
 
Full time associate looking to live in Western New York. Low cost of living area with multiple city centers a short drive away. Great place to live and raise a family. Great prospect for experienced DPM as well as a new graduate who desires to be part of a team and ultimately wants to be a partner in private practice and transition to ownership. Senior doctor is happy and willing to mentor. Must be willing to merge into an already established protocol based office with state of the art facility and equipment. Practice includes all aspects of podiatry ranging from surgery to routine care. Yourpracticenow@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.
 
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 - NASHVILLE, TN
 
Searching for a well-trained and ambitious podiatrist for a growing 3 office location practice. Full-time position offering base + bonus. Associate needs to be board certified or board eligible by the ABFAS. Please email cover letter and CV to mendozadpm@comcast.net
 
ASSOCIATE POSITION - PISCATAWAY/HILLSBOROUGH, NJ 
 
We are a busy podiatry office with locations in Piscataway and Hillsborough, NJ. The office has been in practice for over 31 years and has great reputations. We are looking for motivated and driven full-time and part-time doctors. Candidate will be comfortable meeting doctors and business owners to build referral relationships. We will provide you with every tool needed for your success- treatment protocols, peer networking groups, and a full-time marketing person. drwishnie@stopfootpainfast.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 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
 
ASSOCIATE POSITIONS - AVAILABLE IMMEDIATELY TEXAS, KENTUCKY, and ARKANSAS
 
Podiatrist positions available for immediate hire to treat patients in Nursing Facilities in TEXAS, KENTUCKY, and ARKANSAS. A unique opportunity with flexible schedules and an unmatched potential for growth. Send CV and Cover letter to tajdpm@verizon.net
 
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.
 
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

POSITIONS AVAILABLE -  CONNECTICUT, UPSTATE and WESTERN NEW YORK, RHODE ISLAND and TENNESSEE 

Looking for reliable and ethical podiatrists to service Nursing Homes, Skilled Nursing and Assisted Living Facilities in CT, Buffalo area and Upstate NY, RI and TN. Send inquiries and CV to: phasetwopodiatry@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
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
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 - NORTH CENTRAL TEXAS 
 
Established, 35 plus years, growing practice for sale. General podiatry with large volume of wound care, diabetic foot care, and pediatric treatment. Hospital privileges close by. Strong referral base with great growth potential. Contact  cscjrlaw@gmail.com or 972-978-6691.
 
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.
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.
Guidelines
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
  • Notes must be in the following form:
    RE: (Topic)
    From: (your name, DPM)
    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
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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.

Barry H. Block, DPM, JD
 
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