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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 16,979 Subscribers Daily
June 11, 2015 #5,390  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- 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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| PODIATRISTS IN THE NEWS | |
Feet Reveal Much About Your Health: NY Podiatrist
If the eyes are the windows to the soul, the feet can offer a view of overall health, say experts. “Your feet reveal many health conditions,” says Oliver Zong, DPM, a New York-based podiatrist. From thyroid issues to heart problems, your feet can reflect the inner workings of your body.
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Dr. Oliver Zong |
Here’s how: Cold feet: If your feet are always cold, it may be a sign of an underactive thyroid, especially if you also have dry skin and hair, and fatigue. Another possibility: Raynaud’s disease, which can signal lupus or rheumatoid arthritis as an underlying cause, says Dr. Zong. Unexplained numbness: In rare cases, numb or tingling feet can be a sign of multiple sclerosis, nerve damage, fibromyalgia, or diabetes, Zong tells Newsmax Health.
Source: Lynn Allison, Newsmax Health [6/9/15]
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| E-HEALTH NEWS | |
Deadline Nears for Meaningful Use Hardship Exemption
Eligible professionals who did not attest to meaningful use of electronic health records under the Medicare EHR Incentive program during 2014 must soon take steps to avoid paying a financial penalty on their Medicare reimbursement during 2016. The Centers for Medicare and Medicaid Services is advising that eligible professionals meeting certain criteria apply for a hardship exemption by July 1. Here is more information from a CMS notice:
The hardship exception applications and instructions for an individual and for multiple Medicare eligible professionals are available on the EHR Incentive Program website, and outline the specific types of circumstances that CMS considers to be barriers to achieving meaningful use, and how to apply.
Source: Joseph Goedert, Health Data Management [6/5/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
Scheduling Techniques to Improve Patient Work Flow - Part 5
5. Ask patients to jot down their clinical questions before they are placed in a treatment room. Have your medical assistants review these questions to prepare for the visit.
Source: Judy Capko, Physicians Practice [5/27/15]
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| QUERIES (NON-CLINICAL) | |
Query: Healthcare Networks of America
Is anyone a provider for Healthcare Networks of America? I just received an offer to join their network. Are the rates fair? Do you pay to join? Any suggestions?
Joe Borden, DPM, Reseda, CA
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| CODINGLINE CORNER | |
Query: Coding Cheilectomy with Akin Osteotomy
What would be the correct way to code the following procedures, when all performed on the same foot on the same date of service? Cheillectomy 1st MTPJ for hallux rigidus, Akin osteotomy for deviated hallux (valgus), Tenotomy and capsulotomy of the 2nd MTPJ.
Lori Weisenfeld, DPM, New York, NY
Response: I suggest CPT 28298, which is bunionectomy by phalanx osteotomy. In the CPT professional edition book, there is an example/picture of a phalanx osteotomy with resection at the metatarsal head.
That said, you have to document if the work done was significantly more complicated to warrant other procedures. The second MPJ release could be CPT 28270 depending on what was done.
Tony Poggio, DPM, Alameda, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription.
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| QUERIES (CLINICAL) - PART 1A | |
From: Jeff Kittay, DPM
While a pan met head seems the more radical procedure, in the long run, you will best serve this patient by doing what is needed. More limited procedures now only make it likely that you will need to do more later. If she is healing ulcers with A-1Cs in the 8s, then she is quite likely to heal the pan met procedure, assuming careful dissection by you. By all means, speak with her PCP/diabetologist regarding control of her sugars, but you'll have a happier patient sooner, with one surgery, than you will several years down the road with multiples.
Jeff Kittay, DPM, Boston, MA, Boston, MA
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Tip Sullivan, DPM
Simply based upon the history and data supplied, I tend to go the opposite way and be more aggressive with a pan met head. I would add that especially if the patient is obese. Of course this is said without seeing the patient's gait, and actual foot exam (which is very important in making individual patient decisions).
I have had the opportunity to do isolated met head resections on diabetics, and for some, it works well, especially in the acute stages. I have also been able to follow patients over a long period and have seen my share of transfer ulcerations from this approach -even with...
Editor's note: Dr. Sullivan's extended-length note can be read here.
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) | |
From: Raymond F Posa, MBA
Unfortunately, Dr. Schaffer’s experience is becoming more and more common. You will need to look at your contract very carefully. If you bought your software before the first collapse of the company, you have one contract with terms of use. After the takeover, the company issued a new terms of use. Read them very carefully.
