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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 15,921 Podiatrists Daily
August 30, 2014 #5,151`  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- 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 Dr. Howard Roesen of Newport News, VA, winner of a one night stay in deluxe accommodations at the Quincy Hotel in Washington, DC, including a welcome cocktail and continental breakfast. 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 2015 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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7" Andoid tablet |
This week's prize is a dual-core 7" Android tablet.
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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| PODIATRISTS IN THE NEWS |
PA Podiatrist Discusses Aging Feet
Just like the rest of our bodies, feet change as we age. Lynn Donnelly of Media, PA spent most of her working years on her feet as a nurse. Podiatrist Dr. John Pron of Riddle Hospital Main Line Health says you don't need a job like that for time to take a toll on your feet. For people who are too sedentary, the 33 joints and nearly 100 tendons and ligaments in the foot can dry out and become tight. "Bones can shift, joints can move. And now we're putting pressure on things we shouldn't put pressure on," said Dr. Pron.
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Dr. John Pron |
Extra weight also adds pressure to feet and knees - 3 pounds for each one over your target weight. But Dr. Pron says staying active can head off many problems! Make comfort your priority in shoes and remember, your foot size can change! Dr. Pron said, "You don't know how many times people come into the office, put their hands on their hips and say - I've always been a size 8, doctor."
Source: Lisa Thomas-Laury, WPVI-TV (ABC) [8/28/14]
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NJ Podiatrist Discusses Bunion Prevention
If you have bunions, taking care of them now can help you avoid more serious treatment later, an expert says. Left untreated, bunions can cause debilitating pain and may require surgery to correct, said Dr. Brent Rosenthal, a podiatrist and podiatric surgeon at CentraState Medical Center in Freehold, N.J. To prevent bunions, avoid wearing shoes with pointed triangular tips and don't wear high heels for long periods of time each day, Rosenthal said.
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Dr. Brent Rosenthal |
You should know your correct shoe size, which can increase with age, weight gain and pregnancy, he added. If you do develop a bunion, start wearing shoes with a wide and deep toe box. Shoe inserts may reduce symptoms and prevent the bunion from getting worse, according to Rosenthal.
Source: Robert Preidt, U.S. News and World Report [8/29/14]
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| PODIATRISTS IN THE COMMUNITY | |
NY Podiatrist Named Best of Queens
Looking good and feeling good is important to keeping a high quality of life. The Borough is filled with good people whose jobs are to keep residents here healthy, in shape, and looking great. Here are some recommendations from our readers:
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Dr. Anthony Orlando |
Anthony Orlando, DPM of Rego Park is a diplomate of the American Board of Podiatric Surgery and a Fellow of the American College of Foot and Ankle Surgeons. He is Attending, North Shore University at Manhasset and team sports podiatrist for Christ the King Regional High School.
Source: Queens Tribune [8/28/14]
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| E- HEALTH NEWS | |
CMS Finalizes EHR Meaningful-Use Rule, Adds Some Flexibility
The CMS, late Friday, finalized a rule allowing hospitals and eligible professionals more flexibility in how they meet meaningful-use requirements for the electronic health-record incentive program. The agency had first proposed the idea in a May draft rule. Friday's final rule left the May proposal unchanged.
The rule would grant providers a longer timeline and more flexibility in meeting the incentive goals laid out by the stimulus program first created in the 2009 HITECH Act. The incentive program provides doctors and hospitals stimulus funding to implement electronic health records. The rule pushes back the beginning of the third stage of meaningful use for the first cohort of adopters until Jan. 1, 2017, as opposed to the old standard of Jan. 1, 2016.
Source: Darius Tahir, Modern Healthcare [8/29/14]
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| SUNSHINE ACT UPDATE | |
Open Payments Site Scheduled for More Downtime; Complaints Continue
The troubled Open Payments Act website is encountering a bit more turbulence. The CMS announced Thursday that it plans upcoming outages for the site and that downtime would be used for “scheduled maintenance upgrades.” As a result, the review-and-dispute process for doctor data displayed on the site will be extended until Sept. 10, the agency said. That delay will push the corrections period to Sept. 25. The agency still says that the data will be released to the public Sept. 30. The outages are scheduled for Aug. 30 between 1 and 11 a.m., and Sept. 5 for an as-yet-undisclosed duration.
The latest delay comes after trade group Pharmaceutical Research and Manufacturers of America questioned the agency's transparency in rejecting data submissions from manufacturers for the site. The CMS, concerned with the possibility of intermingling, that is, matching payments data with the wrong doctor, has reportedly sent back about one-third of records for manufacturer correction.
Source: Darius Tahir, Modern Healthcare [8/28/14]
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| QUERIES CLINICAL | |
Query: Post-op Hematoma
I removed a bone fragment from the first intermetatarsal space at the base of the proximal phalange. Initially, all went well, but after sutures were removed, the patient developed a painful distension in the area. I have compressed it with an Unna boot, with no improvement. I think there is probably a hematoma. Does anyone have any hints for resolving this other than time?
