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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,435 Subscribers Daily
June 17, 2020 #6,703  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020- No part of PM News can be reproduced without the
written permission of Barry Block
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| PODIATRISTS IN THE NEWS | |
NY Podiatrist Discusses Ganglionic Cysts
According to Douglas Tumen, DPM of Hudson Valley Foot Associates," a ganglionic cyst is a soft tissue fluid-filled cyst. Picture a balloon. You fill it with water and it starts getting bigger. The tendon right over the big toe joint is a common place to get these ganglions. These are filled with a viscous gelatinous fluid.
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Dr. Douglas Tumen |
"It's usually not painful unless it's pressing on a structure. Usually they are freely movable. After local anesthesia, the ganglion can be punctured and drained. They usually resolve, but one in five will return,” says Dr. Tumen
Source: Ray Graf, WAMC [6/15/20]
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| PM NEWS QUICK POLL |
Quick Poll
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Do you grind mycotic or dystrophic toenails?
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| PODIATRISTS IN THE COMMUNITY | |
NY Podiatrist Joins CareMount Medical
CareMount Medical has announced the addition of Patricia Farragher, DPM to its team. Farragher is double board-certified in podiatric orthopedics and podiatric medicine, and foot and ankle surgery. She received her Doctor of Podiatric Medicine degree from the New York College of Podiatric Medicine, and completed her podiatric residency at Catholic Medical Center of Brooklyn & Queens, where she served as chief podiatric surgical resident.
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Dr. Patricia Farragher |
Prior to joining CareMount Medical, Dr. Farragher worked as a sole practitioner in New Paltz, and has delivered her medical experience and services to the Ulster County community for over twenty years.
Source: Daily Freeman [6/15/20]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatry Team has Helped Hundreds in Lockdown
Lockdown may have closed most of the University of Northampton's buildings, but one health team remained on call providing a vital, life-saving service for the community. The podiatry clinic is situated next door to Northampton General Hospital and doesn’t know the meaning of a ‘quiet day’. During business-as-usual periods, upwards of 100 patients can be seen each day by the team, supported by UON podiatry students. On average, 20 people receive a consultation each hour.
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Dan Watson, specialist podiatrist |
Lockdown meant the clinic closed its doors for general appointments, but part of the team remained on-call for patients. They either gave advice remotely or came into the clinic to provide direct care to those deemed at high risk of developing more serious complications and who required urgent treatment.
Source: Alastair Ulke, Northhampton Chronicle & Echo [6/15/20]
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| RELEVANT RESEARCH | |
Study Examines Role of ACA on DFU Amputation Rates in People of Color
Every 20 seconds a limb is lost due to diabetes, worldwide. In the United States, as in many other parts of the world, this occurs at least twice as frequently in people of color. At the American Diabetes Association 80th Annual symposium, investigators from the University of Arizona College of Medicine and the Keck School of Medicine of University of Southern California, evaluated the role of the Affordable Care Act (ACA) in minority patients being admitted to hospital with diabetic foot ulcers.
“We show, for the first time, a substantial difference in major amputation between states that adopted ACA and those that didn’t,” noted Tze Woei Tan, Associate Professor of Surgery at the University of Arizona and the study’s lead author. “There was a 1% increase in states that didn’t expand Medicaid and a dramatic 17% reduction in major amputation among those that did.” The reasons for this are likely manifold, but the authors believe some of it may have to do with access to care outside of the hospital. “This study showed us something really fascinating,” noted David G. Armstrong, Professor of Surgery at Keck School of Medicine of University of Southern California and the study’s senior author. “People of color with wounds were more than 20 percent less likely to be admitted to hospital in states that expanded Medicaid than before expansion. This is compared to a 78% increase in hospitalization among non-adopter states.”
