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PMNews
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PM News |
The Voice of Podiatrists
Serving Over 21,978 Subscribers Daily
May 30, 2023 #7,507 Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2023- No part of PM News can be reproduced without the
written permission of Barry Block
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PM NEWS QUICK POLL |
Do you ever use any form of conscious sedation in your office? |
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PODIATRISTS IN THE NEWS |
That Dark Spot on Your Foot May Be Deadly: MI Podiatrist
According to Conway McLean, DPM, "If you are having pain from a new spot on the foot, don’t assume it is benign and will disappear on its own. If it is callusing, this will most likely be a progressive problem as the skin learns to make callus better over time. As with many medical conditions, lesions on the bottom of the foot get harder to treat as time passes by. Treatment starts with an accurate diagnosis, typically aided by consulting a specialist who will be acquainted with the optimal therapies."
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Dr. Conway McLean |
"Because many do not suspect a malignancy, healthcare providers included, these are diagnosed too often too late. Malignant melanoma is reliably deadly without timely identification, and these are not always darkly pigmented. Various skin cancers can occur on the feet, but who examines their feet? After all, they are hidden away, unseen inside our shoes. As per a relevant cliché, out of sight, out of mind," says Dr. McLean
Source: Marquette Mining Journal [5/30/23]
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PODIATRISTS AND SPORTS MEDICINE |
PA Podiatrist Discusses When to Replace Workout Shoes
Depending on the shoes you're wearing, with each step in your favorite workout, you'll either feel a cloud of comfort — or discomfort. This begs the question: Is it time for new workout shoes? The usual lifespan for a running or walking shoe is about 300 to 500 miles, according to Alicia Canzanese, DPM, Vice president of the American Academy of Podiatric Sports Medicine.
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Dr. Alicia Canzanese |
Dr. Canzanese says for gym or "court-sport" sneakers such as pickleball shoes, tennis shoes, or footwear for basketball, the gauge is different. "The general rule of thumb is 40 to 60 hours of playing a sport in the shoe." That means if you're playing in those shoes more than a couple of times a month, the answer to how often you should replace your shoes is around every 9 to 12 months, she says.
Source: Mary Smith, Livestrong [5/25/23]
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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 |
Tips for Easing Patient Collections in Your Practice
Starting in 2023, some credit-reporting firms will remove unpaid medical debt of less than $500. Asking patients to pay their medical bill may become more difficult when there are fewer financial consequences. Here are some strategies to ease the burden of patient collections and improve cashflow and revenue:
4. Create a written financial policy (or update your existing one) to include language about up-front payments. Let patients know that full or partial payment is due at the time of service. Provide the policy to patients at check-in and ask them to sign it, says Rozmin Bapat, president of CodeRite Healthcare Consulting. Front staff and physicians themselves should also be prepared to answer questions, such as “Why has the policy changed?” or “What if I’m not prepared to pay today?”
For example, in terms of why the policy has changed, Bapat suggests the following response: “Patients are contractually bound to pay this amount when they sign up for insurance coverage, and now our practice is enforcing it on the front end. We’re asking you to honor it.”
Source: Lisa A. Eramo, MA, Physicians Practice [5/22/23]
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CODINGLINE CORNER |
Query: Arthroplasty of a Toe
In many cases requiring and arthroplasty of the proximal interphalangeal joint (PIPJ) 5th digit (especially when associated with a heloma molle), I often do an arthroplasty PIPJ, flexor lengthening and a partial syndactylization (advancing the webspace but differently than the description of Ruiz-Mora). I have always simply billed for an arthroplasty PIPJ 5th toe. Now that I have been forced to pay attention to coding because of my EMR program, should I have been billing this differently for all these years?
PM News Subscriber
Response: The arthroplasty is coded using CPT 28285 which is defined as the following: Correction, hammertoe (e.g. interphalangeal fusion, partial or total phalangectomy).
The flexor tendon lengthening is coded using CPT 28232 which is defined as the following: Tenotomy, open, tendon flexor; toe, single tendon (separate procedure).
The partial syndactylization, advancing the webspace is best coded using CPT 14040 which is defined as the following: Adjacent tissue transfer or rearrangement, feet; defect 10 sq. cm or less.