You may want to have an attorney, one with IT litigation experience read it. What you are experiencing is known as a “Kill Switch.” It was slipped into the software without the knowledge of the users, and it effectively changed the terms of use without your knowledge or permission. This is where a skilled attorney comes in. The requirement to maintain a support agreement to continue to access the software after you cease doing business with the company may not be spelled out in the new terms of use, and you will have a cause of legal action. This, however, can get expensive.
Raymond F Posa, MBA, Farmingdale, NJ
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| RESPONSES/COMMENTS (RESEARCH ARTICLES) - PART 2 | |
RE: Neuropathy Due to Vitamin B-12 Deficiency, Not Diabetes
From: Allen Jacobs, DPM
Allen Jacobs, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (RESEARCH ARTICLES) - PART 2 | |
From: Elliot Udell, DPM
This finding is unfortunate because when examining the risk/benefit ratio, the evidence is clear that statin use has a greater benefit than risk. Statins reduce the incidence of myocardial infarctions and CVAs. I attended a lecture this past weekend given by an interventional radiologist who said that when he does balloon angioplasties to treat lower extremity arterial blockages, he places patients on statins to reduce the incidence of recurrences.
What is the relationship between the use of statins and incidence of diabetes? Are the pharmaceuticals the cause or is it the fact that people who are placed on statins already have risk factors for diabetes such as hyperlipidemia caused by overeating and lack of exercise? Are all statins implicated or only a select few?
Elliot Udell, DPM, Hicksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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This shoes talks while you walk |
A big, bright orange beak comprises the heel of this exotic, fun-loving shoe. The Toucan shoe belongs to Tel Aviv footwear designer Kobi Levi's collection. Kobi creates wearable sculptures of art, challenging the standard definitions of design, art, and fashion. His limited-edition creations are all made by hand from high-quality materials.
Source: kobilevidesign.blogspot.com
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MEETING NOTICES
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – NORTHEAST OHIO
Expanding group practice seeking full-time and part-time podiatric physicians with Ohio license. Duties include wound care, house calls, and nursing home coverage. Competitive salary and benefits. Email cover letter and CV to mike@ankleandfootcare.com .
ASSOCIATE POSITION - MARYLAND
Business minded, motivated individual wanted for position leading to partner/buyout. Beautiful Western Maryland; less than 45 mins. from Baltimore and DC. As well as minutes from hiking, fishing, skiing, kayaking. Competitive salary/benefits. Don't miss this opportunity to become a top earner in our field. Send CV: drhenrock@yahoo.com
PARTNERSHIP/ASSOCIATESHIP – CONNECTICUT
Well rounded practice in lower Fairfield County Connecticut available for partnership or associateship. ER call, surgery, pediatrics, diabetic foot care, wound management, in patient care. Flexible terms. Ideal for finishing resident. Call 203-554-2565 or email AMNANAI@OPTONLINE.NET
ASSOCIATE POSITION - CALIFORNIA (REDDING)
Busy, well established podiatry practice seeking a fulltime, California licensed Podiatrist. Must have good patient skills, motivated and hardworking. All phases of podiatry, hospital and surgery center. Email letter of interest to tjsong01@hotmail.com
ASSOCIATE POSITION - NORTHERN DELAWARE
Progressive nine doctor group looking for associate. Multiple state of the art offices and hospital options. There is a current PM&S 36 program in one facility. All types of podiatric care available; office based, wound care and surgery. Send CV to Savage6026@comcast.net www.brandywinepodiatry.com
ASSOCIATE POSITION – CALIFORNIA
The Foot Doctors of Santa Cruz County is a multi-office podiatric group looking for a self-motivated, committed podiatrist with a CA license. Offices are up-to-date with EMR and digital x-ray. Duties include all aspects of podiatry including wound care, surgical cases and nursing homes. There is great surgical growth potential. Must intend to reside locally. Send CV to: srfctysc@gmail.com
FULL-TIME ASSOCIATE POSITION – FLORIDA PANHANDLE
Immediate position available for hard-working, motivated individual in a well-established practice. Equal mix of primary care and surgery. Excellent opportunity to get on all insurance panels. Board qualified/Certified with ABPS preferred. Competitive salary and benefit package. Please email CV and letter of interest to kmoore@feetareneat.com.
