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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 22,159 Subscribers Daily
June 24, 2022 #7,284  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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| PODIATRISTS IN THE NEWS | |
Employees Returning to the Office Find Shoes Not Fitting: FL Podiatrist
After months or even years of working from home in slippers or bare feet, some people are finding they can no longer fit in their previous work shoes as they return to the office. This is because they have spent so much time at their at-home desks in slippers or barefoot, much different than narrow work shoes. Gainesville podiatrist, Jere Scola, DPM said the transition from a sedentary lifestyle, to now working 8 hours on their feet can cause heel and arch pain as well as swelling. This results in the shoe not fitting.
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Dr. Jere Scola |
“When they’re sitting more, now their tendons are not getting worked as hard. They are having their feet up more so their Achilles tendon will shorten. It is like when someone has surgery and they broke their leg. Now they are in bed for a little. They try to get out of bed and have to relearn how to walk because they are not used to the low bearing forces on their body,” said Dr. Scola. He has seen increased injury because the swelling is changing the mechanics of how people walk; causing knee, hip, or lower back pain.
Source: Kristin Chase, WCJB [6/22/22]
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| PODIATRIC SUPER GROUPS | |
FASMA Expands in Virginia
Foot and Ankle Specialists of the Mid-Atlantic (FASMA/USFAS) expands with its most recent acquisition, Podiatric Care of Northern Virginia, adding another podiatry office in Leesburg, Virginia. William Knudson, DPM is a graduate of the Dr. William M. Scholl College of Podiatric Medicine and completed his residency at Hillcrest Health Center in Oklahoma City, OK.
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(L-R) Drs. William Knudson and David Chan |
David Chan, DPM is a graduate of the Temple University School of Podiatric Medicine and completed his residency at Geisinger Community Medical Center in Scranton, Pennsylvania.
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| PODIATRISTS AND PODCASTS | |
VA Podiatrist Interviews Dr. Simon Bartold on Running Shoe Selection
Ben Pearl, DPM recently interviewed Dr. Simon Bartold about running shoe selection and re-examining the current fit to vertical model on his podcast Fit Foot U. Dr. Bartold opined that there is an over-emphasis on the frontal plane and the sagittal plane is actually more important in a running evaluation. Selecting running shoes based on a frontal plane treadmill test is a flawed model that can lead to injuries. Also problematic is the idea of selecting a shoe model that was last year’s as the features and fit may change on an updated version.
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Click photo to view short video of Dr. Simon Barhold |
Trends in 3-D shoe printing were discussed. Although 3-D printing has exploded, there has not been as much integration with shoe printing to date. There is a company that used pooled metric data to design a women’s running shoe. Bartold believes that this only begins to scratch the surface of what is possible when mining metric data.
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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 | |
Tips to Get a Raise from Your Payers
Negotiating a successful payer contract increase is possible for those willing to craft a thoughtful, data-driven argument for why they deserve more money.
4. Differentiate Yourself
When you ask for a payment rate increase, show the payer what value you provide compared with your local peers, Andrew Harding, co-founder and vice president of customer success at Rivet says. For example, is yours the only practice that offers extended business hours during the week or telehealth appointments on the weekends? Are you the only podiatric physician in a 5-mile radius? Harding says it’s easy to obtain this information by going to a payer’s website or an online booking service such as Zocdoc and performing a search using your ZIP code to see how many physicians practice nearby. Physicians may have market dominance within a few-mile radius and not realize it.
Source: Lisa Eramo, MA, Medical Economics [6/8/22]
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| CODINGLINE CORNER |
Query: L3000 Denials
We have been submitting L3000 to DME for many years and this year they are all being denied. These are for diabetic patients, they are stating you need a brace or shoe on file. Could you help me please? Do we need a specific modifier? I have looked into the HCPCS and found that this is a valid code.
PM News Subscriber
Response: L3000 is a valid code. That said, this code is used for various “-itis” that affect the feet. Many insurance carriers will pay for these orthotic devices when part of a shoe with a brace criteria. If a patient with diabetes has plantar fasciitis, then this is the code to use and coverage depends on the carrier’s orthotic policy.
