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PM News

The Voice of Podiatrists

Serving Over 17,041 Subscribers Daily


August 19, 2015 #5,449 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- No part of PM News can be reproduced without the
written permission of Barry Block

apex4


ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Dr. Al Kanegiswinner of last week's prize a SteriShoe. We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in the March 2016 issue of Podiatry ManagementIt also makes you eligible to win thousands of dollars of valuable prizes. Enter by completing this confidential survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win.
 
ShoeZap Ultra Violet Shoe Sanitizer
 
 
This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.

Richie3r


phenol


INTERNATIONAL PODIATRISTS IN THE NEWS
Podiatrists Offer Advice on Footwear for Toddlers
 
Podiatrists Brock Healy (Australia) and Douglas Horne (Hong Kong) offer advice on footwear for your child.
 
Brock Healy and Douglas Horne
 
Six to 12 months: socks with dimples underneath for traction; shoes with soft material on the upper and bottom, and are loose fitting with no fastenings.
First steppers (up to 18 months): a shoe with a straight last and a very flexible sole, fastenings such as straps are recommended to prevent shoes from falling off or infant tripping;
Toddlers (up to 2½ years): a slightly more structured shoe but still very flexible - if you hold it at its waist, you should be able to bend the shoe with hardly any pressure.
 
Source: Jeanette Wang, South China Morning Post [8/16/15]

MBB


SUCCESS TIPS FROM THE MASTERS
Bret Ribotsky: What’s the next wave for social media that physicians need to jump on today? 
Shawn McAskill
 
Shawn McAskill: Shorter than 30 seconds is best.: video, video, video, and especially Web-optimized video. The format today does not follow the typical beginning, middle, and end style. Keeping the video 30 seconds or shorter is best. Creativity counts - there  are really no regulations. For example, 1) video testimonials contain two of the items that people shopping for a service are looking for, 2) patients and peer reviews. Thus, you should ask your staff to capture a quick video on their cell phone from happy patients.
 
Meet the Masters airs live every Tuesday night. This week's guest is to be announced. You can register for this and future events by clicking here

Image Map


PRACTICE MANAGEMENT TIP OF OF THE DAY
10 Strategies for Protecting Patient Data - Part 3
 
3. Control PHI Workflow and Minimize Necessary Employee Access
 
Practices must find ways to better control PHI workflow within the organization, and movement outside the organization. This not only includes safeguarding it from impermissible uses and disclosures, but also will require integration of HIPAA with other health information protection activities to ensure a single point of control within the practice.
 
Source: Adapted from Health Data Management 

ortho11


HIPAA UPDATE
10 Requirements You Need in a Business Associate Agreement - Part 1
 
The HHS Office for Civil Rights in 2013 issued extensive guidance on handling business associate agreements under the HIPAA privacy and security rules. LockPath, vendor of a software platform to manage corporate governance, risk management, and regulatory compliance has distilled the guidance down to 10 bullet points and four additional tips. Some requirements are commonly included in a business associate agreement, but others may not be.
 
1. Determine when and how the business associate is allowed to use or disclose PHI. 
2. Require that the business associate will not use or disclose PHI other than what has been permitted by the contract or required by law.
3. Establish what safeguards will be put in place to prevent unauthorized PHI disclosure. This includes implementing HIPAA requirements surrounding electronic PHI.
 
Source: Health Data Management

drjill


QUERIES (EMR)
Query: Collecting Data for MU
 
Everyone is waiting for the final ruling and the MU website is down. If I have not yet attested for stage II in 2015, should I hold off on collecting data for a 90-day period in 2015. This assumes that we will have an extension possibly into 2016 to collect data and to attest. 
 
Joe Boylan, DPM , Ridgefield, NJ

DrCreju


QUERIES (NON-CLINICAL)
Query: Charging Credit Card Fees to Patients
 
I am currently paying a company called TransFirst to process all credit cards through our office. They do this for a low service fee but also pass on a fee from the credit card companies for each transaction. The combined fee comes to about 4.5% per transaction. I recently realized that I am paying $400 or more per month (about $5,000/yr) for using credit cards in our office!  
 
