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| PM News | |
The Voice of Podiatrists
Serving Over 18,638 Subscribers Daily
May 19, 2018 #6,190  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 | |
Last Chance to Vote
Quick Poll
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Would you hire a medical nail tech in your practice?
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| APMA IN THE NEWS | |
APMA Lauds House Passage of VA MISSION Act
The American Podiatric Medical Association (APMA) applauded the approval of critically important legislation to support America's veterans. S 2372, the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018, or VA MISSION Act, passed the House of Representatives May 16 and will head to the Senate for consideration next week.
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Dr. Dennis Frisch |
"The recruitment challenges at the VA have reached a crisis level," said Dennis R. Frisch, DPM, APMA president. "Our veterans must not continue to face outrageous wait times for the care they need and deserve. The VA MISSION Act would directly address recruitment challenges and help ensure high-quality care for a most deserving population - America's heroes."
Source: Longview News-Journal [5/17/18]
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| FIP NEWS | |
IL Podiatrist Speaks to Ministry of Health in Poland
Message: FIP President and APMA past president Matthew Garoufalis, DPM was invited by the Ministry of Health in Poland to make a presentation about the expansion of podiatry services in Poland. The presentation took place in the restored Royal Palace in Warsaw where the Ministry of Health is now housed. The "Gilded Room" was used as a retreat and meeting room of past monarchs.
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Dr. Matthew Garoufalis (center) |
The meeting was attended by members of the Polish Podiatry Association; a large contingent form the Polish Ministry of Health; Christian Jerome, Vice President of FIP; and Caroline Teugels, the Executive Director of FIP. At the conclusion of the meeting, the Ministry of Health stated they now have a perfect blueprint and pathway for the expansion of podiatry into Poland.
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| PODIATRISTS AND THE LAW | |
MO Podiatry Group Settles Medicare Fraud Charges Over Toenail Clippings
Foot Healers podiatry clinics in St. Louis settled with the federal government for $125,000 for Medicare fraud on false claims from 2010 to 2016. The clinics knowingly billed Medicare for medically necessary toenail removals, when the services provided were routine nail clippings that are not covered by the government insurance program for people older than 65 and others with disabilities, according to the U.S. Department of Justice.
“After becoming aware almost five years ago of some billing errors, we successfully worked with the government to correct this. At all times, we have been and remain in good standing with Medicare. We appreciate that the government worked constructively and cooperatively with us to resolve this matter,” John Murray, president of Foot Healers, said in a statement. Under the settlement, Foot Healers will repay the government $125,000 for the false claims. The company also signed a three-year agreement with the government for extra oversight in its compliance with Medicare regulations.
Source: Blythe Bernhard, St. Louis Post-Dispatch [5/16/18]
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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 | |
7 Financial Reports Your Practice Needs to Run - Part 3
Most physicians readily admit that classes on how to run a successful medical practice were not part of the curriculum in medical school. While "financial reporting," might not have been a class at your medical school, experts say you need to at least become familiar with understanding some of the basic reports. Here are seven to track.
3. Balance Sheet - "A balance sheet shows what your practice owns and what it owes. There are items that show up in a balance sheet that might not show on a P&L report. For example, a balance sheet will show you where the practice needs to invest in terms of capital improvements. This type of report can also assist you in tax planning." - John Bender, Board of Directors, AAFP
Source: Angela Watkins, Physicians Practice
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Joel Morse, DPM, Dan Michaels, DPM, MS
This appears to be Radiasse as the filler in question. It has calcium hydroxyapatite and is the only filler that shows up on x-ray. I have not used a filler in this location. It appears that there is a lot of filler in a small space and that may have caused the complication. For a fifth toe corn, I suspect you would use a very small amount of filler and it appears that too much filler was used. I suspect you can use too much and that may affect the vessels to the toe. We generally use fillers on the plantar aspect of the feet under the metatarsal heads.
Joel Morse, DPM, Washington, DC
This is lollipop toe syndrome (LTS) caused by 1. too much Restylane injected into the toe (way too much in this case) and 2. not padding the injected site with an aperture pad post-injection. All of the Restylane migrated to the tip of the toe instead of staying over the lateral head of the proximal phalanx. It may take 6-12 months to absorb.
Dan Michaels, DPM, MS, Frederick/Hagerstown MD
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) | |
From: Bill Beaton, DPM, Steven J. Kaniadakis, DPM
Unfortunately, this podiatrist signed a contract that did not protect him. The billing company that I have been using for years has a contract that states that they have a contractual obligation to submit all claims AND follow-up on all ARs, and they even pay for the EHR and practice management software. It's hard to prove lost income, but the podiatrist should have a lawyer send a letter demanding to know why claims were not paid. If the billing company doesn't respond or can't explain why, the podiatrist would probably have a good case for negligence.
Bill Beaton, DPM, Saint Petersburg, FL
Did you ever hear the expression, "Tell it to the judge"? Ultimately, the doctor signs the forms and is responsible for all the charges. It does not really matter that you are paying more or it is the best billing/coding people in the world.
Steven J. Kaniadakis, DPM, Saint Petersburg, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Burton Jay Katzen, DPM
The answers to Dr. Borreggine's questions are long and complicated ones dating back approximately 60 years. Minimally invasive surgery is now the standard of care in many countries throughout the world. However, I can say that resurgence of MIS in the United States can be traced, in no small part, to the exceptional outcomes our surgeons are seeing. This includes less patient downtime and the maximum use of the surgeon’s time and the ability to perform many of our procedures in an office setting or an outpatient ambulatory surgical center.
