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PM News |
The Voice of Podiatrists
Serving Over 11,000 Podiatrists Daily
August 20, 2009 #3,627 Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2009- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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Educate your patients about all your services! With The CaerVision Podiatry Network. You perform surgeries and treat many conditions … but few patients know. Why not tell them while they wait? For only 30 cent/hour ($50/month)*, you can educate your patients on all the services you offer … AND get referrals. Grow your business with the most cost effective practice building tool – The CaerVision Podiatry Network. info@caervision.net or call us at 888-841-2237. Online: www.caervision.com *Internet and equipment required. (Mention Code #PMN0730)
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ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES |
Congratulations to Jacqeline Chen, DPM of Waynesville, MO, winner of a TempTouch® Value $99.99)..
We encourage you to participate in this important survey at www.podiatrym.com/survey Completing this anonymous survey provides us with valuable data, which we will publish in the February 2010 issue of PM. It also makes you eligible to win thousands of dollars of valuable prizes. Enter by sending Question #43 (no answer necessary) to bblock@podiatrym.com along with your name and address.
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Foot and Ankle Radiology |
This week's prize is a copy of Foot and Ankle Radiology by Robert A. Christman, DPM (Value $230) .
This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.
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DOX PODIATRY – Electronic Medical Records
Over 500 Podiatry Offices and Growing
Call 877-270-3518
PRACTICE LIKE THE BEST
MAKE MORE MONEY - SAVE TIME - DOX PODIATRY
DOX Podiatry is the leading web-based EMR solution designed by Podiatrists for Podiatrists that enables you to make more money in less time. Let us show you how in a quick, 40 minute, web-based demonstration.
• COMPLETE PODIATRY SPECIFIC MEDICAL DATABASE
• NO CUSTOMIZATION REQUIRED • EVERYWHERE ACCESS
• READY TO USE DAY ONE • CERTIFIED SAFE & SECURE
www.DoxEmr.com
$44,000 Economic Stimulus Article at: doxemr.wordpress.com
CALL 1-877-270-3518 OR EMAIL INFO@DOXEMR.COM
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PODIATRISTS IN THE NEWS |
TX Podiatrist Warns of Flip-Flop Dangers
They're so easy, convenient, and comfortable, plus they're just fun to wear! However, disease could be right on your heels when you are wearing flip flops. "You tend to have to crunch your toes up more and when you crunch your toes up for extended periods of time, it creates a deformity called a hammertoe, which eventually will need surgical correction," said podiatrist Dr. Clint Warren.
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Dr. Clint Warren |
Warren said there's about the same amount of bacteria in flip-flops as closed toed shoes, but because your feet are out in the open, you are more susceptible to infection. "Drying of the skin, fissuring around the skin is what I typically see around the heels," Warren explained. "What people don't realize is that it dries the skin out because you don't wear an enclosed shoe that keeps it warm and moist."
Source: Holley Nees, KLTV [8/18/09]
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APMA IN THE NEWS |
APMA Corrects Obama's Misstatement on Foot Amputation Costs
According to a study published in 2007 in The Journal of the American Podiatric Medical Association (JAPMA), the overall estimated cost of a lower-leg amputation can range from $30,000 to $40,000, which includes fees for hospital stays, medical specialists, post-operative care, and physician reimbursement. While making a case for healthcare reform last week, President Obama inaccurately attributed that cost solely to physician reimbursement. The actual physician reimbursement fee for a leg or foot amputation, on average, is far less; and according to Medicare ranges from nearly $750 to close to $1,000.
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Dr. Ronald Jensen |
The JAPMA article cites that the actual physician reimbursement for the amputation is a small fraction of the projected $12 billion price tag paid by the nation's healthcare system to cover overall costs of treating lower-leg amputations annually. "When a patient's foot or leg has to be amputated, it usually means all other treatment options have been exhausted," said APMA President Ronald D. Jensen, DPM. "Nothing is more devastating than performing an amputation, knowing that perhaps it could have been prevented."
Studies have shown that as many as 85 percent of non-traumatic, diabetic leg and foot amputations could have been prevented with early detection and treatment. Podiatrists are an integral part of a diabetes management team, and regular preventive foot and ankle care by podiatrists for people with and at risk for the disease translates into fewer amputations.
Source: WESQ.com [8/18/09]
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The SOS Podiatric Staff Training Workshop Tour
It is coming down the track, bound for a city near YOU!!