However, if the patient is at-risk and you are ordering diabetic shoes/insoles to protect the foot due to neuropathy, history of ulceration, etc., then the various A codes are the proper codes to use for shoes and insoles. Why these were paid in the past is unclear unless there was a policy change. It wasn’t clear from your post which insurance carrier you were referring to.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Frustration with Off-Loading
From: Michael J Marcus, DPM
After 40 plus years in clinical practice, I am amazed when I see progressive, acquired tissue injuries (heel decubitus). Though preventable, it also seems as if the frequency of these lesions has increased. Attempting to instruct the nurses to properly off-load the heel with a pillow placed below the calf proves to work for a very short period of time. When doing rounds, I often see the heel directly on the pillow, and oftentimes the pillow thrown on the floor. I have tried some “devices” with limited success. Am I the only one frustrated?
Michael J Marcus, DPM, Montebello, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Richard Rettig, DPM, Justin Sussner, DPM
I have a suggestion for Dr. Udell, who reports he is contracted with an insurance company for services, and orthotics are a covered service, only at $53 a pair. I am not a lawyer, and do not consider this to be legal advice. There are laws against discrimination, and they are based on race, religion, etc. But there is no law against discrimination based on fee schedule. The contract you signed does not require you to perform every service on the fee schedule, otherwise you would have to watch a YouTube, I assume, on doing a triple arthrodesis. Just write a prescription for the orthotics in this case.
Richard Rettig, DPM, Philadelphia, PA
I have had the same problem, and as I am in NY as well, they are likely the same plans. For two of them, I now don't do the orthotics in-house. I give them an Rx for it to be done at an outside vendor. If your favorite pizzeria lost two dollars on every slice with pepperoni with no recourse, they would stop offering pepperoni.
Justin Sussner, DPM, Monroe, NY
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| RESPONSES/COMMENTS (PM EDITORIALS) - PART 1A | |
From: Randall Brower, DPM
Dr. Feinberg, your comment about not being recognized as an equal may have been true in your day, and it may still be true in certain areas of the country. However, the younger generation of orthopedic surgeons who did their residencies with us, shoulder to shoulder, see that we are equal. Podiatry schools that were stand-alone for decades with no affiliation with DO schools, may have a problem with DOs and MDs not seeing them as equal. In Des Moines and other schools, where for decades, the first two years of medical school are the same for DPMs as DOs, we all had the same teachers, classes, and exams - all sitting together (except we didn't do OB or Psych). These DO colleagues regard us as an equals because we did the same MEDICAL training in school and even did better than them academically in many instances.
Dr. Feinberg, respectfully, I am afraid that you are living in the past, 40 years in the past, with your neurologist colleague who was right about us largely in the past but very wrong about us today. Stand-alone podiatry schools have to go, and they must truly integrate into an MD or DO medical school like Iowa.
Randall Brower, DPM, Avondale, AZ
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| RESPONSES/COMMENTS (PM EDITORIALS) - PART 1B | |
From: Bryan Markinson, DPM
It's sometimes hard to be truthful about our problems without being accused of being anti-podiatry, and in the case of Dr. DiResta's post, partially responsible for the decreased interest in podiatry among college students. In my experience with a few thousand students and a few hundred residents, and the vast majority of my colleagues, I am quite sure that not a single one ever questioned my passion and love for podiatry.
Dr. DiResta states emphatically that he has no problem with podiatrists saying they went to medical school. Okay, but people who did go to medical school, and regulate and certify medical schools, do have a problem with it. When that problem is solved, by "filling in the gaps" as he says, who does Dr. DiResta think will be saying...
Editor's comment: Dr. Markinson's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Janet McCormick, MS
As much as I admire Dr. Brenner, I must comment on the statement that DPMs and estheticians are performing "medical pedicures." Know this: Estheticians are not licensed to touch the feet or perform pedicures in any of the tri-states and are not trained to do so. Reality is that they are not licensed to touch the feet in any state, though in a few, they can "add moisture." They cannot wield instruments, files, polish, etc.
Pedicures are a regulated skill in every state in the U.S. and estheticians are not allowed to perform them. And when performed by a podiatrist, they are called "routine foot care" for that reason. Additionally, training estheticians to do "medical pedicures" by shadowing a podiatrist is not adequate for performing this service, nor is it legal or safe. One infected nick or cut by an esthetician performing a "medical pedicure" will not be supported by your insurance company in the case of a lawsuit. Check it out. An esthetician's legal standard operating procedure (SOP) involves the face and ends at the decollette except for the "adding moisture" thing in some states. BTW, I am an internationally certified and licensed esthetician and have trained estheticians for 20+ years. I know their SOP.
