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PM News

The Voice of Podiatrists

Serving Over 18,450 Subscribers Daily


May 31, 2019 #6,430 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

anodynemar1218

PM NEWS QUICK POLL

Last Chance to Vote

Quick Poll

Are clinical practice guidelines beneficial or detrimental to the way you practice?
 
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AT THE COLLEGES
NYCPM’s 108th Graduation Celebrates Class of 2019
 
At the 108th commencement of NYCPM, 93 members of the Class of 2019 were hooded and proudly accepted their diplomas, signed the Book of Physicians, and took the Hippocratic Oath. The class achieved 100% pass rate on Part II of the APMLE Boards and 100% residency matches in the first round. Families and friends in the audience cheered this high-achieving class. NYSPMA President Paul Liswood, DPM, bestowed greetings and congratulations from the association. Keynote speaker and honoree New York State Assemblymember Robert J. Rodriguez reminded the students of their important role in helping diabetics maintain foot health as they manage their disease.
 
Graduates recite the Hippocratic Oath at NYCPM graduation
 
Honoree Alina Moran, CEO of NYC Health + Hospitals/Metropolitan, said she hoped that the graduates would carry the values of “integrity, compassion, accountability, respect, and excellence” with them as they enter the next phase of their medical careers. Both Ms. Moran and Mr. Rodriguez received the honorary degree, Doctor of Humane Letters, Honoris Causa, at the ceremony. Among the graduates, Michelle A. Diaz, DPM, MPH had participated in the dually sponsored DPM-MPH degree program with the Icahn School of Medicine at Mount Sinai. Three graduating PGY III residents received their certificates.   
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AT THE COLLEGES - PART 2
WesternU College of Podiatric Medicine Holds 2019 Commencement
 
Western University of Health Sciences’ College of Podiatric Medicine awarded diplomas to 34 graduates at its Commencement ceremony May 24, 2019 in Pasadena, CA. CPM Assistant Professor of Podiatric Medicine, Surgery and Biomechanics Adrienne M. Estes, DPM ’13, MBS, a member of CPM’s first graduating class, gave the WesternU Alumni Association welcome.
 
CPM Dean Dr. Kathleen Satterfield and Dr. Lester Jones (Photo: Jeff Malet)
 
College of Podiatric Medicine Professor of Podiatric Medicine, Surgery and Biomechanics Emeritus Lester J. Jones, DPM, MSEd, who served as interim dean of the college for nearly two years and retired in April 2019, administered the Podiatric Physician’s Oath and reminded the graduates to listen to their patients, think with their heads, act with their hearts, and use their hands to help others.
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PODIATRISTS IN THE NEWS
KY Podiatrist Provides Summertime Foot Health Tips
 
Darren Di Iulio, DPM, a podiatrist with St. Elizabeth Physicians, offers some tips on how to put your best foot forward this summer. "Be careful at the waterpark or community pool. Public water environments can be a breeding ground for fungus, viruses, and bacteria. When you visit the waterpark or swimming pool, wear a water shoe or sandal in community areas such as showers and locker rooms."
 
Dr. Darren Di Iulio
 
"If you do go barefoot, bring alcohol spray or gel with you. After you get out of the water, be sure to clean the bottom of your feet and between your toes with an alcohol product. Then dry your feet and put your shoes back on to protect your foot from infection," says Dr. Di Iulio.
 
Source: Northern Kentucky Tribune [5/28/19]
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PODIATRISTS AND MEMORIAL DAY
TX Podiatrist Bugles Echo Taps on Memorial Day
 
Jeffrey Ross, DPM of Houston, Texas had the honor of playing Taps with the the United States Marine Corps Sergeant buglar on Memorial Day at the Houston Veterans Cemetery .
 
Dr. Jeffrey Ross
 
Dr. Ross, a former Eagle Scout was the buglar at Yawgoog Scout Camp in Rhode Island while attending high school. 
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PRACTICE MANAGEMENT TIP OF THE DAY
How to Renegotiate Payer Contracts - Part 3
 
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. 
 
3. Let the games begin - Once you have assembled all of your data, you can compare each payer to one another. Now you have the information you need to begin the process of renegotiating your contract with a specific payer. Initiate the process according to the terms of your agreement but do so with a formal notice. Pick a payer that you think you’ll be able to get the desired changes from. It might be based upon the fee schedule, the time to the end of the contract, or the volume of business you do with them. I recommend starting with payers that offer the lowest rates and those with the least amount of time left on the contract. Research who you should send the notice to and ask for confirmation of receipt. Send your notice to as many people at the payer’s organization as possible.
 
