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PM News

The Voice of Podiatrists

Serving Over 18,416 Subscribers Daily


July 12, 2019 #6,460 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

practiceehrjul119

PM NEWS QUICK POLL

LAST CHANCE TO VOTE

Quick Poll

Should podiatry have a single board certification with added sub-specialties?
 
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PODIATRISTS IN THE NEWS
Foot Calluses Should be Trimmed to Skin Surface Level: NY Podiatrist
 
According to Mika Hayashi, DPM, a New York-based podiatrist, calluses in healthy individuals can protect an area of the foot from excessive pressure; but if they protrude too much, they can be uncomfortable. “It can feel as if you’re walking on spike shoes used for soccer,” she said.
 
Dr. Mika Hayashi
 
The remedy? Dr. Hayashi suggests calluses be trimmed back to the skin surface level, thereby restoring the normal contact area between the foot and the ground and decreasing pressure.
 
Source: Barbara Schneider-Levy, Footwear News [7/8/19]
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PODIATRISTS IN THE COMMUNITY
Artesian Valley Health System Welcomes KS Podiatrist
 
Artesian Valley Health System (AVHS) welcomes John P. Powers, DPM to our team of full-time providers. Dr. Powers is a Board-Certified Foot and Ankle Surgeon with a Doctor of Podiatric Medicine degree from the Ohio College of Podiatric Medicine. 
 
Dr. John Powers
 
Dr. Powers has been practicing for eighteen years and has obtained the status of Fellow of the American College of Foot and Ankle Surgeons (FACFAS) and Fellow of the Association of Extremity Nerve Surgeons (FAENS).
 
Source: Steven Rains, KSCN News [7/9/19]
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PODIATRISTS AND FOOTWEAR
Ill-Fitting Shoes Can Lead to Ill Feet: NY Podiatrist
 
It's an age-old tale: You see a pair of shoes you absolutely love and insist on buying them, even though the fit isn't perfect, reasoning to yourself that you’ll be able to wear them in. Unfortunately, according to Manhattan podiatrist Jacqueline Sutera, DPM, this shoe-shopping philosophy is an absolute no-no, especially when you have a wider foot. Dr. Sutera notes that ingrown toenails, bunions, hammertoes, calluses, corns, pinched nerves, and bone spurs are some long-term effects of wearing footwear that doesn’t fit properly.
 
Dr. Jacqueline Sutera
 
“From the moment you try them on in the store, the shoes should fit comfortably and feel just right,” Sutera explains. “If they’re tight, try the next width up or a different style. Breaking shoes in damages feet in the process.” Luckily, finding sneakers that comfortably fit a wide foot isn’t that hard. According to Sutera, styles with adjustable straps and a more rounded or square-shaped toe box tend to better suit a wide foot. Many brands also allow shoppers to pick their preferred width (e.g., M for medium and W for wide).
 
Source: Eva Thomas, Who What Wear [7/5/19]
MDBuyingjul819

PUBLISHED PODIATRY-RELATED AUTHORS
NV Practice Management Expert Publishes Book 
 
You're a podiatrist. But maybe practicing your profession isn't as easy as you thought it would be. Private medical practice is no longer for the faint of heart. It's an increasingly complex and difficult gauntlet of paperwork, regulations, and frustrating medical management software that can defeat even the strongest of physicians. On top of that, you have to fill your waiting room and keep it full--no easy task!
 
Rembrandt Jackson
 
Podiatry Prosperity provides a clear path to success, profitability, and a work/life balance that gives back your nights and weekends, so you can enjoy them with your family and friends. You'll learn a repeatable and sustainable process for marketing your practice, managing your employees, and maintaining a healthy mindset that will change everything. You'll finally have the practice you always wanted and will attract the kinds of patients you want to treat.
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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.
 
Today's Featured Article
 
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PRACTICE MANAGEMENT TIP OF THE DAY
Four Ways to Maintain Productivity
 
If it has been a while since you have stopped to consider what you need to have in place to keep you—the productivity machine—in top condition, here are some suggestions to put into practice:
 
1. Get a regular health check-up.
 
If it turns out that everything is A-OK, fantastic. If you nip some potential problem in the bud, way to go! Depending on the particulars of your physiology, once you’ve passed a certain age, you undoubtedly know the value of having a regular check-up.
 