Janet McCormick, MS, Frost Proof, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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| Ideal for a walk in the garden (photo: Li Miller) |
Source: Tom Carbone via Virtual Shoe Museum
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
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podiatrym.com/cme.cfm
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Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-8/31/22 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FELLOW POSITION - NAPLES-FORT MYERS, FLORIDA
Fellow position in Naples-Fort Myers, Florida, beginning July, 2022. Associates in Medicine and Surgery Reconstructive Surgery and Sports Medicine Fellowship. All aspects of practice management and clinical care in office and around area hospital systems in Collier and Lee Counties. Email Dr. Batelli (ebatelli@aimsfl.com) CV and further info.
ASSOCIATE POSITION – NEW YORK CITY
Great opportunity for a new associate to join a rapidly growing team. Will have hospital privileges at a prestigious, world renowned institution in NYC. Looking for a self-motivated, positive individual willing to work hard.
ASSOCIATE POSITION - FOOTHILLS OF NC
Seeking PSR-36 trained DPM for associate position with busy practice in foothills of NC. Should be well trained in forefoot rearfoot, and wound care. Competitive salary, benefits and bonuses. Buy-in available. Three-doctor practice with one retiring. Located near major metropolitan city, Send resume to jmauney@foothillspodiatry.com
ASSOCIATE POSITION - EASTERN SHORE of MARYLAND
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our existing physicians. We are an expanding practice with focus on all aspects of Podiatric care. Offices equipped with ultrasound, digital imaging, 3-D scanners, onsite Ambulatory Surgery Center and many other state of the art amenities. Excellent salary and benefits package. DPMemploy@gmail.com
ASSOCIATE POSITION - ARKANSAS
Well established 30y/o highly respected two physician podiatry group. This position is available to a well-trained, personable, motivated, goal oriented, entrepreneurial minded physician. This practice offers all facets of podiatric medicine with an onsite ASC. Located in a rapidly growing, medium size city with a Division I University and a great place to raise a family. All applicable standard benefits included. Send CV to podiatrygroup@sbcglobal.net
ASSOCIATE POSITION - FAIRFIELD COUNTY CONNECTICUT
Busy, growing practice. All phases of foot and ankle care. Service oriented practice. Looking for full time or part time associate. Surgical skills a plus but not required. Great personality and teamwork required. Competitive compensation based on experience. E-mail CV to drbetschart@aol.com
ASSOCIATE POSITION - ST. GEORGE, UT
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: St. George, Utah. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to st.georgefootcare@gmail.com
PART-TIME OR FULL-TIME POSITION - GREENSBORO, NORTH CAROLINA AND SURROUNDING AREA
Seeking a podiatrist to provide service to our in-office and skilled nursing home patients. Requirement: Current licensure in the state of North Carolina. Flexible schedule and competitive pay. Potential for growth goals in an expanding company. Email: niarawright@gmail.com
IMMEDIATE OPENING - FLORIDA MIDWEST COASTAL
1-FT or 2-PT needed for great 2 office/ALF care practice. New graduates are welcome. Will help train in EMR, billing/coding, and how to practice. BQ/BC preferred. Paid CME, vacation, mileage, cell phone, and competitive salary. Please send CV inquires to footandanklemc@gmail.com
ASSOCIATE PODIATRIST - ST. GEORGE, UT
Associate podiatrist needed in our St. George Utah clinic. Will absorb around 230 patients per month with lots of room to grow. Partnership can be earned. Learn more about us at afacutah.com. We are excited to have you join our team! Send CV and cover letter to tyson@afacutah.com
ASSOCIATE POSITIONS - FLORIDA, SOUTH CAROLINA, AND GEORGIA
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based lower extremity care to residents living in long-term facilities throughout the states of Florida, South Carolina, and Georgia. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and State licenses. Email CV to kgadmin@kghealthpartners.com
ASSOCIATE POSITION - CHARLESTON, WV
U.S. Foot and Ankle Specialists is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in Charleston, WV - part of the fast-growing metropolitan area of Charleston. We are a growing group of 153 providers and 98 locations. If personable, motivated, and well-trained, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed in WV to be considered for this position.
