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PM News |
The Voice of Podiatrists
Serving Over 17,048 Subscribers Daily
August 31, 2015 #5,459 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 Dr. Ed Cohen of Gulfport, MS winner of last week's prize, a one year subscription to ICDTenHelp.com (Retail $150) 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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This week's prize |
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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PODIATRIC PRODUCTS IN THE NEWS |
Dia-Foot to Donate Shoes to Soles4Soles
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Dr. Robert Gaynor |
Soles4Souls, the global not-for-profit institution committed to fighting the devastating impact and perpetuation of poverty, has announced that Dia-Foot will support their anti-poverty efforts by donating products. The Dia-Foot donation of 288 pairs of shoes and 127 singles will be used to help the individuals around the globe who live in poverty and are at risk for diseases like hookworm and malnourishment, or provided to individuals to help break the cycle of poverty by offering a sustainable income through micro-enterprise.
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PRACTICE MANAGEMENT TIP OF OF THE DAY |
4 Myths about Using Electronic Funds Transfer in Healthcare - Part 3
Myth 2: Getting funds via ACH is costly and requires special equipment.
Actually, the only item required to receive electronic fund transfers via ACH is a bank account, and signing up costs nothing. What’s more, electronic fund transfers via ACH are more cost- effective than many other forms of payment, including checks and virtual cards. Providers see an average savings of $3.04 for each check converted to an ACH payment.
There’s even more time and cost savings when electronic fund transfer is used in combination with electronic remittance advices (ERA), which enable the automated reconciliation of fund transfers, as well as automated posting to the provider’s billing system. Providers can save $7.21 per payment when they switch from checks and explanations of benefits to EFT and ERA. Some practices may need to upgrade their practice management or accounting software to accommodate automated posting, but it’s not necessary if a provider simply wants to receive EFTs.
Source: Health Data Management
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RESPONSES/COMMENTS (CLINICAL) - PART 1A |
From: Marc Pinsky, DPM
Unless something grossly changed over the past few months, the whole question of whether or not any % injections work on neuromas is based on the availability and cost of dehydrated alcohol. The last time I checked, I could find no suppliers of pharmaceutical grade dehydrated alcohol that made this treatment economically viable. USP ethyl alcohol IS cheap and available, but the suppliers will not sell it for medical use. The few suppliers I found that DO sell pharmaceutical grade dehydrated ethyl alcohol were priced so ridiculously high that you would lose money offering this as a treatment. Where are all of you getting your meds and at what cost?
Marc Pinsky, DPM, Petersburg, VA
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RESPONSES/COMMENTS (CLINICAL) - PART 1B |
From: Barry Mullen, DPM
After reading several anecdotal responses to Dr. Bregman's post, it occurred to me that the ONE compelling question to ask is to what extent we, as clinicians, should utilize the anecdotal successful experience claims of our colleagues and forefathers relative to our own medical decision-making process? In my humble opinion, this is an extremely important question our younger, less experienced colleagues should ask, though it transcends our entire profession. You are all receiving incredible training, yet lack the years of repeated patient exposure to know what truly does and doesn't work in clinical practice. As such, while I recommend remaining open-minded, I also implore each of my colleagues to use significant grains of salt with respect to medical opinions posted on this site.
Dr. Block is wonderful because of the openness of his forum, but that is potentially dangerous too. So, I implore you all to consider what the evidence-based medical research demonstrates for a given treatment that you are considering and allow that to serve as your...
Editor's note: Dr. Mullen's extended-length letter can be read here.
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RESPONSES/COMMENTS (CLINICAL) - PART 1C |
From: Peter Bregman, DPM
I am glad people are getting great response to the alcohol injections, but none of these doctors who state their great results have data to back them up. It's anecdotal. Perhaps, as I suggested, just try Marcaine by itself. I bet you get the same results as with the 4% alcohol. I used to use it myself so I can say I did not have the success that people claim to have.
I would really like for those who use the alcohol to try injections without it on the next 5 patients (with 2-4 milligrams of Decadron, if you like), and you will see the same results. Think about it - why does it take many injections for it to work? The small amount of alcohol will not cumulatively kill the nerve. It's too small a dosage...not to mention that diluting it in that bottle of Marcaine takes away a lot of the dehydration process.
Peter Bregman, DPM, Las Vegas, NV
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RESPONSES/COMMENTS (CLINICAL) - PART 2A |
From: Elliot Udell, DPM
In the context of this academic discussion, none of us should diminish the honor and respect we all have for you and many of our other esteemed colleagues who keep biomechancics and foot orthotics on the front burner at our conventions. When I went to school at NYCPM, back in the 1970s, there were conflicting opinions between the late great Drs. Schuster and Dr. Root. Both men taught all over and had their myriads of followers as well as labs that produced their orthotics. These pioneers of biomechanics were respected more because of who they were rather than on well written academic papers published akin to what Wrobel and his team wrote.
