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PM News

The Voice of Podiatrists

Serving Over 17,314 Subscribers Daily


July 08, 2016 #5,703 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block

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OHIMezzo66


APMA COMPONENT NEWS
AAPSM Presents Barnes Award to OR Orthopedist
 
Stan James, MD, an orthopedic surgeon practicing since 1967 in Eugene, OR, was a pioneer in the treatment of running injuries. He was one of the early educators at the American Academy of Podiatric Sports Medicine (AAPSM) meetings in the 1970s. He was a founding member of the American Orthopedic Society for Sports Medicine. He knew many of the AAPSM founding fathers and was well respected. Podiatrists Sheldon Langer and Justin Wernick flew out to Eugene, OR to educate him and his staff about podiatric biomechanics.
 
(L-R) Drs. Amol Saxena, Stan James, and Brian Fullem
 
One of James' most famous cases was an arthroscopic knee surgery performed on future Gold Medalist Joan Benoit. She was able to run a few days later and won the Olympic marathon trials 17 days later. Three months later, she became the first winner of an Olympic marathon for women. Because of his contribution to podiatric sports medicine and past support of the AAPSM, Drs. Brian Fullem and Amol Saxena presented him with an honorary member certificate and the Robert Barnes Distingished Service Award at Pre’s Rock at the Olympic Trials this weekend. Dr. James will attend the AAPSM meeting this fall in Portland, 40 years after he first lectured.

Pedifix42


PODIATRISTS AND FOOTWEAR
The Shank is the Most Important Part of a Shoe: MD Podiatrist
 
Dr. Alex Kor, president of the American Academy of Podiatric Sports Medicine, told HuffPost that the most important feature in any shoe is the shank, something most flip-flops do not have: The shank is the supportive section between the inner and outer soles that provides most of the structure under the arch of the foot. 
Dr. Alex Kor
 
Kor adds that because flip-flops don’t secure themselves to your feet, they’re flat-out dangerous. “The fact remains that flip-flop injuries are a major problem for patients who have lost sensation to their feet (i.e. some diabetic patients), the elderly who may lack coordination, and even children who can get the flip-flop caught in a step, escalator, etc.,” he said, concluding that he “cannot recommend flip-flops for long-term wear.”
 
Source: James Cave, Huffington Post [7/5/16]

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FROM PM's CURRENT ISSUE
Twice 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.
 
Today's Featured Article
 

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IN THE COURTS
Court Strikes Down Obama Healthcare Rule on Insurance Standards
 
A federal appeals court has ruled that consumers must be allowed to buy certain types of health insurance that do not meet the stringent standards of the Affordable Care Act, deciding that the administration had gone beyond the terms of federal law. The court struck down a rule issued by the Obama administration that barred the sale of such insurance as a separate stand-alone product. “Disagreeing with Congress’s expressly codified policy choices isn’t a luxury administrative agencies enjoy,” the United States Court of Appeals for the District of Columbia Circuit said on Friday in a decision that criticized “administrative overreach” by the Department of Health and Human Services.
 
At issue is a type of insurance that pays consumers a fixed dollar amount, such as $500 a day for hospital care or $50 for a doctor’s visit, regardless of how much is actually owed to the provider. Such “fixed indemnity” insurance is normally less comprehensive and less expensive than the “minimum essential coverage” required by the Affordable Care Act. Under the rule, issued by the Obama administration in 2014, fixed indemnity policies could be sold only to people who already have the more comprehensive coverage that meets detailed federal standards.
 
Source: Robert Pear, New York Times [7/5/16]

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E-HEALTH NEWS
CMS Proposes 90-day EHR Reporting Period in 2016
 
The Centers for Medicare and Medicaid Services on Wednesday announced that it is streamlining electronic health record reporting requirements for eligible professionals and hospitals in the Medicare EHR Incentive Program. “These changes include a proposal for clinicians, hospitals, and critical access hospitals to use a 90-day EHR reporting period in 2016—down from a full calendar year for returning participants,” states the CMS announcement. “This increases flexibility and lowers the reporting burden for hospital providers.”
 
In 2015, the EHR reporting period for all eligible professionals, eligible hospitals, and CAHs was any continuous 90-day period. What CMS is proposing in the new rule is a 90-day EHR reporting period in 2016 for all EPs, eligible hospitals, and CAHs. The EHR reporting period would be any continuous 90-day period between Jan. 1, 2016 and Dec. 31, 2016.
 
Source: Greg Slabodkin, Health Data Management [7/6/16]

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MACRA UPDATE
CMS Needs to Step Back on MACRA Implementation: AAFP
 
In a letter to the Centers for Medicare and Medicaid Services (CMS), the American Academy of Family Physicians (AAFP) suggested that the proposed MACRA implementation rule requires a major course correction. Although the AAFP supports certain provisions of the proposed rule, including elimination of the pass-fail meaningful use paradigm, the AAFP says the rule is overall too byzantine for the average family physician to cope with.
 
