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| PM News | |
The Voice of Podiatrists
Serving Over 15,826 Podiatrists Daily
May 10, 2014 #5,055  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
FINAL DAY TO VOTE
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| APMA STATE COMPONENTS IN THE NEWS | |
Skin Cancer of Feet Often Overlooked: NY Podiatrist
Oftentimes, skin on the feet, especially on the bottom, is overlooked during routine medical exams. According to Dr. Robert Russo, NYSPMA’s President and a practicing podiatrist, skin cancers of the feet have several features in common. “Many times there’s a history of recurrent cracking, itching, bleeding or ulceration,” he cautions. “Because they can also be painless, these cancers may go undiagnosed until another issue presents itself near the affected site,” added Russo. Checking for warning signs is something anyone can do, paying particular attention to changes such as non-healing sores, bumps that crack and bleed, nodules with rolled edges or scaly areas. Examining the bottom of the foot is critical.
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Dr. Robert Russo |
Skin cancers on the lower extremity may have a different appearance than those arising on the rest of the body. So to test, the podiatrist will perform a skin biopsy. This is a simple procedure in which a small sample of the skin is obtained and sent to a lab where a skin pathologist examines the tissue in greater detail. If it turns out the lesion is skin cancer, the podiatrist will recommend the best course of treatment.
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| PODIATRISTS AND FORENSIC MEDICINE | |
NY Podiatrist Appointed to International Forensic Science Identification Ass'n
Dr. Bryan B. Kagan has been appointed to the Science and Practice Subcommittee on Forensic Podiatry of the International Association for Identification. Kagan is a forensic podiatrist who has written and lectured nationally on forensic podiatry and is conducting research and analysis on footprints and gait at crime scenes.
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Dr. Bryan Kagan |
Kagan maintains his private podiatric practice in White Plains, NY. He is on the executive board of the American Society of Forensic Podiatry and was elected its Secretary-Treasurer in 2013. He is also a member of the International Association for Identification.
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| IN THE COURTS | |
Woman Wins $775G Judgment Against NY Podiatrist
A teacher from Nyack who can't stand up without pain in her foot due to what she said was botched surgery that she had as a teenager won a $775,000 judgment against the podiatrist who performed the operation. Inayah Davis was 16 when she consulted Bardonia podiatrist Dr. Ira Bernstein in 2008 about a bunion, according to court documents. Bernstein recommended surgery to remove the bunion. Davis and her mother agreed to the treatment. But Davis alleged the podiatrist also performed unneeded hammertoe surgery on four toes on her left foot. The podiatrist charged $27,000 for one surgery and $13,000 for a second procedure soon after.
Source: Jane Lerner, The Journal News, [5/7/14]
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| QUERIES (CLINICAL) | |
Query: Topical Treatment of Squamous Cell Carcinoma in an 87 Year Old
I have an 87 year old homebound patient who has a squamous cell carcinoma patch (confirmed by punch biopsy) on the dorsum of her foot. It measures 2.5 cm x 1.5 cm.
Having her get out of her house for a surgical incision would be extremely difficult. I am looking for advice on topical treatments that could be done in the home.
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| QUERIES (MEDICAL/LEGAL) |
Query: E-mailing PHI to Patients and HIPAA
Does the HIPAA Privacy Rule permit healthcare providers to use e-mail to discuss health issues and treatment with their patients?
Steven J. Kaniadakis, DPM St. Petersburg, FL
Editor's comment: PM News does not provide legal advice. Yes. According to HHS. "the Privacy Rule allows covered healthcare providers to communicate electronically, such as through e-mail, with their patients, provided they apply reasonable safeguards when doing so. See 45 C.F.R. § 164.530(c). For example, certain precautions may need to be taken when using e-mail to avoid unintentional disclosures, such as checking the e-mail address for accuracy before sending, or sending an e-mail alert to the patient for address confirmation prior to sending the message.
Further, while the Privacy Rule does not prohibit the use of unencrypted e-mail for treatment-related communications between healthcare providers and patients, other safeguards should be applied to reasonably protect privacy, such as limiting the amount or type of information disclosed through the unencrypted e-mail. In addition, covered entities will want to ensure that any transmission of electronic protected health information is in compliance with the HIPAA Security Rule requirements at 45 C.F.R. Part 164, Subpart C."
