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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 22,045 Subscribers Daily
June 10, 2024 #7,781  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2024- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL RESULTS |
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Results of last week's poll |
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| PM NEWS QUICK POLL |
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Do you have Saturday hours? |
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| AT THE COLLEGES | |
NYCPM Participates in Healthy Aging Educational Day
New York City Council Speaker Adrienne E. Adams in partnership with Touro University and the Rochdale Village Senior Center hosted the Second Annual Healthy Aging Educational Day for Seniors in Queens.
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NYCPM Participates in Healthy Aging Educational Day |
The New York College of Podiatric Medicine (NYCPM) coordinated one of the three clinics offered entitled, “Identifying Lower Extremity PAD Peripheral Arterial Disease.” The clinic involved a podiatric medical screening, general evaluation of orthopedic foot deformities, dermatologic conditions, taking pedal pulses, and using a Doppler to locate pulses if not palpable.
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| APMA STATE COMPONENT NEWS | |
NY Nassau Division Presents 2024 Kanegis Scholarships
On June 6, 2024, the Nassau County Division of NYSPMA had the honor of presenting our two annual Alvin J. Kanegis, DPM Scholarships to NYCPM students: 2024 graduate Faiyaz Rahman, DPM and student Brandon Abizadeh.
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(L-R) Judy Kanegis; Drs. Craig Herman and Faiyaz Rahman |
Both students exemplify the qualities and characteristics that Dr. Kanegis lived and practiced by. Nassau Devisdion feels that Dr. Kanegis would have been proud to call them colleagues. The award was presented by Dr. Kanegis' wife Judy Kanegis and Nassau Division President Craig Herman, DPM.
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
Me-Wuk Indian Health Center Welcomes CA Podiatrist
Tuolumne Me-Wuk Indian Health Center announced the addition of Steve Jensen, DPM, a highly experienced podiatrist, to its team. With over 42 years of experience in foot care, orthotics, and diabetic foot care, Dr. Jensen’s expertise will enhance the center’s healthcare services.
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Dr. Steve Jensen |
Dr. Jensen, a board-certified podiatrist, has been a trusted provider in Tuolumne County since 1981. A former state champion mile runner and athletic scholarship recipient at BYU, he graduated cum laude from podiatric medical school and completed his surgical residency in Chicago before relocating to the area.
Source: Nic Peterson, My Mother Lode [6/6/24]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
CRHC Adds IA Podiatrist to Medical Team
Clarinda Regional Health Center (CRHC) is adding a new podiatrist to its medical team. Hospital officials announced Friday that Nathan Shumway, DPM has began his practice at CRHC.
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Dr. Nathan Shumway |
Dr. Shumway earned a Doctorate of Podiatric Medicine from Des Moines University. Shumway then went on to complete a three-year surgical residency at the Veterans Affairs Eastern Colorado Healthcare System, where he specialized in reconstructive foot and ankle surgeries.
Source: Ryan Matheny, KMA Land [6/7/24]
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| MEDICARE ADVANTAGE IN THE NEWS | |
Blue KC Exiting MA Market by 2025 Due to 'Regulatory Demands'
Blue Cross and Blue Shield of Kansas City (Blue KC) is leaving the Medicare Advantage (MA) market at the end of 2024, the insurer announced recently. The company blamed “heightened regulatory demands and rising market and financial pressures” for the decision but said it is still focused on employer-sponsored health plans, and Medicare supplement and Affordable Care Act plans in the state.
“We explored every alternative path for our MA members and are disappointed we must exit this line of business,” said Erin Stucky, Blue KC President and CEO, in a statement. “We value our MA members and are committed to providing uninterrupted, quality service to our current MA membership through the end of 2024.”
Source: Noah Tong, Fierce Healthcare [6/3/24]
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| QUERIES (NON-CLINICAL) | |
RE: Stealing Associates
We were approached by a company for practice acquisition. After we signed the non-disclosure agreement (NDA) and handed them our financials, they asked for associates contracts and collections by each associate. After a month of negotiations, they came back with an excuse that our practice makes a lot of money and if they acquire our practice, they will have to pay the associates higher salaries.
