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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,290 Subscribers Daily
May 14, 2016 #5,663  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
LAST CHANCE TO VOTE
Quick Poll
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What percentage of your Medicare patients who come in for care of nails and/or corns and calluses pay cash as a non-covered service? |
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| PODIATRISTS IN THE NEWS | |
Women Will Wear Heels Until Their Feet are Bloody Stumps: MD Podiatrist
Heels are thought to be the cause of much of the roughly $3.5 billion that women in the United States spend each year on foot surgeries. The desire to wear them comfortably has led some women to get botulism—Botox—injected into their feet: Dr. Scholl meeting Dr. Frankenstein. That same desire is the source of “Haglund’s deformity,” a painful condition that has been given the revealing nickname of “pump bump,” and also of bunions and hammertoes and many more extremely preventable podiatric ailments.
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Dr. Michael Liebow |
Each year, thousands of news articles are produced reiterating the health risks of heels. Each year, they are ignored. Podiatrist Dr. Michael Liebow marveled to The Washington Post, “Women will wear their high-heeled shoes until their feet are bloody stumps.”
Source: Megan Garber, The Atlantic [5/12/16]
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| PHARMACEUTICAL NEWS | |
FDA: Avoid Cipro, Similar Drugs for Common Infections
Fluoroquinolone antibiotics, the class that includes ciprofloxacin (Cipro), should not be used to treat uncomplicated infections such as sinusitis, bronchitis, and urinary tract infections for which other drug types are effective, the FDA announced Thursday. Only patients with these conditions who can't be treated with other agents should receive fluoroquinolones, the agency said.
"An FDA safety review has shown that fluoroquinolones when used systemically (i.e., tablets, capsules, and injectable) are associated with disabling and potentially permanent serious side effects that can occur together. These side effects can involve the tendons, muscles, joints, nerves, and central nervous system," the FDA said.
Source: John Gever, MedPage Today [5/12/16]
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| IN THE COURTS | |
House Republicans Win Affordable Care Act Lawsuit
In a major win for House Republicans, a federal judge ruled Thursday that the Obama administration inappropriately spent money to pay for part of the Affordable Care Act. The Obama administration is expected to appeal the decision, and the judge said she would stay her ruling pending an appeal.
House Republicans had alleged that the administration illegally spent money that Congress never appropriated for the ACA's cost-sharing provisions. Those provisions include reduced deductibles, copayments, and co-insurance many Americans receive, depending on income, for plans purchased through the ACA's insurance exchanges. U.S. District Judge Rosemary Collyer wrote Thursday that the ACA “unambiguously” appropriates money for tax credits under the law but not for cost-sharing reimbursements to insurers.
Source: Lisa Schencker, Modern Healthcare [5/12/16]
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| QUERIES (CLINICAL) | |
Query: Preventing Scab Formation
While performing wound debridement on a chronic wound, regardless of pathology (diabetes, PAD, or normal perfusion), why does a scab form sometimes and not other times? How can you influence the wound not to "scab" over, and when do you want to prevent eschar formation?
Wm. Barry Turner, BSN, DPM, Royston, GA
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| QUERIES (NON-CLINICAL) | |
Query: Cryotech Repair
Does anyone know where to obtain repair for a Cryotech cryotherapy machine?
Brent Rubin, DPM, Lakewood Ranch, FL
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| CODINGLINE CORNER | |
Query: Medicare Denial for Neuropathy
We have recently been getting Medicare denials for CPT 64450 with G60.9 (hereditary and idiopathic neuropathy, unspecified) for non-diabetic neuropathy. Is there a better injection code or diagnosis code to use for neuropathy?
Jennifer, Office of Charles Perry, DPM, Cambridge, OH
Response: First, check to see if your MAC has an LCD for CPT 64450 which would list the allowable codes. Regardless, the doctor should avoid unspecified codes, if possible. The second consideration centers on medical necessity. Why are the injections performed? Is the anesthetic injection for pain management or some type of therapeutic injection to treat a systemic, not local "neuropathy"? Is this injection curative or palliative? Are there studies that prove this injection to be effective in the long run (especially in an audit or malpractice situation)? Is there a proximal nerve entrapment resulting in local symptoms or a local problem such as a neuroma?
Many payers have policies regarding peripheral nerve blocks for neuropathy or nerve pains. It is not unusual to have them label the injections investigational.
