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PM News

The Voice of Podiatrists

Serving Over 17,001 Subscribers Daily


May 12, 2015 #5,372 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

apex1


PM NEWS QUICK POLL

Quick Poll

Who covers your practice when you go on vacation?

Gordon4 Labs


Pedifix8

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.
 
Today's featured article
 
Click here to read article

Bakomacer


PODIATRISTS IN THE COMMUNITY - PART 1
Two Podiatrists Join NH Practice
 
Core Podiatry welcomes two new physicians, Edward Carver, DPM and Vasilios Lirofonis, DPM, to provide services in Plaistow and Exeter. Dr. Carver completed a surgical residency at the Maryland Podiatric Residency Program, Bon Secours Hospital in Baltimore, MD. He is also board-certified in the prevention and treatment of diabetic foot wounds (Cert/DFW). 
 
Drs. Edward Carver and Vasilios Lirofonis
 
Dr. Lirofonis completed a three-year surgical podiatric residency at Massachusetts General Hospital in Boston, and has recently served as surgical and clinical instructor in the Massachusetts General Podiatry Residency Program. 
 
Source: Fosters.com [5/10/15]

manta


PODIATRISTS IN THE COMMUNITY - PART 2
TX Podiatrist Appears as "Fan Guest" on New Zealand Radio Show
 
Dr. Gary Prant is a podiatrist at the Arbor Foot Health Center. The good foot doc also is an amateur radio operator. He loves to contact faraway folks. Prant likes to make contact with people from other lands. 
 
Paula Allen and Dr. Gary Prant (Photo: Ken Herman)
 
For about five years, Prant also has pursued his one-man effort at international understanding by playing a New Zealand radio show, by way of the Internet, throughout his office. The Two Robbies airs weekdays 6-10 a.m., Auckland time. Prant’s podiatric assistant Paula Allen recently emailed the Robbies to tell them they have fans at the Arbor Foot Health Center. So thrilled were one or the other or both of the Robbies that they called Prant’s office on April 27 and aired the chat on April 29.
 
Source: Ken Herman, Austin American-Statesman [5/8/15] 

cuttingfeb15


OUTSIDE INTERESTS
MI Podiatrist is Hooked on Needlepoint
 
Typically, one wouldn’t associate a medical convention with learning to needlepoint, but for 86-year-old Dr. Donald Ketai, a retired podiatrist, such an assembly held in Boston over 30 years ago is exactly what led to his longtime passion for doing embroidery work over canvas. His wife was in bed at that time with a back problem and he had nothing to do. "Our daughter-in-law was doing Bargello (flat-stitch embroidery) on a canvas to make a pillow. I asked her to take me to the yarn store and get me started on one. They started me out with a canvas and instructions of what to do.” Ketai finished his project and found himself hooked on the age-old form of needleart.
 
Drs. Donald Ketai with needlepoint based on work of Yaacov Agam (Photo: Brandy Baker)
 
Inspired by the thought of having a hobby that would help keep him “away from the refrigerator,” Ketai has done numerous needlepoint projects, many of which he gifted to family members, including the one he presented to his daughter at her engagement party. 
 
Source: Jocelynn Brown, Detroit News [5/8/15]
ortho11

SUCCESS TIPS FROM THE MASTERS
Bret Ribotsky: How do you treat turf toe?  
 
Jeff Ross: First, you x-ray and look for a separation of the sesmoids. If no acute injury is present, order an MRI. Non-weight-bearing is most important if there are any sesmoid injuries; then a bone stimulator (dual wave).
 
Dr. Jeffrey Ross
 
Bret Ribotsky: How do you convince patients that all this is needed for what they assume is a small injury.
 
Jeff Ross:  I tell them, that it will be a big deal when you can't wear high heels, can't get on the treadmill, and can't run 3-5 miles.
 
Dr. Luke Cicchinelli
 
Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guest is Dr. Luke Cicchinelli. APMA President Dr. Phill Ward will be the guest on May 19th. You can register for future events by clicking here

Innocutis


HEALTHCARE LEGISLATION
Diabetes Prevention Act Introduced
 
The American Diabetes Association (ADA), American Medical Association (AMA), and the YMCA have introduced the Medicare Diabetes Prevention Act (S. 1131/H.R. 2102). Sponsored by Senator Al Franken (D-MN), Senator Susan Collins (R-ME), Representative Susan Davis (D-CA) and Representative Peter King (R-NY), the legislation would provide coverage for the National Diabetes Prevention Program (National DPP) to Medicare beneficiaries at high risk of developing type 2 diabetes. Avalere Health estimates the legislation will save $1.3 billion over 10 years.
 
