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| PM News | |
The Voice of Podiatrists
Serving Over 17,002 Subscribers Daily
May 09, 2015 #5,369  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- 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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Do you use ESWT in your practice? |
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| PODIATRISTS IN THE NEWS | |
Hair Loss of Toes Could Indicate Arterial Disease: NY Podiatrist
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Dr. Suzanne Fuchs |
If you have bald toes, it could be arterial disease. If the fuzz on your toes suddenly disappears, it could signal poor blood circulation caused by peripheral arterial disease (PAD). “Signs of PAD can include decreased hair growth on the feet and ankles, purplish toes, and thin or shiny skin,” says Suzanne Fuchs, DPM, a podiatric surgeon at North Shore University Hospital in New York. PAD affects about 8 million Americans. Symptoms are subtle, but doctors can check for a healthy pulse in the foot or spot PAD on an x-ray.
Source: Kelsey Kloss, Reader's Digest [May 2015]
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| PODIATRISTS AND DIABETES | |
Off-loading of Diabetic Ulcers Can Prevent Amputations: FL Podiatrist
A diabetic patient at Good Samaritan Clinic quit smoking and made changes in his diet, but healing the diabetic ulcer on his foot remained a challenge. "If you healed it, it would open up two weeks later because of the pressure on his foot," said Dr. Jeffrey Karr, a Lakeland podiatrist.
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Dr. Jeffrey Karr |
The solution proved to be special inserts, called pressure off-loading inserts, for the man's sneakers. They took pressure off the sore, helping it to heal. If the foot ulcer had become more infected, the man might have been looking at surgery, perhaps amputation.
Source: Robin Williams Adams, The Ledger [5/5/15]
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| PODIATRISTS AND SPORTS MEDICINE | |
Marathon Runners Should Follow the 10 Percent Rule: FL Podiatrist
According to podiatrist Dr. Brian Fullem, training for a marathon should be a gradual progression. One of the biggest risks runners take, he said, is increasing their mileage too quickly. It is important to build up the total numbers of miles run each week, he said, but increasing mileage by more than 10 percent per week can lead to injury.
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Dr. Brian Fullem |
But injuries still occur, even if runners follow the 10 percent rule to the decimal place. The most important thing for physicians, Fullem said, is to treat the cause of injury, not just the symptoms. When they get injured, Fullem said, “people tend to just reach for the ibuprofen.” “There’s never one magic bullet for an injury,” he said.
Source: Dale Shoemaker, The Pitt News [5/6/15]
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| PODIATRISTS AND FOOTWEAR | |
High Heels Most Common Cause of Foot Pain: IL Podiatrist
A 2014 survey from the American Podiatric Medical Association—composed of the nation’s top foot and lower-leg docs—found heels were far and away the most common cause of foot pain among women.
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Dr. Rodney Stuck |
Calluses, blisters, bunions, and ingrown nails are all common among high heel wearers, adds Dr. Rodney Stuck, division director of podiatry at Loyola University Chicago. The higher the heel, the more trouble you’re likely to run (or walk) into, Stuck says.
Source: Markham Heid, Time Magazine [May 2015]
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| PODIATRISTS IN THE COMMUNITY | |
NY Podiatrist Cuts Ribbon for Larger Office
On April 28, Dr. Mindy Lam used a pair of oversized golden scissors to snip the red ribbon at Foot Care of Clifton Park’s new location. Her office had been in the Emma Lane Professional Park since June 2009. After some time, her practice outgrew those confines. Lam felt that having her business in the same area that she resides in means she’s a stronger part of the community.
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(Center) Drs. Mindy and Steven Lam |
Lam attended podiatry school at Temple University (2000-2004) in Philadelphia, where she met her husband, Dr. Steven Lam who also was studying podiatry. The couple completed their surgical residencies in Philadelphia.
Source: Molly Congdon, Your Clifton Park, [5/7/15]
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| OUTSIDE INTERESTS | |
GA Podiatrist Is Host of Cigar Lifestyle Radio Show
Atlanta podiatrist Gary Laden, DPM is the co-host of a new cigar lifestyle radio show in Atlanta. The Cigar Guys Radio Show is a two hour, live broadcast, airing every Sunday from 11 AM - 1 PM on AM 920 The Answer. It is also simulcast on most radio apps. Previous shows can be heard, on-demand, via a podcast app.