One week after I informed our associates about the possible merger, one associate suddenly resigned without telling us to where the associate was going. A month after, the other associate resigned, and we found out that they were hired by the group. They used our financials basically to destroy our practice and to steal our associates. We just want to make sure that this does not happen to other practices. Any word of advice is appreciated.
Names Withheld
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| RESPONSES/COMMENTS (CODING AND BILLING) - PART 1A | |
From: Michael G. Warshaw, DPM, CPC
The simple, most accurate and direct answer would be NO! However, support and justification for this answer is necessary. If a patient has PVD with ulcers that need to be debrided, and the ulcers are painful necessitating the administration of a nerve block such as a local sympathectomy of the posterior tibial nerve in order to perform the debridement(s), the necessity of the nerve blocks does not justify their reimbursement. Why?
The CPT codes that are used for the debridement of necrotic tissue out from within the base of the ulcer (i.e., 97597, 11042, 11042, 11044) are all classified as minor surgical procedure codes that have a post-operative global period of “0” days. When one accesses the “Global Policy for Minor Surgeries (0 or 10 day follow-up),” the 3rd item that is listed is the following: “ALL intra-operative services such as a local anesthesia, injections, dressings, casts, splints, post-op shoes, wires, pins, supplies, etc. that are a necessary part of a surgical procedure are included in the surgery fee.” I don’t think that it can be any more specific than this.
However, for those that are skeptics and don’t believe the above, here is more proof and support. Just access the NCCI edits. The CPT code of note that is used for the nerve block is CPT code 64455 which is defined as the following: INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH. When the NCCI edits are obtained, ALL of the ulcer debridement CPT codes (i.e., 97597, 11042, 11043, 11044) are the Column 1 code(s) to CPT code 64455, the Column 2 code. Therefore, since the administration of the nerve block is directly related to the debridement of the ulcer(s), CPT code 64455 is bundled with ALL of the ulcer debridement codes and is not separately reimbursable.
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| RESPONSES/COMMENTS (CODING AND BILLING) - PART 1B | |
From: Michael King, DPM
I would say, not likely... if not no. This would be looked at as an attempt to get paid for a nerve block for the debridement (which is not separately payable) vs. sympathectomy. You certainly can try with the appropriate ICD for vascular insufficiency and very distinctly and clearly document the reasoning behind such a block.
I would expect denial, and you would need to appeal and explain with your notes the clinical reasoning and medical necessity. I would be surprised as it will appear to be "gaming the system" to get paid for the block. Unfortunately, not all of our well-meant attempts to assist the patients are paid for, PT blocks being a big one in many cases of vascular and neurological pain.
Michael King, DPM, Nashville, TN
Editor's note: Do you have a question about Coding or Billing? If so, email bblock@podiatrym.com and we will try to publish answers to your question from certified Coding and Billing experts.
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| RESPONSES/COMMENTS (PM EDITORIALS) | |
From: Lee Rogers, DPM
Respectfully to Dr. Maleski, the One Board proposition wasn't developed for his generation. It is developed for the current and future generations of podiatrists who are ALL "surgical podiatrists." Since 2003, according to CPME standards, EVERY residency graduate has been trained in podiatric medicine AND surgery. Whether a podiatrist chooses to do surgery after residency is irrelevant. Just like all OB/Gyns or ophthalmologists are trained to perform surgery and some decide to focus on a medical practice afterward, they are still board certified in what their residency training was.
Other medical specialties don't have 2 boards. There is only one recognized board for every MD specialty, many containing a mixture of surgery and non-surgery. Subsequently, your privileges at the hospital or ASC are determined by your education, training, and current experience (surgical cases).
Lee Rogers, DPM, San Antonio, TX
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Inspired by Picasso? |
Source: Mihai Albu 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 $299
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, located at St. John's Episcopal Hospital in Queens, New York, beginning July 1st, 2024. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, general, vascular, and podiatric surgeons. -The wound care fellowship position pays a 6 figure salary for the year, 4 weeks of paid vacation, personal days and paid health benefits. Please contact or jtfootcare@gmail.com. EOE employer.
