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PM News

The Voice of Podiatrists

Serving Over 18,418 Subscribers Daily


August 13, 2019 #6,482 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block

richieaug519

ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Scot W Bandel, DPM of Grand Island, NE, winner of last week's prize, a Scott eVest 16 Pocket Lab Coat. 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 February 2020 issue of Podiatry ManagementIt also makes you eligible to win thousands of dollars worth 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.
 
Bose Alto Audio Sunglasses
 
 
***This is also your opportunity to vote for the next DPM and non-DPM inductees into the PM  Podiatry Hall of Fame.
bakoaug1219

PODIATRISTS IN THE NEWS
Bunion Surgery Has Evolved: PA Podiatrist
 
Kevin Naugle, DPM, residency director at the Reading Hospital for foot and ankle reconstructive surgery, said bunion surgery has significantly evolved over the years. Years ago, patients having bunion surgery had to be hospitalized for days, the recovery period was painful, and after a time, it was possible the bunion could re-appear, Dr. Naugle said. That's because the best practice at the time was simply to remove the bump without correcting the underlying cause. “It's the angular deformity that needs to be corrected,” Naugle said.
 
Dr. Kevin Naugle
 
Today, before surgery is scheduled, Naugle discusses with patients the surgery that's right for them. He determines if the bunion is mild, moderate, or severe, how much arthritis is in the joint, and the location and size of the bunion. “Many factors will dictate which procedure we do,” Naugle said. Many times, tiny plates and screws will be used to correct the angle of the bone. It's not just cutting the bump: It's an alignment change and that means it will need something to hold it in place,” Naugle said. “You're reconstructing the deformity to a normal state.”
 
Source: Marylouise Shollys, Reading Eagle [8/2/19]
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STATE PODIATRY NEWS
MI Podiatrists Appointed to Board of Podiatric Medicine and Surgery
 
Governor Gretchen Whitmer appointed several people to the Board of Podiatric Medicine and Surgery August 9. Erik Kissel, DPM, of Bloomfield Township, is a podiatrist with Foot and Ankle Specialists of Southeast Michigan. He earned his Doctor of Podiatric Medicine from the Rosalind Franklin University School of Medicine and Science. Dr. Kissel is appointed to succeed Kevan Kreitman, DPM whose term expired June 30, 2019, to represent podiatrists for a term expiring June 30, 2023.
 
Drs. Erik Kissel and Harvey Lefkowitz
 
Harvey M. Lefkowitz, DPM, of Southfield, is a podiatrist and the owner of Harvey Lefkowitz, DPM, PC. He earned his Doctor of Podiatric Medicine from the Illinois College of Podiatric Medicine. Dr. Lefkowitz is appointed to succeed Zeeshan Husain, DPM whose term expired June 30, 2018, to represent podiatrists for a term expiring June 30, 2022.
 
Source: Jessica McLean, Macomb Daily [8/11/19]
PICAapr119

MEETING NEWS
Over 100 Residents Complete in 16th Academic Rumble 
 
The PRESENT Podiatric Residency Education Summit East 2019 took place at the Teaneck Marriott at Glenpointe NJ this weekend. The well attended 16th Residency Rumble was won this year by a very impressive combined team from Montefiore Medical Center in the Bronx, NY and Good Samaritan Hospital Medical Center in West Islip, NY. Vincent Gramuglia, DPM, Director, Pooja Shah, DPM, and Alisha Poonja, DPM competed for Montefiore; Amanda Khoury, DPMMaria Cifone, DPM, Michael Mazer, DPM, and Kevin Douglas, DPM competed for Good Samaritan. 
 
