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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,651 Subscribers Daily
May 11, 2018 #6,184  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 IN THE NEWS | |
Inspecting Feet for "Toe Jam" has Clinical Benefits: NY Podiatrist
It may seem a little strange to regularly inspect your feet for toe jam, but doing so could help you in a surprisingly vital way. "Being aware of toe jam has an additional clinical benefit," podiatrist Rock Positano, DPM says. "One of the deadliest forms of cancer, malignant melanoma, quite often will appear in the foot first, mainly on the heel, but also in between the toes, which is a common hiding place for this aggressive cancer." So while you're doing your daily between-the-toes cleaning session, keep an eye out for any marks and moles you haven't seen before.
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Dr. Rock Positano |
Ultimately, if efforts to keep toe jam at bay means you're paying more attention to your feet, that's a very good thing. "People should be more aware of the importance of foot health," Dr. Positano says. "The feet are the wheels of the body and are often the best indicator of systemic disease. Many vital systems of the body [like the skin, nervous, muscular, circulatory, and endocrine] are found in the foot."
Source: Marci Rubin, Allure [5/8/18]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatrist Discusses Care of Toenails
According to Alan Ward, podiatrist, “There are three big risks to healthy nails – poor blood supply, often seen in smokers or diabetics, fungal infections and psoriasis, which will often cause pitted, poor quality, “crumbly” nails. In general, regular saltwater bathing and a simple aqueous cream on the skin – but not between toes – should be sufficient.”
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Alan Ward |
Often cutting nails too short or down the side of the nail is a bigger problem than nails that are left too long. In general, nails should be left long enough for a small shoulder, or free edge at the distal end of the nail. Nails should be cut to follow the nail shape and filed so as not to have any sharp edges that can cause impaction areas to adjoining toes.
Source: Holly O'Neill, Image [5/2/18]
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| AWARDS AND HONORS | |
TX Podiatrist Receives Georgetown DLS Award
Over 650 healthcare practitioners gathered in April in Washington, DC for the Diabetic Limb Salvage 2018 conference (DLS). Hosted by MedStar Georgetown University Hospital, DLS attracted participants from 24 countries and 44 states for the three-day conference that examined the multi-disciplinary approach to the management and treatment of the diabetic foot.
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(L-R) Drs. Christopher Attinger, Lawrence Lavery, and John Steinberg |
The Georgetown University Hospital Distinguished Achievement Award was presented to Lawrence Lavery, DPM, MPH for his groundbreaking research in diabetic foot care. Dr. Lavery is an internationally recognized expert in diabetic foot care and has written and spoken frequently on such topics as diabetic foot ulcers, soft tissue and bone infections, Charcot arthropathy, and prevention strategies. By combining research with scientific treatment options, he has forged the way for novel and evidenced-based treatment options.
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| RELEVANT RESEARCH | |
Study Compares Ankle Fracture Fixation by Orthopaedic Surgeons Vs Podiatrists
This was a retrospective cohort study of data extracted from the Humana Claims database for 15,067 patients who underwent ankle fracture fixation between 2007 and 2015. 14,222 patients with ankle fractures were treated by orthopaedic surgeons and 845 patients were treated by podiatrists. Operative treatment by orthopaedists was associated with lower DVT (p<0.02) and malunion (p<0.02) rates among all types of ankle fractures. There were no differences in complications for patients with single malleolar fractures, although higher rates of implant removal (p<0.01) were noted in patients treated by orthopaedic surgeons.
For bimalleolar or trimalleolar fractures, treatment by an orthopaedic surgeon was associated with lower DVT (p<0.03) and malunion (p<0.04) rates. No differences were observed in rates of infection or need for irrigation and debridement based on surgeon type. Patients treated by orthopaedic surgeons versus podiatrists were also noted to have a similar median CCI at 2.0 and 2.5, respectively.
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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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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Common Mistakes of Physician Group Mergers - Part 2
Acquiring another practice can be a powerful tool for your group to achieve growth and build long-term value. There are, however, a few key mistakes that are often made which could be avoided with more thoughtful reflection.
2. Forgetting to ask, “What more could we become together?” - The single biggest pitfall that derails successful transactions occurs during the actual integration process. Those involved often focus too heavily on ensuring the tactical aspects of the deal are covered, including technology integration, financial reporting, operations, and merging organizational structures.