*Boston, MA – August 14, 2009 * Bellevue, WA – August 28 SOLD OUT * Charlotte, NC – Sept. 18, 2009 * Pittsburgh, PA – October 2, 2009 * NY/NJ Metro area – October 23, 2009 * Dallas, TX – November 13, 2009 * Los Angeles, CA – December 4, 2009
LET THE SOS EXPRESS TRAIN TAKE YOU TO THE LIGHT AT THE END OF THE TUNNEL…DON’T GET LEFT BEHIND. Meet your Conductor, Lynn Homisak, PRT “ALL ABOARD!” Doctors, Receptionists, Clinical Staff, Managers welcome
Click HERE for more information…including Dates, Locations, Ticket Prices, Agenda, Topics SEATS ARE LIMITED…REGISTER NOW!
SOS Healthcare Management Solutions, LLC – 1-866-832-6767 – www.soshms.com
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PROFESSIONAL LICENSING ISSUES |
Physicians Seeking Licensing Increasingly Find a Standard Application
More state medical boards are adopting a uniform application as a way to simplify the licensing process, particularly for physicians seeking licenses in more than one state.
Seventeen medical boards are either using the standard licensing application or are in the process of adopting it, according to the Federation of State Medical Boards. The federation developed the form as part of its license portability demonstration project, which is funded by a grant from the federal Office of the Advancement of Telehealth.
Part of the project's goal is to cut licensing paperwork that needs to be filed by physicians who move frequently or treat patients in several states, said Lisa Robin, FSMB senior vice president of member services. Doctors may train as a resident in one state and get a fellowship in another, and a license is needed in each state, she said.
Source: Susan J. Landers, AMNews [8/17/09]
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QUERIES (NON-CLINICAL) |
Query: Employee Background Check
I want to check up on a new potential employee before I offer her a job. Do you have any advice on how to best obtain background information including credit, criminal and civil activity? I was hoping that there was an online or national service that could run this kind of check with minimal effort and expense.
Mark Lambert, DPM, Pensacola, FL
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New! ALL-IN-ONE TOOLKIT FOR HIPAA, HITECH, RED FLAG RULE
2009 HIPAA HITECH security breach enforcement begins in September 2009. Breaches of 500 records mandate PUBLIC DISPLAY of your name in major media and on the/ HHS website.Penalties for willful neglect of HIPAA/HITECH regulations are now mandatory, from $10,000 to $50,000. Criminal prosecution is now part of the law. So are mandatory audits.
We have decided to expand our Toolkit to comply to HIPAA / HITECH and Red Flag Rule requirements in one bundled package, to provide safe, all-in-one, turn-key compliance for all of the new regulations.
Staff can implement in hours • Complete Documentation for Regulatory Audits • Includes policies for Safe Harbor from public reporting in a breach • FREE updates for 3 years
Buy it now at: www.PhysicianRedFlagRule.com Only $137
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RESPONSES / COMMENTS (CLINICAL) |
RE: Patient With Foot/Ankle Swelling (Theresa Hughes, DPM)
From: Stanton C. Southward, DPM
I would advise more time and compression, e.g., knee-high support socks and/or an elastic adjustable ankle wrap and daily foot soaks. Be sure to rule out DVT and a stress fracture. Also, consider an injection of Celestone Soluspan, pending her progress.
Stanton C. Southward, DPM, Colorado Springs, CO, sbsouthie@comcast.net
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FACULTY POSITIONS / FELLOWSHIPS
Full-time Surgical Faculty Position Available at the NY College of Podiatric Medicine
Qualifications: Graduate from approved college of Podiatric Medicine, Completion of approved PM&S-36 residency program, Documented training and experience in trauma and external fixation.
Job description : Full-time faculty position in the department of surgery. Will participate in undergraduate surgical didactic courses and lecture series. Will participate in student and resident clinical training at the Foot Clinics of New York, as well as affiliated institutions. Will serve on College committees and participate in College-sponsored continuing medical education programs. Will participate in research protocols and publish papers. The College is seeking an individual who desires a long-term commitment to education , patient care and research. Salary : Competitive Benefits: Will be discussed if granted an interview. Please send c.v. to: Joel A. Sturm, Vice-President, Administration, New York College of Podiatric Medicine, 53 East 124th Street, New York, NY 10035, Or: Fax (212) 876-7670 e-mail jsturm@nycpm.edu
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 1 |
RE: User-Friendly EMR (Judith E. Rubin, DPM)
From: Marc Garfield, DPM
If you have not heard the terms SQL, MySQL, ASP, SaaS, HL7, X-Link/Middleware, PQRI, Surescripts Gold, batch eligibility, claim scrubbing, and billing module vs. practice management module, then you are not yet ready to make an EMR decision. Making a decision just on charting ease might lead you to neglect important features such as e-prescribing, order sets, check out, patient instructions, claim scrubbing, code capture, and chart review.
