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| PM News | |
The Voice of Podiatrists
Serving Over 18,475 Subscribers Daily
May 29, 2019 #6,428  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- 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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Are clinical practice guidelines beneficial or detrimental to the way you practice?
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| PODIATRISTS IN THE NEWS | |
CA Podiatrist Discusses Prevention of Onychomycosis
Fungal infections of the toenails don't go away on their own, and if left untreated, the fungus will spread and can eventually destroy the nail. If you have comprised blood flow, there’s even more reason to safeguard your toenails, since you’ll have trouble healing, says Ami Sheth, DPM, a doctor of podiatric medicine in Los Gatos, CA, and a spokesperson for the APMA. “And once you have a wound, you can get fungal skin infections, which can lead to a subsequent bacterial infection if the skin breaks down,” notes Dr. Sheth.
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Dr. Ami Sheth |
However, because toenail fungal infections are typically painless, people are often unaware that they have a problem unless they are inspecting their feet regularly. While you can't avoid contact with the microscopic organisms that cause toenail fungus — it’s present anywhere that is warm, dark, or moist — keeping your feet clean and dry and clipping your nails properly can help prevent an infection.
Source: Jeff Muise, Everyday Health [5/23/19]
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| PODIATRISTS AND FOOTWEAR | |
Ballet Flats Bad for Your Feet: CA Podiatrist
"Ballet flats are a very popular shoe style for women on the go. I know because many of my patients ask me if they are okay to wear. It is all in moderation. I understand that even non-ballerina ladies like keeping ballet flats in the purse for the end of the workday or a night out on the town because they fold easily in their purse. But unfortunately, they aren’t the best shoe for your feet, says Bobby Pourziaee, DPM, of Rodeo Drive Podiatry.
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Dr. Bobby Pourziaee |
"The construct of ballet shoes provides very little support around and along the sole of the foot. This can expose the foot to high amounts of friction, which can cause pain along the bottom of the foot and cause blisters. The lack of support can put the foot in a vulnerable position, leading to potential twisting and sprains of the ankle and overuse injuries. Without proper arch support in ballet flats, wearing them for more than an hour a day can lead to plantar fasciitis and heel pain. Also, the very thin sole exposes the foot to potential puncture wounds. Stepping on any sharp object on the sidewalk or parking lot can break through the sole of the shoe, leading to potential infections," says Dr. Pourziaee.
Source: Lauren Eggertsen, Who What Wear [5/9/19]
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| RELEVANT RESEARCH | |
Footwear Intervention Ineffective for Improving Long-Term Pain, Disability in Gout
The inclusion of footwear in a foot care package failed to improve foot pain and disability in patients with gout over a period of 6 months, according to study results published in Arthritis Research & Therapy. “The footwear intervention did not significantly improve foot pain in people without high baseline levels of foot pain,” the researchers wrote. One key limitation of the study was the lack of participant blinding.
Researchers conducted a parallel-group randomized controlled trial that included 96 patients with gout who were randomly assigned to a footwear intervention group or a control group. Participants within the intervention group received gout education and podiatric care, in addition to an athletic shoe, whereas participants in the control arm received only gout education and podiatric care. The primary outcome was the severity of foot pain and pain scores measured at baseline and at 2, 4, and 6 months.
Source: Caleb Rans, Rheumatology Advisor [5/24/19]
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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 | |
How to Renegotiate Payer Contracts - Part 1
If you feel stuck in a lousy deal with your payers, you can renegotiate. Here are some steps to renegotiate your contracts and improve your revenue.
1. Do your homework - Start by locating your contracts and, if they don’t already have one, give them a designated place in your office. If you cannot locate the agreements, request copies from payers. Gather all your contracts, review the terms, and know the effective dates of your contracts. Study your payer mix and learn who is your largest payer. Create a database where you can track the terms of every contract and when each is up for renewal. Keep copies or detailed notes of all interactions with your payers, including the last time you renegotiated the contract.