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(L-R) Dr. Gary Laden with co-host Alan Friedman |
The show covers the entire cigar lifestyle, including information on the hottest selling cigars, spirits, wine, dining, travel, and more. Dr. Laden was the former director of the laser department of Village Podiatry Group.
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| QUERIES (ICD-10) | |
Query: Affordable ICD-10 Crosswalks
There are podiatrists independently trying to re-invent the wheel by coming up with their own ICD-10 crosswalks. It would be great if we could have one comprehensive podiatry ICD-10 list which many of us would be willing to pay a reasonable fee to obtain, from someone who has put forth the work to do it all. Is there anyone out there who has put together a comprehensive ICD-10 list that pertains to most all of the podiatry codes that we use, and could they share it for a reasonable fee for their hard work?
Stephen S Pirotta, DPM, Bentonville, AR
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| CODINGLINE CORNER | |
Query: SmartSkan - CPT 95923
I am considering purchasing a nerve testing unit, SmartSkan CPT 95923. I was wondering and hoping that I can get some feedback on whether or not we, as podiatrists, are eligible to use this (involves placing both hands and feet on plates for measurements). Any other info regarding reimbursement and usage would be appreciated.
Michael Rosenblum, DPM, Fair Lawn, NJ
Response: First check with your state regs whether this testing is covered under your scope of practice. Then, I would check with your major insurance companies about coverage issues, and specifically the appropriate use of CPT 95923 or other coding for the testing. Many plans do not cover this type of testing or this unit, or they do so in very limited scenarios. Be very clear when asking about coverage issues to make sure that you are being given accurate information. Many carriers deem this testing/unit investigational. Do not rely on what the company reps tell you about coverage and potential income revenue.
Tony Poggio, DPM, Alameda, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription.
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1A | |
From: Don R. Blum, DPM, JD
Please confirm that the wound center is billing for the professional component of the wound care. Wound centers bill for the facility component and supplies that are used. If the wound center is billing for the "doctor" professional component, then you would need to have a discussion with the facility about proper billing protocol.
Please note that although you are in a wound center facility, if you do not have an ABN and use the proper modifier, you cannot bill the patient for the service when you receive the denial. Have a talk with the billing office for the wound center to work this out.
Don R. Blum, DPM, JD, Dallas, TX
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1B | |
From: Michael M. Rosenblatt, DPM
The DPM who bills separately for his/her services regards himself as a "private contractor." This DPM needs to contact a healthcare attorney with knowledge of healthcare and Federal billing practices immediately. The healthcare attorney will then advise the client on how to handle this.
This is classified as a so-called "legal emergency" and must be dealt with immediately. Failure to deal with this issue could result in one or more charges of healthcare/Medicare fraud against both the clinic and the DPM. In the meantime, don't throw ANYTHING out. If you have any copies of the clinic charging, keep them.
You will likely soon be separating yourself from the wound clinic. They will throw you under the bus and will not protect you. Don't disclose to anyone there that you are seeing an attorney. Say nothing to them without competent legal advice. Chances are that your attorney will be contacting them. Be sure you pay for your attorney yourself, preferably by giving them a retainer, or pay the office charge by check before you leave. Your healthcare attorney must only represent YOU. By paying him, you are cementing that representation.
Michael M. Rosenblatt, DPM, San Jose, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: David Zuckerman, DPM
I want to be clear that I have never stated that EPAT was not effective for anything. EPAT shouldn’t be in the ESWT conversation. There is no relationship between EPAT and ESWT. EPAT is a class one therapeutic massage device that is indicated for pain. EPAT has never undergone FDA approval. There are no double-blind, randomized, placebo, controlled studies to attempt to show if it’s safe and/or effective. EPAT isn't an ESWT shockwave device and shouldn't ever be presented as an ESWT device to the patient or in marketing. I am saying that we need to use evidence-based medicine, especially at the level of FDA class three approval. Cheaper, yes. Effective? PROVE it.