"We see a strong and definite need and opportunity for CMS to step back and reconsider the approach to this proposed rule which we view as overly complex and burdensome to our members and indeed for all physicians," the AAFP wrote in an executive summary of their letter to the CMS. "Given the significant complexity of the rule, we strongly encourage CMS to issue an interim final rule with comment period rather than to issue a final rule."
 
Source: Univadis [7/5/16]
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CODINGLINE CORNER
Query: CPT 20550 Denials
 
Recently, my office has been getting random denials on cortisone injection code CPT 20550, from private insurance carriers. We bill a diagnosis code of plantar fasciitis (M72.2). Most of the time, it pays just fine, but occasionally, it will get denied and when we call the payer, they say that it is not in the policy. When I checked the LCD for Ohio, plantar fasciitis appears to be one of the approved codes to bill for CPT 20550. Any ideas? 
 
Susan Yu, DPM, Urbana, OH
 
Response: I had the same problem and just used a similar diagnosis that represented the complaint that was listed in the LCD. The code that I used in this case was ICD-10 M77.51 (or M77.52) - enthesopathy (right and left foot, respectively). 
 
Joseph Borreggine, DPM, Charleston, IL 
 
For information on Codingline subscriptions, click here

Bakomacer


RESPONSES/COMMENTS (RESIDENCY SHORTAGE CRISIS)
RE: Podiatry Program Closure
From: Vorice Batts, DPM 
 
My name is Vorice Batts and I am a podiatry resident in Houston, TX who has just completed my first year. I am sad to say that my residency program shut down last week, displacing four residents. We are seeking any help that can be offered from all podiatry sources. We understand that with such short notice our institution has given us, any kind of help is difficult; however, I have spoken with  Ms. Nancy Chouinard, Assistant Director of CPME, and she has given us a list of options that a residency program may be willing to provide. The list of possibilities, as well as contact information for myself and Ms. Chouinard at CPME is listed below. We are both very open to answering any questions you may have. 
 
The options are as follows:
1. To fill any available positions at your program including first year positions.
2. CPME offers a one-time increase in number of residents. This means that the increase will not apply continuously every year, but only once to absorb a displaced resident. The resident added can also be placed in any PGY year applicable. 
3. To participate in a preceptorship program with any attendings present at your program. 
 
Given the short notice we were given, CPME states that there is not a deadline to have any of these options done by July 1, and the additional time it would take to complete option 1-2 can be tacked onto the end of third year. We understand that not all of us can be helped at the same time at any program, but helping even just one of us is more than enough. Again, any help at all is greatly appreciated as this is a very difficult time for all of us. 
 
Vorice Batts PGY-2 (832-868-8923), Lauren Pruner PGY-2 (337-274-5659), Pooja Nowlakha PGY-3 (832-620-3603), Raafae Hussain PGY-3 (845-325-7934)

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RESPONSES/COMMENTS (NON-CLINICAL)
RE: Hoka Shoes for Plantar Fasciitis
From: Jack Ressler, DPM
 
We have all had our difficult patients treating heel pain and plantar fasciitis. Unfortunately, one of mine is a medical assistant I employ. I've tried orthotics, injections, New Balance shoes, etc., without much relief. A few weeks ago, I had a new patient come in with an ingrown nail. She was wearing a pair of Hoka shoes. I was somewhat familiar with this brand. When I picked them up, I was amazed at how light they were. She told me she bought them for heel pain and within a few weeks they resolved her condition.
 
Recently, I went to a store that carried them and bought my assistant a pair. The model was the Bondi. She started feeling relief almost instantaneously. After one week of wearing the Hokas, she is working pain-free and has even noticed that the edema around her ankle is much improved. If other podiatrists have used these shoes, please share your experiences. 
 
Jack Ressler, DPM, Tamarac, FL

padnet


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

What to wear in a WWF steel cage wrestling match?

Source:  Didaldi via Virtual Shoe Museum

MEETING NOTICES

mailtoIFAF

Buffalo


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Choose any or ALL from 30+ CME Category-1 articles posted


CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE WANTED - NORTH NJ 
 
Immediate opening for surgically trained associate leading to partnership/buy out. Base plus Bonus Package depend on experience. BQ/BC ABFAS. 1+ years of office experience is preferred. Must be a hard worker and willing to build practice. footandanklejob@hotmail.com
 
ASSOCIATE POSITION – CALIFORNIA 
 
Well-established practice North San Diego coastal seeking associate with opportunity for future partnership position. Great location and medical environment. Must have California license. Board Qual/Cert by the ABFAS, and an interest in full range of podiatric services. Please email resume and cover letter to tricitypod@gmail.com.
 
