The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

August 08, 2012 #4,534 Publisher-Barry Block, DPM, JD

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We’ve just posted the August 2012 CME titled

August 2012 CME

You can Earn 50 CPME-Approved CME Contact Hours Online

Foot Pain Not Inevitable in Seniors: TX Podiatrist  

“While staying active is a great way to preserve overall health and can positively impact foot health, aging can naturally increase the risk of certain foot ailments,” says Joseph Caporusso, DPM, a podiatrist and president of the American Podiatric Medical Association (APMA). “It’s important to know the symptoms of age-related foot ailments and take steps to minimize their impact on your overall health.”

Dr. Joseph Caporusso

“Foot pain does not need to be an inevitable part of growing older,” Caporusso says. “Wearing the right type of footwear for your needs, and paying attention to foot health can help keep boomers moving into their senior years.”

Source: reflejos.com [8/5/12]

NYCPM Professor to Edit Foot and Ankle Chapter in Gray's Anatomy

Dr. Anthony V. D’Antoni

Anthony V. D’Antoni, DC, PhD, Associate Professor of Pre-Clinical Sciences at NYCPM, has been asked to serve as the editor for the ankle and foot chapter (chapter 81) for the next edition (41st) of the British textbook Gray's Anatomy. Continually published for 150 years, Gray's Anatomy remains the bible of anatomy, and the cornerstone of clinical practice among anatomists and clinicians worldwide.

Our Specialty Impacts Patients' Quality of Life: NC Podiatrist 

Dr. Millicent Brown’s medical practice is all about feet. Hurting feet, big feet, little feet, pretty feet…and feet that may not be so pretty. As a podiatrist, Brown specializes in foot and ankle problems. Brown has joined Dr. Patrick Ricotta at The Foot and Ankle Institute to provide full-time podiatry services in Laurinburg.

Dr. Millicent Brown

“Podiatry is a very helping profession, and I chose to specialize in it because I can spend more of my time in the office one on one, helping my patients,” Brown said. “The specialty actually offers the best of two worlds – I get to spend time in the office with my patients, but I also spend time in the operating room, which I love. By specializing in podiatry, I have an impact on the quality of life of my patients.”

Source: The Laurinburg Exchange [8/3/12]

Mobile Health App Market Growing: Report

The market for mobile health applications is continuing to grow and is expected to reach $11.8 billion by 2018, according to GlobalData, a market research firm. The rapid adoption of smartphones and tablets has boosted the demand for healthcare-related mobile technology, and patients and physicians have adopted apps that cover everything from nutrition to diagnostic imaging. About 70% of available apps are consumed-focused while the rest are geared toward medical professionals, according to a GlobalData news release.

The business intelligence provider’s report noted that the mobile health market—worth $1.2 billion in 2011—is projected to grow at a compound annual growth rate of 39%. Software and services represent 80% of the global market with hardware comprising 12% and network and connectivity, 8%.

Source: Beth Kutscher, Modern Healthcare [8/6/12]

Query: Uploading Data into Different EMR Programs

I have a mobile practice and go to many different facilities. I plan on using Practice Fusion software for my electronic charts, but it seems that each facility in my area is using a different type of software.  How will I be able to upload my notes to their systems with the least amount of trouble? To print each note out and scan it into their system seems to be defeating the purpose. 

Joseph G Smith, DPM, Virginia Beach, VA

Query: Hallux Varus Repair

Is there a code for a hallux varus repair? My physician is going to be performing one in August, and I am not sure how to code it.

Lani Smith, Office of Kash Siepert DPM, Roseburg, OR
 

Response: Because there are no single fixes of a hallux varus, there is no CPT code. You would choose the code(s) from the procedures actually performed. For example, a wedge osteotomy (reversed) to reposition the head of the metatarsal in correct alignment would be CPT 28306. Soft tissue releases at the same site would be included. Another example would be only soft tissue releases at the joint/head of the first metatarsal. In that example, you would choose between CPT 28313 (reconstruction, angular deformity of toe, soft tissue procedures only), a more comprehensive procedure code, and, say, CPT 28270 (capsulotomy with or without tenorrhaphy, 1st metatarsal-phalangeal joint). In yet another example, if the correction was obtained by a "reverse" wedge osteotomy at the hallux proximal phalanx, then the coding would be CPT 28310...only.

So the answer is, it depends on what was done.

Harry Goldsmith, DPM, Cerritos, CA

Editor's note: Dr. Goldsmith is a featured speaker (and available for your questions) at the Codingline-PM News Coding & Practice Management Workshop, August 20-22 (following the APMA Annual Meeting) at the Greenbrier - www.podiatrym.com/greenbrier.cfm

Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription

RE: Pruritic Lesions, Arms and Legs (Jim Fisher, DPM)
From: Roodabeh Samimi, DPM

Per the dermatologist I sent this photo to, I'm going with: "Probably an eczematoid dermatitis (which will eventually appear on the other leg and arm). Rx with Temovate cream."

