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| PM News | |
The Voice of Podiatrists
Serving Over 18,412 Subscribers Daily
July 10, 2019 #6,458  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Should podiatry have a single board certification with added sub-specialties?
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| PODIATRISTS IN THE NEWS - PART 1 | |
Walking Barefoot Can Result in Second Degree Burns: CA Podiatrist
Whether your summertime footwear choice is flip-flops, hiking boots or bare feet, it’s important to care for your feet while you enjoy the warm weather. Grass Valley podiatrist Marc Claydon, DPM, Foot and Ankle Surgeons of Northern California, reminds us that while summertime is a great time to enjoy the outdoors, there are some risks that come with certain activities.
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Dr. Marc Claydon |
“In my clinical and personal experiences, I have encountered many different injuries resulting from summer activities, ranging from foot lacerations from sharp rocks to even first and second degree burns from ambulating [walking] on hot ground,” says Dr. Claydon. Claydon says those types of burns from walking on hot pavement can be avoided by investing in supportive water shoes or a sandal with thick soles.
Source: Mary Beth TeSelle, The Union [7/8/19]
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| PODIATRISTS IN THE NEWS - PART 2 | |
MI Podiatrist Discusses Causes of Fungal Infections
Fungi love dark, damp places, so your feet are especially vulnerable to fungal infection, says Rebecca Sundling, doctor of podiatric medicine, a spokeswoman for the American Podiatric Medical Association, and a podiatrist at Northwood Foot and Ankle Center in Holland, MI. Both toenail fungus and foot fungus are very common, and both can be caused by the same organism. However, they aren’t the same condition, and they are treated differently, she explains. Toenail fungus is a fungal infection in the toenail. It happens when a fungus — anything from mold to yeast to other types of fungus — gets in the nail bed from a cut or break in the nail or repetitive trauma to the nail, and penetrates the nail itself, says Dr. Sundling.
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Dr. Rebecca Sundling |
A foot fungus is a fungal infection of the skin, better known as athlete’s foot, says Sundling. The fungus enters through cracks in the skin. It’s known as athlete’s foot because athletes or anyone who is more active and sweats a lot is more at risk. Kids are also more at risk, because they don’t tend to wear different shoes, and changing your shoes is one way to avoid foot fungus.
Source: Marie Suszynski, Everyday Health [7/8/19]
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| PODIATRIC PRODUCTS AND SERVICES IN THE NEWS | |
Novastep Announces Launch of PECA® MIS Implant System for Bunion Correction
Novastep, Inc., a global medical technologies company specializing in foot and ankle surgery, has announced the U.S. launch and full commercial availability of the PECA® minimally invasive surgical (MIS) implant system for mild to severe hallux valgus (bunion) deformities. The first commercial PECA® cases were performed by A. Holly Johnson, MD (Hospital for Special Surgery, New York, NY), Oliver N. Schipper, MD (The Anderson Orthopaedic Clinic, Arlington, VA) and Brian G. Loder, DPM (Henry Ford Health System, Detroit, MI).
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Dr. Brian Loder |
Novastep’s PECA® system features a complete and versatile portfolio of uniquely designed instruments and implants for minimally invasive surgical correction of hallux valgus, commonly referred to as bunions. “The Novastep MIS system has dramatically improved my practice in both the clinic and O.R. Using PECA® for my bunion patients is simply more effective and efficient,” said Dr. Loder.
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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 | |
4 Ways to Improve Your Online Reputation - Part 3
3. Ensure information is up-to-date.
Set a reminder for slow periods (e.g., the deductible reset in January or summer) and divide up the work of checking directories and checking your online reputation.
Source: Laurie Morgan, Physicians Practice [6/26/19]
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| CODINGLINE CORNER |
Query: Takedown of a Fusion of the 1st MPJ
I recently had a patient with a fused 1st MPJ and the sequelae thereof. She has extreme hypermobility of the 1st metatarsocuneiform joint and a stage 4 flatfoot. Her 2nd and 3rd toes were deviating medially from overloading (pre-dislocation syndrome). Therefore, I performed a subtalar joint fusion, a talonavicular fusion, 1st metatarsal-cuneiform fusion, and I took down the 1st metatarsophalangeal (MTPJ) fusion. I placed an implant at the 1st MTPJ site to allow for some motion in the foot since having most of the medial column fused would likely cause pain. I did correct her lesser toes as well.