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| QUERIES (NON-CLINICAL) | |
Query: Phenol Vs. NaOH
I am considering switching from using phenol to NaOH on my chemical matrixectomies. The reason for switching would be simply because of the shorter amount of time required to use the NaOH protocol. My question is to my colleagues: Have any of you who switched from phenol to NaOH regretted it due to a higher incidence of regrowth?
Dan Methuselah, DPM, Columbia, SC
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| CODINGLINE CORNER | |
Query: CPT 64450 and Medicare Denials
Is anyone billing Medicare procedure code, CPT 64450 (peripheral nerve block, therapeutic/diagnostic) and being rejected as not medically necessary or for too many units?
Sophia Barnett, DPM, Livonia, MI
Response: I just received a response on an appeal for this very thing.
I found out that we were actually billing incorrectly when I looked at the LCD. There are specific diagnosis codes you have to use to have it covered. We were billing CPT 64450 for a Morton's neuroma nerve block when we should have been billing CPT 64455. The LCD for CPT 64450 is here.
Michelle Cook. Office Manager, Office of Thomas Fitzgerald, DPM, Rohnert Park, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Estelle Albright, DPM
My recommendation to contact med mal isn't to make yourself bulletproof, because that's not possible. Rather, your carrier can give advice in the way to craft and advise on what are appropriate documents regarding the case. When I was in private practice, I was insured by PICA. PICA gave me incredible support, advice, and help with knowing how to address thorny patient situations. Please remember the old adage: "If it isn't documented, it didn't happen."
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MEETING NOTICES - PART 1
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Finally, a health-conscious high heel shoe! |
Source: Submitted by Dr. Burton Katzen
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
FELLOWSHIP OPPORTUNITY - INDIANA/HAITI
Introducing a first of its kind Podiatric Continuing Educational Opportunity! International Mission Podiatric Medicine and Surgery Continuing Educational Opportunity will be split between Haiti and Indiana. Two opportunities are being offered. Includes salary, free housing in Haiti and Indiana, malpractice insurance and Indiana license, APMA and IPMA membership dues. Contact: Patrick A. DeHeer, DPM (padeheer@sbcglobal.net) 317-557-6710
ASSOCIATE POSITION – SAN FRANCISCO, CA
Immediate associate position available. Applicant should be personal, self-motivated and independent. Will provide diabetic treatments, biomechanical exams, minor office procedures, major surgical corrections, in-home care. Great surgical growth potential. Competitive compensation package. Send letter of intent and CV to admin@blaskodpm.com
ASSOCIATE POSITION - SOUTHERN ARIZONA
Accepting applications for an associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary with benefits/incentives including malpractice and profit sharing. Looking for a compassionate and well-trained individual. Surgery Center and hospital-based practice with multi payers insurance contracts. Bilingual English/Spanish preferred. Multi office Practice with digital x-rays, ultra sound, EMR and affiliated clinical research as well as residency program. Please e-mail CV and short bio to:drdafac@gmail.com
ASSOCIATE POSITION AVAILABLE FOR GROUP PODIATRY PRACTICE - MARYLAND
Perfect opportunity for highly motivated podiatric surgeon with excellent clinical skills. Individual must be proficient with inpatient management as well as outpatient wound clinic. Competitive compensation package which includes base salary and bonus structure. Please email letter of interest and CV to podiatryassociate2995@gmail.com
ASSOCIATE POSITION - HUDSON VALLEY REGION, NY
Hudson Valley Foot Associates has a great opportunity available! We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM. Please visit www.hvfa.com and forward cover letter with CV to info@hvfa.com.