Tony Poggio, DPM, Alameda, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Lawrence Rubin, DPM
Kudos to Dr. Christina and APMA for their efforts to move podiatry into the era of value-based podiatric care. Nonetheless, because of antitrust and other prohibitory reasons, APMA cannot unite its members into negotiating groups at the local level where network inclusion or exclusion of podiatrists occurs. This networking is up to podiatrists themselves to create locally, and if they are not already looking for ways to do that, sadly in my opinion, that is valuable time lost.
Lawrence Rubin, DPM, Las Vegas, NV
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
RE: CMS and the Downfall of Western Civilization (Robert Kornfeld, DPM)
From: Thomas Graziano, DPM, MD
Kudos to you Dr. Kornfeld. You hit the nail on the head. I urge all of my colleagues to read his post on this subject. After reading it, reach deep down in your soul and muster up some courage to make changes in your practice and in your life. Quite frankly, we have become a profession living in fear of insurance regulations and abuse. I attend my division meetings and the core of the discussion is centered around how to get paid for cutting a mycotic nail. Ridiculous.
Years ago, we cared about learning and becoming better doctors. All everyone does is complain about practice and the insulting fees insurance companies trickle out. Well, either do something about it or stop complaining. Please drop out of every insurance plan that abuses you on a daily basis. It takes testicular fortitude to make important changes in your life, but the positive effect of those changes are well worth it. Remember, you can see all the patients you want if you want to see them for free. If there's one important thing I learned over the last 30 years in practice, it's that volume does not equal income generation. Let's stop all the podiatric neuroses and take a stand. Be proud of what you've accomplished and do something about it.
Thomas Graziano, DPM, MD, Clifton, NJ
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Is this any way to treat an injured shoe? |
Source: Bernadette Deddens via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - NASSAU COUNTY
Full-time/Part-time associate needed for busy Long Island Practice with EHR, digital X-rays and DME. Excellent income opportunity for hard working energetic Podiatrist. ABPS board qualified/certified preferable. Must be versed in all aspects of podiatry Surgical/Medical/Orthopedic and be able to work independently. Send Resume: jbmbcw@yahoo.com
ASSOCIATE POSITION – INDIANAPOLIS, IN
Our busy 2-physician podiatry practice is seeking a highly motivated associate to join our team. The ideal candidate is familiar with all aspects of podiatry care with limited palliative practice. Candidate must be board-qualified in both forefoot & rearfoot surgery. Includes malpractice ins, competitive salary, vacation, and CME time off. Includes opportunity for advancement to partnership level, with investment in local surgery centers. Send resume and salary requirements to admin@southsidefootclinic.com
ASSOCIATE POSITION - SOUTHEAST VIRGINIA
Group practice seeking personable well trained podiatrist. ABFAS Qualified/Certified. Newly trained or established practitioners welcome. Must be motivated with excellent clinical, charting and surgical skills – comfortable with all aspects of podiatry. Practice currently serves three locations, all with modern conveniences and experienced support staff. Competitive compensation package. Send email of intent (subject: New Associate) with CV to: 1footassociate@gmail.com
ASSOCIATE POSITIONS- HOME FOOT CARE, INC
We are looking for podiatrists to visit home patients in these areas: Los Angeles, CA, Ventura County, CA, Santa Barbara, CA, Lancaster/Palmdale, CA, San Bernardino/Riverside, CA, Palm Springs/Palm Desert, CA, Las Vegas, NV, Honolulu, HI. Full/part time, independence, excellent compensation, dedicated support staff, electronic billing/medical records. email CV to: homefootcare@hotmail.com
ASSOCIATE POSITION AVAILABLE - SOUTHWESTERN CONNECTICUT
High volume podiatry practice Limb Preservation, Clinical Research, elective, non-elective surgery, sports medicine and general practice. Three hospital medical staff privileges available, ER call available. Practice seeks energetic, empathetic practitioner, PSR-36 a plus. Competitive salary, benefits. Partnership opportunity. Send resume, cover letter to: Researchlpc552@gmail.com
ASSOCIATE POSITION - NORTH CAROLINA - GREENSBORO/TRIAD AREA
Busy, state-of-the-art group practice seeking full time associate for summer 2017. PSR 36+ training preferred. Excellent opportunity for a highly motivated and ethical applicant. Competitive income and benefit package. Hospital privileges available. Must be board qualified/certified and have an active North Carolina license or plan on taking the exam in December 2016. Qualified applicants can send their CV and letter of interest to triad.podiatrist@gmail.com.