I do not see a CPT for takedown of a fusion of the 1st MTPJ. Would this qualify as correction of hallux rigidus with implant (CPT 28291) or CPT 28899 (Unlisted procedure)?
PM News Subscriber
Response: With respect to the “take down of a fusion of the 1st MTPJ,” I do not feel that this would qualify for the billing of CPT code 28291: Hallux rigidus correction with cheilectomy, debridement and capsular release of the first MPJ; with implant. By definition, hallux rigidus is a form of degenerative arthritis, which can cause pain and stiffness in the 1st metatarsophalangeal joint. Clearly, this is not what has taken place here. The 1st MPJ was arthrodesed at point “X” in the past. An iatrogenic hallux rigidus is really not a good selling point to support the billing of CPT code 28291. Since there is not a designated CPT code for the introduction or placement of an implant into the 1st MPJ, I feel that it would be most appropriate to bill CPT code 28899: Unlisted procedure, foot or toes.
I would then go to Box 19 on the CMS-1500 Claim Form or the electronic equivalent, the Information Box. I would print out the following: “CPT code 28899 is for the placement of an implant into the first metatarsophalangeal joint.” If additional information is requested after the entire claim is submitted, I would then submit a copy of the operative report.
Michael G. Warshaw, DPM, CPC, Lady Lake, FL
For information on Codingline subscriptions, click here
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| QUERIES (MEDICAL-LEGAL) | |
Query: Posting Surgical Procedure Videos on Social Media
In this current Dr. Pimple Popper world, I’m seeing an increase on podiatry office Facebook sites of surgical procedures. I’d like to know if posting videos of our procedures could lead to a liability issue.
Olga Luepschen, DPM, Sebring, FL
Editor's Comment: PM News does not provide legal advice. In order to steer clear of HIPAA and state privacy laws, make sure the patient is not identifiable. In addition, it is recommended that you get a signed release from the patient.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Charles Lombardi, DPM
ABOS requires submission of all cases done in the last two years. Then they require you to come down and defend your cases (that they pick). This process is repeated in re-certification. That is why most orthopedists don't want difficult cases in their window.
Charles Lombardi, DPM, Flushing, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Judith Rubin, DPM
I too took the boards in 1988 and thank God passed the first time. Now taking the Boards is almost impossible. One of my associates handed in his cases, some from residencies and some from private practice. His cases were rejected because of ridiculous things such as a cavus foot in which he performed a Dwyer osteotomy. They wanted to know why he didn’t do NCS and EMGs. Really? I think the whole thing was ridiculous. That’s my opinion.
Judith Rubin, DPM, Cypress, TX
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Bret M. Ribotsky, DPM
I think the real question is “Can diabetes be cured?” A quick search on Google says NO. In my opinion, once you have diabetes, psoriasis, cancer, rheumatoid arthritis, MS, or many other diseases, you have these for life. You may have No evidence of disease activity (NEDA) and that is the goal of treatment; we often call it a cure, but it’s not. If this is so, then once you have had the diagnosis made, you have it forever.
To take issue with my friend Dr. Lehrman, he is correct if the first doctor says the patient does not have diabetes any longer; but, should the first doctor say that there is NEDA of diabetes, I still think the patient should be eligible for shoes.
Bret M. Ribotsky, DPM, Boca Raton, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Wormy Walkers? (photo: M. Zoeter) |
Source: Iris van Herpen, Rem D Koohaus via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
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You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - SOUTH CENTRAL PENNSYLVANIA
www.martinfootandankle.com is looking for an associate interested in future partnership with our successful team. Fellowship training preferred. ASC investment opportunities available. Practice facilities include: 5 office locations, 4 Physical Therapy gyms and 2 shoe stores. Competitive compensation and benefits. Those interested, please send letter of interest and CV to: hr@martinfootandankle.com.
