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| PM News | |
The Voice of Podiatrists
Serving Over 15,753 Podiatrists Daily
July 05, 2014 #5,103  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
FINAL DAY TO VOTE
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| HOSPITAL PODIATRISTS IN THE NEWS | |
MI Podiatrist Joins Botsford Hospital Staff
Janet Ajrouche, DPM, CWS, has joined the medical staff at Botsford Hospital in Farmington Hills. Dr. Ajrouche earned her doctorate of podiatric medicine and surgery from Barry University, Miami, Fla. She completed a three-year residency at Botsford and held the position of chief resident during her final year of clinical training. Dr. Ajrouche won Botsford's Alvin Yarrows Research Award in 2010 and 2011.
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Dr. Janet Ajrouche |
She is an associate of the American College of Foot & Ankle Surgeons and a member of the American Board of Wound Management, the American Podiatric Medical Association, the American Board of Podiatric Surgery, and the American Board of Podiatric Medicine.
Source: Beth Montalvo, Plymouth Patch [7/2/14]
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| PODIATRISTS IN THE COMMUNITY | |
LA Podiatrists Launch New Practice
Drs. Daniel T. Hall, IV and Mallory M. Przybylski of Louisiana Foot and Ankle Specialists, LLC recently opened a new practice in Lake Charles. Dr. Hall recently completed a residency at South Miami Hospital of Baptist Health in Miami, FL. Dr. Przybylski recently completed a residency at theYale-New Haven Hospital/VACT in New Haven, Connecticut.
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Ribbon Cutting at Opening of Louisiana Foot & Ankle Specialists |
The grand opening/ribbon cutting ceremony included a speech from Mayor Randy Roach of Lake Charles, LA. Several guests were in attendance including many of the Executive Board Members of Christus St. Patrick's Hospital where both Drs. Hall and Przybylski are on staff.
Source: SWLA Alliance Connection [7/1/14]
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| QUERIES CLINICAL | |
Query: Pruritic Lesions S/P Caribbean Cruise
A 35 year old woman presented to my office with a complaint of itching and a skin rash that has become progressively worse over the last month.
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Pruritic Lesion S/P Caribbean Cruise |
She had applied OTC antifungals without any relief. Shortly before the rash began, she relates that she was on a cruise to Mexico and the Caribbean. Any thoughts?
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| CODINGLINE CORNER | |
Query: Surgical Procedure Not Carried Out
I had a 9 year old patient in my office today who was scheduled for a partial nail removal. Everything was set up to perform the procedure, but when it came time to anesthetize the toe, he was not willing to allow me to follow through with the procedure. I did not do a full work-up on this patient, as I had already done this in a previous appointment. I spent 30 minutes trying to convince the patient and his father to allow me to perform the procedure. I was unsuccessful. Can I bill for anything today?
Damian Dieter, DPM, South Bend, IN
Response: As is often the case, it's all in the documentation. If your documentation states that you spent 30 minutes "trying to convince them to do it," there's not much there. However, if your documentation states that you spent 30 minutes in "counseling and coordinating", explaining why the procedure is important, educating them as to what could happen if they do not have the procedure done, what the potential risks/benefits were to doing it and not doing it, alternative treatment options, what would be involved in sedation, explaining the option to do it in an operating room, etc...THEN, in my opinion, you could bill for an E/M using the time guideline of counseling and coordinating (involving more than 50%) dominating the visit. CPT 99214 indicates that you spent 25 minutes with the patient and greater than 50% of that time was spent in counseling and coordinating.
Jeffrey Lehrman, DPM, Springfield, PA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| QUERIES NON-CLINICAL | |
RE: Beware Of a New Cause for Patient Non-Adherence
From: Elliot Udell, DPM
The new Affordable Health Care Act insurance plans are throwing us a new hurdle; increased patient non-adherence. Two weeks ago, a middle-aged, type one diabetic patient presented with an abcess in his left third toe. I did an incision and drainage, cultured the exudate, and then placed him on oral antibiotics. He missed his follow-up visit, and when we called him, his response was that his toe feels better and he cannot afford another seventy dollar co-payment as mandated by his insurance policy. I documented the conversation and told him that I would not charge him for any follow-up visits.
This patient was upfront with me as to his reasons for canceling. I suspect that all of us will encounter other patients with similar serious conditions, who will not follow up because of huge co-payments. We should all be aware of this and set up a system for flagging patients who miss follow-up visits and then inquire about and address their financial issues, should they be the reasons for the cancellations.
