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| PM News | |
The Voice of Podiatrists
Serving Over 17,338 Subscribers Daily
August 02, 2016 #5,721  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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| PM NEWS QUICK POLL |
Quick Poll
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Have you implemented ePrescribing? |
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| PODIATRISTS IN THE NEWS | |
CA Podiatrist Uses High-Frequency Ultrasound to Treat Plantar Fasciitis
Millions of people suffer from heel pain, and it can be due to tight calf muscles, long-distance running, or shoes with poor support. Treatment for this painful condition can be just as excruciating. But now, there's a new device that local doctors are testing that doesn't involve needles or surgery. It's a high-frequency ultrasound that helps repair musculo-skeletal injuries. "This ultrasound penetrates through the skin through the fat, and actually directly focuses on a beam of energy into the plantar fascia that helps break up the scar tissue in the fascia," said Dr. Bob Baravarian, director of the University Foot & Ankle Institute in Santa Monica.
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Dr. Bob Baravarian |
Using this technology, Baravarian can target exactly where the scar tissue is. The clinical trial involves two 5-minute treatments that are about a month apart. Then patients will have to wear a boot for about two weeks. "The microscopic injury that we cause needs to be protected so that it heals without scar tissue formation," he said.
Source: Doris Dador, KABC-TV [7/29/16]
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| PODIATRISTS IN THE COMMUNITY | |
MN Podiatrist Joins Essentia Health St. Joseph's Brainerd Clinic
Dr. Annette Bartel, a podiatrist, has joined the Essentia Health St. Joseph's-Brainerd Clinic in Brainerd. As part of the podiatry team, Bartel will provide treatment for a wide range of foot and ankle conditions, from diagnosing and treating ingrown toenails and bunions to flat foot correction, Achilles tendon repair, and orthotics management.
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Dr. Annette Bartel |
Bartel earned a doctor of podiatric medicine degree from Des Moines University College of Podiatric Medicine in Des Moines, IA. She completed a podiatric residency at the Gundersen Medical Foundation in La Crosse, WI.
Source: Brainerd Dispatch [7/30/16]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Aussie Podiatrist Joins Liverpool Diabetes Research Group
To combat the alarming epidemic of diabetic amputations, the Ingham Institute Liverpool Diabetes research group is leading a number of research projects. This includes the world-first clinical trial led by Dr. Namson Lau and Professor Hugh Dickson, who are using the drug denosumab to treat charcot foot, a condition that causes the weakening of the bones in the foot that is a side-effect of diabetic foot disease.
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Matt Malone |
Additionally, podiatrist Matt Malone recently joined with the Institute’s Infectious Diseases research team to investigate diabetes foot infections as a whole. Together, they are using next generation DNA techniques to better understand the bacteria causing diabetic foot infections (we call this the microbiome), their resistance to antibiotics, and the presence of unusual pathogens.
Source: Liverpool City Champion [8/1/16]
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| HIPAA UPDATE | |
10 Keys to Keeping Text Messages Safe - Part 4
6. Procedure: Consumer Application Usage - Define whether or not users are allowed to use consumer messaging apps, such as iMessage and WhatsApp, in any workflows, or whether they will be prohibited.
7. Procedure: Texting Orders - Define whether or not staff can use secure text messaging to text orders. However, certain secure text messaging solutions may not support everything needed to enable these workflows, such as order verification.
Source: Health Data Management [7/26/16]
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| QUERIES (NON-CLINICAL) | |
Query: Getting CMS to Provide the correct Advice on RFC
Patients get angry when I inform them that their foot pain caused by "callus" formation or trimming toenails is considered routine in the absence of qualifying criteria (i.e., PAD or at-risk DM). When they call CMS to complain, the helpful agent is happy to inform them that my advisory is incorrect. To whom can I complain to get CMS agents to get the policy straight?
John Moglia,DPM, Berekely Heights, NJ
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| CODINGLINE CORNER | |
Query: Getting Paid for an E/M and Strapping
When billing for an office E/M visit and strapping (CPT 29540), we are finding that payers are frequently bundling the two together, and paying for the strapping (which is of course the lesser charge). How do we bill correctly to get paid for both?