David Zuckerman, DPM, Cherry Hill, NJ
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Good for walking your "dogs"? |
The 'dynamic walking' appearance of the shoe derives from a moment in which the animalistic body is preparing to leap. The shoes were the product of the shoe course at the Bezalel Academy of art and design, with professor Eliora Lemmer Ginsburg.
Source: Aya Feldman via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS | |
FELLOWSHIP POSITION – PHOENIX, AZ
Association of Extremity Nerve Surgeons (AENS) Peripheral Nerve 12 Month Surgical Fellowship beginning August 1. $40,000 salary plus benefits. Attendance at Mayo Clinic Microsurgery Course and Fundamental Peripheral Nerve Surgery Courses also included. Submit letter of introduction and CV to sdoherty@barrettmed.com. AZ license required.
ASSOCIATE POSITION - NORTHERN VIRGINIA
Busy practice looking to expand. Looking for a well trained, well rounded, energetic podiatrist. Should be competent in forefoot, rearfoot and ankle surgical procedures as well as wound care. All aspects of podiatry, pediatrics, orthopedic and surgical. Competitive salary, bonus, benefits and buy-in potential. Send cover letter, CV to footdocva@cox.net
ASSOCIATE WANTED - SOUTHERN NEW JERSEY
I am looking for a FT surgically trained podiatrist to begin working in a busy practice July 2015. Office, hospital, wound care and facilities. Competitive base salary will also be bonus driven. Please send letter of intent as well as resume to drjpel@aol.com.
ASSOCIATE POSITION - KANSAS CITY
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We need another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with doctors who are committed to your success. If you are an entrepreneurial-minded doctor who wants to grow and eventually own part of an already successful practice, go to: www.YourFutureInPodiatry.com for full details.
ASSOCIATE POSITION AVAILABLE- NORTH GEORGIA/CHATTANOOGA AREA
Busy group practice located in Chattanooga/North Georgia area seeking a growth-oriented individual with a strong work ethic to join our expanding 5 physician TEAM. Must have PMS 36. Can be out or residency or just looking for a change in practice environment. Established patient base with tremendous growth opportunity. Associate with partnership potential. Chattanooga offers a strong music and arts culture, unrivaled outdoor amenities, and a government/populace committed to sustainable development. Competitive Salary and benefits. Bilingual (Spanish) an asset. Email cover letter and CV to hr@advfootcare.com
ASSOCIATE POSITION - PART-TIME - NJ
Can you handle a challenge? Associate wanted for amazingly busy practice. Must be enthusiastic, outgoing, surgically trained but conservatively minded. The sky’s the limit. Wonderful environment and great support team. Great pay with potential for expansion Bergen County, NJ. For further info, email to njfootankle@yahoo.com or fax to 201-261-0058
ASSOCIATE WANTED - SOUTHWEST, FL
ABFAS BC or BQ surgeon to join our expanding team. All aspect of podiatric care required. Immediate position: ER, hospital rounds & office work. CV, LOR, LOI. EMR, digital x-rays, modern offices, PRP, amnio tx, sx suite to ASC. Opportunity in a thriving, growing group. Good cash patient clientele. Partnership potential. Top end income w bonus for hard worker. 6 figure start. ALSO AVAILABLE: 1 year term Reconstructive Surgery Fellowship position must have ABFAS BQ status. 1 preceptee position: must have passed step I and II. klamdpm@hotmail.com
ASSOCIATE POSITION FT/PT - SOUTHERN NEW JERSEY
Available Immediately -Upscale private practice, coastal community in Atlantic County looking for a FT/PT associate. Buy in/Buy option. Modern facility, EMR, digital x-ray, supportive professional staff. Hospital privileges, no nursing homes, treating patients of all ages/conditions. Not just another routine practice! Email Shoredpm@gmail.com
ASSOCIATE POSITION - NEW JERSEY, SUPER GROUP
This group of more than 35 providers seeks well trained and motivate doctor to join as an associate. This is a change to join a group and be involved in multiple offices and grow with the market. Competitive salary and benefit package. Forward CV to MCrosby518@gmail.com.
