The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

July 03, 2013 #4,812 Publisher-Barry Block, DPM, JD

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COTH Officers Announced

The Board of Directors of the American Association of Colleges of Podiatric Medicine (AACPM) has announced the new Chairman and Chairman-Elect of the Council of Teaching Hospitals (COTH) for July 1, 2013-June 30, 2015.

Drs. Jeffrey Robbins and Jacqueline Brill

Jeffrey M. Robbins, DPM assumed the position of Chairman of the Council of Teaching Hospitals July 1, 2013.
 
Jacqueline Brill, DPM assumed the position of Chairman-elect of the Council of Teaching Hospitals July 1, 2013.

TX/NM Podiatrist Completes Mayo Interventional Ultrasound Course

Last week, Dr. Angela Drury attended the 2013 American Institute for Ultrasound in Medicine (AIUM) - Mayo Clinic MSK U.S. Course in Diagnostic and Interventional Musculoskeletal Ultrasound. The teaching format consisted of lectures, live demonstrations, and extensive hands-on experiences on live models and unembalmed cadavers.

Drs. Angela Drury and Jon Jacobson

She is pictured with Dr. Jon Jacobson, author of Fundamentals of Musculoskeletal Ultrasound: Expert Consult-Online and Print. She was in his group for instruction during the live model and cadaver lab.

IL Podiatrist Joins Orthopedic Healthcare Team

Fox Valley Orthopedics has announced the addition of a podiatrist, Dr. Joanna M. Chura, to its orthopedic healthcare team. Dr. Chura received her Doctor of Podiatric Medicine (DPM) after completing a 36-month residency at the Hennepin County Medical Center in Minneapolis, Minnesota. Prior to this, she attended the Dr. William M. Scholl College of Podiatric Medicine.

Dr. Joanna Chura

“In light of the popularity of sports in this community, I think a podiatrist is just what the doctor ordered,” says Chura. “Running, as well as many other sports, places a lot of stress on your feet. Preventive foot care can help keep you moving...and give your feet a hand up to carry you around for the rest of your life.”

Source: Sharon Schreiber, Geneva Patch [7/1/13]

Query: Freiberg's Infraction in 47 Year Old Male

My patient is a 47 year old male who complains of pain in his 1st and 2nd MPJ. He is disabled due to a seizure disorder following partially successful neurosurgery for brain tumor (no tumor recurrence), but he has seizures and memory issues, but could otherwise be considered healthy. He thinks his foot problem started a few years ago, but doesn't recall anything specific. He walks for exercise. Attempting to move the 2nd MPJ through any ROM is uncomfortable. His 1st MPJ has limited ROM as well, although it looks good on x-ray. He has a lot of swelling, more so than I would expect.

Freiberg's Infraction in 47 Year Old Male

1. Would you image this (MRI) to rule out bone neoplasm, or be satisfied with biopsy during surgery? 2. I have had reasonably good results debriding bone from the 2nd metatarsal head, and in some cases removing the base of the phalanx, or resecting the metatarsal head for the worst cases. Would you offer any other surgical treatment for this?

Query: E/M with Nail Debridement Codes

I need help with trying to figure out why Medicare won't allow me to bill an office visit, CPT 99213, with either of the debridement of nail services codes CPT 11720 or CPT 11721.

Amanda Bartell, DPM, Jacksonville, FL

Response: If you do a procedure plus an E/M code, you must add a "-25" modifier to justify that the E/M service is of significance in charging for an evaluation and management in addition to the procedure. If the E/M documentation says the patient has problem nails that need debridement, this is grossly insufficient.

Walter Pedowitz, MD, Linden, NJ

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RE: First Coast Disallows CPT 76942 for Podiatrists
From: Marc Katz, DPM
 
Here is the link and some of the points that have been issued by First Coast Medicare regarding CPT 76942. Those who scrupulously used this code for a small portion of your patients to guide injections will no longer be able to use the code in pretty much all cases. You can thank our colleagues who use it on every injection in the office. It seems to just be the story of podiatry! And, of course, of all specialties, podiatry is one of the only ones specifically mentioned, "Needle procedures of the foot by podiatry or other specialties. (Most of these interventions are standard office based needle procedures and not special procedures performed on a radiology suite)."