The first step that needs to be taken is to access the NCCI edits. CPT 28232 and CPT 14040 are both Column 2 codes to CPT 28285 the Column 1 code within the NCCI edits. Therefore, based upon the posted scenario, neither CPT 28232 or CPT 14040 are separately reimbursable when billed in conjunction with CPT 28285. CPT 28286 is not an option. It is defined as the following: Correction, cock-up fifth toe, with plastic skin closure (e.g. Ruiz-Mora type procedure). Clearly, this was not the pathology that needed to be corrected, nor was it the procedure that was actually performed. The only option for the correct coding for the surgical correction that was performed on the 5th toe is the following: CPT 28285 – T4/T9.
Michael G. Warshaw, DPM, CPC, Lady Lake, FL
For information on Codingline subscriptions, click here
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QUERIES (DME) |
Query: How are NPs and PAs Involved in Diabetic Shoe Documentation
When it comes to diabetic shoes, I would like to have a better understanding of how NPs or PAs are now involved with the documentation process. Can someone elaborate?
Edmond F Mertzenich, DPM, Rockford, IL
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QUERIES (NON-CLINICAL) |
RE: Best Way to Contact ABMSP?
Does anyone have any information regarding the best way to contact the American Board of Multiple Specialties in Podiatry (ABMSP)?
Mark Stempler, DPM, Staten Island, NY
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RESPONSES/COMMENTS (MEDICAL-LEGAL) |
From: Jack Ressler, DPM
I believe I have had requests from Episource in the past. They never paid my invoice and were never given charts. Name Withheld said they approved payment, but the big question is whether they actually paid. There have been many times that these companies agree to pay invoices but never send payment. I cannot imagine how much money 66 charts will bring in from Medicare if Episource gets those charts! Even if they pay Name Withheld the $3,300, which I highly doubt, Episource will clean up!
Jack Ressler, DPM, Boca Raton, FL
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RESPONSES/COMMENTS (NON-CLINICAL) |
RE: Pot May be a Boon to Podiatry
From: Michael M. Rosenblatt, DPM
Would you still consider recommending podiatry as a career? We have had a chorus of no’s in answer to that question, with decreased reimbursements and competition from other specialties, especially nursing. But there appears to be a hidden gem which is not being reported that could reverse that trend: Cannabis use and legalization. Some of the news is creeping out: “Marijuana Linked to Higher PAD Risk” Medscape reported a study of over 600,000 “chronic” users that points to a direct connection between PAD and pot. The study population is mainly under 37 years of age, when you might not expect pedal pulses to start diminishing. But we can all generally assume that marijuana use will increase as more states legalize it.
Podiatry concentrates on older people, which is not surprising since...
Editor's note: Dr. Rosenblatt'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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Perfect for promenading through the pyramids? |
Source: Neta Soreq via Virtual Shoe Museum
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MEETINGS & WEBINARS
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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 $279 (less than $19 per CECH)
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, PA, 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, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2023. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact or jtfootcare@gmail.com. EOE employer
DIABETIC LIMB SALVAGE & WOUND CARE FELLOWSHIP 2023 — SOUTHERN CA
Beverly Hills 12-month diabetic limb-salvage, wound care and reconstructive fellowship. The fellowship will enhance and refine the skills of residency-trained podiatric surgeons. Focus on diabetic limb-salvage surgery, advanced wound care, coding/billing, practice management and elective surgery. Fellowship start flexible. Full benefits included. Please email your CV to info@woundinstitute.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
ASSOCIATE POSITION – GREATER SEATTLE AREA
Growing practice in greater Seattle area seeking full-time associate. Well balanced practice with FF/RF surgery, general clinic, and wound care. No call, No weekends. ***Base salary + bonus, malpractice, health insurance, 401k, and PTO*** Interested candidates, email CV to SeattleDPM.hire@gmail.com
ASSOCIATE POSITION – POMPTON LAKES, NJ
Busy North Jersey Podiatry office looking for a surgically trained podiatrist. Opportunity for all hospital surgery/admissions and wound care from practice. Flexible office hours and house calls. Please contact: Dr. Bart Cohen, DPM Pompton Lakes, NJ C: (201) 281-3036.
