The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

June 05, 2013 #4,788 Publisher-Barry Block, DPM, JD

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Unmatched Residency Placements Currently Stand at 92

The American Association of Colleges of Podiatric Medicine (AACPM) provides periodic status reports on residency placements from Match Day. The following is residency placement data as of May 31, 2013:
Class of 2013 Placements: Placed in Residencies 506 (88.5%)
Not Eligible/Not Seeking Training 10 (1.8%)
To Be Placed 56 (9.7%)
Total 572 (100.0%)

Class of 2012 and earlier Placements: Placed in Residencies 23 (39.0%)
To Be Placed 36 (61.0%)
Total 59 (100.0%)

The scores from the April APMLE Part II retake have been released, moving two applicants from the not eligible column to the “to be placed” column. When taking the overall placement stats into consideration, 84% (529) of the 631 residency applicants have found residency positions thus far this year. With nearly 2% (10) of residency applicants not seeking or ineligible for placement, it leaves just over 14% (92) total applicants that have yet to find a residency position for the 2013-14 training year.

Source: AACPM

NV Podiatrist Discusses Summer Footwear for Diabetics

If you have diabetes and are eager to make the most out of your summer, never walk barefooted. Seashells, glass, or other ocean debris can cut your skin and cause serious infections without your realizing it. Walking barefoot on a hot pavement or hot sand can also lead to severe burns or infections. Avoid wearing sandals, as sand and other foreign bodies can still get into the sandal.

Dr. Cyaandi Dove

Podiatrist Dr. Cyaandi Dove, advises all her diabetic patients to choose closed shoes instead of flip-flops and sandals to give their feet maximum protect. She says: “Insects can still have access to your feet and cause problems with bites and other infections. Rather than saying that you should never wear sandals, you should be very vigilant when you do wear them.”

Source: Digital Journal [6/3/13]

Mid-Atlantic Supergroup Crosses State Lines and Adds Two Podiatrists

Foot and Ankle Specialists of the Mid-Atlantic, LLC (FASMA) has announced that Drs. Seth Rubenstein and Eric Masternick will be joining FASMA's team of 18 podiatrists. Dr. Rubenstein’s clinic location in Reston will be FASMA’s first Virginia location. Dr. Rubenstein serves on the Board of Trustees of American Podiatric Medical Association,  and is on staff at Reston Hospital Center and INOVA Fair Oaks Hospital where he has served as Podiatry Section chief.

(L-R) Drs. Seth Rubinstein and Eric Masternick

Dr. Masternick joined Dr. Rubenstein in December of 2008 after completing a three-year surgical residency at Northside Medical Center in Youngstown, Ohio. He graduated from the Ohio College of Podiatric Medicine. He concentrates on all aspects of forefoot and rear foot surgery with a focus on reconstruction and limb salvage procedures.

Bret Ribotsky: Over the years, there have been many changes in the materials used to make orthotics. Please share some comments as to how the biomechanics are affected by the material used.

Dr. Robert D. Phillips

Robert D. Phillips: When Dr. Root made his devices, he made them out of a rigid material. As a result, these devices were made to maximally pronate the mid-tarsal joint. When devices started to be made out of flexible materials, these materials did not hold the shape that was captured in the cast. In reality, we do not know what shape these flexible devices are in, once they are under a load.

Drs. Joseph Caporusso and Robert Chelin

Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guests are Drs. Joseph Caporusso (president) and Robert Chelin (past president) of the International Federation of Podiatrists (FIP). You can register for future events by clicking here

Podiatric Tennis Players Have a Ball  Raising Money for NYPAC

One of the highlights of last weekend's New York State Podiatric Medical Association (NYSPMA) House of Delegates was the annual tennis tournament co-ordinated by Dr. Arthur Gudeon. This year's event raised $250 for the New York State Political Action Committee (NYPAC).

1st Row: Abby DeFrancis, Drs. Art Gudeon, Pat Nicholas, Robin Ross, Laura Piluso, Bill Spielfogel and Ron Werter. (2nd Row) Drs. Joe Buenahora and Berdj Stepanian

The winners of this year's tournament were: Men: 1st Place - Dr. William Spielfogel, 2nd Place (tie Drs. Berdj Stepanian and Joseph Buenahora, 3rd Place- Dr. Ronald Werter. Women: 1st Place - Dr. Laura Piluso, 2nd Place - Dr, Robin Ross, and 3rd Place - Dr. Patricia Nicholas. All players received awards and tacky tennis gifts.