The real power of any physician group merger comes from both practices challenging each other to ask, “What more could we become together?” How can each practice learn from the best of each respective practice and let go of old biases? This will build the two parts into a better whole. Viewing the integration process through this lens will help build collective urgency and alignment around shared goals and generate excitement among employees for the new entity’s future.
Source: Nick Hernandez, Physicians Practice [4/25/18]
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| CODINGLINE CORNER | |
Query: Diagnosis Codes
A diabetic presents with cellulitis and a newly formed blood blister, plantar aspect of the right foot. (12mm in diameter) The office documented E/M code 99213-25 and CPT code 10140-RT for the encounter and procedure; ICD10 code L03.115 for E/M code and S90.821A for CPT code. Is a secondary diagnosis code needed for the CPT code or is this correct for submission to Medicare?
Chris Panagoulias, DPM, Nashua, NH
Response: This coding looks good to me. The only other thing to consider would be to use (S90.31XA) – Contusion of right foot for the “blood blister” diagnosis code if this was more of a hematoma and depending on its etiology. Otherwise, with a -25 modifier on the E/M be sure the E/M was separately identifiable and that this is supported by the documentation and medical necessity. The E/M service for the cellulitis should be able to stand on its own as a service separate from the I&D.
Jeffrey D Lehrman, DPM, CPC, Springfield, PA
For information on Codingline subscriptions, click here
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| QUERIES (NON-CLINICAL) | |
Query: Instrument Sharpening Service
Where do podiatry practices send scissors, nippers, chisels for sharpening? Good quality and quick turnover wanted.
Billie A. Bondar, DPM, Rochester, NH
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| RESPONSES/COMMENTS (CLINICAL) | |
RE: Cell Phone Causes Toe Fracture
A patient came in with a swollen erythematous distal 2nd toe. Last night, her cell phone fell vertically onto her toe. There is small avulsion/chip that was sheared off the lateral condyle of the base of the distal phalanx of the 2nd toe.
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Cell Phone Causes Toe Fracture |
Since she has a Morton's type foot, she is getting more pain than usual at toe-off.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Elliot Udell, DPM
Newsday, our local paper carried a two-page article this weekend on this topic. It said that gabapentin is the eighth most prescribed medication in the country and for good reason. It is safe, non-addictive and is used either alone or in combination with certain antidepressants to manage millions of people suffering with neuropathic pain.
I have never had a case of a patient abusing gabapentin nor becoming addictive to this medication. To the contrary, this medication has been a "lifesaver" for so many of my patients. By no means does it have the potential for abuse associated with opioids.
If gabapentin is now in the crosshairs of the government, will Lyrica and Cymbalta be next? What will millions of patients suffering with neuropathic pain do if gabapentin and similar medications are restricted?
Elliot Udell, DPM, Hicksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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A hairy looking clog? |
Source: Albert Van der Weide via Viirtual 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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| CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - OCALA, FL
Family Foot and Ankle has an immediate opening for a BC-BE surgical podiatrist. Pleasant work environment with state-of-the-art facility and highly skilled staff. High-end compensation and bonus potential. Excellent benefits and relocation reimbursement. Great public schools and community colleges, excellent healthcare facilities, and an hour or two from the U of FL, airports, beaches, Orlando attractions, a national forest and outdoor recreation opportunities. Respond with CV to email: medstaffhr@gmail.com
MOBILE PODIATRIST NEEDED - NEW JERSEY
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 – MARYLAND
Come join our team of top docs at Foot and Ankle Specialists of the Mid-Atlantic. Doctor leaving established practice. Immediate volume to fill your schedule. We have everything in place to help make your practice a success. See patients, do your charting, and leave the rest to us. Email resume and cover letter to mddpm@comcast.net . We look forward to receiving your information!
ASSOCIATE POSITION – KANSAS/MISSOURI
Seeking an associate for multiple office locations, as well as, multiple doctor practice with PSR-36, board certified/qualified foot and ankle surgeon. Must be personable, outgoing and motivated to build a practice. Competitive salary and benefits provided. Send CV to bspodiatry@msn.com if interested.
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 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 – HOBOKEN, NJ
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
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.
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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