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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,656 Subscribers Daily
May 08, 2018 #5,182  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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What attire do you typically wear at the office?
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| PODIATRISTS AND POLITICS | |
NE Podiatrist's "Right to Try" Bill Becomes Law
A new Nebraska law will give terminally ill patients the opportunity to attempt treatments that have not yet received approval from the federal Food and Drug Administration, but some doubt the change will make much difference.
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Dr. Robert “Bob” Hilkemann |
The bill's sponsor, Sen. Robert Hilkemann, a retired podiatrist from Omaha, said the so-called "right-to-try" legislation eases the process for terminally ill patients to access unapproved treatments and drugs in the clinical trial stages of FDA approval. The law will go into effect in July. Supporters tout the law as a way to bypass bureaucratic FDA reviews that can take up to a decade before drugs arrive on the market. Hilkemann said the FDA can take months to process requests, lessening the chance terminally ill patients could benefit from treatments.
Source: Tess Williams, Bellingham Herald [5/6/18]
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| MEETING NOTICES | |
AAWP Holds Scientific Conference
The American Association of Women Podiatrists (AAWP) had their Scientific Conference this weekend at the Wild Dunes Resort, Isle of Palms, South Carolina. Many attendees enjoyed this comprehensive scientific conference. Among the nationally known faculty was Dr. Steve McClain and Ms. Kim Rhatigan of McClain Labs, a diamond sponsor for this event.
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(L-R) Drs. Steve McClain, Karen Langone, Ms. Kim Rhatigan, Drs. Corrine Renne Landau, and Laurence Landau |
Other faculty included Drs. Jonathon Moore. Tracey Vlahovic, Melissa Lockwood, Gina Painter, Chris Corwin, Ryan Fitzgerald, Karen Langone, Stephen Kominsky, Elizabeth Hewitt, Sarah Fitzgerald, Jacob Wynes, Janet Simon, Marlene Reid, and Jennifer Spector. AAWP has a scientific conference every 18 months. The next one will be held October 2019.
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| RELEVANT RESEARCH | |
Surgeons' Skills Improve With Age
Surgeons’ skills may improve with age, and male and female surgeons perform equally well, a recent U.S. study finds. Medicare patients’ risk of dying in the month after an operation steadily fell as their surgeon’s age increased, Dr. Yusuke Tsugawa of the David Geffen School of Medicine at UCLA in Los Angeles and colleagues report in The BMJ.
There was little difference between mortality among patients of male or female doctors, with one exception. “Patients treated by female surgeons in their 50s had the lowest mortality across all groups,” Tsugawa told Reuters Health in a telephone interview. Among the roughly 892,200 patients treated by nearly 46,000 surgeons, the overall risk of dying within 30 days of a surgery was 6.4 percent. After adjusting for other factors, mortality rates were 6.6 percent with surgeons under age 40; 6.5 percent with surgeons in their 40s; 6.4 percent with surgeons in their 50s and 6.3 percent for those 60 and older.
Source: Anne Harding, Reuters [5/4/18]
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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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| .TRANSITIONING TO PRACTICE | |
Navigating the Waters from Residency to Practice - Part 2
A complete buyout will have two scenarios to consider. Is it an asset and goodwill buyout, or is it a stock purchase buyout? Both have advantages and disadvantages, but you will need to seek legal and financial council to guide you during your purchase. Complete buyouts generally require either upfront cash or financing through an approved banking institution. There are several creative ways to structure the buyouts, but again, you will need legal counsel for guidance.
Understanding the state scope of practice for the area of the country you will want to settle in is of utmost importance. If you are heavily surgically trained in rear foot but decide to practice in a state that has extreme limitations to the rear foot, it could be disastrous. You can find this information by clicking here.
Joseph D. Giovinco, DPM and Todd A. Domangue, MBA/HCM
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Common Reasons Your Claims are Bouncing Back - Part 5
Billing is a complex and often tedious procedure—especially with ICD-10 codes. However, the reasons for returned and delayed claims often boil down to a few basics. Here are some of the most common billing mistakes practices make, and how to make sure your practice avoids them.
5. Keep up with the Changes
Even when policies haven’t changed, what is and is not covered on a given plan sometimes does. You can be left holding the bag if a payer changes its policies about what procedures they cover or what labs they use, and you don’t hear about it. “Most payers send out a policy bulletin announcing these changes,” says Cantrell, “but it’s difficult to find time to keep up with this.” Large practices often have administrators who watch for these changes and pass the word on to each billing office. However, in smaller practices that job may fall to the front desk or billing staff. Make sure whoever does this understands the importance of carefully reviewing these bulletins when they are issued.
Source: Avery Hurt, Physicians Practice [4/16/18]
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| CODINGLINE CORNER |
Query: Modifier Use of -GX and -GY Modifier
Can someone tell me definitively whether the following example would get a -GX or a -GY modifier? A patient who is diabetic presenting for “Routine Care” (nails and calluses) with no complaint of pain and who does not meet the ABC criteria. They will not meet those criteria at any time. The debate at the meeting was “Are they statutorily non-covered (-GY) because they never meet the ABC criteria, or would they be otherwise non-covered and get the somewhat misunderstood (-GX ) modifier?