Query: Neuroma Coding

We have recently begun having trouble getting paid for neuroma injections when performed on both feet. We had no problems until earlier this spring (March). We have tried single line billing with a "-50" bilateral modifier, and we have also tried billing on separate lines. This has also happened when we have used CPT 64455 or CPT 64632. In addition, the insurance companies are saying that we cannot bill the patient for the denied injection.

Is anyone else having this problem, or seen any documentation regarding this as a policy change? It is currently happening with all insurances - not just Medicare.

Arnold Beresh, DPM Hampton, VA

Response: The problem with CPT 64455 [Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (e.g., Morton's neuroma)] is the pesky "(s)" that represents the singular or plural injections. So, strictly by code definition, you will only be paid once without regard to how many cortisone injections you provide. Having said that, there is obvious disagreement as to whether the plural injections are restricted to, say, one foot versus two feet.

Regarding CPT 64632 [Destruction by neurolytic agent; plantar common digital nerve], the injection is defined in the singular. You may have a payer that is applying the same definition as CPT 64455 (incorrectly) or has a utilization guideline limit restricting payment to one injection per session.

Your appeal (or discussion with the payer reps/medical director) needs to clarify how these injections should be defined. Be sure to let them know that the destruction of the plantar common digital nerve injection represents a singular injection. Be sure to check to see if there is any rule (newly) written by the insurance company that says they will only pay multiple alcohol injections given on the same day once. If that is the case with any specific payer, you might have a tougher job in changing their collective minds on appeal.

Paul Kinberg, DPM, Dallas, TX

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RE: Diabetic with Hemorrhagic Keratosis
From: Don Steinfeld, DPM, Robert Bijak, DPM

If you haven't already done so, why not perform a biopsy? I'm also very curious about the patient's gait and stance.

Don Steinfeld, DPM, Farmingdale, NJ, footdrdon@aol.com

Before you decide on any surgery, get a vascular report, especially distal small vessels, find out his Hgb A1c to see his control, and get more information on the degree of neuropathy. Without x-rays to see the biomechanics of his pressure points, vascular studies, HgbA1c, and meds he's on, any surgical suggestion would be an unprofessional guess.

Robert Bijak, DPM Clarence Center, NY rbijak@aol.com

RE: Podiatric Residency Crisis - Where Are We? (Bret Ribotsky, DPM)
From: Robert Kornfeld, DPM

I have been sitting back for the past 6 weeks totally disheartened that pro-active conversation regarding the residency shortage has ceased. I made it clear to all who read this forum that I am willing to help in getting these DPMs trained by creating a "fellowship". I appealed to the profession for help in making it a reality. I discussed my intentions with some of the "politicians" in podiatry. I received absolutely NO support - which in reality means that these graduates in podiatric medicine are getting little or no support from the profession. Shame on us!

Dr. Ribotsky rekindled the discussion as diplomatically as anyone could, yet the conversation seems to have died. Everyone who has a license to practice podiatry holds a piece of the responsibility here. The fact that no one seems willing to do their part in solving the short and long-term ramifications of this situation is astounding to me. How would you feel if you were one of the 92, and little or nothing was being done to help YOU?

Robert Kornfeld, DPM, Manhasset, NY, Holfoot153@aol.com

RE: Medicare Calling Patients
From: Christopher Orlando, DPM

How can the patient be sure it was Medicare calling? It could be anyone fishing for information. I would never disclose any information over the phone with any caller. If you want information, send me a letter.  I would educate patients not to disclose my personal information in the same way that I protect their personal information.   

Christopher Orlando, DPM, Hartsdale, NY, cao252@aol.com

RE: The Passing of Ellen Schwartz

I was deeply saddened to learn of the passing of Ellen Schwartz. Ellen was my sales rep for over 30 years (Mayflower Podiatry and Gill Podiatry). She always had a sweet demeanor, was very helpful and extremely knowledgeable about podiatry. I could call her anytime, and she would always do her best to solve any problem and also let me know what products were coming on sale. She was a delightful woman who always had a smile and knew how to shmooze. She will be missed. My condolences to her family. RIP Ellen.

Robert Kornfeld, DPM, Manhasset, NY

RE: Staff Performing Routine Foot Care
From: Mark E Weaver, DPM
 
This discussion brings up the case of physician assistants in podiatry practices. Some may say our assistants did not spend years in training. However, did any of us acquire these qualifications, or do we need these qualifications to trim toenails?
 
