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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,045 Subscribers Daily
August 29, 2015 #5,458  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
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| ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES |
Congratulations to both Drs. Margaret Portela of Union City, NJ and James Diresta of Newburyport, MA, winners of last week's prizes, ShoeZap Ultra Violet Shoe Sanitizers (Retail $125). 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 Management. It 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.
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ICDTenHelp.com |
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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| AT THE COLLEGES | |
Spanish Podologists Gain Dissection and Surgical Skills at NYCPM
Thirteen podologists from Spain spent a week at the New York College of Podiatric Medicine (NYCPM) this summer learning anatomical dissection and surgical skills in the College's state-of-the-art Bako Anatomy Lab. Michael J. Trepal, DPM ('81), Vice President for Academic Affairs and Dean, directs the semi-annual program of visiting podologists from Spain for the College. Professors Ricardo Becerro de Bengoa Vallejo, DPM, PhD, a 1995 graduate of NYCPM, and Marta Los Iglesias, PhD, work with Dr. Trepal to direct the program.
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(L-R) President and CEO Louis L. Levine, Drs. Ricardo Becerro de Bengoa Vallejo, Marta Losa Iglesias, and Michael Trepal |
Both course directors accompanied the students, as did Professor Juan Carlos Carrera Merino, BS Podiatry. NYCPM's Dr. Trepal, Kevin Jules, DPM ('84), and Anthony DiLandro, EdD, taught the students as well. The course work involved lower extremity cadaver dissection as well as videotaped demonstrations.
Source: Footprints Vol. 2 No 8
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| PODIATRISTS AND SPORTS MEDICINE | |
Running Too Much Can Have Long-Term Negative Effects: TX Podiatrist
The runner's high is a physical achievement desired by many runners who take on the pavement, but could that quest come at a price? “A lot of people that I know, who are avid runners say they would never give it up, no matter what I told them,” said UT Health podiatrist and former runner Dr. David Andreone.
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Dr. David Andreone |
Andreone says that while running is a preferred workout by many, the bones inside your body have to last you a lifetime. “I get a lot people that are like, ‘I haven't run in 15 years, but I am going to get out and I am going to go run tonight! I am going to go two miles!' Sure enough, they come to me and they're like, ‘I don't know what I did to my feet but the pain is killing me.’” Andreone says running is a direct impact exercise, which can cause long-term negative effects on the body over an extended period of time.
Source: Erika Bazaldua, KLTV [8/26/15]
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| PODIATRISTS AND FOOTWEAR | |
TX Podiatrist Discusses Dangers of Flip-Flops
Those cute flip-flops and dressy flat sandals you have in your closet could be responsible for your foot and ankle pain. Doctors are concerned about how frequently we're wearing shoes without proper arch support. "You don't have the arch support. A lot of times people develop osteoarthritis in what we call the midtarsal joint or the middle of the foot. The repetitive pounding in this area caused this bone spur or increased height of the bone due to the fact that there is nothing underneath it to cause the arch to be elevated," says podiatrist, Dr. James Kent.
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Dr. James Kent |
Dr. Kent also says it's going to be hard to reverse the damage. "There's really no device that can re-create the arch. As far as having the arch re-created, that's more of a surgical procedure."
Source: Nikki Diaz, KETK (NBC) [8/26/15]
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| MEDICARE NEWS | |
Amputees Decry Medicare Payment Overhaul for Artificial Feet
The Obama administration is trying to disentangle itself from another controversy over Medicare coverage. Amputees are protesting this time, fearing they'll be denied the latest technology for artificial legs and feet. A campaign is being led by the American Orthotic & Prosthetic Association, a trade group, alongside a broader amputee coalition that includes patients. The industry group has several objections that involve emotionally charged issues that hinge on concerns about how the technical language of the proposal would be applied in real life. For example:
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Dr. David Armstrong |
A requirement that artificial legs and feet provide "the appearance of a natural gait" is being questioned as vague, unscientific, and potentially restrictive. "There is no normal gait," said Dr. David Armstrong, a professor of surgery at the University of Arizona and diabetes expert. "That's just like saying there is a normal eye color." Armstrong serves as an unpaid medical adviser to the amputee coalition.
Source: The New York Times via The Associated Press [8/27/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
4 Myths about Using Electronic Funds Transfer in Healthcare - Part 2
Setting the Record Straight
Many providers have received misinformation about electronic fund transfers that could be deterring them from making the switch. Following are four common myths about the Healthcare EFT Standard and the reasons they’re false.
Myth 1: Enrollment is difficult - In fact, HIPAA operating rules have standardized sign-up requirements for providers, so the process is the same, no matter the health plan. Additionally, the CAQH Enroll Hub enables providers to fill out one form and enroll with multiple insurance carriers at once. Clearinghouses also can assist providers with the enrollment process.
Source: Health Data Management
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| CODINGLINE CORNER | |
Query: Supervising Physician Issue for Diabetic Nail Trims
Has anyone recently had an issue with claims getting denied due to the supervising physician's information not showing up on the correct electronic claim form line (2310D) for diabetic nail trims, or other services that require a supervising doctor for diabetic patients? My clearinghouse is McKesson.
Mary White, DPM, Rockford, IL
Response: When confronted with an issue such as this, I check with two resources. First, I check with the Medicare EDI Department to verify that the referring physician is not showing up at all or is possibly in the wrong loop. Then I contact the clearinghouse to make sure they are mapping the claims correctly. If there is a problem they should be able to fix it. Sometimes they have to write a special rule to make sure that the info is there every time. If all that fails, then you need to go to your software vendor for help.