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| QUERIES (MEDICAL/LEGAL) | |
Query: Patient Request for Compensation
My associate gave a woman an injection and she developed a cellulitis/allergic reaction. She was treated successfully, but still has slight edema. She asked to be financially compensated for what she claims was two weeks of work lost. It now turns out her health insurance was inactive at the time of her visit. How would you handle this?
Name Withheld
Editor's comment: PM News does not provide legal advice. One of the reasons to carry professional liability insurance is to cover cases such as this. Contact them ASAP. A post- injection reaction may well be a simple complication, but these types of situations should always be handled by attorneys.
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| CODINGLINE CORNER | |
Query: E/M Bullet Points for Exam
When counting the bullet points for an exam to determine what office visit level to code, does each limb count as a bullet point? I'm being told by my billing office that the only time that bilateral counts is for the musculoskeletal. So, a vascular palpation of DP/PT pulses either on one or both feet counts as only one bullet. Is this correct? Can someone lead me to the place to read the exact definition?
Theresa Hughes, DPM, Galesburg, IL
Response: Your billing office is correct. You'll want to look at the musculoskeletal exam in the 1997 E/M guidelines. They can be found starting on page 32 of this pdf file .
Joan Gilhooly, CPC, CPCO, Lebanon, OH
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Using Cell Phones to Supply X-Ray Copies
From: George Jacobson, DPM
I have recently discovered a novel approach for patients to get a copy of their x-rays. They simply take a picture with their cell phone while the x-rays are being viewed on a plain old-fashioned view box. They come out great! They are also able to enlarge the view like any other photo. I don't know if they print well.
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RE: Podiatric Medicine and Colorectal Cancer (Leonard A. Levy, DPM, MPH)
From: Elliot Udell, DPM
In May 2005, there was a paper published in the New England Journal of Medicine correlating lower rates of colorectal cancer and the use of statins to treat hyperlipidemia. The findings were challenged by three physicians at the Brigham Hospital who asserted that the cohort of patients studied was unusual in that these people were taking statins. This meant that they were under greater medical care, and hence their physicians would have screened them more carefully for blood in their stools or ordered colonoscopies where appropriate. Thus, the lower rate of colorectal cancer was not a benefit of statins, but a result of the greater medical attention these patients were receiving.
The findings in the paper cited by Dr. Levy might be attributed to the same thing. People with peripheral vascular disease who are well treated may indeed be in a population that is under greater medical scrutiny, and hence are screened much earlier for any signs of colorectal cancer.
We podiatrists, because of the age of the patients we tend to see, are in a greater position to ask if a person above the age of 50 has been screened for colon cancer, and if need be, we can make appropriate referrals.
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MEETING NOTICES - PART 1
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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| Perfect for a flower ball? |
Source: newsxcite.com
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
ASSOCIATE POSITION - TAMPA BAY
Well established, multi-doctor practice in the Tampa Bay area. Preference to PSR 24+/Florida license. High-tech, EMR, digital x-rays, sports medicine, surgery. No NH/HMOs. Excellent hospital privileges available. Choose an area of practice concentration that you are passionate about and enjoy a lifestyle second to none. CV to floridapodiatrist@tampabay.rr.com
ASSOCIATE POSITION – WASHINGTON STATE
Well established, multi office busy practice looking for ethical, motivated podiatrist to work in our offices and see residents in assisted living facilities in greater Seattle area. Russian or Spanish speaking preferred but not required. No weekends. Please send C.V. with salary and benefit expectations omega571@comcast.net
ASSOCIATE POSITION - HUDSON VALLEY REGION, NY
Hudson Valley Foot Associates has a great opportunity available! We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM. Please visit www.hvfa.com and forward cover letter with CV to info@hvfa.com.
ASSOCIATE POSITION – PENNSYLVANIA
Great low stress, full time opportunity for a surgically trained podiatrist in a 2-office full spectrum practice. Located in the suburbs of Philadelphia. You are highly motivated, board qualified and have great communication skills. Opportunity for a buy-in/partnership in 2 years. Send cover letter and CV to info@qualityfootcare.com
POSITIONS AVAILABLE- FULL TIME/ PART TIME SOUTHERN IL AND EASTERN MO
opportunities to serve residents of long-term care facilities in southern Illinois and eastern Missouri. High earning potential with competitive benefits as part of a 40 year old company for the right candidates. Contact ckestner@preferredpodiatry.com for additional information.
ASSOCIATE POSITION – GEORGIA
Practice serving beautiful, historic, Savannah, Georgia and the Low Country seeking a second, full or part-time Board-eligible/Certified podiatrist. practice has solid patient and physician referral base. Surgery, general podiatry, wound care and specializing in diabetic foot care. Service area nursing homes. Superior Medical Assistants, Scribe, scheduling, administrative support and EMR technology. Income guarantee the first two years with bonus potential. Offer generous benefit package, including moving allowance. Great opportunity for highly motivated and ethical professional, with excellent patient skills. Bilingual ability a plus. Send CV and location to U.W. Plummer at drjadandy@yahoo.com. For additional information contact Mrs. Plummer at 912-927-8011.