ASSOCIATE WANTED - SW FLORIDA
R U a superstar for immediate start. Southwest FL group looking or BC or BQ podiatric physician for dynamic and growing practice. Great starting salary, benefits and surgery volume. FL license a must. Send CV and why you are a superstar. mny1029@gmail.com
ASSOCIATE POSITION - VANCOUVER ISLAND, BC
Experience associate for multi office practice. No residency required Beautiful Vancouver Island, British Columbia Reply to dr.cole@shaw.ca
ASSOCIATE POSITION - FINGER LAKES, NY
Established busy practice seeking full-time associate. All facets of podiatry including office, hospital and surgery center privileges. Very competitive and generous salary/benefit package. Live, work and play in scenic Fingers Lakes region of NY. One of the top public school systems. Please e-mail CV and 2 letters of recommendation to docmerk@mac.com
ASSOCIATE POSITION - SOUTH JERSEY - IMMEDIATE OPENING
Exceptional opportunity for a full time, surgically trained podiatrist to join our busy, well rounded, two office practice, covering all aspects of podiatry. Do you enjoy surgery, wound care, sports medicine, diabetic care, biomechanics, children, elderly and all ages in between, WE SEE IT ALL! We are also a hospital-based practice that is affiliated with a residency program. You are highly motivated, personable, have great communication skills and are looking for an opportunity for a future buy-in/partnership. If this describes you, please send cover letter and CV to superstarstaff1@gmail.com In the subject line of email, please write, "I am your next great associate.”
ASSOCIATE POSITION - WASHINGTON, DC/MD
High volume practice with sports medicine emphasis looking for a PSR24/36 month trained full-time associate to replace retiring senior partner. Work with a prominent residency program with an opportunity to invest in an outpatient surgery center. Please send CV and cover letter of practice philosophy tohgodpm@gmail.com
POSITION AVAILABLE - MULTI-SPECIALTY GROUP IN LOS ANGELES
Position available: multi-speciality group in Los Angeles looking for a graduate of a PMSR/RRA program to join the group and the residency training faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Starting guaranteed base salary of $130,000/ yr with incentives and benefits. Send CV with three references to podiatricri@yahoo.com attention Stan Mathis, DPM
ASSOCIATE POSITION - NORTH OF BOSTON
Looking for podiatry associate hard working with a busy schedule. 4 office locations with all the amenities. EMR, nerve treatments for neuropathy, vascular testing the works. Big focus on sports medicine, wound care and surgery. Lots more but would like to discuss with the right candidate. Mitchellwachtel@ yahoo.com
ASSOCIATE POSITION - HOUSTON, TX
Twenty-year-old Houston area practice with three offices and two doctors seeks to replace one physician moving out-of-state. Applicants should be board certified/board eligible, competent in all aspects of podiatric medicine and ready to take on immediately busy schedule including surgery, wound care and hospital medicine. Practice uses state-of-the-art EMR, digital x-rays, in-house physical therapy, vascular studies and shockwave treatment. Excellent salary, benefits. Send CV to houstonfootdr@yahoo.com.
ASSOCIATE POSITION - BROOKLYN, NY
Podiatrist needed for busy Brooklyn practice. Must be at least Board Qualified. Surgical background, hard working, motivated and personable. Travel to multiple offices in Brooklyn required. Part-time to start, with the potential for full time and partnership. Please email CV to drbreth@progressivepodiatryny.com or fax to 718-840-0653.
HOME FOOT CARE, INC. - LOS ANGELES, CALIFORNIA
Looking for reliable, honest, and motivated podiatrists to join our group to assist with house calls to patient’s home residences, and some group facilities. Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles area. Part/Full time, flexible hours, independence, great compensation! If interested, please email resume to: homefootcare@hotmail.com
ASSOCIATE POSITION - HOUSTON
Established "modern" practice looking for BC/BE podiatrist to take advantage of a unique opportunity. Located in a highly desirable area with good surgical volume, access to DME, lasers and expanding referral base with full time marketer. Not currently doing hospital work, minimal rearfoot surgery, no nursing homes or routine care. Prefer at least 2 years experience although qualified recent grads welcome. Salary plus bonus available, partnership after 1 year if criteria met. Send resume/CV to faajobs@gmail.com.
ASSOCIATE POSITION-KANSAS CITY, MISSOURI
Excellent, long-term opportunity for ethical and motivated individual. Established practice featuring all aspects of podiatric medicine and surgery located in a nice, affordable city. Competitive salary with benefits and bonus structure. EMR, PadNet and diagnostic ultrasound. Position available immediately or will work with your schedule. E-mail CV to: Dr.fine@finefootcarecenter.com.