A few other points from the link: "Though MAC J9, based on the low quality of evidence in the peer reviewed literature, could deny many of these billing situations as services not meeting the reasonable and necessary threshold for coverage, there is concern with beneficiary liability. CPT® 76942 is valued in the 220 dollar range, whereas the majority of the office-based procedures outlined above suggest value in a range from 0 to 40 dollars. (This is based on reference value mapping of CPT® codes such as the value assign for CPT® code 76937 Ultrasound guidance for vascular access). In summary, it is the expectation that physicians utilizing ultrasound guidance for standard office based needle procedures will not code separately, or alternatively, bill the unlisted code CPT 76999."

Marc Katz DPM, Tampa, FL, dr_mkatz@yahoo.com

RE: NY Times Article
From: Richard Rettig, DPM

This lay article from the NY Times describes a real medical study (British Journal of Sports Medicine) that was undertaken to determine the roll of biomechanics in choosing running shoes, and its effects on injury rates. 

It raises the question as to what a similar quality study would show regarding foot orthotics.  I suspect I know the answer.

Richard Rettig, DPM, Philadelphia, PA, rettigdpm@gmail.com

RE: Unmatched Residency Placements Currently Stand at 86
From: Darrell Latva, DPM

Sacred Heart Hospital in Chicago closed yesterday amid a federal probe, which included one podiatrist. I believe we had a program there. I guess we add those residents to the 86.

Darrell Latva, DPM, Chicago, IL, darrell.latva@rosalindfranklin.edu

RE: Unmatched Residency Placements Currently Stand at 86
From: Jeffrey Kass, DPM

I received an email today from APMA Weekly Focus. I find it disappointing that the focus was not about the unmatched residents, particularly since this is the week most residencies start. Again, as a colleague, I apologize to those unmatched for the profession letting you down.

I encourage all of unmatched graduates to stay focused in your endeavors and not to lose hope. I also encourage you to write in to this site and share your thoughts and opinions on ways to possibly help your situation.

Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com

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 - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $548,000. Approximately 1300 sq ft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

PRACTICE FOR SALE – VIRGINIA

Well-established practice in North Arlington (Clarendon) being sold at" below market" price. Fabulous neighborhood. 3 well equipped rooms- Midmark model# 417 ADA compliant treatment chairs w matching doctors stools, brand new X-cel x-ray machine ADA compliant w orthoposer 3 inches above ground & hand grips. m-11 autoclave. priced below market . Retiring doctor will assist in introducing you to PCPs & specialists for 3 to 6 months. Virginia license and one year approved residency required. Contact by e-mail @ drmichaelfine@aol.com, (c) 703-582-5999, (h) 703-237-0841

EQUIPMENT FOR SALE - Q-CLEAR NDYAG Q-SWITCHED LASER

Brand new Q-Clear NdYAG Q-switched laser, direct from factory, never used with full warranty. Complete system with training provided by James Holfinger, DPM, principal investigator for 2011 FDA study gaining clearance for onychomycosis. Call Dr. Holfinger at (216) 390-9757.

EQUIPMENT FOR SALE - DIOWAVE 15 WATT, PORTABLE 980 LASER
 
This is a used multiple function laser, plantar fasciitis, Achilles tendonitis, joint pain. nerve pain, post surgical, warts, toenail  problems, two-year plus warranty, MSRP: $25,000. E mail Dr. Zuckerman at footcare@comcast.net. for questions and pricing.

ASSOCIATE POSITION - SF BAY AREA

East SF Bay Area associate wanted for 3-office practice. CA License and PSR-24 minimum. All aspects of podiatry. Need to be highly motivated, a self-starter and be able to start Aug. 1, 2013. Salary BOE. Send CV to drscivally@sbcglobal.net

ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Very busy, two location group practice seeking a full-time, self motivated and hard working podiatry associate. Competitive salary and benefits are offered. Please email CV to: footcare4all@aol.com

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 IN SOUTHERN CALIFORNIA

Full-time, motivated, outgoing associate wanted for immediate job opening. We are a multi-office, multi-doctor practice based in Orange County and we’re looking for a hard working individual to treat wide range of patients. PSR 24 training a must and Spanish speaking a definite advantage. Email your CV to: ocpodiatryoffice@gmail.com.