ASSOCIATE POSITION – VIRGINIA
Growing podiatry practice is seeking a high energy associate interested in providing care to multi senior living facilities as well as working into a partnership to own the practice in 2 to 4 years. The office is located in Annandale, Virginia. Great opportunity to add a surgical aspect to the practice as surgery is currently referred out. Compensation is personal productivity commission based. Please respond to: DrBreiner@AOL.com
ASSOCIATE POSITION – SUFFOLK COUNTY, NY
Multi-office podiatry practice seeking FT/PT podiatrist. Complete salary package and benefits. Healthy corporate culture supported for long term growth. Please send CV to podiatryoffice20@gmail.com.
ASSOCIATE POSITION - UPSTATE SC
Busy two-office practice with five doctors in Upstate SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401K, malpractice, health and dental insurance, CME, short- and long-term disability. PTO. (All other standard benefits) Please send face letter with CV to podiatryresumes@upstatefootdocs.com
POSITIONS AVAILABLE - SOUTH CAROLINA, GEORGIA
Beautiful places and smiling faces. Don’t get caught up in the podiatry rat race. Join the Southeast’s most progressive podiatry practice. If you are retirement ready or residency ready; surgical or non-surgical; full time or part time; we may have a place for you. Earning potential ($200-300k) with benefits, and most importantly work-life balance. careers@physiciansfootcare.com.
GRADUATING RESIDENTS AND FELLOWS – CALIFORNIA
Rapidly growing practice has openings for caring and motivated doctors who graduate in 2023. Join a start class of your peers from leading programs and learn from nationally recognized podiatrists. Locations include Sacramento, San Francisco Bay Area, and Stockton. Excellent training, guaranteed first year salary, competitive compensation model, comprehensive benefits, and a 401k match included. If interested in learning more, submit your CV to DPMcareers@balancehealth.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION - BECKLEY, WEST VIRGINIA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an experienced Associate Doctor that has a specialty in surgery and rear foot to join our team in Beckley, West Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION – ST. GEORGE, UTAH
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: St. George, Utah. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to vanessa.deleon@summitmedicalpartners.com
ASSOCIATE POSITION – EASTERN VIRGINIA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an associate doctor to join our team in Eastern, Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Work where you want to live. Supportive environment, Sunny SWFL, build your surgical boards cases quickly, busy, modern, technologically advanced offices. ABFAS BC/BQ a must, EMR, CT, DME, Base salary + bonus, PTO, 401K, health ins. 1 ACFAS fellowship position also DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION - FORT MYERS, FL
Growing practice in Fort Myers, FL seeking a full-time associate. The practice is a great mix of general podiatry, wound care, rearfoot & forefoot surgery, and sports medicine. Base salary + bonus, PTO, malpractice, health insurance, and CME allowance. Interested candidates email CV to yvelasquez@certifiedfoot.com.
ASSOCIATE POSITION – JACKSONVILLE, FL
Associate position with partnership opportunity within 3 years. Full service, group podiatry practice in Jacksonville, FL. Compensation: 30% of net collections with guarantee against net collections. Benefits: office overhead, health and medical malpractice insurance, paid vacation, clerical and clinical support staff. Contact: padler@adlerpodiatry.com.
ASSOCIATE POSITION- UPSTATE NY AND VT
Busy two-office practice in Upstate NY and VT seeking a full-time podiatry associate. Senior doctor looking to add associate. Partnership potential. General podiatry and surgery. Benefits include malpractice, health and dental insurance, CME, PTO. Please send CV to sarchinooffice@gmail.com
ASSOCIATE POSITION -VENTURA, CA
PSR 24-36 trained podiatrist needed for multi-doctor, multi-office, multi-clinic group. Busy practice seeking energetic surgeon. Forefoot, rearfoot, diabetic limb salvage. Full benefits. Growing practice leading to full partnership. Email CV, cover letter to robergmgmt@gmail.com
ASSOCIATE POSITIONS - FLORIDA, SOUTH CAROLINA, AND GEORGIA
KG Health Partners is seeking full-time and part-time podiatrists to provide mobile lower extremity care to long-term care residents in Florida, Georgia, and South Carolina. Monday through Friday schedule, competitive wages, malpractice insurance, and benefits for full-time employees. Email CV to Kgadmin@kghealthpartners.com
ASSOCIATE POSITION - ILLINOIS MULTIPLE LOCATIONS
Are you seeking the opportunity to join one of the largest, fastest growing podiatry practices in Illinois? 15 Offices around the Chicagoland area. Full time & part time positions are available. Strong clinical skills required. Surgical and non-surgical positions available now and next summer. Competitive commission, full benefit package, PTO, holidays, health/dental/life/disability, malpractice coverage & 401(k) w/match. Email CV to drmceneaney@illinoisfoot.com
ASSOCIATE POSITION - SOUTHWESTERN, PENNSYLVANIA
Seeking full-time Podiatrist. Competitive salary with bonus. Benefits: PTO, no cost health and dental insurance for family, malpractice insurance, 401K. Please respond to drkmo12@gmail.com
ASSOCIATE POSITION – NEW ORLEANS, LA
Great opportunity for recent graduate or mid-career professional. Thriving, established, multi-office, practice seeking a full-time podiatrist. Ideal candidate is ethical, hardworking & self-motivated. Well rounded practice in a vibrant, unique city. Offering competitive salary with bonus. Send CV to: office@footankledoc.com, including start date, availability and salary requirements.