To offset this expense, I suggested to the office staff that we start passing on part of these fees to patients, in other words, for all transactions of $100 or more we would charge an additional 3 or 3.5%. They stated that this is something that is "just not done in medical offices.Is anyone out there charging patients an additional service fee when they use credit cards in their office? If so, is there any special way that this needs to be presented to the patient?
 
Tom Silver, DPM, Minneapolis, MN

MBB


CODINGLINE CORNER
Query: CPT 64450 Audit
 
I received a CMS recoupment letter for services covering 2008 to 2013 requesting repayment for CPT 64450 (injection, anaesthetic agent, other peripheral nerve or branch) that was submitted with diagnostic code ICD-9 355.8 (neuritis, peripheral nerve). 
 
1) Were these the appropriate procedure and diagnosis codes (in 2013) for a digital neuritis treated with a trigger point injection consisting of a steroid/anaesthetic mix? 
 
2) Is it worth the headache to go through the rebuttal process? After all, as they so pointedly state, apparently I was "not without fault" and "received payment for services (I) should have known (I was) not entitled to." 
 
Name Withheld by Moderator
 
Response: If the recoupment letter is for any significant amount of money and you think Medicare is wrong, you should appeal. 
 
The "rebuttal process" mentioned in the letter is not helpful here--you need to appeal and submit the medical records with your explanation as to why your services should be paid. Statistically, doctors win more than 50% of these appeals, so don't be discouraged by the boilerplate language in this form letter. 
 
J. Kevin West, Esq, Parson Behle & Latimer, Boise, ID 
 
Codingline subscription information can be found here

APMA Members: Click here for your free Codingline Silver subscription.

sols


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Changing Times for Podiatrists
From: Lawrence M. Rubin, DPM
 
Change is not a threat, it's an opportunity. As podiatrists, survival should not be our goal. Transformative success should be what every podiatrist strives for. Changing times due to "Obamacare" is welcoming innovative ways of providing prevention and cost-containment by healthcare providers. In podiatry, in which prevention of diabetic limbs and lives can be a dedicated focus of any of our practices, finding ways to network together locally to help prevent the first ulcer in diabetics can help secure our individual and profession's future. 
 
Think of ways to promote your ability to prevent a corn or a bunion or a mycotic nail from leading to the first ulcer, network with others for power of numbers, and you are well into securing your future with the public and managed care in these changing times. 
 
Lawrence M. Rubin, DPM, Las Vegas, NV

AMERXh3


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
RE: Kudos for PRESENT Seminar
From: Daniel Chaskin, DPM
 
I recently attended a PRESENT seminar in New Jersey. The price was very reasonable and the learning opportunities were readily available.
 
Daniel Chaskin, DPM, Ridgewood, NY

manta


YOU CAN'T MAKE THESE THINGS UP
RE: Outrageous Shoe of the Day
 
The ultimate in off-loading?
 
This shoe was inspired by old school sci-fi films and their imaginary visions of future spaceships and unknown universes. This creates a lighthearted, humorous reflection of the past versus the future.
 
Source: Mandy Roos via Virtual Shoe Museum
MEETING NOTICES

CENTRAL

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2 FOR 1 Early Registration!* 
 
Nov 13-15  Denver, Colorado
 
Looking for new topics? For new treatments in peripheral nerve? Diagnostic tips? 
Wild game & wine banquet? Hands-on demos?
Take advantage of 2 for 1 offer - PM News Promo Only!*
 
Attend the Assn. of Extremity Nerve Surgeons-Annual Symposium
www.aens.us      
 
* Must download registration form & mark "2 for1" by Sept 1

schuster


CLASSIFIED ADS PART 1 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE- NAPLES, FLORIDA 
 
Back on the market- Need to sell, part-time podiatry practice. Grossing $140,000 - willing to sell for $95,000. Leased 1200sq ft, 2 treatment rooms on busy route 41.  Walk-in and start to practice! mecibula@aol.com 
 
PRACTICE FOR SALE - SOUTHERN ARIZONA 
 
Terrific Opportunity. Owner to sell and transition from practice near Tucson, AZ.. Practice open full-time, EHR fully functional & attested for MU Stage 1. One mile from newly constructed hospital. Opportunity to grow surgical volume and patient base. Priced to sell. Contact: Mike Crosby at MCrosby518@gmail.com.
 