Roodabeh Samimi, DPM, Whitehall, PA, roody.samimi@gmail.com

Editor's Note: Click on subject title to see original note and photo.

RE: Sending Data for CMS Incentive (F. Don Chantiles, DPM)
From: Michael L. Brody, DPM, Fred Birnbaum, DPM

A problem being caused by a 'glitch' in your software should be addressed by your software vendor. This glitch may be impacting more than just your meaningful use report. Lytec and Medinotes are sold through resellers. When you speak to your vendor, you are not speaking to the developer; you are speaking to their retail outlet. Lots of companies sell/support that software. If your current vendor/ reseller cannot help you, then find a new one.

Tell your vendor to fix the glitch. The only way to report to CMS for Meaningful Use is to fill out the online form, and you need to get the reports from your EMR to do that. Simply put, it is not the fault of CMS that you do not have good support, and they will not provide an alternate avenue for you to get your incentive payment.

Michael L. Brody, DPM, Commack, NY, mbrody@tldsystems.com

I too have Lytec, and it seems to me that you have some mis-information. Your program does not "send" the attestation numbers to CMS. It merely generates and tracks the numbers and you submit them, with your account rep's help when you attest. I think the problem is with Dabb, not Lytec. I think you should have Dabb talk to Lytec to help them retrieve the numbers for you. I have found that many re-sellers of software don't know the product well and how to fix 'glitches'. If they can't figure it out, there should be help available. I switched re-sellers to ones with much more expertise when I went to Lytec MD EHR, and have had no problems attesting. Your reseller needs to fix this; not you to regather data that is there already.

Fred Birnbaum, DPM, Bensalem, PA, themick8@comcast.net

RE: The Passing of Dr. Robert Warriner, III

The Barry University School of Podiatric Medicine is saddened to learn of the passing of Dr. Robert Warriner, III on August 2, 2012 from complications of multiple myeloma. Dr. Warriner was a world-wide leader in wound care, serving as the chief medical officer of Healogics, Inc., the largest provider of wound care services in the country.

Dr. Robert Warriner, III

Dr. Warriner had recently been appointed as an adjunct member of the faculty of the Barry University School of Podiatric Medicine and was assisting the School in developing its wound care curriculum. Barry University’s School of Podiatric Medicine Dean, Dr. Jeffrey Jensen along with his wife Celia, recently established the “Dr. Robert Warriner, III Scholarship for Research in Neuropathy Prevention” at the Paul & Margaret Brand Research Center at Barry University.

RE: CME Courses in Hygiene and Sterility (Jeff Kittay, DPM)
From: Alan Bass, DPM

The New Jersey Podiatric Medical Society is holding a 4 credit, CME-approved course on Wednesday afternoon August 22 entitled: "Sterilization Requirements in Outpatient Settings". While this course is geared more for practitioners who provide care in locations outside of the office, the principles remain the same.  Please visit njpms.com for more information.
 
Alan Bass, DPM, Manalapan, NJ, abassdpm@optonline.net

RE: 3-WEA Antiseptic (Theresa Hughes, DPM)
From: Rob Eells, DPM
 
A great alternative to 3-WEA is Dreft, the laundry product. We mix water with it at about a 10:1 ratio. Softeners are useful for corns, calluses, warts, painful mycotic toenails, psoriasis, etc. to make the shaving of these lesions easier/faster for the podiatrist, and more comfortable for the patient. I never knew 3-WEA to be useful for anything but softening lesions prior to debridement or shaving down. 
 
Rob Eells, DPM, Des Moines, IA, rgeells@gmail.com

RE: Retired NJ Podiatrist is World-Class Photographer
From: Richard W. Boone, Sr. Esq
 
Dr. Singer is truly an inspiration to me. For a few years now, I have been striving to become a better photographer with a view toward making it a second career when the time comes to hang up my brief case, as it were. If I can only do 10% as well as Dr. Singer has done, I will consider the effort a success. I urge Dr. Singer's fellow podiatrists to take every opportunity to view his work. As a photographer, I can truly say that it is both technically and artistically breathtaking.
 
Richard W. Boone, Sr. Esq, Fairfax, VA, RWBoone@aol.com

EQUIPMENT FOR SALE - PADNET

Rarely used- excellent condition. Padnet for sale. Asking $10,000. Contact us at 516-220-8258.