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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 | |
Six Biggest Mistakes Physicians Make When Planning for Retirement:
Here are six common retirement planning mistakes physicians make that could significantly interfere with a timely and successful retirement:
1. Not Starting Right Away: Because medical school and residency prevent many physicians from entering their earning years until their mid-thirties, they have less time to accumulate savings, and their savings have less time in the market to compound. But, for many physicians just out of residency, socking away for retirement tends to take a back seat to purchasing a home, starting a family, or simply not having to live so frugally. In order to counteract getting a late start, physicians will need to increase their savings rate and begin funding their retirement savings as soon as possible.
Source: Julianne F. Andrews, MBA, CFP®, AIF®, Physicians Practice [6/1/20]
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| CODINGLINE CORNER |
Query: Is Same and Similar Like This Across All Jurisdictions?
I am curious to see if Medicare DME claims are being treated the same across other jurisdictions. I have seen few payments for any “off the shelf” boots, braces, or even custom items. I see near immediate denials only to be informed that a “same and similar” device was dispensed in the past 5 years. Appeals and re-determinations seem to fall on deaf ears and the time it takes to appeal these claims is becoming more cumbersome, even with their online submission process. It is nearly impossible to use a temporary fitting walking boot or simple brace while waiting for a more permanent option (i.e. custom brace or other device) without receiving a denial.
PM News Subscriber
Response: This scenario is exactly why APMA, AOPA, PFA, AOTA, APTA and others including AAOAS AOFAS have been petitioning CMS to get this 5 year rule changed. Every supplier should be enrolled into all four DME portals, and a same/similar (S/S) check should be run prior to dispensing anything. Again, the search for S/S should be run in at least one DME MAC in JA or JD and again in JB or JC. If these are clean or hit something, you must print them and save them. Then prepare your dispensing note to say why the previous dispensed device is inadequate (e.g. Cam walker dispensed two years ago for left ankle sprain is inappropriate for a patient requiring a custom AFO with greater deformity for PTTD and the custom device is required because the patient needs to be treated in all three planes and has a new diagnosis of…). Then, the previous device is inappropriate and places a clear and present danger to the patient. You can then appeal your initial claim rejection as a re-determination through the same portal.
It’s interesting that MCR chooses not to share S/S info via the provider portal, but does so in their claims processing. Unfortunately, the rules are not fair and are slanted in favor of the carrier (what else is new). If you wish to proceed with a new device during a global period (5 years is absurd), be sure you properly complete an ABN. These are very tricky and must be detailed. I urge you to Google “How to Properly prepare an ABN.” Not only should you review those provided by CMS, but those of others in the DME industry.
Paul Kesselman, DPM, Woodside, NY
For information on Codingline subscriptions, click here
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| QUERIES (NON-CLINICAL) | |
Query: Recommendations for Air Purifier
Is anyone using an air purifier in their exam rooms? If so, how do they like it and what brand are you using?
James Lucarelli, DPM, New Bedford, MA
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1A | |
RE: The Passing of Stanford Rosen, DPM
At the academy, we were very saddened to learn of the passing of our good friend Dr. Stan Rosen of Tuscaloosa, Alabama. Dr. Rosen was one of the original founders of The Academy of Ambulatory Foot and Ankle Surgery (now the Academy of Minimally Invasive Foot and ankle Surgery). Dr. Rosen, besides being an innovator in several MIS foot and ankle procedures, served many functions for the academy including terms as President and as Executive Director for many years.
One of Dr. Rosen's lasting legacies was the LSU 3-day lecture/cadaver course which continues to this day. Dr. Rosen's always smiling face, outgoing personality, and willingness to help and instruct fellow MIS foot and ankle surgeons will be sorely missed. Our heartfelt condolences go out to his wife Joanie and daughter Priscilla.
Burton J. Katzen, DPM, President, Academy of Minimally Invasive Foot and Ankle Surgery
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1B | |
I arrived in AL in 1973, just out of residency. Soon after, Stan Rosen befriended me, and took me to a Birmingham MIS meeting hosted by Abe Plon and Al Brown. Stan Rosen and the Academy CHANGED MY LIFE! Six months into practice, I became dismayed by the open traditional hackery that caused such pain and disability. I thought that there must be a better way. I found it under the guidance of Stan and the Academy.