DEAN, SCHOOL OF PODIATRY – LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Lake Erie College of Osteopathic Medicine (LECOM) seeks a Dean of Podiatry for their newly opened School of Podiatric Medicine. The school is seeking an experienced leader to spearhead strategic enhancement of the growing school. This individual must be committed to promoting and fostering excellence in teaching, research, professional practice, and service. The Dean will play an instrumental role in implementing programs aligning with LECOM’s mission to add to the quality of life of their neighbors by bringing total healthcare to the ommunity. EEO/AA/M/F/Vets/Disabled Submit your CV to: rachel@grantcooper.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, well-established, group practice is seeking to add a full time associate. Candidate must be very hard working and ethical with good surgical training and having completed a minimum of 24 month residency. Applicant must be at least board qualified. Competitive salary and benefits. E-mail CV to llfootankle@gmail.com
ASSOCIATE POSITION - GREATER PHOENIX AREA
Well established, respectable, large group podiatry practice has an immediate opportunity for an associate. We have a great balance of office and surgical practice. Looking for a well rounded associate, bilingual in Spanish a plus, with the desire to grow, learn and develop excellent clinic and surgical skills. Base pay from 100-150K with bonus package. Non-surgical, prior experience, and/or future residency graduates encouraged. AZ License needed, We offer medical benefits, CME, Malpractice, and 401K. Please submit resumes to: podiatryaz@gmail.com
ASSOCIATE POSITION AVAILABLE - CHICAGO WESTERN SUBURBS
Competitive Compensation. Part time Full time available. Office Setting, Surgical and Clinical patient mix Email CV to Kari.insurance1@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
Established 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. Benefits include: competitive six-figure compensation ranging from $155,000-$250,000, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and 401(k) plan. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your podiatric medical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION - NYC
To Healthy Feet Podiatry, a boutique NYC sports-medicine practice is hiring a surgical podiatrist. If personable, motivated and looking to grow, we would be delighted to have you join. Strong compensation package offered: Starting $150k salary +bonus w/average $250k-300k+/year, health benefits and pension. https://tinyurl.com/ApplyTHFP
ASSOCIATE POSITION – NEW JERSEY
Incredible opportunity, established practice seeking full-time associate to practice podiatric medicine and surgery in the Central Jersey area. Competitive salary + bonus, plus other benefits offered including 401k. Please send letter of interest and CV to nrandhawa@njpodiatrygroup.com
ASSOCIATE POSITIONS - SOUTH CAROLINA
KG Health Partners Is seeking full-time and part-time podiatrists to provide mobile lower extremity care to long-term care residents in these territories: Greenvllle/Spartanburg, South Carolina; and Charleston, South Carolina. Monday through Friday schedule, competitive wages, malpractice Insurance, and benefits for full-time employees. Email CV to kgadmin@kghhealthpartners.com
ASSOCIATE POSITION – NEW WINDSOR, NY
Part-time podiatrist needed for busy, established practice in New Windsor, NY. Current podiatrist is retiring. in-house hematologist/oncologist and internal medicine referrals. Please contact mlopez@hvhgmd.com 845-670-7088.
ASSOCIATE POSITION – MULTIPLE POSITIONS AVAILABLE
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
Join a Dynamic multi-specialty 6 location group with cutting-edge equipment, storefront presence, physical therapy. Competitive starting salary of $150k, with the potential to easily earn up $200k with bonus. Send CV to Cnunez1940@gmail.com (Texasfootdoctor.org)
ASSOCIATE POSITION - CENTRAL FLORIDA
Looking for a highly motivated and skilled foot and ankle surgeon. Different types of foot, ankle and leg pathology. Varying ages. Full & part time podiatrist position needed. Latest computer system, digital X-ray, digital fluoroscopy, ultrasound and vascular Doppler. Very generous pay, yearly raises, healthcare, dental, vacations and holidays. Top public schools in Florida. 10 minutes from Cocoa Beach, 30 to Orlando airport, 45 to Disney World and Universal Studios. brevardfootandankle@gmail.com
ASSOCIATE POSITION WITH POTENTIAL OWNERSHIP AVAILABILITY - NORTH DALLAS
Unique opportunity for new grads or established DPMs. 30 year, well established practice, Doctors retiring. New Doctor to assume all Surgeries, established and new patients. All facets of podiatry. Opportunity to make it your own. Salary+Bonus+Opportunity for ownership. Inquiries cscjrlaw@gmail.com
ASSOCIATE POSITION – NEW JERSEY
Looking for a podiatrist, part-time or full time, to service nursing homes in NJ with possibility to work in office for the right person. Looking to start ASAP. Please email resume to ghcp@globalhealthcarepartner.com. Days and Hours are very flexible. Good compensation.