(L-R) Drs. Vincent Gramuglia, Pooja Shah, Alisha Poonja (Montifiore) and Amanda Khoury, Maria Cifone, Michael Mazer and Kevin Douglas (Good Samaritan)
 
Second place went to Jefferson Health, Philadelphia; third place went to St. Barnabas Medical Center, Bronx, NY/Yale New Haven Health, Bridgeport, CT/DVA Salem, VA; fourth place went to DVA-Orlando, FL/Saint Michael’s Medical Center, Newark, NJ; fifth place went to DVA-New York Harbor Healthcare, NY, NY.
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ON THE INTERNATIONAL LECTURE CIRCUIT
CA Podiatrist Delivers Andrew Clarke Honorary Keynote in South Africa
 
Dr. David G. Armstrong, Professor of Surgery and Director of the Southwestern Academic Limb Salvage Alliance (SALSA) at Keck School of Medicine of University of Southern California (USC) delivered the Andrew Clarke Honorary Keynote at the 12th Biennial Podiatry Association of South Africa Congress held in Cape Town this week.
 
Dr. David Armstrong and Andrew Clarke
 
The lecture is named for Andrew Clarke, who is credited with founding modern podiatric medical education for the nation. Armstrong joined colleagues from across the continent and worldwide. Armstrong also provided two other keynote lectures describing the past, present, and future of limb preservation.
surefitjul1519

FROM PM's CURRENT ISSUE
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
 
Today's Featured Article
 
ortho10

PRACTICE MANAGEMENT TIP OF THE DAY
6 Ways to Improve Your Revenue Cycle Management - Part 5
 
Although most practices have little control over patient coverage types, they can better mitigate financial risk by understanding all the components that impact revenue. Here are six ways to improve your practice’s RCM reimbursement tactics.
 
5. Monitor payment trends - It is the practice’s responsibility to monitor changes to payers’ guidelines and fees. Luckily, the Internet is a great resource, and pertinent updates can easily be found online by visiting the appropriate billing-related websites. Proposed changes to Medicare’s fee schedule, for example, are available through its website and the online Federal Register. The public typically has an opportunity to comment on proposed changes, which can help influence the final rule.
 
Source: Brian Bellamy, Physicians Practice [7/22/19]
Astepbovejun1719

CODINGLINE CORNER
Query: Denial of CPT Code 20550
 
We are having denials for payment for CPT code 20550 with M72.2 and pain codes, as well. This is happening with Medicare and a couple of other payers. Any thoughts on this issue?
 
Teresa Burtoft, DPM, N. Andover, MA
 
Response: Your MAC will not pay for a “dry needling” injection. If your chart supports the injection of a steroid, your claim should include a HCPCS code for a steroid (e.g. J0702). Also, you will need to include modifiers and narrative information reflective of the NDC number of the medication (each brand and generic has its own) and dosage.
 
Unfortunately, your MAC does not seem to have an LCD covering this issue. You may wish to call your carrier to see if this is the case. If so, you will likely need the assistance of your EHR/EMR vendor on how to place this information on the claim.
 
Paul Kesselman, DPM, Woodside, NY
 
For information on Codingline subscriptions, click here
OHIjun2419

RESPONSES/COMMENTS (CLINICAL)
 
Document that you have ruled out by lab studies, or have sent this patient for evaluation by his primary care physicians, all lab work-ups which may suggest secondary gout from another kidney disorder. Though this presentation may appear as a form of primary "gout" (gouty attack), document any cardiovascular disorder, which may present with unilateral foot/ankle swelling as well.
 
Steven J. Kaniadakis, St. Petersburg, FL 
michiganjul2919

RESPONSES/COMMENTS (NEWS STORIES)
From: Lawrence Oloff, DPM
 
This, of course, is a personal decision. My perspective is that my main job is taking patients who are symptomatic, and making them asymptomatic. If patients are pain-free, then they are already at my target goal.
 
The other complex aspect of these decisions is trying to project disease course. I really don't feel that any physician can accurately predict if and when a bunion will become symptomatic. How many times have we all seen an elderly patient come in with asymptomatic bunions? If we had an accurate crystal ball, then the decision to operate on asymptomatic deformities would be clearer.
 
My vote would be to leave it alone, and periodic visits to assess for symptoms or developing arthritis or other concerning criteria that would suggest the need for intervention.
 