ASSOCIATE POSITION - ALBANY, NY
Successful, growing full-scope practice with multiple locations in Albany, NY is looking for full-time podiatry associate. Must be highly motivated, good personality and bedside manners. Potential for partnership. Competitive Salary and benefits. Please send CV to helpmyfeetdoc@gmail.com
PART-TIME POSITION IN CHICAGO TO DO HOUSECALLS
20-25 hours /week, flexible schedule, logistics provided, great for new and established podiatrists to earn up to $100-120K. Contact chipod12@yahoo.com
ASSOCIATE POSITION - SUBURBAN PHILADELPHIA
Looking for either a PART-TIME (leading to full time) OR a FULL TIME position and have a PMSR/36 with RRA Training, then send your cover letter and CV to medstaff1977@gmail.com Must include a contact phone number.
ASSOCIATE POSITION – SAVANNAH, GA
Thriving, seven location, podiatry practice is seeking a family-oriented associate podiatrist to build career and long-term relationship. Associate will have full range of services and access to surgical center along with access to all of the latest diagnostic and therapeutic technologies. Please email CV with cover letter to hr@atlanticfeet.com
ASSOCIATE POSITION - ST. LOUIS, MISSOURI/SURROUNDING AREA
Well-established practice seeking experienced, highly skilled associate. Partnership opportunity. Board qualified-certified, PSR-36 trained. State-of-the-art office, Digital X-Ray, EHR, Laser, EPAT. Send cover letter, CV/Resume to stcpod@att.net or call 314-565-2739.
ACADEMIC POSITION - WESTERN UNIVERSITY OF HEALTH SCIENCES
Western University of Health Sciences College of Podiatric Medicine is seeking podiatrists interested in the education and training of future doctors of podiatric medicine. Applicants must be at least board-qualified in either ABPM or ABFAS with preference for dual board certification. Academic rank will be commensurate with scholarly and clinical credentials. To be considered, please send letter of intent, curriculum vitae, 3 references, and salary expectation to (http://apptrkr.com/784853). Western University of Health Sciences is an Equal Opportunity Employer. The University embraces diversity and is committed to attracting qualified candidates from historically underrepresented groups.
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@prodigy.net 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- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - BOSTON, WESTERN SUBURBS
Do you want an established practice with 2 offices? Owner desires to transition to part-time and sell and retire. Surgically active and strong patient flow. Balance of surgical and office based care. Privileges at local hospital and surgicenter. contact: MCrosby518@gmail.com
PRACTICE FOR SALE - KANSAS
Looking to start your own practice, relocate? This successful KC metro area practice is a great opportunity for you. Patients scheduled. Fully equipped 1600 sq ft office. No Traknet license fee due - just assume monthly support fees. Seller will pay first month rent. Contact Mike Crosby at mcrosby518@gmail.com
PODIATRY PRACTICE FOR SALE - PITTSBURGH SOUTH (BROWNSVILLE), PA
33 yr established, successful practice. All phases of podiatry, laser & cash services in place. Hospital and Sx Center. Turn-key ready with strong client base. Contact pa.footdoctor@gmail.com
PRACTICE FOR SALE – OTTAWA CANADA
Are you tired of the third-party, regulatory and payer system in the U.S? Are you looking for a change to make your life easier? If you would like to practice, focusing on patients only –not on paperwork, this is a unique opportunity for a U.S. podiatrist to purchase a successful world-class practice. Life is simple, cash-based payments, no receivables, and wonderful (world-class city and recreation). Contact sissilutten@yahoo.ca to learn more.
PRACTICE FOR SALE – NEW YORK
Approx 30 miles south of Albany. Well established 30 year+ podiatry practice. Doctor retiring. Includes all equipment. Owner will stay for easy transition. Grossing 400K+ Consistently. The practice primarily routine and diabetic foot care. Income less than 5% surgical. Great price owner financing available. contact: footdoctor2015@yahoo.com
EQUIPMENT WANTED TO BUY
Looking to buy podiatry equipment in Greater Los Angeles Area. Please contact me if you have extra podiatry chairs sitting in your garage and get rid of all the podiatry related equipment and make some extra money. Need pictures and price. scfootnankle@gmail.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@prodigy.net 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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