ASSOCIATE POSITION – GEORGIA
Join our Team! Thriving, five location, progressive, podiatry practice seeking a family-oriented Associate Podiatrist to build career and long-term relationship. Must be surgically trained (PSR-24/36) and have EMR experience. Position available in our Statesboro, GA location, one of the fastest growing cities in Georgia and home to Georgia Southern University. Associate will have full range of services and access to Surgical Center along with access to all of the latest diagnostic and therapeutic technologies. Email CV with Cover Letter to hr@atlanticfeet.com.
ASSOCIATE POSITION - WHITE PLAINS, NY
Motivated, entrepreneurial, caring graduate from a 3 or 4 year residency program for White Plains, NY practice with solid patient base. Must also be willing to put in the effort to actively grow practice. Early opportunity for an equity position in the practice. Interested individuals should send their resume to east88footcare@aol.com
PARTNERSHIP/ASSOCIATESHIP - CONNECTICUT
Well rounded practice in lower Fairfield County Connecticut available for partnership or associateship. ER call, surgery, pediatrics, diabetic foot care, wound management, in patient care. Flexible terms. Ideal for finishing resident. Call 203-554-2565 or email AMNANAI@OPTONLINE.NET
ASSOCIATE POSITION - ALBERTA/CANADA - CALGARY
Seeking new/experienced full-time podiatrist to take over associate position in busy, well established (>20 years), surgical and non-surgical practice. New office space with in-office operating room. Send CV and cover letter to: afsc@associatefootspecialists.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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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| CLASSIFIED ADS PART 1 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
LOOKING TO PURCHASE - FLORIDA
Looking to retire, or stay in the game part-time? We will purchase your entire practice or partner with you if you prefer. We are looking for a high volume, high Medicare Podiatry practice in North Broward or Palm Beach county, Florida. Please contact: podfather5@aol.com
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
EQUIPMENT FOR SALE - PADNET
PRACTICE FOR SALE- ARIZONA
Central Arizona - between Phoenix and Tucson. Well established and very busy 35 year old solo-practice. High volume surgery and general practice with good cross-section of patients from pediatric to geriatric. Hospital, surgicenter and in-office surgery. Located in professional center. Contact E-mail: pmmpod@gmail.com
IMMEDIATE BUYING OPPORTUNITY IN CHICAGO
Well-rounded medical/surgical practice; turn-key operation with ongoing schedule. Great opportunity to run your own practice - full- or part-yime for recent graduate or experienced physician. Will consider partnership for right person. Please respond to: chipod12@yahoo.com
PRACTICE FOR SALE- HUDSON VALLEY, NY
Approximately 30 miles south of Albany. Well established 30 year podiatry practice. Doctor retiring. Includes all equipment. Owner will stay for easy transition. Grossing 500K+ Consistently. The practice primarily routine and diabetic foot care. Income less than 5% surgical. Reasonably priced. For additional info contact: footdoctor2015@yahoo.com
PRACTICE FOR SALE - SOUTHWEST FL
Multilocation (will separate) multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com
PRACTICE FOR SALE - NEAR CHICAGO
Located in Elgin, Illinois, 30 miles northwest of Chicago. Fully furnished and equipped 3 exam room office, digital x-ray, US, EMR, good demographics, buyer can be independent or partner with group. Seller financing for qualified buyers. For info email dr.tcarr@gmail.com.
PRACTICE FOR SALE – CALIFORNIA
Well established podiatry practice for sale in the beautiful central coast of California. We are a comprehensive, state-of-the-art practice that includes surgical, palliative, wound care, and sports medicine opportunities. Five fully equipped treatment rooms with advanced technologies: EMR, digital x-ray, ultrasound, vascular diagnostics, etc. Our licensed medical staff are experienced and dedicated to the ongoing care of our patients. Revenues include product sales of custom orthotics, shoes, and braces. For further information, contact CaliforniaPodiatry@gmail.com
PRACTICE FOR SALE - ERIE, PENNSYLVANIA
Well established, 30 year multi-office medical/ surgical practice. Conveniently located in high traffic, commercial area. All equipment and instruments included. Multiple area hospitals and ASC available. Retiring due to illness. Office space for rent or purchase. Priced to sell. Please respond to completefootcare@aol.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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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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