PAs in our orthopedic practice take on real medical responsibilities (i.e., closing surgeries, debriding wounds, first post-op visits on surgery, writing prescriptions, etc.; all of which compare to the foot care of the most high risk podiatry patient). It is the MD/DO's responsibility to monitor them.
 
Maybe our profession needs to wake up and smell the future. I know that my orthopedic foot specialist colleagues do. As the MD/DOs, we would need to manage our staff.

Mark E Weaver, DPM, Ft. Myers, FL, tcopn@att.net

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815.

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to:practiceforsaleswfla@gmail.com

PRACTICE FOR SALE - CALIFORNIA

Unique opportunity to purchase a very busy 50 year old practice in Coronado Ca. Large and stable patient and referral base with consistent new patient growth. Low overhead. Priced to sell. Great staff. Hospital privileges available. Willing to stay on for transition. Inquiries please email foothold@msn.com

IMMEDIATE OPENING OR PURCHASE IN DALLAS TX  

Turnkey in Dallas’ beautiful and prestigious Uptown neighborhood:   modern, fully furnished office in 24/7 security high rise and large patient base. There is tremendous growth potential in this affluent and diverse area. Perfect for new practitioner, to share, or second office.  afc1dfw@gmail.com

PRACTICE FOR SALE IN CENTRAL FLORIDA

33 year old practice grossing $550k seeing an average of 40 patients per day. Possible owner financing for both practice and large office building. Five year average profit margin of 35%. New Listing. For more information call Chas Smith at 863-688-1725 or email Chas@cpalliance.com

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA
 
Well established successful West Palm Beach practice grossing $475K with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E- mail wpbfootdrs@gmail.com

WANTED: ASSOCIATE PODIATRIST IL

4 Days per Week Chicago Practice - will perform all phases of podiatric medicine Accredited JCAHO Surgical Suite. Benefits will cover Malpractice and Health Insurance. Six Figure Base Salary. Inquiries Contact:  Dr. J. B. Jenkins - 773-374-5300

ASSOCIATE POSITION - SOUTH CAROLINA

South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Above average salary and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com.

ASSOCIATE POSITION - NASHVILLE TENNESSEE

Want to live and practice in the "It City" Nashville, TN? ISO  well-trained (PSR-36) individual. Located in suburb of Nashville. Hospital and Surgery Center privileges. Rearfoot and Ankle allowed. Base pay, bonus incentives, and benefits. Send resume to Mendozadpm@comcast.net. $1,000 finder's fee paid to referring individual with hiring.

ASSOCIATE POSITION – VIRGINIA
 
Established private practice, foot and ankle reconstruction and trauma management, strong referral base, ED trauma call. Hospital and surgery center privileges. Two locations with modern offices. ABPS qualified or certified. Competitive compensation package. Potential for position to lead to partnership. To apply, please email a letter of intent and CV to: vaposition@yahoo.com 

ASSOCIATE POSITION- DAYTON, OHIO

Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR; diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon. Future Buy-in available. Please send CV to Ohiomedical@aol.com

ASSOCIATE POSITION - MASSACHUSSETS

Located near Boston. Busy multi-office podiatry practice looking to expand. Need extremely energetic dedicated individual. Must be PSR 12-24 trained, EMR, laser, vascular testing the works. Must have sense of humor. MA License, NH License A+! Surgery, sports medicine, pediatrics, shoe store. Please send resumes to resumesent11@comcast.net.  

PODIATRIST FOR NURSING HOME CARE - MASSACHUSETTS

Excellent Opportunity. Seeking independent physician for growing nursing home podiatry care Work independently, make your own hours. Must do own billing. YOU KEEP 100% OF PROFITS. Must be personable and have good patient skills. Acquisition fee based

position. Please e-mail CV and short bio to: americanmobile@verizon.net

ASSOCIATE POSITION - PENNSYLVANIA

Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to 123bunion@gmail.com.

ASSOCIATE POSITION - BAKERSFIELD, CA

Office and hospital-based podiatry group seeking a highly trained surgical associate to compliment our 3-doctor group. Minimum PSR-36 trained with rear-foot reconstructive experience required. Must have CA license and x-ray and fluoroscopy license. Previous practice experience is preferred. Competitive salary and benefits package. Please forward cover letter and CV to modpm@aol.com.

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future, this position will provide for the possibility of partnership in the future. To apply please go to www.yourcareerinpodiatry.com

ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS

Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV to ponyrunner66@gmail.com

PM News Classified Ads Reach over 14,000 DPMs and Students

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