Lawrence Oloff, DPM, Burlingame, CA
atlasjul119

YOU CAN'T MAKE THESE THINGS UP
Football Player Suffers Frostbite from Whole Body Cryotherapy
 
Oakland Raiders wide receiver Antonio Brown reported to training camp with the Raiders and team doctors discovered he was suffering from serious frostbite on his feet. Over time, this has resulted in the skin sloughing off his feet in sheets, and that has led to his being able to participate very minimally in training camp thus far.
 
Antonio Brown's frostbitten feet
 
Many athletes are now opting for Whole Body Cryotherapy (WBC) as a means to either supplement traditional ice baths, or replace them entirely. This involves standing in a sealed room and being exposed to extremely cold, dry air for a period of 2-3 minutes. Temperatures are normally below -100 degrees, with liquid nitrogen and refrigerated air being used to blast the person receiving treatment. According to a report from Pro Football Talk, Brown entered the cryochamber without appropriate footwear. This caused the frostbite, which is now a serious concern for the Raiders as the regular season draws near.
 
Source: James Dator, sbnation.com [8/10/19] via Dr. Allen Jacobs
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MEETING NOTICES

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CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - SOUTHWEST FL 
 
Seeking associate for busy well rounded foot/ankle practice. ABFAS or ABPM cert or qual. Great interpersonal skills and willing to work as a team a must. Office fully EMR, digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, etc. DrLam@naplespodiatrist.com
 
ASSOCIATE POSITIONS – FLORIDA 
 
Well-established mobile podiatric practice has openings in N. Orlando, Deland & Daytona Beach Florida!  This mobile based position is Monday thru Friday, no nights or weekends.  Our physicians must maintain active Medicare and Florida licenses.  We offer outstanding work-life balance, malpractice insurance and exceptional benefits (health, paid holidays, vacation, 401K retirement plan with company match).  Get back to practicing medicine!  CHS provides you with a Medical Assistant, Schedule Coordinator, and Experienced Podiatric Biller.  First year six figure salary guaranteed with RVU bonus structure after 90-days!  Most doctors earn over $150,000!  Join our fun, fast-growing company and email your CV:  psojobs@chsamerica.com!
 
ASSOCIATE PODIATRIST WANTED – CALIFORNIA/SF EAST BAY 
 
Join our growing multi-office practice, immediate opening. Must have great people skills, bedside manner, and positive demeanor. Must work well with staff and local medical community. Prefer private practice experience. California license required. Full or Part Time. Send CV and cover letter to: ebpod2008@gmail.com.
 
ASSOCIATE POSITION – LAS VEGAS, NV 
 
Are you looking for an opportunity where the sky is the limit? Are you interested in a bright future, then our long-standing, busy, and very reputable practice in exciting Las Vegas, Nevada might just be for you! Our practice is diversified and consist of, at risk foot care, sport injuries, trauma, biomechanics, and surgery. Candidate must be eager to work hard, ethical, and preferably surgically trained. Our mentors will provide the rest! Serious inquiries only. Please reply and send resume to nevadafas@gmail.com in order to set up an interview.
 
ASSOCIATE POSITION - DC METRO AREA 
 
Well-rounded private practice in DC Metro Area seeking motivated, hardworking and ethical part-time or full-time associate with good bedside manner. Includes inpatient, outpatient and assisted living facilities. Strong diabetes and sports medicine population. Practice with EMR, digital x-ray, 3-D orthotic scanning, DME, laser. Email: Admin@insteppodiatrycenter.com.
 
ASSOCIATE POSITION – MONTANA 
 
Growing podiatry group in Missoula seeking associate for full time position.  Must be ABFAS qualified or certified.  Partnership opportunity for motivated individual.  Minimal call requirements.  Look for a promising future and work-life-balance in a growing University town with endless recreational opportunities.  Submit CV and cover letter to: westernmontanafootandankle@gmail.com
 
ASSOCIATE POSITION – LOS ANGELES, CA 
 
Multi-specialty wound care and reconstructive surgery group hiring podiatrists to our growing family. Our practice treats wounds within inpatient and outpatient settings. Opportunity for general podiatry cases in brand new surgery center. Benefits include health insurance, 401k plan, and paid vacation time. Salary and bonus structure. E-mail woundcaredocs@gmail.com with CV.
 