Linda, Office of Lewis Giglia, DPM, Fairport, NY
Response: The established E/M service is a component service included in the "comprehensive" strapping application according to the CCI edits [Medicare]. If, however, you use modifier "-25", you override the CCI edit. You can only use the "-25" modifier when the E/M is "a significant, separately identifiable evaluation and management service". In those case, you should get paid for both the strapping and the E/M visit. Non-Medicare payers have similar, but their own versions of bundling edits.
For example, if you are treating a patient with an established plantar fasciitis diagnosis by the application of a subsequent strapping, the E/M service would be included in the strapping allowance.
Joseph Borreggine, DPM, Charleston, IL
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Howard Bonenberger, DPM
I would like to know more about the surgeon's closure technique and offer a suggestion. We close with one or two 4-0 Monocryl, horizontally-oriented subcutaneous sutures, not pulled so tight so as to create a lump of the loose adipose. Skin is closed with 5-0 Prolene in a horizontal mattress manner. Steristrips may be used in lieu of the Prolene if there is very good hemostasis. The skin and subcutaneous tissues in that area are very pliable and freely movable. All you're trying to do is re-approximate the skin and subcutaneous tissues. We do not try to "close" the deeper tissues.
Howard Bonenberger, DPM, Nashua NH
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| RESPONSES/COMMENTS (PM NEWS QUICK POLL) - PART 1A | |
From Richard A. Simmons, DPM
Dr. Smith asks Dr. Siegel, “what makes him so special” because Dr. Siegel’s health is doing well because of ACA. My answer is a simple word: civilization. We live in a civilized society. I do not complain that I have to pay taxes for the parks in my city that I do not use; I do not complain about paying taxes for schools for children I did not have; I do not complain that I supplement a transit system that allows your patients access to your office; I do not complain that I pay taxes to build the roads that your patients use to travel to your office. These are the prices we pay for civilization. There are many who have that independent attitude that “I have mine; screw you!”
For you, I say, there is plenty of land available where many can go to live self-sufficient: you can sink your own wells, handle your own sewage, farm your own land. Have at it. That civilization can provide medical treatment and care for Dr. Siegal is a win/win situation for all of us: 1) he is working member of society who I am sure pays taxes, etc., and 2) we have a very intelligent man who is able to contribute to the well-being of citizens in his community by being a podiatrist. You see, those children that I pay taxes for their education, one day, they will take care of me. This is what we call civilization.
Richard A. Simmons, DPM, Rockledge, FL
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1B | |
RE: What overall grade would you give the Affordable Care Act?
From: Edward Fischman, DPM
I agree with the doctors who think the ACA has gone way beyond what was needed and has in fact cut into our ability to keep up with overhead increases. It has forced many young practitioners out of practice and will continue to do just that. We experience patients who deny themselves the care they need or postpone it as they see deductibles and co-pays rise considerably.
All that was needed was to force insurance companies to accept people with pre-existing conditions. All the rest was icing on the cake to make insurance companies more profits.
Edward Fischman, DPM, Jupiter FL
Editor's note: This topic is now temporarily closed. No further responses will be published.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What Lois Lane wears? (photo: Charlotte Visser) |
Source: Nadja Iwschenko via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS |
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.
ASSOCIATE POSITION - KANSAS CITY
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We’re growing and need another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with doctors who are committed to your success. Go to: www.YourFutureInPodiatry.com for full details.
ASSOCIATE POSITION – SOUTHERN CALIFORNIA
Successful, growing, full-scope practice with offices in Oxnard, Camarillo, Ventura, and Santa Barbara seeking a full time podiatrist with excellent patient skills to add to our team. Competitive salary and benefits offered including health insurance and 401K. Potential for partnership. Please send CV toKelly@footsurgeon.com.