The AMA is partnering with the YMCA of the USA to increase the number of physicians who screen and test patients for pre-diabetes and refer them to diabetes prevention programs offered by local YMCAs that are part of the Centers for Disease Control and Prevention's National DPP recognition program. 
 
Source:  Diabetes in Control [5/9/15]

Richie3r


CODINGLINE CORNER
Query: Medicare Denial of CPT 29515
 
Why is Medicare denying CPT 29515? The EOB says, CO-4, "The procedure code is inconsistent with modifier used."  We are using the appropriate right or left foot modifier. We are not bundling this service with anything else. 
 
Lina Diaz, DPM, Englewood, NJ
 
Response: There may be other codes on the EOB that are prompting this to appear. CO-4 is a reason code. Please look at the EOB for the Remark codes (to the left under the patient's name) and see if there is another comment. 
 
You are correct - "RT" or "LT" - is appropriate for this CPT code, but I believe something else on the EOB has more information. 
 
Karen Hurley, CMM, CPC, Lakewood Ranch, FL
 

Codingline subscription information can be found here

APMA Members: Click here for your free Codingline Silver subscription.

TLC


RESPONSES/COMMENTS (CLINICAL)
From: Eric M. Hart, DPM
 
I have had very good success with extensor tendon lengthening, dorsal fifth metatarsophalangeal joint capsulotomy, and proximal partial syndactylization of the fourth webspace. The cosmetic appearance is excellent and the syndactylization isn't visible unless spreading the toes. Ask them about family members afflicted with the same deformity. I've done several from the same families.
 
Eric M. Hart, DPM Bismarck, ND

optima


RESPONSES/COMMENTS (NEWS STORIES) - PART 1
From: Jack Ressler, DPM
 
The answer is simple, John. The introduction of ICD-10 codes would save Medicare a substantial amount of money, so they think. Once the system gets going, they can audit Drs' notes to see if the coding matches the content of the chart. If they discover an error such as the patient's infection on the medial side of the right hallux was actually caused by the bite of a sparrow instead of a crow, boom, REFUND demand letter.
 
Although ICD-10 codes are being used and touted as the world-wide accepted diagnosis coding system, I treat patients who live in many different parts of the world, and they almost all say that our medical system is by far the best. I find in my practice, I'm doing several procedures on these patients for cash because the wait period to have "elective" procedures done is ridiculously long. Forget about an MRI! That would never be allowed. 
 
The most important information I can add to this tongue-in-cheek query is that I have heard from a couple of sources that there is no way the ICD-10 codes will be approved before the 2016 Election!
 
Jack Ressler, DPM, Tamarac, FL 

tetra


RESPONSES/COMMENTS (NEWS STORIES ) - PART 2
From: Daniel Chaskin, DPM
 
The prosecutors in this case incorrectly argued that the material gain needed in the element of fraud was the economic difference between an office visit and a nursing home visit. Since this was performed in a room in the nursing home, Place of Service 99 would have been a proper place of service with no economic difference between the allowance for an office visit vs a place of Service code 99.
 
Daniel Chaskin, DPM, Ridgewood, NY 
AMERXh3

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Modern version of Cinderella's glass slipper?(photo: Turkina Faso)

Source: Begium Yildirim via The Virtual Shoe Museum

MEETING NOTICES

SBW

CENTRAL


VPMA


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Choose any or ALL from 30+ CME Category-1 articles posted


CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
FULL TIME ASSOCIATE - SOUTH SAN FRANCISCO BAY AREA / SILICON VALLEY
 
Associate needed for 30 year busy private practice. Applicant should be personal, independent, motivated & well versed in ankle and foot surgery. Two location group practice.  Practice entails all aspects of podiatry:.. Surgery, large Hospital Based surgical rounds/ wound care, pediatrics and sports medicine. Competitive compensation package. Partnership opportunity for the right person. To apply please email letter of intent and CV to Kickturns@aol.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 – 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
 
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 
 
ASSOCIATE POSITION -- NEW JERSEY   
 
Central New Jersey - practice grossing over $1m annually. Seeking ABPS board eligible/ certified motivated physician to start seeing patients immediately. Salary is based on productivity and there is easily potential to make over $200K annually. Health insurance, malpractice, dues, CME, IRA etc. all included in addition to salary. Excellent general podiatry practice 80% office based care, 20% surgical / hospital based care.  Position is available immediately. E-mail CV, correspondence to  painfreefeet13@yahoo.com
 
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
 
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.
CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE
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- 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
 
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
 
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.
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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Barry H. Block, DPM, JD
 
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