|
|
|
|
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 22,035 Subscribers Daily
July 18, 2024 #7,809  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2024- No part of PM News can be reproduced without the
written permission of Barry Block
|
|
| PM NEWS QUICK POLL | |
|
|
| PODIATRISTS IN THE NEWS | |
PAD Often Diagnosed Too Late: MI Podiatrist
According to Conway McLean, DPM, "Some manifestations to our health are not so obvious. One of the most serious but also best hidden is the reduction in blood flow to all the varied cells composing the human body. Many Americans are destined to develop some degree of peripheral arterial disease, aka PAD."
 |
|
Dr. Conway McLean |
"Early identification is rare, allowing atherosclerosis to worsen, which it so often does. When PAD progresses on the spectrum of occlusive arterial disease, critical limb threatening ischemia (CLTI) follows. The term refers to the afflicted individual’s inability to heal skin injury, often allowing the development of an infection. Again, without an adequate supply of the life-giving fluid which is blood, providing our tissues with nutrients and oxygen, repair will not occur. In the face of CLTI, new tissues cannot be manufactured," says Dr. McLean.
Source: Marquette Mining Journal [7/16/24]
|
|
| RELEVANT RESEARCH | |
Pemafibrate Takes a Small Step Forward in DFUs
Pemafibrate was tied to potential prevention of leg and foot ulcers in type 2 diabetes, a silver lining to the PROMINENT trial's otherwise disappointing cardiovascular results. In an exploratory analysis, pemafibrate was tied to significantly reduced lower extremity ischemic ulceration or gangrene compared with placebo (2.1 vs 3.4 per 1,000 person-years, HR 0.63, 95% CI 0.41-0.96) over a median 3.4 years of follow-up, according to Aruna Pradhan, MD, of Brigham and Women's Hospital and Harvard University in Boston, and colleagues.
"The results of this exploratory analysis are promising. This is particularly important because it comes on the heels of potentially promising data from fenofibrate for reduction in risk for foot-level amputation," said podiatric surgeon David Armstrong, DPM, MD, PhD, of Keck Medicine of USC, Los Angeles, who was not involved with the study. "Having a medically-based therapy to reduce risk for lower extremity complications like diabetic foot ulcers (which occur every second around the world) could yield significant public health benefits,"
Source: Nicole Lou, MedPage Today [7/15/24]
|
|
| PRACTICE MANAGEMENT TIP OF THE DAY | |
10 Things More Important Than Money
In the past few decades, healthcare has focused on money as a metric of practice success. Yes, we can only have a comfortable livelihood with money. Still, some areas of life are far more important than the girth of your investment portfolio or the size of your bank account.
9. Be socially responsible. - The United States has the most robust economy on earth and the highest per capita income of any country. However, if you measure infant mortality, gun violence, divorce, or suicide, we are at the bottom of the OECD. We do well in some areas but have more than our fair share of problems. More important than money is to be part of the solution rather than part of the problem. There are many causes worthy of your voluntary time or donations. Examples include Mothers Against Drunk Driving (MADD) and Habitat for Humanity, which helps build affordable housing.
Source: Neil Baum, MD, Physicians Practice [6/28/24]
|
|
|
| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Allan R. Stark, DPM
It is with heavy heart and deep sorrow that I share the passing of my mentor, associate, and dear friend, Dr. Allan R. Stark. Dr. Stark graduated from USC followed by the California College of Podiatric Medicine. He served in the U.S Army active duty and reserves for 25 years and retired as a Lieutenant Colonel.
 |
|
Dr. Allan Stark |
Dr. Stark worked in private practice in the City of Orange, California. He was a strong supporter of the profession, prolific in recruiting students to podiatric medical schools and working to help further the scope of podiatric practice in the US. He served as President of the California Podiatric Medical Association and also Director and Instructor of The California School of Podiatric Radiography.
Dr. Stark also felt very strongly about supporting his community. As a lifelong member of Rotary, he served as President of his local club and later as District Governor for the Southern California region. Generous to a fault, he was the definition of a gentleman and kind soul. Not enough good things can be said about Dr. Stark. He will be sorely missed.