ASSOCIATE POSITION - K.C. METRO
Licenses in MO/KS required. Must have completed a PSR 36 and be BQ/BC by ABFAS. Growing practice with 2 podiatrists, multiple locations. Competitive compensation. Email CV to bspodiatry@msn.com
ASSOCIATE POSITION - NASSAU COUNTY
Full-time/Part-time associate needed for busy Long Island practice with EHR, digital x-rays and DME. Excellent income opportunity for hard working energetic podiatrist. ABPS board qualified/certified preferable. Must be versed in all aspects of podiatry surgical/medical/orthopedic and be able to work independently. Send resume: jbmbcw@yahoo.com
IMMEDIATE FULL-TIME POSITION - FLINT, MI AREA
Multi-office, thriving practice. Busy surgical caseload available for a new doctor. Excellent payer mix. Partnership potential for the right candidate. Schedule will be immediately filled - patient volume is too great for current docs. Must be self-motivated, energetic and compassionate. Competitive compensation package. Email resume to giordanodpm@hotmail.com
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
PODIATRIST WANTED - NEW JERSEY
Immediate opening for a podiatrist in New Jersey. Full-time and part-time positions are available. Hours are flexible. Excellent compensation. Please e-mail CV to nk210@aol.com.
POSITION AVAILABLE - LOS ANGELES, CA
Los Angeles Based Multi office, multi physician foot and ankle surgical practice looking for highly trained foot and ankle surgeon to join our growing group. Emphasis on sports medicine, reconstructive foot and ankle surgery and revision surgery. Prospective candidate must have excellent personal skills and work well with a team. Competitive compensation with 401K, profit sharing, health insurance, dental and vision insurance. Surgical center partnership potential and full scope hospital privileges available. Facility is state of the art with PT, CT, MRI, US and digital x-ray. Please Contact us at: PODIATRYPARTNERS@GMAIL.COM
ASSOCIATE POSITION – HOUSTON, TX
Houston area practice with three offices seeks full-time associate. Must be board certified/board eligible, competent in all aspects of podiatry, ready for immediately busy schedule including surgery, wound care, hospital medicine. Practice uses state-of-the-art EMR, digital x-rays, in-house physical therapy and shockwave treatment. Competitive salary, benefits. Send CV to houstonfootdr@yahoo.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
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.
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| CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE - MULTI RADIANCE MEDICAL LASER
MR4 LaserStim with 25,000 mW of power. Purchased in 2015 for $12,000, excellent condition. Rolling cart included. Asking $6,000. Please email stcpod@att.net.
EQUIPMENT FOR SALE
3 Midmark 417 Podiatry Chairs $3,500 each, 2 4 drawer and 1 stationary Midmark treatment cabinets $900 each, Autoclaves 1 Pelton Crane $1,200, 1 Midmark M9 $1,700, PAD Net Vascular testing device $8,000, New Med 7000 i Vascular Analyzer $1,000, Birtcher Hyfercator $500, 2 Burdick Ultrasound units $600 each Call (239) 566-8800 or email Drgordon@gulfcoastfootcare.com
PRACTICE FOR SALE - PHOENIX ARIZONA
East Valley 25 year established practice for immediate sale. 2 well equipped offices, turnkey operation. Net collections 200k+. Ideal for 1 ambitious provider, 2 can work both offices simultaneously. Huge growth potential, fantastic referral sources. New leases avail, 1 newly remodeled office with Family Practice in-house. EMR (Healthfusion) avail. 2 xray, US, many chairs, computers, instruments. Website, monument signage incl. Ownership in expanding ASIC, ED call at 2 major hospitals avail. Only 22% MCR. Provider will stay for transition. Experienced office mgr. and certified staff willing to stay. SERIOUS Inquires ONLY for immediate sale. Reply to: AZpodpractice@aol.com
PRACTICE FOR SALE – CHICAGO, IL
Busy practice for sale. A huge potential for growth, both home visits and office patients. Turn-key condition, equipment available for sale, and if needed the lease can be extended at the same location. Currently caring for approximately 1200 patients. Would prefer to sell by October 2016. Willing to introduce to business connections. If interested please email podiatry_123@yahoo.com
PRACTICES WANTED FOR SALE OR MERGER - SOUTHERN CALIFORNIA
Southern California based podiatry group is seeking to add podiatry practices to our growing group. Currently we have 12 locations including MRI, CT, PT and Surgical Center facilities. We have excellent contracts with insurance companies and highly trained surgeons. We are looking for potential doctors who may want to merge with our group for better practice management and improved payer contract with opportunity for ancillary services. We are also looking to acquire practices and pay a competitive price for the practice based on market valuation. For more information please contact. Please Contact us at: PODIATRYPARTNERS@GMAIL.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
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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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