ASSOCIATE POSITION – NEW YORK CITY
 
Highly ethical and motivated practitioner sought. Experienced, assertive, podiatric surgeon wanted. All aspects of forefoot, rearfoot, and ankle surgery. Board qualified or certified. Please send C.V. to bunioncenter135@yahoo.com or call 917 284 5096
 
ASSOCIATE POSITION - NORTH EAST TEXAS 
 
Immediate opportunity for a podiatrist with at least 3 years of training to join our practice. We are looking for someone who is motivated, ethical, and personable. We currently have 3 offices, and are offering competitive salary plus benefits with the potential for partnership. Must be BC or BQ by ABFAS. Current TX/AR podiatry license preferred, but not required. Candidates should email their CV and letter of interest to:  advancedfootandanklecare@yahoo.com
 
POSITIONS AVAILABLE - ROCHESTER, SYRACUSE, UTICA, LITTLE FALLS  AND SURROUNDING AREAS 
 
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Rochester, Syracuse, and their surrounding areas.  Great opportunity for full-time or part-time income. Positions available immediately!  inquiries to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITIONS- HOME FOOT CARE, INC 
 
We are looking for podiatrists to visit home patients in these areas: Los Angeles, Ventura County, Santa Barbara, Lancaster/Palmdale, San Bernardino/Riverside, and  Palm Springs/Palm Desert, CA, Las Vegas, NV, Honolulu, HI. Full/part time, independence, excellent compensation, dedicated support staff, EMR. email CV to: homefootcare@hotmail.com. check us out @ www.footdocs2u.com
 
ASSOCIATE POSITION – REGO PARK/FOREST HILLS, NY
 
Part-Time podiatry practice in the Rego Park/Forest Hills area is looking for another podiatrist, possibly local, to share office space, expenses & overhead. Very Reasonable. Call 917-561-3072
 
PART TIME POSITION AVAILABLE  - VENICE, FLORIDA
 
Looking to semi-retire in Florida? Local and need additional work? I have a 2/3 day/week position in Venice and Arcadia Florida. Mostly non-surgical but opportunity exists to expand services. Available starting in October Contact: dougfinkel123@gmail.com
 
ASSOCIATE FULL TIME POSITION – PHILADELPHIA AND PHILADELPHIA SUBURBS
 
Large Multi-specialty practice looking for motivated full time non-surgical podiatrist. 40/hr/week. Office-based practice with multiple locations treating musculoskeletal / sports medicine patients. No palliative care. Must have Pennsylvania license or have passed PM-Lexis. Board certification or eligibility required. Excellent Salary with Full Benefits (Health, 401K, CME allowance) Partnership Opportunity. Please forward a cover letter, CV and availability to Podiatrist@job4u.com
 
FULL-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 the following: Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
 
ASSOCIATE POSITION- LONG ISLAND, NY 
 
Multi-office podiatry practice in Central/Eastern Suffolk County seeks full/part time associate, leading to partnership. New York State license required.  Must be self-motivated and energetic.  Competitive compensation package.  Please email CV to  newpodiatrist@optimum.net.
 
FULL-TIME/PART-TIME PODIATRIST POSITION – ANNAPOLIS, MD 
 
Immediate position available for full-time or part-time. GREAT opportunity to join a thriving practice with an in-office Ambulatory Surgical Center in beautiful Annapolis, Maryland. The associate role is for an independent thinker who is board qualified or certified ABFAS.  Prefer licensed in Maryland but will consider licensing the right candidate.  The capital city of Annapolis is located on the Chesapeake Bay and offers easy access to both Baltimore and D.C. Staff privileges available at the growing Anne Arundel Medical Center.  If you are ready to hit the ground running, email cover letter and resume tomokane@podiatrygroup.us.
 
ASSOCIATE WANTED IMMEDIATELY - NAPLES FLORIDA 
 
Doctor retiring. Great opportunity for PSR- 24/36 BE/BC podiatrist with strong surgical skills to join multi-office practice. Hospital privileges available at 648 bed hospital system, 200 bed hospital system and multiple surgical centers. Florida has a great scope of practice law and we rotate for ER call at all 4 hospitals. Candidate needs to be ethical and motivated. Established practitioner or new practitioner Email CV to Drgordon@gulfcoastfootcare.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@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
CLASSIFIED ADS PART 2- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - SOUTHERN ARIZONA
 
Growing practice for sale.EHR system in place for over 5 years. 300 new patients seen in the first 6 months of 2016. Great need for additional podiatry care. Practice has met Meaningful Use  -- Stage I and II. Opportunity to grow surgical volume and patient base Patient referrals 60% from local physicians New hospital within a few miles of this office CONTACT: Business Broker: David Owji at info@DoctorsBroker.com 407-252-5276; 877-955-4447; www.doctorsbroker.com
 
PRACTICE FOR SALE - SAN DIEGO, CA
 
Prime location. In practice 37 years. Retiring. Turn-key. Surgical hospital privileges available. Purchase equipment and assume patient care. Progressive, full-scope practice. Employees willing to stay.  I will help with transition. This is a unique opportunity! No strings attached, and no hidden agenda…simply paying it forward as it was done for me. Inquiries:  martintaubman@gmail.com To visit the practice website: www.feetsandiego.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@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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.
Guidelines
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  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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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.

Barry H. Block, DPM, JD
 
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