Neil Mansdorf, DPM
|
|
| RESPONSES/COMMENTS (CODING & BILLING) - PART 1A | |
From: Steven Finer, DPM, Jack Ressler, DPM
This is a procedure that Medicare likes to crucify podiatrists. Look up the exact wording that Medicare uses and repeat it. Always use anesthesia, bandages, etc. They will accept a typewritten procedure note in lieu of handwritten notes.
Steven Finer, DPM, Philadelphia, PA
Anytime I had a Medicare audit, I got in touch with my malpractice carrier (PICA). They referred me to one of their healthcare consultants. It happed to be Robert Weatherford. If you have legal defense with your malpractice carrier, you must get in touch with them to go over your audit. Do NOT take this on yourself. They will go over your charting, billing, etc. and guide you through the audit. The CPT 11730 procedure code is one that I'm sure Medicare still scrutinizes closely.
You do not want your 4 chart request to turn into a bigger sampling once Medicare receives your charts, especially if you are billing this procedure more frequently than your peers. You are correct in your process of typing your handwritten charts without any alterations. If Medicare cannot read a handwritten chart, some auditors will not give you a favorable ruling. I had to do that with one of my audits. Back when I had to submit charts, the general advice I got was to submit both the original handwritten chart along with the typed version.
Jack Ressler, DPM, Delray Beach, FL
|
|
| RESPONSES/COMMENTS (CODING & BILLING) - PART 1B | |
From: Michael G. Warshaw, DPM, CPC
CPT code 11730 is defined as the following: "Avulsion of nail plate, partial or complete, simple; single." Unfortunately, it is one of the most frequently audited CPT/procedure codes due to the improper performance and documentation of this procedure. Here are the important facts regarding the performance and documentation of CPT code 11730:
1. Documentation must describe the symptoms and complaints which establish medical necessity for the treatment.
2. Nail or nail border must be separated and removed to and under the eponychium.
3. Local anesthetic (type and quantity) must be documented. If not used, provide rationale (i.e. neuropathic patient, patient refused, medical contraindications).
4. Post-operative instructions and follow-up care should be documented.
5. If the medial and the lateral borders are...
Editor's note: Dr. Warshaw's extended-length can be read here.
|
|
| RESPONSES/COMMENTS (APMA HOD RESOLUTIONS) | |
From: Jon Purdy, DPM
Does the ABFAS have third-party oversite outside of podiatry? I do not know the answer to this, nor was it addressed in the letter. I do know the American Board of Orthopaedic Surgery is partnered with the National Center for Quality Assurance (NCQA) and National Quality Foundation (NQF).
In our world, the American Board of Multiple Specialties in Podiatry (ABMSP) is accredited by the American National Standards Institute (ANSI) under the ISO International Standards ANSI/ISO/IEC/17024:2003 for Accreditation for Bodies Operating Certification of Persons, as well as accredited by URAC (former Utilization Review Accreditation Commission).
Jon Purdy, DPM, New Iberia, LA
|
|
| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Allen Jacobs, DPM
The recent “gatekeeper“ discussion in PM News is, in my opinion, reflective of the Dunning-Kruger effect in reasoning: there appears to be a failure to recognize one’s own incompetence. As noted by Dr. Tomczak and me in previous postings, the question is how far out of your lane do you wish to drive? Are you unconsciously incompetent?
The DPM degree is a restricted medical degree with restrictions on practice determined at the state level and locally by institutional delineation of privileges. A podiatrist today is exceptionally well trained for the evaluation and management of foot and ankle pathology. This is what you do. This is what you have been educated to do. This is what society, through its regulatory legislation, has determined, based on education and clinical training, has granted you permission and trust to do. You are entrusted to perform surgery, and to determine when surgery is or is not....
Editor's note: Dr. Jacobs' extended-length letter can be read here.
|
|
| RESPONSES/COMMENTS (APMA STATE COMPONENT NEWS) | |
From: Lloyd Smith, DPM
Phong was one of the most impressive residents I had the privilege to work with. By his third year, he was among the best. I was disappointed he moved to California.
Congratulations Phong.
Lloyd Smith, DPM, Newton, MA
|
|
| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
 |
|
What the well wheeled podiatrist drives? |
Source: Submitted by Dr. Mark Sugar
|
|
MEETINGS & WEBINARS
|
|
|
|
|
|
|
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 $299
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, PA, 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, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
|
|
| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS | |
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details..