Source: David J. Norris, MD, MBA, CPE, Physicians Practice [5/7/19]
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| RESPONSES/COMMENTS (PM ARTICLES) - PART 1A | |
From: Richard M. Cowin, DPM
Back in the 1980s, the federal government announced that they were seeking Preferred Practice Guidelines (PPGs) (aka Clinical Practice Guidelines) for all medical specialties for their National Guidelines Clearinghouse. In this announcement, they went one step further and stated that if the various medical specialties groups didn’t produce these on their own, the government would produce these documents for them. Doctors were rightfully concerned about how these untrained and informed bureaucrats might draft these documents and to their credit, many medical specialty groups went on to produce such guidelines.
The first podiatry organization to research, draft, and submit their PPGs to the National Guidelines Clearinghouse and to have such guidelines approved was the American College of Foot & Ankle Surgeons. However, the Board of Trustees for the Academy of Ambulatory Foot Surgery (now the Academy of Minimally Invasive Foot and Ankle Surgery) under the leadership of their then president, now prominent healthcare attorney, Lawrence Kobak, DPM, JD, felt that...
Editor's note: Dr. Cowin's extended-length letter can be read here.
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| RESPONSES/COMMENTS (PM ARTICLES ) - PART 1B | |
From: Allen Jacobs, DPM
The “standard of care” is variously defined as that which the average podiatrist would do under the same or similar circumstances. In reality, we are all generally familiar with the manner with which the “average podiatrist” evaluates and treats commonly encountered foot and ankle pathology. The public and profession are not well served by multiple self-declared authoritative bodies setting self-declared standards of care.
Case series reports, particularly without long-term retrospective evaluation, do not justify percutaneous tenotomy of the EHL for hyperextension deformity if the hallux IPJ. If I wish to provide temporizing relief of positionally induced pain or deformity, I’ll start performing...
Editor's note: Dr. Jacobs' extended-length letter can be read here.
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| RESPONSES/COMMENTS (HEALTHCARE NEWS) | |
From: Joseph Borreggine, DPM
This sounds good on paper...but this is medicine no longer being a vocation, but rather an avocation. This is also the only real way to control healthcare spending because physicians are the uncontrolled financial variable base on fee-for-service as compared to a set salary.
But, in reality, that is not so true because hospitals see everyone regardless of insurance. Years ago, patients that were seen in the ER were sent to a local MD and not back into the hospital system to see an employed physician who will now create more fees based on...
Editor's note: Dr. Borreggine's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Unique use of studs |
Source: Lucy Kemper via Virtual Shoe Museum
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MEETING NEWS
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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 $229 (less than $16 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, 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 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
PODIATRIST POSITION – SOUTH CAROLINA
Work and live in one of the greatest states for outdoor fun and recreation. Centrally located 2 hours from the mountains and the ocean, well established practice of 21 years seeking an associate for its rapidly growing and expanding office. Must be board qualified/certified by ABFAS. Looking for someone with great people skills who is dedicated to putting in the effort to grow the practice. No traveling, no nursing homes. You must have SC podiatry license and next test date is June 1. Please send cover letter and CV to docdan@earthlink.net
ASSOCIATE POSITION AVAILABLE – NORTH CAROLINA
New associate position that can lead to partnership. We are a very busy practice providing care in both office and hospital settings. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hardworking, and committed to quality patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. North Carolina license to practice is required for this position. All interested candidates should send a CV with 2 letters of reference to JCMOOREDPM@aol.com
MOBILE PODIATRIST NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time /Part time podiatrist to do home visits to home-bound patients in NJ. Email resume - Lana.Raginsky@homefootcareservices.com
ASSOCIATE POSITION - KENTUCKY
Associate positions open for well-trained, compassionate physician for busy central office in the beautiful Somerset/Lake Cumberland KY and in our Bowling Green location. Wide range of services to be offered with several ancillary services onsite. Generous base salary with incentive/full benefits and partnership opportunity. Email CV to: kypodjob@gmail.com