Source: David J. Norris, MD, MBA, CPE, Physicians Practice [5/7/19]
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RESPONSES/COMMENTS (HEALTHCARE NEWS)
From: Bryan C. Markinson, DPM
 
In the discussion about current residents preferring hospital based employment versus private practice, versus group practice, the following comment is often stated: "Hospital-employed physician medical care is certainly driving up healthcare costs." Of course the decision is largely based on personal and economic realities where anyone ends up practicing. Although very costly, starting a private solo practice is becoming the least desirable, but it is my belief that the emerging healthcare changes will make some solo practices golden and in extremely high demand.
 
On the issue of hospital employed physicians driving up the cost of healthcare, and that their existence hurts practices in the community, I say that there is a selective blindness in...
 
Editor's note: Dr. Markinson's extended-length letter can be read here.
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RESPONSES/COMMENTS (PM ARTICLES) - PART 1A
From: Allen Jacobs, DPM
 
Dystrophic nail changes may be secondary to repetitive micro-trauma. Mallet toe and hallux hyperextension deformity are common examples of such etiologic factors. Fungal infection may occur as a comorbidity or without associated trauma. Dermatopathology laboratory testing can, in many cases, establish the fungal and or traumatic etiology and therefore suggest treatment options. I would suggest that such testing would be considered prior to EHL tenotomy for "spoon toe". Perhaps dermoscopy or other studies in the future will prove helpful.
 
Additionally, whether performed distal to the extensor hood or not, the development of flexion deformity of the hallux IPJ and hallux hammertoe are possible over the long-term. It seems appropriate to provide long-term clinical outcomes showing the absence of such iatrogenic deformity. Ultrasound, MRI, or other studies demonstrating re-establishment of the continuity and function of the EHL would also be appropriate. Long-term study of the eventual result with reference to the toenail appearance, texture, associated pain, etc. would also be helpful.
 
Dr. Katzen correctly notes that treatment of onychomycosis with laser therapy or the use of oral antifungals is not typically appropriate absent confirmatory testing. Furthermore, as noted by Dr. Katzen, any traumatically induced contribution to the observed nail dystrophy should be recognized and appropriate intervention offered to the patient. The induction period for iatrogenic deformity is not always immediate. Short-term success will not guarantee long-term success. 
 
Allen Jacobs, DPM, St. Louis, MO
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RESPONSES/COMMENTS (PM NEWS ARTICLES) - PART 1B
From: Steven J. Kaniadakis, DPM
 
Clinical practice guidelines can also be used to determine what is considered appropriate covered services. In 2000, the federal government's expert referenced the "Practice Enhancement Manual for the Podiatric Physicians" in its case against me. Included with this was the so-called Global Surgical Task Force Report (1996-99), which was a report from the APMA. The expert did not directly refer to the AMA's CPT ® code book. I did not find this out until the trial against me. 
 
Thus, the authoritative source was not the AMA's code book. Instead, it was opinions from these other resources that went back to the jury room. Despite the jury request for the AMA CPT code book, it did not go back to the jury room. In short, what the jury saw was a paid for (commercial) report, with advertising and sponsors, which was presented to the court and grand jury instead of the authoritative source, the AMA's code book.
 
Steven J. Kaniadakis, DPM, Saint Petersburg, FL
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YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Worn by Houdini's wife?

Source: Alexanderr Khorikian via Virtual Shoe Museum

MEETING NOTICES

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Earn 15 CECH only $229 (less than $16 per CECH)

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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
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
 
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
 
ASSOCIATE POSITION – MD, DC, VA 
 
Foot and Ankle Specialists of the Mid-Atlantic, LLC is looking for an upcoming or recent residency graduate or experienced practitioner to join our group of 60+ providers with 39 locations and growing.  If you are enthusiastic, personable, motivated and well-trained, we would be delighted to discuss an associate position with you. We are leaders in quality care and forward thinking. Please send cover letter and resume to: newdpm@footandankle-usa.com
 
ASSOCIATE POSITION - MANHATTAN AND/OR NEW JERSEY 
 
Full-time and part-time podiatrists needed in Manhattan and/or New Jersey.  Salary and benefits available based on experience. This is a surgical and sports medicine practice.  For more information please send C.V. to ddzd123@gmail.com or call 9172845096.
 
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
 
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     
 
M 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
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
 
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.
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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