ASSOCIATE POSITION – SOUTH TEXAS
Immediate opening in a well-established podiatry Practice in McAllen. An excellent opportunity for someone looking for a long-term relationship as an associate leading to partnership in a fast paced, high-volume setting with great potential for continued growth. Competitive-base salary, bonus and benefits. Please submit CV & introduction letter to equach102@yahoo.com
ASSOCIATE POSITION - BLACKSBURG, VA
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - HAMPTON, VA
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - MCLEAN, VA
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - OCEAN CITY, MD
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Maryland. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an immediate and exciting opportunity for a full-time, board qualified or board-certified foot and ankle surgeon for a full spectrum, busy podiatric practice. Salary starting at $165,000.00 with bonus structure in place to earn over $200,000.00. Benefits package includes retirement plan, medical, vision, and dental, and moving stipend. Albuquerque and surrounding areas offer an array of outdoor activities including snow, skiing, hiking, and mountain biking. Great place to raise a family. Interested candidates can email ACharlie@footanklenm.com
ASSOCIATE POSITION – AL, LA, TN, MS, GA, IL, FL , MO & CO
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. You will have autonomy and focus on clinical care while we take care of all scheduling and billing. Guaranteed daily base rate plus competitive compensation. Electronic charting and all equipment provided. Make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
ASSOCIATE POSITION - FLORIDA
We are currently seeking a qualified candidate to join our mobile podiatry office team. This position offers flexible hours, with daily rate pay. The position is part-time, with the opportunity for growth within the company. We cover areas from Port St. Lucie to Vero Beach. If you are interested in joining our team and providing exceptional foot care services to our patients, please apply today. i.smith@kysopod.com
ASSOCIATE PODIATRIST – ATLANTA, GEORGIA
Ankle & Foot Centers of America invites a Board Qualified/Certified Foot and Ankle Surgeon to join our dynamic team in a bustling North-Atlanta suburb. This is an excellent opportunity for both newly graduated and experienced podiatrists. Step into a role with an immediate, substantial patient base due to a retiring physician. We pride ourselves on a collaborative work environment, competitive compensation, and ample opportunities for professional development. Be part of a practice that values excellence in patient care and team collaboration. Interested candidates, please forward your CV to JoinUs@ankleandfootcenters.com
ASSOCIATE POSITION- HOUSTON/NW AREA
Established Podiatry Group with multiple clinic locations and doctors seeking a full-time Associate to practice medicine and Surgery in the Northwest and Northeast areas. Competitive salary + bonus, medical, dental and vision benefits and 401K. Please send CV to gayle@fac.net. (www.fac.net).
ASSOCIATE POSITION – MONTGOMERY COUNTY, MARYLAND
Immediate associate position to join our team. An expanding, dynamic podiatry practice with lots of room to grow. Limb salvage, deformity, trauma & clinic. Multiple hospitals to take call, hospital call required. Maryland license preferred. Full benefit package available. Please email CV to footanklerecon@gmail.com
ASSOCIATE POSITION - NORTHERN VIRGINIA
Seeking a well trained physician to join a multi-office practice in northern Virginia. Good variety of pathology with multiple hospital and surgery center affiliations. Competitive salary and benefits package. Ability to work with and train residents. Immediate start date available but willing to wait for the right individual. If interested, please email resume to: krpsgold@cox.net.