ASSOCIATE POSITION - SW GEORGIA
Looking for a FT podiatrist in an established busy practice in Southwest GA. Applicant must be BQ/BC. Applicant must be able to provide a full range of podiatry services including foot surgery. This is a great community for raising a family/fishing/hunting/etc. Please send all CV to admin@tfacllc.org
ASSOCIATE POSITION – ALABAMA
Love the beach? Busy, established practice located in a coastal community is looking for a full-time or part-time podiatrist! ABFAS board qualification or certification is required. Must be motivated, hardworking, positive, and dedicated to growing the practice and individual career and reputation. Must have great people skills, caring bedside manner, and positive demeanor. Must work well with staff and local medical community. Competitive pay and partnership track available. Send CV and contact information to: manager@southbaldwinpodiatry.com
ASSOCIATE POSITION – LOS ANGELES, CA
Established multispecialty private practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Expertise in complex and chronic wounds is needed but residency or wound care certification not required. Full-time and well compensated based on a private practice productivity model with salary and benefits guaranteed. Our experienced team provides beautiful, fully equipped offices with on-site ASCs. We provide trained office staff, marketing and expert revenue cycle management, ensuring doctors can focus on patient care. Excellent opportunity to build a great wound care and podiatry practice as part of a reputable and established company. TWCCJobs@gmail.com
ASSOCIATE POSITIONS – UPSTATE NY, TX, PA, FL, DE, IA, MD, & KY
A provider of high quality podiatric care in nursing facilities is looking for podiatrists to treat patients. We are a fast growing company looking for motivated, caring podiatrists. Full-time and part-time positions available. Please send your CV & cover letter to office@easternpodiatrypllc.com.
ASSOCIATE POSITION – HAMPTON ROADS, VIRGINIA
Searching for a FT DPM for a growing 2 office location practice. Must be compassionate and able to provide general podiatry care, wound care and surgery. VA license and BQ/BC preferred. Base + Bonus, health and IRA. Please email sara.bouraee@gmail.com with subject HRFAS POD OPP
FULL OR PART-TIME POSITIONS AVAILABLE - GREATER LOS ANGELES AREA
Home Foot Care, Inc. Mobile Podiatrists needed to see homebound patients in San Bernardino/Riverside, Lancaster/Palmdale, Ventura/Oxnard, Los Angeles/San Fernando Valley. Choose your own days/hours, excellent monthly compensation, cloud-based EHR, dedicated support staff. If interested, email CV to: homefootcare@hotmail.com our website: www.footdocs2u.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – VISALIA CALIFORNIA
Extremely successful, well-established solo practice grossing $850K for the past six years. Doctor is relocating and ready to leave everything in place, including the fully functioning staff. Accepts all major insurances, Hospital and Surgical Center privileges. Serious inquiries only toptenpodiatrist@gmail.com
PRACTICE FOR SALE - JACKSON HEIGHTS, NY
Well established 27 year old practice. Turn-key operation. Great opportunity for established or new graduate. Excellent income potential on/off the insurance plans. Busy walk in traffic. 1100 square foot office in multi-specialty building. Email: gping1@yahoo.com
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS
30 year established surgical practice East Central Illinois. Re-locating. Turn-key operation with 3 treatment rooms and surgical suite. Certified EHR. Generates $450K, price reduced to $250K (includes real estate currently listed for $150K with a local agent ). Call 217-549-1887 or email drjoe@myfeethurt.net
PRACTICE FOR SALE - EAST BAY OF SAN FRANCISCO
Energetic practice with completely updated technology and ready made patient base. Owner looking to relocate out-of-state. - Full service practice with ancillary services. Practice operated on a part-time basis. Employment option available. Priced to sell. Contact MCrosby518@gmail.com
PRACTICE FOR SALE - OKLAHOMA - OKC
Opportunity to buy a growing and rebuilt practice. Owner looking to downsize. Operated on a part-time basis with growing demand. Priced to sell. Turn-key operation. Contact MCrosby518@gmail.com
PRACTICE FOR SALE - CORPUS CHRISTI, TX
Well established 30 year podiatry practice on the Coast of Texas. Busy practice with low overhead not far from large medical complex. Excellent growth potential with large active patient base. Large physician and patient referral base. Family practice residents rotate through office. Email jrgouin@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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.
| | Guidelines |
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- Notes should be original and may not be submitted to
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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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