EQUIPMENT FOR SALE

Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net

EQUIPMENT FOR SALE - USED PODIATRIC LASERS

Great price, great outcome. Stop wasting money on expense lasers. Personally owned and used few hours in my office,. 10 and 30 watts lasers. Two handpieces in one. First one for plantar fasciitis, Achilles tendonitis, arthritis, pain, inflammation. 2nd handpiece for surgical ablation and fungus toenail conditions. Portable fast and very cost-effective:  footcare@comcast.net

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.com

PRACTICE FOR SALE - SOUTHWEST FL

multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com.

PRACTICE FOR SALE – KANSAS SOUTHWEST

For sale multi-location practice in beautiful Southwest Kansas. Practice has 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Recently added new office space with digital x-ray. Only surgical podiatrist in 2 of 3 locations. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice, a great location and opportunity for the right doctor. mcrosby@picagroup.com

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed     516 476-1815   PODO2345@AOL.COM

ASSOCIATE POSITION - NASSAU COUNTY, NEW YORK  

Exciting Opportunity! Associate position. Must be Board Qualified.  Joining all Board Certified Doctors in foot surgery and reconstructive rear-foot and ankle surgery. Respond to: Podiatryoffice@doctor.com

ASSOCIATE POSITION - MANHATTAN

Part-time associate position making home visits in Manhattan. Email:  drmstempler@verizon.net

ASSOCIATE POSITION - NEW JERSEY

Can you handle a challenge? Associate wanted for amazingly busy practice. Must be enthusiastic, outgoing, and surgically trained, but conservatively minded. We have a wonderful environment, great team plus great pay in Oradell, Bergen County, NJ. Full-time, some evenings and Saturdays. Call 201-261-9445 or fax resume to 201- 261-0058.

ASSOCIATE POSITION - MANHATTAN

Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com

ASSOCIATE POSITION - YONKERS, NY

Immediate part-time associate position now available. Appx: 3 1/2 days per week with room to grow. Practice is a good balance of all aspects of podiatric foot care, including surgery. Perfect opportunity for new graduate, or experienced podiatrist. Looking for the right person to transition into vacancy that will be left by current associate leaving the area and you will have an immediate, full schedule of patients. Over 25 year well-established practice with large referral base, and both hospital and surgery center privileges available. Interested persons please forward CV and brief summary of surgical log to: Podiodoc@gmail.com 914.584.1434

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO- 2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com

ASSOCIATE POSITION – BROOKLYN, NY

Full-time position available with excellent salary in a state-of-art-office. Please email your resume to: irenefootcare@gmail.com 

ASSOCIATE POSITION  - WEST COAST FLORIDA

Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com

ASSOCIATE POSITIONS – MARYLAND
 
Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Our group, Podiatry Management Services, provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

ASSOCIATE POSITION - SEATTLE, WA AREA

A well-established, solo-physician practice seeking a Full-Time Associate Podiatrist. Applicant should be: well trained physician, personable and motivated individual with sound surgical skills. Applicant must have completed a 24-36 month residency. Practice offers a state-of-the-art practice setting, with a good general mix of all aspects of podiatric medicine and surgery. Competitive salary and benefits. Partnership opportunities available. E-mail your letter of interest with resume to: seattlefootdoctor@yahoo.com

ASSOCIATE POSITION - MANHATTAN

Well-established successful Park Avenue podiatry practice is recruiting skilled and well trained DPM with a minimum of 3 years of experience. Must be experienced in rear and forefoot reconstruction. Must be self- motivated, and great with patients. State-of-the-art practice facilities and technologies which include: in-office physical therapy, digital x-ray, diagnostic ultrasound, and electronic medical records. MRI, and private operating room. All interested candidate email CV to: institutebeaute885@gmail.com

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977

ASSOCIATE POSITION - LOUISVILLE, KY

Immediate position for established practice in excellent location with option to buy. All phases of podiatry with good mix of patients. Two local residency programs with foot and ankle and trauma privileges. Office has EMR qualifying for meaningful use in the first year. PADnet vascular testing. Send resume to: samuel10530@yahoo.com.

ASSOCIATE POSITION - NORTHERN VIRGINIA

Small, high-volume, non-surgical conservative care practice in Northern Virginia looking for hard-working, caring full-time podiatrist. Must enjoy, respect benefits of palliative care, diabetic foot care, foot biomechanics. Experience good. Great attitude better. Must be team player, practical, flexible problem-solver. Looking for someone committed to grow practice. Not looking for equity partner now, but if you prove yourself with great performance and attitude, a partner would be welcome. Send resume and CV to karenafp@gmail.com

ASSOCIATE POSITION - WASHINGTON, DC

Prominent two office (3 practitioner) podiatric medical group seeking well rounded, personable individual with good medical and surgical skills. Must be 24/36 month trained, board qualified or certified foot and ankle surgeon. Salary with benefits package. Serious inquiries to ponyrunner66@gmail.com

PM News Classified Ads Reach over 13,500 DPM's and Students

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