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| RESPONSES/COMMENTS (NEWS STORIES)- PART 1A | |
From: Bret Ribotsky, DPM
I echo Dr. Young. I have been doing elective cosmetic surgery on a very well informed patient for years. I'm sure each DPM in practice has done a bunion or any extra hammertoe procedure on a questionable painful toe. The injection for dermal fillers PSTTA (pedal soft tissue temporary augmentation) is something I have done for almost 9 years with outstanding results so far (search PM News archives). Most patients who are getting laser nail procedures for OM are having cosmetic procedures.
I believe that each of us should be able to use our skills and talents to provide care to patients that is appropriate and well informed and follows good medical advice.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1B | |
From: Ted Cohen, DPM
With all due respect to Doctors Peacock and Young, here’s my issue. Let's assume the doctor is contracted with an insurance company. A patient presents with an HAV and HD5. Both of these deformities are covered under her plan but she (he) says, "I don’t like the way my foot looks, but I don’t have pain.” Does it now mean that this is a cosmetic situation with lack of pain, and therefore the doctor can bill the patient directly any fee he or she wants? Or, is the doctor contractually obligated to accept the insurance payment contingent with the plan's rates?
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MEETING NOTICES - PART 1
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| CLASSIFIED ADS |
PRACTICE FOR SALE - DUNEDIN, FLORIDA, TAMPA BAY AREA
Diverse, well established medical/surgical practice with EHR Meaningful Use certified, digital x-ray,ultrasound and Class IV laser. Great patients and loyal staff. Willing to stay as long as needed. Close to the best beaches. Email reply to tampabaypractice@gmail.com
PRACTICE FOR SALE- DAYTONA BEACH, FL
Established practice in beautiful Daytona Beach Florida for sale. Doctor retiring after 40 years in this location. Practice has included all routine podiatric care, minor surgeries, wound care providing diabetic footwear. Currently a part-time practice, but definitely has full-time potential. Email inquiries to: feetinflorida@yahoo.com
PRACTICE FOR SALE - QUEENS, NEW YORK
Part-time practice for sale. Podiatrist is retiring. This is excellent for a second office or a starter office. Russian speaking podiatrist is a plus. Please call 718-441-8073.
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 – DELRAY BEACH, FL
Rare opportunity for turn-key practice in Delray Beach, Florida. EMR compliant. All office-based revenue. Full time busy practice. Owner willing to assist with transition as long as needed. Priced to sell. Serious inquires only please. Email for more information: podpractice55@gmail.com
SPACE TO SHARE - MANHATTAN AND LI
Desirable locations on Upper East Side, Gramercy, the Financial District, and Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815 PODO2345@AOL.COM
ASSOCIATE/OWNERSHIP POSITION - CENTRAL FLORIDA
Central Florida practice between Orlando and Tampa has opening for Florida licensed practitioner. Owner retiring, will finance purchase of practice with minimal down. Excellent opportunity for someone who can oversee the management of a practice. Gross in the high six figures with expansion potential. Contact acare26@tampabay.rr.com
ASSOCIATE POSITION- LONG BEACH, CA
Seeking a highly motivated, ethical associate to join a well-established practice in Long Beach, CA. Must be comfortable in all aspects of podiatry including surgery, wound care, sports medicine and palliative care. The position is for a part-time leading to full-time based on the associate’s comfort level. Please respond to email dsal826@gmail.com
ASSOCIATE POSITION- HUDSON VALLEY REGION, NY
Hudson Valley Foot Associates has a great opportunity available! We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM. Please visitwww.hvfa.com and forward cover letter with CV to info@hvfa.com
ASSOCIATE POSITION – NYC
Busy surgical podiatry group looking for a part time associate to start immediately. This position can lead to full time work within 6 months. Must be willing to rotate through offices in Brooklyn, Queens, and Manhattan. Great opportunity for personal and professional Please contact drlevy@starrettpodiatry.com.
ASSOCIATE POSITION – NORTHWEST INDIANA
Busy podiatry practice looking for highly-motivated full time associate to start immediately. Located in Northwest Indiana, about 1 hour from Chicago. Email resume to info@friendlyfootcare.com
FELLOWSHIP POSITION - NY
One year CPME-Approved fellowship in WOUND CARE AND TISSUE HEALING immediate opening. Salary: $74,000, for graduates of 3 year podiatric residency. This program is at St. John's Episcopal Hospital in Far Rockaway, New York. Fellows will treat in-patients as well as out-patients in our Hyperbaric Wound Care Center. Please e-mail your CV and contact information to JTFOOTCARE@GMAIL.COM or call Dr Arnold Hertz at 516-698-2321
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area. Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM
EQUIPMENT FOR SALE – RITTER PODIATRY CHAIR
PB Ritter chair, lift, back, tilt, and foot hydraulic. All functions working Black upholstery. $750 or best offer please call 212-724-4457 or email drrottenbergsoffice@gmail.com to view chairs, click here.
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. 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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