ASSOCIATE POSITION - VERNAL, UT
I mmediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: Vernal, Utah. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email cover letter and CV to vernalfootcare@gmail.com
ASSOCIATE FT/PT - RHINEBECK, NY
Associate wanted for established 2- practitioner, well rounded practice. Plenty of surgery available. All phases of podiatry - surgery, orthotics, routine care, and wound care. Affiliation with wound care centers possible. Digital x-ray and new modern ultrasound. Please email with contact info - PodassociateNY@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing 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. Some benefits include: competitive six-figure salary, generous, guaranteed 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
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Four physician practice seeks PSR-36 trained DPM, well versed in rearfoot and ankle surgery and diabetic limb salvage with inpatient care. Competitive salary and benefits with bonus structure. Early partnership opportunity. Near mountains and lakes. Enjoy small city lifestyle. Please send resume with cover letter to schudson87@gmail.com
ASSOCIATE POSITION – CALIFORNIA
Established 30 year-old two-office practice has an opening for a full-time associate to partnership career. Must be compassionate, friendly, and a team player. Must be open-minded and willing to learn all aspects of podiatry practice management. BQ or BC. Competitive salary, bonus structure, benefits. Send letter of intent, salary requirements, and availability to NBFA@myachingfeet.com
ASSOCIATE POSITION – CONNECTICUT
Busy two-doctor practice in Connecticut seeking an associate for well-rounded practice, in great family town. Full or part-time. Must have good work ethic and be willing to treat all aspects of foot and ankle care. Competitive salary and benefits, Partnership opportunity. Please email cover letter and CV to: rodedpm@gmail.com
ASSOCIATE POSITIONS – VA, MD, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA)
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Stat position for busy, modern practice. ABFAS BC/BQ, EMR, Digital x-rays, U.S., DME, Base salary + bonus, PTO, 401K, fees, health ins. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – ATLANTA, GA
Multi-location podiatry group seeking Board Qualified/Certified podiatric surgeon for a location just south of Atlanta, GA. This is an outstanding opportunity with an onsite surgery center. We offer an excellent compensation and benefit package. Please send inquiries with photo and CV to 1sourcemm@gmail.com.
ASSOCIATE POSITIONS – FLORIDA
Well-established practice seeks reliable PT/FT Mobile Podiatry team players for home visits, ALF/ILF, RN Homes throughout Florida. Tampa to Naples; Orlando/Ocala; South Florida. Flexible. No call. Weekends optional. Competitive commission plus mileage. Earn 100K+ part time. contact@PodiatristAtHome.com
ASSOCIATE POSITION – WESTERN NORTH CAROLINA
Join a well-established, busy and growing podiatric practice. We are fully integrated with the medical community in a large tertiary teaching hospital. 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. Associate position can lead to partnership. All interested candidates should send a resume to JCMOOREDPM@aol.com
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.
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - AUGUSTA, GEORGIA
Established practice started 65 years ago with a high number of doctor referrals. 2-doctor gross revenue $905,000 looking to cut back and retire in 2-3 years or sooner. Enough treatment rooms for 3 docs. Very reasonable cost of living in Augusta and area. Trails, watersports and yes, golf. Respond to kkronowski1@comcast.net
PRACTICE FOR SALE - PACIFIC NORTHWEST
When I was a student, a mentor once told me, "You can make a living anywhere, live where you want to live". Take 4 minutes that may change your life. https://Vimeo.com/715640001
PRACTICE FOR SALE – SOUTHERN CALIFORNIA
19-year-old non-surgical practice for sale. $1,000,000 gross, based on 2.5 days / week. 60% cash clients. Great growth opportunity. Turnkey proposition. Owner will help with transition. Barry Smith, Lloyds Capital, Inc. (213) 379-2397 Barry@lloydscapital.org
PRACTICE FOR SALE - TARZANA CALIFORNIA
Across from hospital. Ground floor. Free parking. I have been here since 1983. Time to retire. Serious inquiries only. Text 818 451-8441.
FOR SALE - COMPLETELY EQUIPPED PODIATRIC PRACTICE - PHILADELPHIA SUBURB
This solo podiatry practice is located in a Philadelphia suburb near the Pennsylvania turnpike. Very long established. Over 35 years (historical reference: 3 previous podiatrists in the same practice) excellent referral base and volume. Additional amenities: computerized records, orthotic lab, digital x-ray, surgical suite, free parking, and more. Podiatric associate with surgical experience wanted and/or available for dale. A reasonable offer will be accepted. For more information and virtual tour, email hershpodiatry@gmail.com
FREE PART TIME PRACTICE – CONNECTICUT
Perfect CT Shoreline satellite location. SIMPLY looking for qualified DPM to take over reasonable monthly rent. VERY BUSY 30 year old fully equipped, digital x-rays, 3 Midmark chairs, orthotic lab. Call Dr. G at 203-243-2545.
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.
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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.
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