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| PM News | |
The Voice of Podiatrists
Serving Over 17,465 Subscribers Daily
April 28, 2017 #5,915  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2017- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
FINAL CHANCE TO VOTE
Quick Poll
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What is the best way to avoid first appointment no-shows? |
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| PODIATRISTS AND DIABETES | |
MD Podiatrist Discusses DFUs
Dr. Brian Belgin says, “One to two percent of diabetics generally will have an ulceration. In some studies, between 20 and 40 percent of diabetics at some point in time will have an ulcer.” A diabetic foot ulcer is an open sore, usually located on the bottom of the foot. Belgin, a podiatrist with the GBMC Wound Care and Hyperbaric Medicine Center says foot ulcers often occur in diabetics because of the loss of sensation in their feet.
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Dr. Brian Belgin |
“They don't feel anything so they can pick skin off their feet, they can step on something, they can have something in their shoe and they don't know it and it rubs the skin off their foot and it develops an ulceration,” says Dr. Belgin. Be aware of redness or swelling and pain in the area among other symptoms. “Fever, chills, shortness of breath, spike in the blood sugar. Sometimes they just don’t feel well,” says Dr. Belgin.
Source: Ashley James, ABC News2 [4/25/17]
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| PODIATRISTS AND SURGERY | |
FL Podiatrist Discusses Ankle Replacements and Fusions
Dr. Michael Black, a podiatrist with Lee Health, says the ankle joint is supposed to be the primary shock absorber for the foot during walking. “When we lose the shock absorber, we get the same amount of stress that then gets pushed forward underneath and above the ankle. That stress can cause ankle arthritis. “Ankle arthritis is a term that means inflammation of the ankle joint. The treatment historically for end-stage ankle arthritis has been ankle fusion. That’s a procedure in which the diseased cartilage and bone is removed from the ankle and screws are placed in the ankle to allow the leg bone to grow to the ankle bone,” said Dr. Black.
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Dr. Michael Black |
Patients typically need ankle fusions every five years. Another treatment option is ankle replacement surgery, which will treat the arthritis and preserve the motion of the ankle for an estimated ten years. “There has been some newer advancement in not only the surgical instrumentation, but in the design implants. That being said, we can position the ankle implant in line with the leg and make very accurate bone cuts that are reproducible,” said Dr. Black.
Source: NBC-2 [4/24/17]
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| STATE PODIATRY NEWS | |
KY Podiatrist Appointed to State Podiatry Board
Gov. Matt Bevin has appointed Dr. William R. Adams II of Paducah to the State Board of Podiatry. He and Dr. Bradford Martin Fine of Lexington will serve on the board through June 30, 2020. The State Board of Podiatry consists of five gubernatorial appointees. The Board regulates and controls the licensing and conduct of podiatrists within Kentucky.
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Dr. William R. Adams II |
Dr. Adams earned his Doctor of Podiatric Medicine degree from Scholl College of Podiatric Medicine in Chicago. He continued his training with a Harris County Podiatric Surgical Residency at West Houston Medical Center in Texas. He is on staff at Western Baptist Hospital, Jackson Purchase Medical Center and Surgicare.
Source: West Kentucky Star [4/27/17]
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| HOSPITAL PODIATRISTS IN THE NEWS | |
CA Podiatrist Wins Forty Under 40 Award
Kenneth Lopez, DPM has been awarded a Forty Under 40 Award. Dr. Lopez is the Assistant Physician-in-Chief of the Operating Rooms at Kaiser Santa Rosa. He is the Chief of the department of Foot and Ankle Surgery and the Department Technology Lead for the Foot and Ankle Surgery.
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Dr. Kenneth Lopez |
Lopez is a graduate of the California College of Podiatric Medicine and completed a foot and ankle surgical residency at St. Mary’s.
Source: North Bay Business Journal [4/25/17]
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| INTERNATIONAL PODIATRISTS IN THE COMMUNITY | |
UK Footcare Initiative Scoops Top NHS Award
A diabetes footcare initiative in Exeter has won a top NHS award for lowering amputation rates below the national average. The Integrated Diabetic Footcare Faculty (IDFF), which was set up in 2012, scooped the NHS Health Education England Innovation Champion Star Award in March.
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Sarah Clauson (second from left) and her team |
Sarah Clauson, who is a complex care and rheumatology podiatrist at the Royal Devon and Exeter Foundation Trust, said: “The reason given at the award ceremony was that we are a voluntary organization thought to have contributed to lowering the amputation rate in East Devon from 1.4 in 2012 to 0.6 in 2017, which is lower than the national average of 0.8.”