And whichever your choice, do they need to sign an ABN for each visit or is one sufficient per year with the proper notation about monthly or bimonthly visits, etc.? The hospital personnel stated that “Routine Foot Care Codes and rules” are the most complex group of codes they have ever had to work with.
Kevin Brattain, DPM, Peoria, IL
Response: Specifically related to RFC, if the patient does not meet medical criteria, then there is no requirement for an ABN to be signed as RFC is statutorily not covered. If the patient requests you to bill as possibly a secondary carrier might cover the service, then a GY modifier would be used. For an ABN, it must be signed every time the service is rendered.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Elliot Udell, DPM
Has Synvisc been approved for joints other than the knee? If not, it is an off-label use which is 100% legal; however, insurance companies may not pay for it and this is an expensive injection. Does anyone have any experience with injections of Synvisc in joints other than the knee with regard to insurance re-imbursement?
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Donald R Blum, DPM, JD, Evan Meltzer, DPM
MBT shoes are basically a rocker bottom shaped shoe. See their website:
Donald R Blum, DPM, JD, Dallas, TX
Massai Barefoot Technology (MBT) shoes are high-priced rocker bottom soled shoes alleged to be fashioned after the feet of this African tribe. Your patient can get rocker bottom soled shoes at a better price from other brands.
Evan Meltzer, DPM, San Antonio, TX
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POST GRADUATE FELLOWSHIP
Department of Orthopaedics/Division of Podiatric Medicine and Surgery
Joe R. & Teresa Lozano Long School of Medicine at the
UT Health San Antonio
Reconstructive Foot and Ankle Surgery - This fellowship is a one-year experience during which the Fellow will develop a rational approach to revisional and reconstructive foot and ankle surgery. The Fellow will function as a Specialist and participate in the teaching of Podiatric medical students and residents, and have ample opportunity to be involved in clinical and basic research projects. The fellowship will provide the Podiatric Surgeon further expertise in Charcot reconstruction, trauma and deformity correction.
Duration: 1 year (7/1/19 – 6/30/20) Application Deadline: 10/02/2018 Interviews: TBD Stipend: $44,100/Year. Requirements: Completion of 3-year residency; a commitment to a part-time/full-time academic career in Podiatric Medicine and Surgery. Texas License eligible & ABFAS Board Qualification eligible in Foot and Reconstructive Rearfoot/Ankle Surgery (Test Dates & Application Deadlines TBA).
Please upload a letter of interest, CV, and 3 letters of recommendation. Please direct questions to Thomas Zgonis, DPM, FACFAS, Professor, Fellowship Director, Zgonis@uthscsa.edu.
UT Health San Antonio is an Equal Employment Opportunity/Affirmative Action Employer including protected veterans and persons with disabilities. All faculty appointments are designated as security sensitive positions.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Perfect for Miami Beach? |
Source: Minna Parikka 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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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $219 (less than $15 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
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 2 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – NEW YORK
Full time associate position with busy expanding multiple office full scope group on Long Island. Ideal for July 2018 residency/ fellowship graduate or someone with 1-3 years experience looking for future partnership. Board Qualification/ Certification required. Affiliated with NYU/ Winthrop, Northwell and Brookhaven hospitals. Generous package includes salary, bonus, health/ malpractice insurance, paid holidays and vacations. Send CV to drleeb@countryfootcare.com.
PART TIME POSITION THAT MAY LEAD TO FULL TIME POSITION - TAMPA, FL
Successful podiatric medical and surgical practice seeking a podiatry resident or FL licensed podiatrist for a part time position with very competitive pay. Part time work starting in July 2018. May lead into a full time position starting later in the fall. Prefer for applicant to have FL license already, but it is not a requirement for immediate hiring. Serious inquiries only. Please contact DrNTFC@gmail.com if interested.