Establish your billing and PM software before making (or with) the EMR decision. Then, review The American Academy of Family Practitioners yearly user’s surveys and KLAS rankings.
Although, the final requirements for Hi-tech are not out yet, CCHIT seems to be the likely baseline and products that have CCHIT now, will be most likely to adapt to upcoming changes. Consider a site visit with some of the more popular products such as eMDs and eClinical Works, and download the freebees such as Amazing chart’s 3-month trial and Practice Fusion ad-supported EMR to see what might go with your workflow before making a decision.
Marc Garfield, DPM, Williamsburg, VA, mgarfield1@cox.net
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The University of Texas Health Science Center at San Antonio
Reconstructive Foot and Ankle Surgery Fellowship
This fellowship is a one-year experience during which the Fellow will develop a rational approach to revisional and reconstructive foot and ankle surgery. The Fellow will function as a clinical instructor and participate in the teaching of Podiatric medical students and residents, and have ample opportunity to be involved in clinical and basic research projects. The fellowship will provide the candidate, further expertise in Charcot reconstruction, soft tissue coverage, trauma and deformity correction. The fellow is expected to complete two clinical or basic research projects during the year.
Duration: 1 year (July 1, 2010 - June 30, 2011) Deadline: November 20, 2009 Interviews: 12/1/2009 – 12/31/2009 Stipend: $44,100
Requirements: Completion of 3-year residency; a commitment to a part-time/full-time academic career in Podiatric Medicine and Surgery. Texas License eligible (Test date April 19, 2010),
Application Deadline: February 19, 2010). ABPS Qualification eligible in Foot & Rearfoot / Ankle Surgery (Test dates TBD).
The University of Texas Health Science Center at San Antonio is an equal opportunity/affirmative action employer. All faculty appointments are designated as security sensitive positions.
Submit a CV and letter of interest to: Thomas Zgonis, DPM, FACFAS, Associate Professor & Chief, Division of Podiatric Medicine & Surgery, Director of Fellowship Programs, University of Texas Health Science Center At San Antonio, 7703 Floyd Curl Drive (MSC 7776) San Antonio, Texas 78229-3900, Email: Zgonis@uthscsa.edu Fax: (210)567-5153
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 2 |
RE: Care Credit
From: Dan Klein, DPM
I believe that this is used by many dental offices, especially if there is going to be a lot of money involved to fix teeth e.g., root canals, crowns amounting to thousands of dollars. Care credit allows you to pay for this over the course of one year without any interest applied as long as you pay off the bill in one year. The dental office pays a fee to the GE credit company for this service and the dental office gets their money up front. This is good for cash flow and not a bad way to go for the patient to avoid interest on a large bill. In essence, it's a promissory note to GE Credit, signed by the patient.
Dan Klein, DPM, Fort Smith, AR, toefixer@aol.com
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MEETING NOTICES
PODIATRISTS ARE KEY
GEORGETOWN UNIVERSITY HOSPITAL
2009 DIABETIC LIMB SALVAGE CONFERENCE
JW Marriott Pennsylvania Avenue, Washington, DC
24-26 September 2009
• Register online now at DLSConference.com and save
• Join 1,400+ colleagues • 60+ faculty • 75+ exhibitors
• Expanded live cases from Georgetown ORs • Earn 28 CMEs
Co-Chairmen: • John S. Steinberg, DPM • Christopher E. Attinger, MD
• Richard F. Neville, MD
337-235-6606 • 337-235-7300 (fax)
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NEW ! ADVANCED PERIPHERAL NERVE 3-DAY WORKSHOP + SYMPOSIUM
Looking for something different for CME? Enhance your practice with peripheral nerve treatment.
September 23-27, 2009 - Omni Hotel, Ft. Worth, Texas
Sponsored by the Association of Extremity Nerve Surgeons.
Up to 37 ACCME Credits provided by approved provider New Hampshire Medical Society.