ASSOCIATE POSITION - PART-TIME - NJ
Can you handle a challenge? Associate wanted for amazingly busy practice. Must be enthusiastic, outgoing, surgically trained but conservatively minded. The sky’s the limit. Wonderful environment and great support team. Great pay with potential for expansion Bergen County, NJ. For further information, email to njfootankle@yahoo.com or fax to 201-261-0058.
ASSOCIATE POSITION - SOUTHERN MICHIGAN
Associate wanted to join a 4 physician/4 facility organization. Must be residency trained and have great work ethic. You will be assisted by a well-trained staff and have comfort knowing there will be Board Certified Surgeons who have your back. Salary plus incentive. Reply to: paulapmac@me.com
FULL-TIME PODIATRIST WANTED – TEXAS
PSR 24-36 trained multi-dimensional, multi-office group treating a wide range of patients including: forefoot, rearfoot, diabetic wound care, sports medicine and work related injuries. Dallas/Fort Worth Area. Modern offices and equipment. Great opportunity for driven personable individual. Please e-mail: Cover letter, CV, Letters of reference to: cnunez1940@gmail.com
ASSOCIATE POSITION – NEW JERSEY
Well established practice in Atlantic County looking for a part-time associate. Modern facility with EMR and digital x-ray. Located in a coastal community with a supportive and professional staff. No weekends! Email CV to ShoreDPM@Gmail.com.
ASSOCIATE WANTED - SO CAL COAST
Excellent opportunity for the right doctor. Looking for a young, hard-working, full- time doctor who wants to learn how to run a practice from top to bottom. Need an out-going, very personable doctor to shadow me and practice similarly, someone who would want to take over the practice in the near future. asbf@pacbell.net
ASSOCIATE POSITION - REDDING, CALIFORNIA
Looking for motivated podiatrist licensed in California for a part- time position with possibility of full-time. Please send CV to tjsong01@hotmail.com.
ASSOCIATE POSITION - WESTERN VIRGINIA
Private Orthopaedic Group Practice in seeking rear foot surgically trained podiatrist. Surgical suite on-site; surgical and wound care privileges at 1 hospital. BC or BE required. Base salary + bonus + benefits. Will acquire established practice from podiatrist who is relocating. Email Lindsay McHone, Practice Administrator at lindsayathoc@ntelos.net.
ASSOCIATE POSITION - KANSAS CITY
Kansas City may be the perfect move for you and your family. We are looking for an entrepreneurial-minded associate who wants to grow and then own part of an already successful practice. If you are the right candidate for this associate position, you will enjoy a competitive compensation package and you will be working with doctors who are as committed to your success as we are to our own. Go to:www.YourFutureInPodiatry.com for full details.
LOTS OF OPPORTUNITIES - SOUTHEAST GEORGIA STATESBORO
Willing to live in Rural area in a College town. Beautiful weather year round. Seeking experienced, min of 5 years, Family-oriented podiatrist. If you have a great attitude and you are looking to build a long-term relationship with the practice , Don't miss out on this one. Must be PSR-24 trained. Full range of services including Surgical Suite/ Ambulatory Sx Center in the practice. E-mail cover letter & CV to melissafoot@atlanticfeet.com
ASSOCIATE POSITION - CENTRAL FLORIDA
We are looking for a hardworking entrepreneur-minded podiatrist to fill a position. This practice is a Non-surgical clinic based practice. Competitive salary with full benefits available. Respond with CV to e-mail: Podiatryflorida@gmail.com
ASSOCIATE POSITION - EAST TENNESSEE
30 year old practice with 5 offices in greater Knoxville area seeking ethical, personable, hardworking, team player. $160,000 base salary with bonus incentives and benefits. Post-residency experience a plus. Please send resume to ddavidphawk@yahoo.com
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area. Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM
PRACTICE FOR SALE - SOUTHERN ARIZONA
Owner desires to sell and transition from practice. Practice open full-time, recently implemented EHR and attested for MU Stage 1. Approximately one mile from newly constructed hospital. Opportunity to grow surgical volume and patient base. Priced to sell. Contact: Mike Crosby at MCrosby518@gmail.com.
OFFICE FOR SALE - DELRAY BEACH, FLORIDA
20 year old practice in a very high traffic area. Serious inquiries only. Email bafamt@aol.com
PRACTICE FOR SALE - FAIRFIELD COUNTY, CT
60 miles to Manhattan, 15 miles to Westchester county.Busy solo practice, grossing 250k on 2.5 days a week. Extremely low overhead. Beautiful office building with EMR. Practice shares space and staff with 6 MDs. Amazing referral base and growth potential. All surgery is currently referred out. Serious inquiries only contact: Samalsal@yahoo.com
SPACE TO SHARE - MANHATTAN AND LI
Desirable locations on Upper East Side, Gramercy, the Financial District, and Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815 PODO2345@AOL.COM
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. 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.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
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RE: (Topic)
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Body of letter. Be concise. Limit to 250 words or less). Use
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- 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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