ASSOCIATE POSITION - FREDERICK, MARYLAND
Associate position open for a highly motivated, hard-working podiatrist who is proficient in forefoot and rearfoot surgery. Candidate must have excellent professional and communication skills. We have 2 office locations and are looking to grow our practice. Prefer someone personable and a team player. Podiatrist/s just entering practice or with experience. Please email CV and salary requirements to asmith@footandankle-usa.com
IMMEDIATE OPENING - EAST CENTRAL FLORIDA
Large practice in East Central Florida has a full-time position open, prefer DPM with minimum of 1 year private practice. To apply please go to www.yourcareerinpodiatry.com
ASSOCIATE POSITION – NY/PA
NY/PA practice seeking an associate leading to partnership. Multiple hospital and surgical affiliations. Busy wound center. Full spectrum of care. Send C.V to resumespodiatry@gmail.com
MULTI-LOCATION GROUP - CHICAGO/NEAR WEST SUBURBS
Seeking an ABFAS Board Certified/Eligible associate. MINIMUM 2 year private practice experience required. Surgical/ortho patient load. Great staff. DME, Rx, Minimal Incision Sx, EMR, digital x-ray, laser, ultrasound, PRP, shockwave & MRI. Top pay, associateship & practice equity available for experienced candidates. Send CV drtsatsos@anklenfoot.com
ASSOCIATE POSITION – DAYTON, OH
Group practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must have excellent clinical and surgical skills and provide quality patient care. Practice equipped with EMR, digital x-ray, PAD, Cutera Laser, ultrasound guided injections, PRP all aspects of DME. Hospital privileges, no nursing homes. Highly trained staff. Send CV, to ohiosurgeons@gmail.com Base salary $120,000 and generous bonus plan, 401k, medical insurance, malpractice, paid vacation, holidays, CME, signing bonus. Partnership opportunity
ASSOCIATE NEEDED - WARREN/YOUNGSTOWN, OHIO
Ankle & Foot Care Centers operates 20 locations in Northeast Ohio. We are looking to add a full-time pediatric physician to help cover expanding office hours. Tremendous growth opportunity for a hardworking individual with an interest in reconstructive surgery and wound care. To learn more about us, visit our website at www.ankleandfootcare.com Please email your letter of interest and CV to Michael Vallas, Practice Administrator at mike@ankleandfootcare.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
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 – 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 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 – RICHMOND, VA METRO AREA
Immediate opportunity for ABFAS foot board qualified/certified podiatrist to take over from another doctor. Multiple practice locations and environments. High volume surgical limb salvage service at local hospital with multiple shifts of wound care. Competitive salary and benefits. Richmond is a great place to live and work, has a low cost of living, and many “big city” amenities. Please email CV and questions to richmondpodjob@gmail.com.
ASSOCIATE POSITION – HOBOKEN, NJ
ASSOCIATE POSITION – JERSEY SHORE, NEW JERSEY
Busy Jersey Shore practice looking for an associate podiatrist who is proficient in Routine Foot Care, Medicare Patients, Primary Podiatric Medicine including Wart Treatment and Nail Surgeries. Please email CV, and salary requirements to lakewoodjobs999@gmail.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, hospital rounds and office. Excellent Part time opportunity for well-trained individual who enjoys working in hospital. Great reimbursement. drmichaelpliskin@aol.com
ASSOCIATE POSITION AVAILABLE - NORTHERN MASSACHUSETTS
Looking for well trained, personable physician willing to be a part of the team. Must have completed surgical residency and board qualified/certified. We have 2 busy clinics. No nursing homes. Affiliated with multiple local hospitals. Salary and benefits available. Please send resume to cfdalrymple@yahoo.com
ASSOCIATE POSITION - SARASOTA 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 – RENTON-KIRKLAND-EVERETT, WASHINGTON
This is an immediate opening for associate position. He/she must be highly motivated, hard-working podiatrist who is proficient in forefoot and rearfoot surgery. We have 3 office locations and multiple nursing home facilities. Prefer someone personable and a team player. Please email CV to seattlefootdoctor@yahoo.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 - SOUTHERN CALIFORNIA
Turn-key practice for sale in West San Bernardino County. Large office with a steady flow of patients. For interested parties, please email: socalpodpractice@gmail.com.
PRACTICE FOR SALE – SOUTHERN CALIFORNIA
Relocating. A well-established, successful solo practice in highly sought after Los Angeles county. Grossing over $300k for two decades, averaging 300 patients per month, while seeing patients 3 days a week. Considerable opportunity for growth. Accepting all major insurance carriers with high % of cash-based patients. All aspects of foot and ankle medical care, including diabetic foot care, sports medicine, trauma, and office based surgeries. Great front door parking and high visibility building signage. An excellent opportunity for a new grad! Please contact me with serious inquiries only. Send CV and letter of intent to socalpodiatrypractice@gmail.com
PRACTICE FOR SALE - EAST NORTH CAROLINA COAST
I have moved out of the area and need to transfer the practice ASAP. 30k per year gross serving 5 assisted living facilities with nearby house calls. Very low overhead. Fire sale price of 10k, or best offer. Motivated seller. NC license and Medicare contract required. mobilepodiatry1@gmail.com.
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 to help transition. Respond to: OfficeofPodiatry@gmail.com
PRACTICES WANTED
Buying podiatry practices in Florida, Alabama, Tennessee, Ohio, Pennsylvania, NYC, New Jersey, Texas, Kentucky, Georgia, South Carolina. Looking to buy podiatry practices large, small, rural or urban. Podiatrists who are looking to retire soon or in the near future, or wanting to join a larger group to handle business operations can contact us at podiatrymanagementinc@gmail.com. Competitive compensation and benefits package for those who would like to sell and work within the larger company.
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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