Source: Diabetes Times [4/26/17]
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| FROM PM's RECENT 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.
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Today's Featured Article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Healthcare Fraud 101: Under False Claims Act - Part 1
When you learn of a possible investigation, the first step is always to try to find out what exactly the government is investigating. Is it a coding practice? Billing for medically unnecessary procedures? The receipt of possible kickbacks for using a medical device or drug? Hiring outside counsel is critical; this is not the time to try to navigate the situation yourself. Using outside counsel will protect the confidentiality of many communications with employees and management. Most important, outside counsel can effectively contact the government and begin a discussion about the scope of the investigation.
You will also examine the government's request for documents carefully for clues about what is being investigated. For example, if the government asks about all of the lunches, dinners, or travel you have accepted from a specific medical device company, it is likely that kickbacks are at issue. Or if the government asks for the names of all patients who have visited your practice with a specific medical complaint and the codes for which you billed them, it is likely that some sort of billing practice is of concern.
Source: Sara Kropf, Physicians Practice [4/14/17]
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| CODINGLINE CORNER |
Query: Coding for Trauma Wound with Hematoma
I have an 80 year old female non-diabetic patient with normal peripheral vascular status who was cleaning her oven and bumped into the open door causing bilateral skin tears of both legs. She also had an organized hematoma of the right leg at the margins of the wound. The only code for “hematoma” that I can find states “with skin intact”. The ICD-10 Alphabetic Index then suggests to look at “Contusion” by location. Even there, I could not find a code mentioning “hematoma” that did not mention “with skin intact”. Also, these wounds are traumatic not pressure or diabetic and they are not lacerations. Am I missing something or is it just ICD-10 overload and we just take our best guess?
Kevin Brattain, DPM, Peoria, IL
Response: I recommend looking at “laceration” ICD-10 coding. You said “bilateral skin tears of both legs. She also had an organized hematoma of the right leg.” So it seems this was the initial encounter for the acute episode of care and you would select for both legs:
S81.811A laceration without foreign body, right lower leg
S81.812A laceration without foreign body, left lower leg
Additionally, you stated this is a hematoma which is the same as a contusion.
S80.11xA contusion of right lower leg
You are using injury codes, so make sure you document the date she injured her legs. It would be called the date of injury in your billing software.
David J. Freedman, DPM, CPC, Silver Spring, MD
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Janusz Skwark, DPM
I was very sorry to hear about the passing of my old friend Janusz Skwark, DPM. He was a fellow classmate from Scholl 1986. He was a great guy and I believe just about everybody that knew him liked him and thought of him as a friend. He will be sorely missed by everyone! Rest in peace my old friend.
Peter Rznyk, DPM, Scholl, 1986
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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There's something "screwy" about this shoe. |
Source: Joana Silva via Virtual Shoe Museum
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MEETING NOTICES
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PM PODIATRY HALL OF FAME LUNCHEON
July 29, 2017 – Gaylord Opryland Resort & Convention Center- Nashville, TN
Honoring G. "Dock" Dockery, DPM and Benjamin J. Wallner
Sponsored by Bako Integrated Physician Services (Silver), PICA (Bronze), and Sammy Systems (Bronze)
PM News subscribers are invited to see Dr. Dockery and Mr. Wallner 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 $75 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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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - CALIFORNIA: NORTHERN
Retiring. The practice comes with a ready patient base in an area of unlimited potential. Awesome locale with lakes, mountains and rivers in every direction. $230,000 buys the building and a well established practice. Seller will partially finance and stay as needed during transition. This is a great opportunity!! Email reddingpodiatry@sbcglobal.net
PRACTICE FOR SALE - NORTH PHOENIX/SCOTTSDALE/ PARADISE VALLEY, AZ
A well established, successful solo practice in a prestigious medical center. Office suite recently built. All aspects of podiatric medical care for adults and children. Excellent opportunity for referrals and continued practice expansion. Doctor willing to stay and help with transition. Call 602-740-1686 for details.
PRACTICE FOR SALE – LONG ISLAND
Unusual opportunity – You can lease storefront office from existing podiatrist in location for 30 year. Busy location Western Nassau County. Office is set up ready to practice. Great for expanding podiatrist.No money down. Rent for $2,700/ month. Favorable lease terms. Email rrranch7@yahoo.com
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 davidekagan@gmail.com or call (215) 808-0770.
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – ATLANTA SUBURB
Associate position available. PSR 24/36, ABPS certified/qualified for surgical practice. On-site accredited surgical center and physical therapy department. Full hospital privileges available. Send inquiry and CV to glewis@mariettapodiatry.com.