ASSOCIATE POSITION – WESTERN PA
Well-established podiatry practice in Western, PA looking for a full-time podiatrist to join their team. Position will involve seeing patients at multiple hospitals, wound care centers and satellite offices. Basic qualification: Completed accredited residency program. Board Certified/Qualified in forefoot and/or rearfoot surgery. Competitive compensation and benefits package offered. email CV to: westernpapodiatry@gmail.com
ASSOCIATE POSITION – MULTIPLE POSITIONS AVAILABLE
ASSOCIATE POSITION - GREENVILLE, SC
Busy two-office practice with three doctors in Greenville SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401 K, malpractice, health and dental insurance, CME, short and long-term disability. PTO. (All other standard benefits) Please send cover letter with CV to podiatryresumes@upstatefootdocs.com
ASSOCIATE POSITIONS - WASHINGTON STATE
Join our well-established podiatric practice in the vibrant Seattle, WA, area, with decades of commitment to exceptional patient care and a supportive team environment. Qualifications: Board Certified/Eligible in Podiatric Surgery. Valid Washington state medical license (or ability to obtain one) Benefits: Comprehensive benefits package. PTO and CME allowances. Retirement plan with employer matching Opportunities for professional growth and development. How to Apply: Please send your resume, cover letter, and references to employmentdpm101@gmail.com
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
Join a Dynamic multi-specialty 6 location group with cutting-edge equipment, storefront presence, physical therapy. Competitive starting salary of $150k, with the potential to easily earn up $200k with bonus. Send CV to Cnunez1940@gmail.com (Texasfootdoctor.org)
ASSOCIATE POSITION - GREATER PHOENIX AREA
Well established, respectable, large group podiatry practice has an immediate opportunity for an associate. We have a great balance of office and surgical practice. Looking for a well rounded associate, bilingual in Spanish a plus, with the desire to grow, learn and develop excellent clinic and surgical skills. Base pay from 100-150K with bonus package. Non-surgical, prior experience, and/or future residency graduates encouraged. AZ License needed, We offer medical benefits, CME, Malpractice, and 401K. Please submit resumes to: podiatryaz@gmail.com
ASSOCIATE POSITION - BUSY PRACTICE IN NORTHERN MARYLAND
Opening for immediate hire. Looking for a talented, personable, hardworking, podiatrist to join a well-rounded group practice. Surgical training required. We have two practices, Elkton and Bel Air, that need coverage to keep up with the growing volume. Proximity to Delaware, Maryland, and Pennsylvania. Hit the ground running. Text me @ 410 459-4909.
ASSOCIATE POSITION – NEW YORK, NY
Podiatrist position available for immediate hire. Flexible hours with both part time/ full time flexibility. Recent grads welcome. Send to toetalpodiatrynyc@gmail.com
ASSOCIATE POSITION – MANHATTAN
Gotham Footcare, a leading and reputable multi-location private practice seeks a skilled podiatrist with 1+ year private practice experience in surgery and communication. Drive growth with up to $250k first-year compensation. Enjoy perks like paid vacation and a 401(k) plan. Grow with us in the heart of Manhattan! Inquiries: send resume to ana@gothamfootcare.com
ASSOCIATE POSITION – DELAWARE
Brandywine Podiatry the largest podiatric practice in the state with 11 doctors and seven offices is looking for a full time associate for central/southern DE (Live by the beach). Unique opportunity for a successful career with heavy volume of wound care and surgery. Full compensation package. Send CV to : Savage6026@comcast.net
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship, located at St. John's Episcopal Hospital in Queens, New York. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, general, vascular, and podiatric surgeons. -The wound care fellowship position pays a 6 figure salary for the year, 4 weeks of paid vacation, personal days and paid health benefits. Please contact or jtfootcare@gmail.com. EOE employer.
PME/GME APPROVED PODIATRY MULTIDISCIPLINARY FELLOWSHIP IN WOUND CARE AND HBOT
At Huntington Hospital Northwell Health, NY. Certification in Wound Care and HBOT, fellows will also assist in operating room with emphasis on plastics cases. Fellowship positions open to new graduates and established practitioners. Generous salary and benefits. Please contact eardito@northwell.edu
|
| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE | |
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 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
PRACTICE FOR SALE - SOUTHERN CA - SOUTH BAY REGION OF LA
Established practice for sale. Owner is planning to retire and transition. Fully staffed and equipped practice. Opportunity to acquire turn-key operation. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - HOUSTON SUBURBS
Established single doctor practice located in affluent Houston suburb grossing over $1M annually working 4 days a week. No surgery. 3 different lasers, shockwave, digital X-ray, ultrasound and vascular testing equipment. Doctor is looking to move abroad. For more information send email to faajobs@gmail.com
PRACTICE FOR SALE – MASSACHUSETTS
Modern, well established since 1986. Busy, 75 new patients a month. All aspect of podiatric services. Fully equipped, certified EHR, laser, digital x-ray, vascular machine, Pad net. In-house billing, well run. Located within a mile from hospital. Owner is willing to stay as necessary during transition. Contact drwaw54@aol.com
|
| 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 |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