LOCUM TENENS TO ASSOCIATE – CHICAGO
Associates are looking for an experienced doc. 3 prime locations office space/buildings are fully equipped. EPATs, ultrasounds, lasers, Padnet, in-house physical therapy, DME, ortho supplies & equipment, surgery center, digital x-rays, Athena EMR For the months of June, July & August. Associateship available for the podiatrist who can bring value to the practice and themselves. Email resume to chicagopodpractice@gmail.com
MOBILE PODIATRIST NEEDED - SAN DIEGO
Well-established and fast growing House-call podiatry practice (www.barefeet-podiatry.com) is looking for podiatrists to see patients in their homes, assisted living facilities, & skilled nursing facilities. We offer a flexible schedule (Part-Time/Full-time), excellent monthly compensation, and dedicated support staff. Immediate open position. Also July 2024 graduates are welcome. Please email CV to: barefeetpodiatry1@gmail.com
ASSOCIATE POSITION – ST. LOUIS, MO
Podiatry Associates Inc. looking for a Board Qualified/Certified Foot and Ankle Surgeon to join our practice immediately. This is an excellent opportunity for experienced podiatrists. Independent practice, exceptionally busy, treats all areas including diabetic wound care, rearfoot & ankle surgery. Ownership available due to a retiring physician, willing to stay for transition. Family-oriented suburb 30 miles west of St. Louis. Inquiries: stcpod@att.net or 314.569.2739.
ASSOCIATE PODIATRIST – ATLANTA, GEORGIA
Ankle & Foot Centers of America invites a Board Qualified/Certified Foot and Ankle Surgeon to join our dynamic team in a bustling North-Atlanta suburb. This is an excellent opportunity for both newly graduated and experienced podiatrists. Step into a role with an immediate, substantial patient base due to a retiring physician. We pride ourselves on a collaborative work environment, competitive compensation, and ample opportunities for professional development. Be part of a practice that values excellence in patient care and team collaboration. Interested candidates, please forward your CV to JoinUs@ankleandfootcenters.com
ASSOCIATE PODIATRIST / FULL-TIME / PALM SPRINGS, CA
Our Podiatric Surgical practice is rapidly expanding and growing, we need to add a fifth Podiatrist to our team. We offer an excellent competitive salary and benefits package. Send CV to manager@westcoastfootandankle.com
ASSOCIATE POSITION - GREENVILLE, SC
Busy two-office practice with three doctors in Greenville SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401 K, malpractice, health and dental insurance, CME, short and long-term disability. PTO. (All other standard benefits) Please send cover letter with CV to podiatryresumes@upstatefootdocs.com
ASSOCIATE POSITION – ALABAMA, LOUISIANA, TENNESSEE, MISSISSIPPI OR FLORIDA
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. All admin work is taken care of for you – you focus on clinical care. Guaranteed daily base rate plus competitive compensation and mileage reimbursement. All equipment provided. Have autonomy and make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
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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.
PRACTICE FOR SALE - UPSTATE NEW YORK
No money down, will finance, near 7 figure gross, mix of Podiatric medicine and surgery, established 40+ year practice, office building also for sale or buyer can rent with option to buy, hospital privileges available. Retiring. Email: MD2333@aol.com
PRACTICE FOR SALE – MASSACHUSETTS
Modern, well established since 1986. Busy, 75 new patients a month. All aspect of podiatric services. Fully equipped, certified EHR, laser, digital x-ray, vascular machine, Pad net. In-house billing, well run. Located within a mile from hospital. Owner is willing to stay as necessary during transition. Contact drwaw54@aol.com
SWIFT MICROWAVE THERAPY UNIT FOR SALE (FOR WART AND IPK REMOVAL)
Used fewer than 10 times – Excellent condition – includes Swift padded roller case perfect for multiple office locations – $19,500 (Note – A new unit from Emblation costs approximately $26k) – Please contact APodiatrist@gmail.com or text/call 845-729-0031.
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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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