Includes:
Sept. 23- 25 = 3 day Hands-On Advanced Workshop with cadaver, didactic and live surgery (5 spaces left)
Sept. 25-27 = Annual Symposium with graft/ conduit lab, lectures, legal & research updates, round tables.
Location: 30 minutes from DFW airport in the heart of historic downtown & stockyards.
Go to www.aens.us to download brochure or call 512-494-1125 info@aens.us
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RESPONSES / COMMENTS (NEWS STORIES) |
RE: IME Doctor Liable Despite No Patient Relationship
From: Steven N. Solomon, DPM, JD
This issue has been recently addressed by the Court of Appeals in New York (the state's highest court). In the case before the Court, the plaintiff claimed to have been injured during an IME examination. They needed to decide if this alleged injury fell under medical malpractice or a general personal injury action. If a medical malpractice action, the plaintiff would have 2 1/2 years to start a law suit, however, if the incident was a general personal injury action, the plaintiff would have 3 years to start a law suit. The plaintiff argued that there was no doctor- patient relationship so as to get the additional 6 months, while the doctor claimed that there was a limited doctor relationship. In a 4-3 decision, the court ruled that there is a limited doctor-patient relationship which means that any lawsuit needs to be started within 2 1/2 years. To read the full decision, click here.
Steven N. Solomon, DPM, JD, New York, NY, legalfoot@yahoo.com
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:
o Orthotic Allowance Reduction
o Billing for the Removal of Surgical Mesh
o Certificate of Medical Necessity
o Denial of Application of Wound VAC
o Primary vs. Secondary Tendon Repair
Codingline subscription information can be found here
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CLASSIFIED ADS |
PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH
Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.
FOR SALE: MICROVASC UNIT
Excellent Condition, Never Used, New 14K, BEST OFFER. All-Pro 2010 X-Ray processor, used, great condition, Includes cassettes BEST OFFER
NYCPodiatry@gmail.com
ASSOCIATE POSITION - NEW JERSEY
Established successful practice in Central New Jersey seeking PT/FT Associate. PSR 24/36. Please forward CV to rpg145@gmail.com or fax 908 753-0199.
ASSOCIATE POSITION - FREDERICK, MD
Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.com
PRACTICE FOR SALE-VIRGINIA (SOUTHEAST)
Very busy office near Williamsburg. Currently, a satellite office 2 days a week. Great opportunity to make office full-time. Grosses approx. 130,000/year. The office has everything needed to start practicing. All included. Must sell. If interested, e-mail totalfootcareva@hotmail.com
NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS
Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website
ASSOCIATE POSITION – SOUTH CENTRAL FLORIDA
Multiple offices, in Jupiter, Ft Pierce. Looking for associate who is surgically trained PSR24, willing to travel between offices. Competitive Salary base plus percentage. Position available immediately. Send CV and questions to alfootdoctor@yahoo.com
ASSOCIATE POSITION - MARYLAND
Full time, hard-working, happy and personable Foot Surgeon needed for busy and growing practice in Frederick and Hagerstown Maryland. PM&S-36 or more required. We have a well-rounded, high tech practice with all types of pathology encountered in our two offices and in two local hospitals as well as our on-site accredited and certified ASC. Very competitive compensation. Please send your CV to drmichaels@rfainstitute.com
ASSOCIATE POSITION - FLORIDA
Busy practice in East Central Florida in search of full-time podiatrist to perform routine foot care in office and nursing home. Competitive salary and full benefits available. Reply to jrdpm@bellsouth.net
PRACTICE FOR SALE - ALABAMA, GULF COAST
Established 26 year old practice. Owner desires to sell and relocate. Operated 25 hours per week. Mixture of surgery and general podiatry. MD referrals. Surgery center and hospitals in close proximity. Highly profitable. Priced to sell. Will lease office to buyer. Call Mike Crosby at 888-776-2430 or email mcrosby@providerresources.com
ASSOCIATE POSITION - CHICAGO AREA
Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com
ASSOCIATE POSITION - BOSTON, MA
Associate wanted, Full-time or part-time, for busy long time, well established, and well-rounded practice. Good mix of general podiatry and surgery. Office will generate approximately 100+ surgical cases per year. Must have surgical background, ABPS Qualified minimum needed to obtain hospital privileges. Associate position is open for partnership or purchase. Contact robert.nunberg@comcast.net
PM News Classified Ads Reach over 11,500 DPM's and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 11,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451 Ext 110
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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.
| 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.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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