I believe that the future of MIS lies in the ability to teach the procedures in the schools and the residency programs. I am happy to note that the next Academy Of Minimally Invasive Foot and Ankle Surgery LSU lecture cadaver seminar to be held in New Orleans on May 31, June 1, and June 2 will include several residents from programs throughout the United States.
Burton Jay Katzen, DPM, Temple Hills, MD
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Elliot Udell, DPM
Having witnessed the origins of MIS and the political squabbles within the profession, I now have a broader perspective on it. Yes, there were two schools back then. There were the "open" surgeons and there were those who took the late Dr. Ed Probber’s one-week course on how to do MIS (in the back of his Long Island office). The training was often supplemented by learning at other doctors’ offices and at MIS conventions.
There were conflicts and a lot of name calling. Some of the criticisms of MIS were valid and some were purely political. At that time, podiatry was striving to be part of the medical/surgical establishment and MD surgeons did not know from MIS. Today, things are different. MD surgeons are gravitating toward minimal incisional techniques. They do spine surgery, knee operations, gall bladder removals, and hernia repairs using very small incisions. The healing time is reduced. Hence, there should no longer be a need for two schools of thought in 2018. It’s time for foot surgeons to learn open and minimal incisional techniques and choose the best one for each and every patient who needs foot surgery. Let’s leave the politics of it back in the 1970s.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Forest Hills, NY
I read with great interest that the expanded podiatric scope bill passed in South Carolina. Congrats to all those involved in helping with the expansion. I am curious why many of these recent expansions completely leave out the ABPM board and what if anything ABPM is doing to rectify the situation. I am also curious if there is an opportunity for advancement in the scope for all those members of the profession who graduated prior to the implementation of a 3-year RRA program.
There are many conditions such as skin lesions, wounds, etc. that should not require three-year training in an RRA program and passage of ABPS testing in forefoot, rearfoot/RRA to treat these aforementioned conditions. One should not have to master a compound ankle fracture in order to prescribe a steroid cream for a dermatitis on the leg. If those with the ABPM credentials can't increase their scope like their ABPS brethren, what good is that certification?
Jeffrey Kass, DPM, Forest Hills, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What to wear in New York City? |
Source: Ngoc Yen Tran 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 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $219 (less than $15 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
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Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, ID, IA, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - EAST GRANBY, CT
Well-established, busy podiatric practice seeking a candidate who is dedicated, hardworking, motivated with an excellent bedside manner. The practice sees all age groups and all aspects of podiatry from simple to complex. Seeking a long-term team player dedicated to patient care and has the ability to work independently. Send CV: ctfootspecialists@yahoo.com
ASSOCIATE POSITION - PANHANDLE OF FLORIDA
This two office practice serves as the premier provider of foot and ankle services in a three county area. A full service practice with opportunity to expand services. One of the most desirable areas of FL. Competitive salary and benefits. Contact: Mcrosby518@gmail.com FL24
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
ASSOCIATE POSITION - SOUTHERN MARYLAND
Looking for an eager podiatrist to join our growing protocol-based practice. We have 2 offices with certified EMR, fully trained staff, full-time marketer, shoe store in each location and digital x-ray machines. Hospital privileges available near each location. The ideal candidate will be self-motivated and will be busy from the moment they are hired! We are looking for a well-rounded personable podiatrist. Please send your CV and cover page to footdocs17@gmail.com.
POSITIONS AVAILABLE - MINNESOTA
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities throughout Minnesota. Great opportunity for part-time income or full-time income. Positions available immediately! Send inquiries to: phasetwopodiatry@gmail.com
MOBILE PODIATRIST NEEDED - NEW JERSEY
ASSOCIATE POSITION - OCALA, FL
Family Foot and Ankle has an immediate opening for a board qualified/certified 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
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 POSITION – BERGEN COUNTY, NJ
Looking for a full-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com , should you have any further questions you may call Gerry 201-523-9489.
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 – 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 - ST. AUGUSTINE, FLORIDA
Busy practice looking for a full-time associate. PSR-36 Board qualified/certified foot and ankle surgeon. My practice has state-of-the-art equipment with the latest technologies and cutting edge procedures. Candidate must be personable, outgoing and motivated with excellent clinical and surgical skills. Ability to be busy from day one. Partnership opportunity. Must be competent in all areas conservative and surgical treatments of the foot and ankle. Competitive salary and benefits. Email CV to drfootwound@gmail.com
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.
ASSOCIATE POSITION - WEST COAST FLORIDA
Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.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 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
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.
PRACTICE FOR SALE - WESTCHESTER COUNTY, NY
Established practice for sale. Are you looking to expand? This practice is operated on a part-time basis and has a consistent patient flow. Lease in place. Opportunity to grow business and generate profitable ROI. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - CONNECTICUT
Well-established part-time practice for sale in a beautiful section of Connecticut. We see all aspects of foot and ankle care and accept most insurance. Owner is looking to be closer to home. Great opportunity with turnkey office including equipment. Transition period, office training and finance options available. Interested please email: ctfootspecialists@yahoo.com
PRACTICE FOR SALE - SAN FRANCISCO AREA, CALIFORNIA
Established practice in the East Bay in highly visible medical building across from major hospital. All aspects of foot and ankle care including: digital x-ray, Pinpointe laser, MLS laser, Traknet EMR. Turn-key office. Excellent opportunity, Gross $500K+, EastBaypodiatrypractice@gmail.com
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
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.
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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
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prohibited. If you have received this communication in error, please
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