Stan was my Earl Nightingale, always encouraging, a patient teacher, and giver of himself, sometimes to his own detriment. Thanks Stan, best regards to Joni and the girls. See you up there buddy!
Ed Behmer, DPM, Huntsville AL
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Arnold Ross, DPM
Is the second toe long or is the metatarsal parabola the anatomical cause? If the 2nd metatarsal is long (or there is a short 1st met), as opposed to the 2nd toe being long, you may need to shorten the metatarsal, which I believe is the CPT 28308 code.
Arnold Ross, DPM, Los Angeles, CA
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Granny's rocking chair shoes? (Photo: Charlotte Visser and Fanny van Poppel) |
Source: Chris van den Elzen via Virtual Shoe Museum
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MEETING NOTICES
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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 $249 (less than $17 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, 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, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
*NY Licensees whose registrations are from 3/20-9/1/20 can take unlimited online credits
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - HAMPTON ROADS, VIRGINIA
Busy practice is looking for a BC/BE FT podiatrist. Must be motivated, hardworking, positive, and dedicated to growing the practice and reputation. Must have great interpersonal skills, caring bedside manner, and positive demeanor. Send CV and cover letter to: sara.bouraee@gmail.com and with a subject line HRFAS PODIATRY OPP.
ASSOCIATE POSITION - KNOXVILLE, TENNESSEE AREA
Very busy and growing practice with multiple locations and doctors in booming Knoxville, Tennessee area seeks high energy and personable physician. Modern, office-based practice with readily available privileges at all local hospitals and surgery centers. Immediate volume to fill your schedule with a variety of patients ranging from complex surgical cases to routine foot care. Extremely competitive salary plus very generous bonus structure and benefits. Please send cover letter and CV to ddavidphawk@yahoo.com.
FULL TIME PODIATRIST- NORTHERN NEW JERSEY
We are a fast-growing podiatry practice in North 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 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
HOME FOOT CARE, INC.- MOBILE PODIATRISTS - GREATER LOS ANGELES AREA
PRACTICE AFFECTED BY COVID-19? Need extra income? Mobile podiatrists needed immediately! Full or part time available to see homebound patients in the following areas: 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. (we do not service nursing homes, or large assisted living facilities) . If interested, email CV to: homefootcare@hotmail.com Check us out @ www.footdocs2u.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 – CLEVELAND SW SUBURBS
Excellent opportunity to join a 30 year old well-established busy two office location practice seeking a PSR-36 Board Qualified/Certified with ABPS. All phases of podiatry from surgery to wound care. Staff privileges at 3 local hospitals. Modern offices recently remodeled and equipped with certified EMR, digital x-rays and all aspects of DME. Significant opportunity for growth and development. Please forward CV to medical123@aol.com
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
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – REDDING, CA
33 year-old practice in Redding, CA. Beautiful area, mild winters. Snow ski and water ski in the same day. Smaller town feel than large urban area. Has a unique charm. If you love the outdoors, this is a great place to be. Thorough valuation report available. Price $176,000 just.bob@hotmail.com.
PRACTICE FOR SALE - NORTHERN MISSOURI
24 year old, reputable, profitable podiatric practice for sale. Great school and family oriented community. Only podiatry practice in a large area. County seat with modern hospital. Turn-key and a bargain guaranteed. Must sell and move out-of-state to aid aging parents. Serious inquiries only please. 660-651-0264 keithb@cvalley.net
PRACTICE FOR SALE – NASSAU COUNTY NY
Well established part time 16 year old solo practice located in a great suburban neighborhood 1 mile from Mt Sinai South Nassau Hospital. Low overhead non-surgical turn-key practice with potential for expansion. Email: mfrisciadpm@aol.com
PRACTICE FOR SALE - SANTA BARBARA, CA
Well known 50 year old general, orthopedic and limited surgical podiatric practice. Revenues would increase with surgical expansion. Most desirable for one interested in the quality of life offered in Santa Barbara. $149,000. Contact santabarbarafootclinic@yahoo.com or call (805) 689-2084
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
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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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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