ASSOCIATE POSITION - MARYLAND, DC, PA

A podiatrist is needed for the Baltimore, Washington, Pennsylvania area. Partner for the corporation. Surgery center, emergency room call and a hospital location. All areas of podiatry. Established practice. Salary and commission. Fax resume 410-857-4227 or email at butler@qis.net

ASSOCIATE WANTED - NEW YORK

Well-trained experienced surgical podiatrist for busy Bronx and White Plaines offices. Associate working for partnership, if desired. Send Resume to bronxpodiatry@yahoo.com

ASSOCIATE POSITION - BAKERSFIELD, CA
 
Office and hospital-based podiatry group seeking a highly trained surgical associate to complement 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 - CALIFORNIA

Associate wanted for multi-office, multi-doctor practice. Full Time, Self-motivated, highly skilled team player with surgical, wound care and palliative skills. Offices in Northern California Coast, CA License necessary, salary negotiable with possibility of partnership in future. Send CV and letter to: srfctysc@gmail.com

ASSOCIATE POSITIONS - NY
 
Generate Income in NY. Licensed NY podiatrists sought for a unique podiatric project in all geographic areas of New York. Medicare license required. You literally keep all visit charges generated or a pre-determined hourly salary, depending on the patient setting. If you are seeking an additional 4 or more hours per week of work, with no limit, contact us at: ediamond7@comcast.net
 
ASSOCIATE WANTED - WESTERN NEW YORK
 
Wanted well trained podiatrist for IMMEDIATE position. Busy high volume surgical practice with multiple locations, EMR, Digital X-Rays, hospital and surgical center privileges. Good base salary with incentive, and benefits including health insurance. EXCELLENT OPPORTUNITY to grow. Send resume to: WNYDPM@gmail.com

ASSOCIATE POSITION - OHIO

Podiatrists, are you entrepreneurial, compassionate, self-starter, with excellent communication skills? Do you enjoy dealing with the elderly? We are not looking for just any podiatrist; we are looking for the right Podiatrist. Are you driven, disciplined and have a burning desire to serve? If so, call us. We are SeniorCare, Inc. We are expanding to Ohio and looking for the right Doctor. Base salary + bonuses. Call today if this describes you. Call Becky at 314-821-2600.

ASSOCIATE POSITION - TAMPA BAY

Live, play and practice in the Tampa Bay area. Associate leading to partnership in a well-established, expanding group practice. Excellent salary and benefits in this dynamic medical/surgical practice. Come join our caring, compassionate, motivated staff. Position open immediately but we will also consider 2014 residency graduates. PSR-36 or PSR-24 with rearfoot/ankle training required. E-mail cover letter, CV, surgical log and references to rvalins18@aol.com

ASSOCIATE POSITION - CONNECTICUT
 
Looking for an associate with 3-year residency training for a practice in Connecticut. Interested in all aspects of podiatry including  foot/ankle surgery and wound care. Hospital located close by with appointment to staff readily available. Will lead to partnership Please send CV to: dsharnoff@hotmail.com

ASSOCIATE POSITION - SOUTHERN NEW JERSEY

Excellent opportunity for a full time podiatrist to join busy group practice! Surgery, wound care, sports medicine. Affiliated with residency program. Personable and great communication skills a must! Competitive salary, bonus, benefits package. Send CV to footdoc22@gmail.com

ASSOCIATE POSITION - KENTUCKY

Immediate opening in beautiful Southern Kentucky with 8-provider group with excellent reputation, full-time physical therapy, MRI, CPED/CO on staff along with a full schedule awaiting.  Wonderful place to raise a family, excellent schools and phenomenal quality and cost of living. Excellent compensation package, full benefits, and buy-in opportunity after 2 years. Email a letter of interest and CV: jonkim12000@yahoo.com

ASSOCIATE POSITION - CHICAGO

Associate Needed to do housecalls; part - or full-time ; make you own schedule ; logistical support provided; will net at least $1,000/week working approx. 15 hrs, Contact dpms2@hotmail.com

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.

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