ASSOCIATE POSITION - ST. LOUIS, MO
Multi-location group seeking DPM to run their own clinic (one DPM per clinic, no travel or assisted facility work). Clinical work is substantive with good surgical balance. Utilize leading EMR, digital x-ray in clinic, and Cutera laser. Excellent comp plan that allows for unlimited earnings growth, plus malpractice, health, and 401K plan. Please send CV to stlouispodiatrists@gmail.com.
ASSOCIATE POSITION – ILLINOIS
Part time podiatrist wanted one day per week for Medinah and Franklin Park office to begin June 28, 2017. Please contact Dr. Ballard by text 630-307-7463.
ASSOCIATE POSITION- NORTH SAN DIEGO
Coastal practice seeking associate for future partnership position. Great location and medical environment. Must have 3 year residence training & California license. Board Qual/Cert by the ABFAS, and an interest and skill in all aspects of podiatry and surgery. Please email resume cover letter to tricitypod@gmail.com.
EXCELLENT OPPORTUNITY! – LOS ANGELES, CA
Home Foot Care, Inc. is looking for qualified podiatrists to visit home patients in the greater Los Angeles area: full/part time, independence, excellent compensation, dedicated support staff, electronic billing/medical records. email cv to: homefootcare@hotmail.com
ASSOCIATE POSITION - FREDERICK, MARYLAND
State-of-the-art group practice seeks a well-trained and personable Podiatrist to join our group. Our practice has all of the bells and whistles you can imagine including scribes, EMR, Shoe store, DME and an in office surgery center. Hospital Emergency Room call is required. Must be confident in Trauma, Ankle Fractures and Diabetic Limb Salvage. We offer a very competitive salary, bonus structure and excellent benefits package. Please forward your CV and letter of intent with headline: Podiatrist Seeking Great Job Opportunity. Drsteinberg@mynewfeet.com
PODIATRIST WANTED - NORTHERN CALIFORNIA
Podiatrist needed for practice throughout Northern CA. 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 FT/PT - NEW YORK (ROCKLAND/WESTCHESTER)
Join a renowned podiatrist/foot surgeon and team of successful doctors in high volume multi-specialty practice. Well-established, cutting-edge, modern facility with PinPointe laser, fluoroscope, diagnostic sonogram, Juvederm, ESWT, and in-house physical therapy. Comprehensive foot and Send CV and cover letter to: linchpindpm@yahoo.com
PODIATRIC SURGEON NEEDED - WASHINGTON DC
To work at MedStar Georgetown University Hospital and MedStar Washington Hospital Center. Position includes medical/surgical care in advanced clinical and academic environment. Physician would be part of integrated, multidisciplinary team including limb salvage and reconstructive surgery of foot and ankle. Opportunity for faculty appointment at Georgetown University School of Medicine, research and growth in dynamic clinical practice setting. 3 year residency training required and post graduate fellowship training preferred. ABFAS Board Qualification or Board Certification in Foot Surgery and RRA required. Please send CV and Cover Letter to John Steinberg, DPM, FACFAS at jss5@gunet.georgetown.edu
ASSOCIATE POSITION - NJ
Well established and fast growing housecall podiatry practice (www.homefootcareservices.com ) is looking for podiatrist to do house-calls for homebound patients in NJ. It will start out as part-time position and guaranteed to grow into a full time position within 1.5 year time frame. Email your resume to lraginsky@gmail.com.
ASSOCIATE POSITION - WESTERN PENNSYLVANIA
Seeking full-time associate in a multi-doctor podiatry group. Excellent opportunity to grow with our practice, with an opportunity for buy-in/partnership. Competitive salary with bonus structure, health insurance, 401k, and CME allowance provided. Please send CV and letter of intent to: PApodiatrygroup@gmail.com
ASSOCIATE POSITION - S. E. PENNSYLVANIA
Seeking full-time associate for growing, multifaceted practice in SE Pennsylvania. Must be ABPS Qualified/Certified, motivated, personable, compassionate and dedicated. Competitive salary + bonus. Forward CV’s to podmedsurg@gmail.com.
ASSOCIATE POSITION – FLORIDA
Excellent opportunity for qualified candidate. Looking to add an accomplished, driven individual looking to grow personally and professionally with a successful and thriving practice. Ideal candidate will have 2-3 years of experience, but will consider new grad as well. Reply with letter describing your personal and professional goals with CV to podsuccess123@gmail.com
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 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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