PRACTICE FOR SALE  - NEWTOWN, CT – PRICED TO SELL
 
Thriving turn-key, sole practitioner podiatry practice operating within a multi-specialty medical environment, including internal medicine, and located in northern Fairfield County.  Looking for a timely turnaround with room to negotiate. Practice currently grossing 290K on a three day a week schedule, with very little overhead, and increased patient base from several assisted living on-site visits. All surgery and DME is currently referred out. Very attractive and unique opportunity. Inquiries contact bbrick2@yahoo.com
 
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK / NEW JERSEY
 
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
 
EQUIPMENT FOR SALE – PINPOINTE LASER 
 
Cynosure Pinpointe FDA-approved laser for treatment of onychomycosis.Laser is in like-new condition. Price includes laser, original fiber optic cable, 3 laser goggles, laser temperature gauge, manuals, marketing materials AND shipping to your location. $27,500 and NEGOTIABLE.  Laser is in Queens, New York and also available for pickup.  ontact docrahulpatel@gmail.com or call 917-620-3168.
 
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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION – WALDORF, MARYLAND
 
Well established practice with multiple offices located just south of Washington D.C. Practice amenities include EHR, digital x-ray, state-of-the-art surgical suite, shoe stores, PADnet, and large support staff. Recently renovated hospital minutes away.  This is an extremely busy practice with high patient, new patient, and surgical volume with both forefoot and rearfoot surgery. We enjoy a large referral base due to our own practice marketer. We are looking for a highly motivated, personable individual. Must be well trained in a PMSR-36/RRA forefoot and rearfoot surgery. Competitive base salary with bonus structure.Send CV to: feet_r_neat@aol.com  
 
ASSOCIATE POSITION – CHICAGO 
 
Chicago. Office and housecalls; projected income $140-180K. Base salary and bonus structure are flexible. Malpractice and mileage allowance are paid. Partnership track is available . Contact chipod12@yahoo.com
 
ASSOCIATE POSITION – NEW JERSEY   
 
We are looking for a part or full-time Associate with a passion for learning, growing, and treating patients from start to finish. The ideal candidate should have both surgical and non-surgical experience, be willing to work hard, and always put patients first. Benefits include a full compensation package with salary, insurance, a private office, and more. If you start every day with a passion to help others and a positive attitude, this job’s for you! To find out more information email Dr. Amannda Richline at dramanndaglynn@gmail.com
 
ASSOCIATE WANTED – NAPLES, FLORIDA 
 
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 - CENTRAL FLORIDA 
 
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage . Excellent opportunity for a promising future.  To apply please go to www.yourcareerinpodiatry.com
 
ASSOCIATE POSITION – EL PASO, TEXAS
 
Busy practice seeking a full-time, self-motivated and hard-working podiatry associate to help with second office. Competitive salary offered. Please email CV to: buffdlr1@gmail.com
 
ASSOCIATE POSITION - EAST TENNESSEE
 
31 year old practice with 4 offices in greater Knoxville area seeking ethical, personable, hard working, team player. $160,000 base salary plus bonus incentives and benefits. post-residency experience a plus. Please email letter of interest and CV to ddavidphawk@yahoo.com
 
ASSOCIATE POSITION - KANSAS CITY 
 
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We 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. If you are an entrepreneurial-minded doctor who wants to grow and eventually own part of an already successful practice, go to: www.YourFutureInPodiatry.com for full details.
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA  
 
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451 FREE.
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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Barry H. Block, DPM, JD
 
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