Katherine Sharp, Woodbury, TN
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Don Peacock, DPM, MS
I can see both sides regarding the use of sclerosing alcohol injections. I have used sclerosing injections in neuromas for years, and I have seen many patients improve and become completely pain-free utilizing this technique. I have also treated patients with the sclerosing alcohol injections, and it proved ineffective.
I can see Dr. Bregman’s point, and I am assuming that he would desire not to damage nerves. I too feel like we should not damage nerves, if at all possible. I would venture to guess that Dr. Bregman is in the nerve decompression camp. Preferring decompression, I have tried to stay away from alcohol injections only to find myself utilizing them again.
Some patients do not desire surgical treatment. For these patients, I use all the modalities including the alcohol injections. I’ve also found that Sarapin injections are effective for neuroma pain.
Don Peacock, DPM, MS, Whiteville, NC
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Mathew M. John, DPM
If this study truly was comparing alcohol injections vs. anesthetic placebo injections in the foot for interdigital neuroma, I would tend to relook at the treatment option I have been performing for over 15 years. I completely agree with Drs. Galluzzo, Kiel, and Marino. My anecdotal experience has been absolutely amazing compared to using the standard corticosteroid injection. I also use it for Baxter’s neuritis.
I tell the patient that it will take several injections to achieve the result. I feel satisfied when my patient comes in relating how great their foot feels. I have had only a handful of recurrences that I know of. In those who fail and go on to surgery, I find that the neuroma is so large that no amount of conservative therapy would have helped. Maybe a 30% solution would have, but I guess we need more relevant studies to determine that.
Mathew M. John, DPM, Marietta, GA
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Dennis Shavelson, DPM
We can wait forever for high level evidence to surface that would defend biomechanics in open court. Dr. Sackett, the father of EBM, opined that medicine is more than meta-analysis and level I literature; it depends on expert opinion. Walking down the hallways of any great medical school, you are invited to respect the portraits of its esteemed “self-declared experts” who are the foundation of its bloodline. Dr. Udell’s explanation of biomechanics can be equally applied to other fields of medicine.
To adhere to Dr. Udell’s logic, the acknowledged theorists, lecturers, publishers, and superstars of biomechanics and the very science itself will spiral into non-existence. Wait, Isn’t that what podiatry has done to biomechanics?
Dennis Shavelson, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What to wear with pink hair? |
Source: Guillem Turró Casanovas via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSISTANT PROFESSOR OF PODIATRIC MEDICINE, SURGERY & BIOMECHANICS
Western University of Health Sciences College of Podiatric Medicine is seeking podiatrists interested in the education and training of future doctors of podiatric medicine. Applicants must be at least board-qualified in either ABPM or ABFAS with preference for dual board certification. For further details, please see https://jobs.westernu.edu/. Academic rank will be commensurate with scholarly and clinical credentials. To be considered, please send letter of intent, curriculum vitae, 3 references, and salary expectation to https://jobs.westernu.edu/. Western University of Health Sciences is an Equal Opportunity Employer. The University embraces diversity and is committed to attracting qualified candidates from historically underrepresented groups.
1 YEAR FELLOWSHIP IN RRA SURGERY
Get additional experience in arthroscopy, fusions, trauma and complex hindfoot/ankle deformity corrections. Must be BQ by ABFAS in foot & RRA or on track to be. CV, DPM school transcripts, director LOR, LOI. ALSO AVAIL Associate pos, now or Aug '16: must be RRA BC or BQ, ability to work indep on complex cases. Long hours, hospital rounds, ER calls, office calls. great work ethic needed. Superstars only. LOI, LOR from director, CV Naples, FL klamdpm@hotmail.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 – 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 POSITIONS - WISCONSIN/TEXAS/OKLAHOMA
Podiatrists needed to join the nation’s largest growing, most technologically advanced and expertly managed nursing home medical and podiatry practice. We ensure your success by providing an established patient base, scheduling and billing assistance, medical assistant, allowances for equipment, coverage of travel expenses, and the newest tablet-technology EMR system to dramatically reduce your workload so you can spend more time providing quality care to patients. We offer generous benefits and flexible scheduling: base salary available, bonus opportunities, malpractice coverage, matching 401(k), health insurance benefits. Part-time positions available. Send CV tocareers@aggeus.org. Call 866-216-5518, ext. 305. www.aggeus.org. Confidentiality assured
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. Go to: www.YourFutureInPodiatry.com for full details
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 – WESTERN NORTH CAROLINA
Join a well-established, busy and growing podiatric practice. We are fully integrated with the medical community in a large tertiary teaching hospital. 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. Associate position can lead to partnership. All interested candidates should send a resume to JCMOOREDPM@aol.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.
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| CLASSIFIED ADS PART 1- PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - HOLLYWOOD, FLORIDA
Prominent 25 yr. hospital-based practice for sale. Extremely busy, contracted with most health plans. Mix of surgical and nonsurgical patients. Well diversified, includes staffing contracts with 12 outside multispecialty centers. Next to hospital, affiliated with 3-year surgical residency program. Only podiatry group in building. For more information email mattm@thompsonhall.com
PRACTICE FOR SALE – CENTRAL FLORIDA
Practice available in a small town in Central Florida. Podiatrist retiring. Was full 4 day practice but now 2 days due to illness. Easily expanded. Same location over 30 years. Surgical and hospital privileges available but not required. Assume overhead and rent. Send inquiries to DDave9388@aol.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
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.
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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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