PODIATRIST NEEDED - NORTHERN AND SOUTHERN CALIFORNIA
Spectrum Medical Group is looking for a personable and ethical DPMs to work in our long term care facilities. Excellent income potential with discretionary time. Professionally managed with over 50 years of experience. Please send CV and interest letter to: Northern: dwayne8543@gmail.com Southern: donaldswearingen@hotmail.com
ASSOCIATE POSITION - MARYLAND WEST VIRGINIA AND VIRGINIA
Seeking a full-time podiatrist: Maryland, West Virginia and Virginia to join our large and well-established group. We have all the bells and whistles along with a competitive salary and excellent benefits with bonus structure. Fair, fun and transparent work environment. Please email cover letter and resume to Greatpodiatristjob@gmail.com
ASSOCIATE POSITION – DAYTON, OHIO
Established practice seeks full-time ABFAS or ABPM cert or qual. Podiatrist for our growing practice. Ideal candidate possesses strong clinical and surgical skills. Must be willing to merge into an already established protocol-based office. State-of-the-art facilities and equipment. Hospital privileges, No nursing homes, base $120,000 and generous bonuses. Benefits include medical insurance, disability insurance, paid vacation and holidays, paid CME and malpractice. Please send C/V to DPMOhio@gmail.com
ASSOCIATE POSITION - BROOKLYN, MANHATTAN, BRONX, NY
Full time podiatry position in group practice with salary starting at $100,000 first year and second year $125,000 with bonus structure for entry level. Experienced doctors already on hospital staff and affiliated with insurances negotiable. Includes malpractice, stipend for CME, license, etc., 401k, partial payment of medical insurance. Must be willing to travel to all locations. Please email resume to contactus@starrettpodiatry.com
ASSOCIATE POSITION AVAILABLE – NORTH CAROLINA
New associate position that can lead to partnership. We are a very busy practice providing care in both office and hospital settings. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of western North Carolina. 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. North Carolina license to practice is required for this position. All interested candidates should send a CV with 2 letters of reference to JCMOOREDPM@aol.com
ASSOCIATE POSITION - CHARLESTON, SC
Board qualified/certified podiatrist needed for busy practice in Charleston, SC. Practice utilizes mini C-arm, ultrasound, laser, DME and retail. Hardworking ethical individual needed to fill position. No call, weekends, or surgical training needed. Ideal position with a family or retiring. Please email resume/cover letter to charlestonpodiatry@yahoo.com
ASSOCIATE POSITION - NORTHERN - NEW JERSEY
Looking for well-trained podiatrist licensed in New Jersey. The practice spans the gamut of podiatric medicine and surgery. If you don't like treating peds, don't apply. Expect to see everything from mycotic nails to complex flatfoot surgery. Six figure salary with bonus and benefits. Respond to Laoshih5@gmail.com
ASSOCIATE POSITION – ALABAMA
Love the beach? Busy, established practice located in a coastal community is looking for a full-time or part-time podiatrist! ABFAS board qualification or certification is required. Must be motivated, hardworking, positive, and dedicated to growing the practice and individual career and reputation. Must have great people skills, caring bedside manner, and positive demeanor. Must work well with staff and local medical community. Competitive pay and partnership track available. Send CV and contact information to: manager@southbaldwinpodiatry.com
ASSOCIATE PODIATRIST WANTED – CALIFORNIA/SF EAST BAY
Join our growing multi-office practice, immediate opening. Must have great people skills, bedside manner, and positive demeanor. Must work well with staff and local medical community. Prefer private practice experience. California license required. Full or Part Time. Send CV and cover letter to: ebpod2008@gmail.com.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary and benefits offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION – MIAMI, FL
We are a growing practice in Miami, FL with three podiatrists working in 1 office and on staff at 3 hospitals. Attractive salary. Practice is equipped with certified EMR, digital x-ray, and laser. Send CV to tvaldizan@birdroadpodiatry.com
ASSOCIATE POSITION - NASHVILLE, TN
Searching for a well-trained and ambitious podiatrist for a growing 3 office location practice. Full-time position offering base + bonus. Associate needs to be board certified or board eligible by the ABFAS. Please email cover letter and CV to mendozadpm@comcast.net. Love of Country Music not required!