ASSOCIATE POSITION - SOUTHEAST FL
Growing practice in Southeast Florida needs a strong provider to assist in keeping up with demand. A wide array of services are provided including in office procedures and hospital based surgery. Office hours include evening and Saturdays. Opportunity for partnership after 2 years. Contact: MCrosby518@gmail.com
ASSOCIATE POSITION – NEW YORK CITY
Very busy practice seeking a full-time or part-time, self-motivated and hard-working podiatry associate. Locations in NYC. Please email your C.V. to podiatry053@gmail.com
ASSOCIATE POSITION – NORTH JERSEY
Successful Practice in North Jersey with 2 locations is seeking a full-time associate with Partnership in one year. Must be surgically trained. Six figures starting salary with benefits and bonus. Send resume to njfootandankle@hotmail.com
ASSOCIATE POSITION - LOS ANGELES
Full time position in private practice, located in Los Angeles area. All aspects of Podiatry, including surgery, orthopedics, diabetic foot care and general foot care. Looking for eventual practice buy in/partnership. Competitive Salary and benefits. Email cover letter and CV to dpmclinic@yahoo.com
ASSOCIATE POSITION - DOTHAN OR BIRMINGHAM, ALABAMA AREA
Personable, hard-working energetic podiatrist needed for practice in Dothan or Birmingham, Alabama. Must be surgically trained. Experience preferred. Please respond by June 15th, 2015 send email to Cahabapodiatry1@gmail.com
PART-TIME ASSOCIATE WANTED - WHITE PLAINS/YONKERS, NY
Busy White Plains/Yonkers practice seeks part time podiatry associate for 3-4 days per week. Salary negotiable. Surgical training a plus but not a necessity. Spanish speaking a big plus but not a necessity. Will get associate surgery center and/or hospital privileges. Please call 914-325-9198.
ASSOCIATE POSITION AVAILABLE- NORTH GEORGIA/CHATTANOOGA AREA
Busy group practice located in Chattanooga/North Georgia area seeking a growth-oriented individual with a strong work ethic to join our expanding 5 physician TEAM. Must have PMS 36. Can be out or residency or just looking for a change in practice environment. Established patient base with tremendous growth opportunity. Associate with partnership potential. Chattanooga offers a strong music and arts culture, unrivaled outdoor amenities, and a government/populace committed to sustainable development. Competitive Salary and benefits. Bilingual (Spanish) an asset. Email cover letter and CV to hr@advfootcare.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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| CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE- PINPOINTE FOOT LASER
NuvoLase FDA approved laser for the treatment of onychomycosis. The laser is in excellent condition with a pulse count of Q8. Price includes the laser, new fiber optic cable, 2 laser goggles, power testing equipment, manual and shipping to your location. $11,000 mogey1@sbcglobal.net
PRACTICES WANTED – TEXAS
Expanding current practice and looking to buy podiatry practices within 1 hour driving radius of Houston. Prefer selling physician to stay with practice for at least 12 months but more is better. If interested please email faajobs@gmail.com.
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
PRACTICE FOR SALE - NANAIMO, VANCOUVER ISLAND
Includes medical building 3,000sq foot building 7,000sq foot lot, 2 apartments plus 1 retail space Owner financing available Reply to dr.cole@shaw.ca
PRACTICE FOR SALE - STAMFORD, CT
30-year old Fairfield County podiatric practice for sale. At present, practice is grossing $370k on a part-time basis with historical annual gross of $450k and a consistent, long-standing referral base. Additionally, office is equipped with modern technology and furniture while maintaining low overhead. DPM is on staff at a major local hospital and affiliated surgical center as well as a major New York City hospital – all producing an excellent reputation in the community and top ratings on Health Grades, Google, etc. All interested parties please contact DPM at CTPodiatrist1985@gmail.com.
PRACTICE FOR SALE - SOUTHWEST FL
Multilocation (will separate) 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. 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
TURN-KEY OFFICE OPPORTUNITY - SOUTHERN CALIFORNIA
I have practiced in this Southern California Beach Community for 29 years. I have 3 treatment rooms with a two-person staff in a 36-physician medical condo building. I provide general podiatry services. The practice is about 40% Medicare with a mix of private and cash patients and no HMO affiliations. Includes new Midmark chairs, Zimmer Micro100 surgical set, and an excellent upbeat staff. I have averaged over 400k gross for the last 5 years working 4 eight-hour days weekly. $160k outright with 5-10 year lease agreement. Contact agsamuels@yahoo.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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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