Source: Jeff Davidson, Physicians Practice [7/5/19]
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CODINGLINE CORNER
Query: Post-operative Injection
 
Hammertoe surgery was preformed. A CPT code 28285 was billed. Now the patient returns with pain and edema to the same digit. The x-ray was unremarkable. We decided to inject the surgery site with dexamethasone to assist in decreasing the edema and this is done during the post-op global period. How would we bill this visit? Is a basic edema code sufficient to use with the CPT 20600?
 
Marc Colaluce, DPM, St. Petersburg, FL
 
Response: Since the patient returned with “pain and edema to the same digit” and the “X-ray was unremarkable,” based upon the provided information, this appears to be a normal part of the post-operative period and not a complication to the original surgical procedure. If the surgeon decided to inject the surgical site with a corticosteroid to decrease the pain and edema, based upon the information that was provided in the post, this would not qualify as a billable, reimbursable situation. The question that was posted is: “Is a basic edema code sufficient to use with CPT code 20600?” My response is no. An E/M service cannot be billed either, as this “situation” is directly related to the procedure that was performed.
 
Michael G. Warshaw, DPM, CPC, Lady Lake, FL
 
For information on Codingline subscriptions, click here
RESPONSES/COMMENTS (OBITUARIES)
RE: The Passing of James R. Bender, DPM
 
James R Bender, DPM, age 62, passed away unexpectedly on July 4, 2019 in Port Charlotte, FL surrounded in love by his family. He earned his Doctorate of Podiatric Medicine at the Dr. William M. Scholl College of Podiatric Medicine ('84).
 
Dr. James Bender
 
He enjoyed twenty-four years as the sole-proprietor of his podiatric medical practice in Grand Rapids and Fremont. In addition to his practice, he served as the Chief of the Department of Podiatry at Spectrum and was the department chair at St. Mary's hospital through these years. After retiring, he continued working part-time as a medical science liaison and lecturer.
 
Source: Grand Rapids Press [7/9/19]
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Standard of Care for Sterilizing Nail Nippers
From: Allen Jacobs, DPM
 
The so-called "standard of care" is generally defined as that which the average podiatrist would do under the same or similar circumstances. The most recently completed PM News survey indicates that greater than 57% of respondents utilize cold sterilization for nail care instrumentation. Therefore, cold sterilization is the standard of care for nail care instrumentation between patients.
 
Theoretical arguments regarding the potential benefits of alternatives do not change the existing standard of care. The potential medical-legal implications of this survey, particularly to those caring for large numbers of institutionalized based populations, is very important. 
 
Allen Jacobs, DPM, St. Louis, MO
2020jun2419

RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: Martin M Pressman, DPM
 
I agree with Dr. Allen Jacobs completely. The use of graded pulses (+1 thru +4), capillary filling time, and hair growth as the standard podiatric documentation, while necessary, is simply not enough. Hand-held Doppler evaluation is an inexpensive method of determining the quality of pulses: monophasic, biphasic, or triphasic. Documenting the presence and quality of the three foot pulses with a Doppler and referring to a vascular consult or ordering vascular ultrasound imaging/ABI for absent or monophasic sounds would save limbs and time spent in depositions for a missed diagnosis of PAD.
 
Martin M Pressman, DPM, Milford, CT
Richiemay1319

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Ultimate protection for the foot?

Source: Rem D Koohaus via Virtual Shoe Museum

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MEETING NOTICES

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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - SOUTHWEST FL
 
Associate for busy, well rounded foot/ankle practice. ABFAS or ABPM BC or BQ. Great interpersonal skills and willingness to work as a team a must. State-of-the-art EMR, digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, etc. DrLam@NaplesPodiatrist.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 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 POSITIONS – UPSTATE NY, VA, MD, TX, PA, FL,  KY, DE, & IA 
 
A provider of high quality podiatric care in nursing facilities is looking for podiatrists to treat patients. We are a fast growing company looking for motivated, caring podiatrists. Full-time and part-time positions available. Please send your CV & cover letter to office@easternpodiatrypllc.com.
 
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 
 
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
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 - JACKSON HEIGHTS, NY 
 
Well established 27 year old practice. Turn-key operation. Great opportunity for established or new graduate. Excellent income potential on/off the insurance plans. Busy walk in traffic. 1100 square foot office in multi-specialty building. Email: gping1@yahoo.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 - 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
 
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.
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.
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    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
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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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