ASSOCIATE POSITIONS - SOUTHERN CALIFORNIA
75 y/o multi 7 figure podiatric general practice with emphasis on wound care and limb salvage, needs both full time and part time Podiatrist. All patients seen in our 4,200 sq ft office with in-house pharmacy. Candidates must be affable but confident and have excellent communication skills. Spanish helpful but not required. Candidate must be capable of multitasking between numerous patients in 9 treatment rooms and 12 well trained staff. This is a protocol based practice. Full time position starts at $200k with employee sponsored retirement and possibility of housing included. Email CV to kevore7@aol.com
ASSOCIATE POSITION – CHICAGOLAND
Chicago and suburbs: Rapidly growing practice in Chicagoland area needs a motivated, caring, independent associate. PT or FT, cover 2 busy clinics, senior homes and some housecalls. BQ/BC preferred. % based income, rapid growth potential. Mon-Sat schedule, optional hospital call. For further info please contact Dr G: premierpodiatry312@gmail.com
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CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
OFFICE SPACE AVAILABLE – MANHATTAN AND PLAINVIEW, LONG ISLAND
Office space available East 60th, East 70th and East 22nd streets in Manhattan and Plainview, Long Island. Offices fully equipped and are available full time, part time and to share. All serious inquiries should be sent to podo2345@aol.com.
ACTIVE PRACTICE FOR SALE IN TARZANA CALIFORNIA
Serious inquires only great location across from major hospital three treatment rooms and all equipment free parking great staff. Perfect for one or two doctors text 818-451-8441 Email drpatriciawalters@gmail.com
PRACTICE FOR SALE - SOUTH JERSEY
Looking to escape the city life? This established practice offers a consistent revenue stream and a great place to live. Cape May county. Hospital privileges available. Doctor will stay for transition (if requested). Contact: MCrosby518@gmail.com
PART-TIME PRACTICE FOR SALE - NORTHERN NJ (MONMOUTH COUNTY
Doctor retiring. Great opportunity and affordable for recent residency graduate. staff privileges available at hospital and nursing home minutes away from office. Equipment for sale: low hours Midmark autoclave, Kodak CR x ray scanner, Midmark podiatry chairs, Vascular analyzer, hand instruments. If interested, please contact Alfiebriella@gmail.com
PRACTICE FOR SALE - NORTHWEST WASHINGTON
Established practice directly on the water with incredible views of mountains. Hiking, biking, sailing and skiing right at your doorstep. Unparalleled outdoors lifestyle. Hospital privileges easily available for surgery, woundcare, etc. Also for sale: Beautiful townhome with million dollar views of Cascade mountains, water and downtown. sjreiner@comcast.net
PRACTICES FOR SALE - MULTIPLE OPPORTUNITIES
Middle TN, Hudson Valley NY, North Central CA, NW Washington, SE Georgia, NW Oklahoma, NW Indiana, North/Central Ohio, SE Ohio, NW Florida To find out about each of these opportunities contact MCrosby518@gmail.com.
PRACTICE FOR SALE - ANNAPOLIS, MD
24 year old practice grossing over 7 figures, newly renovated, turn-key protocol-based practice ½ mile from hospital. 7 treatment rooms, ultrasound, x-ray, on-site ASC and nail salon on 1st floor with parking. Owner doc staying to help transition amazing team. Contact annapolispodiatry@gmail.com
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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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