ASSOCIATE POSITION - NEAR ORLANDO AND TAMPA
Senior partner retiring. Need an associate with exceptional clinical skills and experience. Must be well trained in all aspects of inpatient management, surgical salvage, outpatient clinic care, elective reconstructive surgery and diabetic wound care. Practice is well established with an experienced staff/ EHR/diagnostic imaging/surgical suite, etc. Perfect opportunity for a very well trained, personable graduate desiring a prosperous future in a wonderful small town with excellent schools and no traffic. Please respond to DPMRecruiter@aol.com.
ASSOCIATE POSITION - CENTRAL VALLEY/SOUTHERN CA
Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital-based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short bio to:Tonya@wetreatyourfeet.com
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY
Immediate position leading to imminent partnership/ownership. Single location multi-physician group. Senior doctor has run the practice 32 years. Large balanced patient base, large diabetic population and diabetic shoe store. Office has great location, EMR, digital x-ray, PADnet. Surgical and admitting privileges with 2 local residencies. samuel10530@yahoo.com
EQUIPMENT FOR SALE - PINPOINTE FOOTLASER
Like new 2009 Pinpointe Footlaser for sale. Well maintained and calibrated monthly. Includes: 2 keys, 2 pairs of laser goggles & cases, cleaving tools & owner’s manual. Good opportunity for your office to begin treating onychomycosis. Asking $16,500.00. For pictures or more information contact questions@nmfootandankle.com
EQUIPMENT FOR SALE – NY
Two Midmark 417 Power Programmable Podiatry Exam Chairs light blue with patient screen, mauve with surgical tray. Completely functional, very good condition. Matching cabinets available, one mobile. Hydrotherapy mobile 45 gallon extremity whirlpool tub excellent condition available for immediate pick-up. For pictures or more information contact info@newyorkfai.com
PRACTICE FOR SALE – PORT CHARLOTTE, FL
Practice with office condo for sale, part-time currently with great potential for full-time office. Great mix of clinical/surgical. Low overhead; equipment, furniture, tools stay. Perfect starter office or add-on. Must sell! $150,000 OBO. Email femmebusa@hotmail.com.
PRACTICE FOR SALE - NJ BERGEN COUNTY
Established podiatry practice in NYC suburb. General care and minor in-office surgeries. Surgery growth potential as currently referred. 2X treatment plus consult room. EMR, auto x-ray processor, diagnostic US. Medical building. Close proximity to Englewood Hospital. 3+ years on favorable lease. Priced to sell with ARs. Average gross P/T $112,000/yr. Email/call: mattekaiman@gmail.com (201) 894-8861.
PRACTICE FOR SALE/ASSOCIATE POSITION- NASHVILLE, TENNESSEE
Excellent low cost opportunity to work part or full-time. Growth potential for increased cash revenue & services. For Sale or Associate opportunity for buyout. 22 year established practice. Two full days per week grossing 150+K. Low overhead. Minimal CNC/Medicare. Must sell, 50K obo, financing available. Reply lowcost990@gmail.com
PRACTICE FOR SALE - SOUTHWEST FL
Multilocation 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. EHR is already implemented with meaningful use criteria met. 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 - BANGOR, MAINE
After 30 years of full service podiatric practice in the same high visibility office, I am looking to fully retire by summer’s end. The practice has been very rewarding financially and patients are wonderful. I am asking a minimal amount for all equipment, supplies, good will, etc. An ideal opportunity to walk into an active and rewarding practice. Two podiatric friendly hospitals nearby as are recreational opportunities. mainefootdoc@yahoo.com
PRACTICE FOR SALE - BETHLEHEM, PA
Must sell. Established over 30 years; 2 days week; 30-35 pts/week; c&c ortho, soft tissue surg. 4 facilities. Gross $250,000. Good opportunity for graduate with no residency as Pa not required. Asking $70,000. Contact podoro123@gmail.com
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. 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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- 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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