As Dr. Kesselman points out, the opinions of podiatrists with high stature is not enough in this century to convince insurance companies to pay for orthotics. These people want to see current, well-written research papers. Unless we continue to invest in these studies, we cannot and should not expect anyone either in the insurance industry, orthopedics, or even well educated patients to believe that when we cast or scan patients in our offices for custom foot orthotics, we are not doing any more for them than what Dr. Scholls does when it has people stand on scanners at Walmart and take home pre-fabs.
Elliot Udell, DPM, Hicksville, NY
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RESPONSES/COMMENTS (CLINICAL) - PART 2B |
From: Stephen Albert, DPM
Reading PM News exchanges from Drs. Richie, Udell, Kesselman, and Phillips, I am compelled to join them as President of the American College of Foot and Ankle Orthopedics and Medicine (ACFAOM). I wish to do so in a broader context rather than just Dr. Wrobel’s article. By the way, James Wrobel, an acquaintance of mine, is an excellent podiatric researcher.
ACFAOM believes that biomechanics and medicine are the cornerstones of contemporary podiatric practice. With that in mind, I wish to underscore the educational avenues available to practitioners and those still in training available from not only ACFAOM, but...
Editor's Note: Dr. Albert's extended-length letter can be read here.
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RESPONSES/COMMENTS (CLINICAL) - PART 2C |
From: Don Peacock, DPM, MS
All of Dr. Udell's comments are correct, and his philosophical stance toward the purveyors of theoretical concepts is a cause for us to have natural skeptical attitudes. Science and art definitely coexist in the field of medicine, and to a great degree in the implementation of orthotic design. Where I disagree with Dr. Udell is the notion that this intermingling is a bad thing. Of course, differing concepts and opinions will surface and that's completely natural.
The theoretical prophets all make up their theories and they do this through the creative imagination. These artists/scientists are a gift to us. I find it fascinating when someone challenges an...
Editor's note: Dr. Peacock's extended-length letter can be read here.
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RESPONSES/COMMENTS (NEWS STORIES) - PART 1 |
From: Ira Meyers, DPM
Regarding Dr. David Andreone's claim that running over an extended period can cause long term negative effects: When do these occur? I have been running 40 plus years and 87,000 miles. I haven't had any negative effects yet.
Ira Meyers, DPM, Huntingdon Valley, PA
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $195
(Only $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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RESPONSES/COMMENTS (NEW STORIES) - PART 2 |
From: Paul Kesselman, DPM
I had the opportunity to personally attend and testify (on behalf of APMA) at the hearings Medicare held in Baltimore on August 26, 2015 on several draft Medicare policies. This included two policies which will no doubt directly affect podiatrists' ability to provide necessary DME to their patients.
One is on the ability for podiatrists to perform a required functional assessment on patients who require toe fillers (L5000-L5020). The current draft policy does not include DPMs as licensed certified medical professionals in the group who can perform such assessments.
While podiatrists will continue to be able to...
Editor's note: Dr. Kesselman's extended-length letter can be read here.
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YOU CAN'T MAKE THESE THINGS UP |
RE: Outrageous Shoes of the Day
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Perfect for aerating your lawn? |
Source: Aoi Kotsuhiroi via Virtual Shoe Museum
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MEETING NOTICES
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CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION, LOCUM TENENS OR PURCHASE- VIRGINIA
Podiatrist needed immediately for associate position or Locum Tenens, or purchase of practice. Must have Virginia license. Located in Newport News & Hampton. If interested please contact Dr. Arnold Beresh at arnoldberesh@yahoo.com
FULL-TIME ASSOCIATE POSITION – EL PASO TEXAS
A busy multi-office practice seeking a fulltime three year trained associate podiatric physician. Candidate must demonstrate outstanding clinic skills, clinic judgment and business ethics. Great benefit package with competitive salary offered with opportunity of partnership and additional investment opportunities. Please email CV with references to prljammin@hotmail.com
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 - 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 – 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
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
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 2- PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
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
PRACTICE FOR SALE – BONITA SPRINGS, FLORIDA
15 year old well established satellite podiatry practice for sale immediately. Well-equipped treatment rooms, digital x-ray. Located in busy multispecialty medical building with very busy Urgent Care Clinic, Outpatient Surgical Center, pharmacy, CT and MRI imaging center. Email bonitaspringspodiatry4sale@gmail.com
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
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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- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
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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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