ASSOCIATE POSITION – BERGEN COUNTY, NJ
Looking for a full-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com , should you have any further questions you may call Gerry 201-523-9489 ext 101.
ASSOCIATE POSITION - SOUTHWEST FL
Seeking associate for busy well rounded foot/ankle practice. ABFAS or ABPM cert or qual. Great interpersonal skills and willing to work as a team a must. Office fully EMR, digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, etc. DrLam@naplespodiatrist.com
PART-TIME PODIATRIST POSITIONS – STATE OF FLORIDA
Earn some extra income while positively impacting the lives of seniors every day! KG Health Partners is a growing, mobile podiatry practice seeking part-time Podiatrists throughout the State of Florida. We offer a flexible Monday through Friday schedule – no evenings or weekends! Set your own schedule! You choose which days of the week you would like to work. As an Independent Contractor, compensation is based on productivity. Plus, we reimburse a percentage of your Medical Liability Insurance! You must possess and maintain active Medicare and Florida licenses. Interested? Email CV to kgadmin@kghealthpartners.com
POSITION AVAILABLE- UPSTATE NEW YORK AND SOUTHERN NEW JERSEY
Rapidly expanding company serving Skilled Nursing Facilities, Nursing Homes, and Assisted Living Centers is looking for doctors for positions in Norwich, Schenectady and Cooperstown, NY and Southern New Jersey. Positions available immediately. Send inquiries and CV to: phasetwopodiatry@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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 davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
OFFICE AND EQUIPMENT FOR SALE – EAST CENTRAL ILLINOIS
Podiatry office and equipment for sale $175,000. 27 year old established podiatric medical practice located in East Central Illinois average gross income $350K. Serious inquires only. Recommend having a Medicare provider number. Will be relocating by November 2019. See listing drjoe@myfeethurt.net phone number 217-549-1887
PRACTICE FOR SALE - BOCA RATON, FL
35 year general podiatric practice with emphasis on sports medicine & orthotics. Great location. Excellent growth potential. Certified EHR. Digital X-ray, Pinpointe Laser. All private insurances accepted. Will stay to transition. 561-247-1144. E-mail - victor195754@yahoo.com
PRACTICE FOR SALE- PUERTO RICO
Large practice with licensed ambulatory foot surgical center in Puerto Rico. Ideal for a Boricua who wants to repatriate and continue to practice. Well established, great location between 2 hospitals, with all modalities available to ensure great patient outcomes. Great tax advantages in PR Contact: montanile@podiatrycenterpr.com
PRACTICE FOR SALE – LONG ISLAND
Unique opportunity to purchase contemporaneous podiatry practice in beautiful long island north shore, Nassau county. Practice grosses approximately 425k, on non-surgical services only. Approximately 60 patients weekly. Professional building also may be included as part of the sale. Willing to stay on a part time basis indefinitely. bombbustr7@aol.com
PRACTICE FOR SALE - CORPUS CHRISTI, TX
Well established, same location over 28 years on Gulf Coast of Texas. Very busy practice with low overhead located not far from largest medical complex in city. Best buy at $135K immediate sale available. Gross $450K+ for 4 day work week with excellent room for groth. maggieg219@yahoo.com
PRACTICE FOR SALE - WASHINGTON STATE
Well established 28 yr old solo practice. Doctor interested in retiring. Accepts all major insurance. Hospital privileges. Supplies, furniture, x-ray included. Excellent income. Great opportunity to live on the spectacular Olympic Peninsula. Office building also available for sale. Willing to stay on for transition. For serious inquiries pfna@olypen.com 360-301-1585
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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 davidekagan@gmail.com or call (215) 808-0770.
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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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