POSITION AVAILABLE - ST. LOUIS, MISSOURI
 
Busy private practice seeking full time associate who is personable, ethical, team oriented and motivated. ABFAS Qualified/Certified in rearfoot and ankle surgery.  Please send CV and cover letter to: paifootandankle@gmail.com
 
ASSOCIATE POSITION - MASSACHUSETTS - NORTH OF BOSTON 
 
Well-established, well-rounded, hospital-based practice located just north of Boston seeking full-time DPM. Applicant must be ABFAS Board Qualified/Certified with interest in wound care and limb salvage. We are well integrated within the medical community and are active in both hospital in-patient care and out-patient clinic.  Excellent referral base and high volume of new patients. Competitive compensation and benefits package. Excellent opportunity for qualified candidate. Please email CV to footdocsma@gmail.com
 
MOBILE PODIATRIST NEEDED - SOUTH NEW JERSEY  
 
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time /Part time podiatrist  to do home visits to home-bound patients in  Southern NJ (Ocean and Monmouth County). Email resume - Lana.Raginsky@homefootcareservices.com
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA (LONG BEACH)
 
Established busy practice looking for a full-time podiatrist. This special doctor should be personal, teachable, motivated and independent. Five or more years of practice experience welcome. Need someone immediately. Please submit a CV with a cover letter and three professional references to PodiatristLB@gmail.com.
 
ASSOCIATE POSITION – BERGEN COUNTY, NJ 
 
Looking for a part-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment.   Immediate start date. Please e-mail CV to cma@njfootpain.com , should you have any further questions you may call Gerry 201-523-9489 ext 101.
 
FULL OR PART-TIME POSITIONS AVAILABLE - GREATER LOS ANGELES AREA 
 
Home Foot Care, Inc. Mobile Podiatrists  needed to see homebound patients in San Bernardino/Riverside, Lancaster/Palmdale, Ventura/Oxnard, Los Angeles/San Fernando Valley. Choose your own days/hours, excellent monthly compensation, cloud-based EHR, dedicated support staff. If interested, email CV to: homefootcare@hotmail.com our website: www.footdocs2u.com
 
ASSOCIATE POSITION – NEW YORK AND NEW JERSEY 
 
DeLoor Podiatry, a fast growing medical practice, is looking to hire a full time podiatrist with a NY license (NJ license is a plus). Available to work in New York and New Jersey. Please send your CVs to deloorpodiatry@gmail.com 
 
ASSOCIATE POSITION - NYC AREA
 
Full time and part time positions available, Multi office practice, hospital and staff privileges as well as insurance panels preferred. All aspects of podiatry, needs to be surgically qualified email resume to  contactus@starrettpodiatry.com
 
ASSOCIATE POSITION - S. E. PENNSYLVANIA
 
Seeking full time associate for growing, multifaceted practice in SE Pennsylvania.  Must be ABPS Qualified/Certified, motivated, personable, compassionate and dedicated. Competitive salary + bonus.  Forward CVs to podmedsurg@gmail.com.
 
ASSOCIATE POSITION - PODIATRY CENTER OF NEW JERSEY
 
We are a fast growing practice in North Jersey with multiple locations, and more to come!  We are currently looking for full time- motivated and caring associates to join our practice. Some of the benefits include: competitive salary, generous bonus structure, health insurance (vision and dental as well) and paid vacation time, we pay for malpractice and give CME time. This is an excellent opportunity to expand your Podiatric Medical and Surgical experience in an office based practice! We encourage all who are interested to please submit a CV with a cover letter to DrSamofal@PodiatryCenterNJ.com
 
ASSOCIATE POSITION – SW FLORIDA 
 
Full time/Part time associate wanted in a multi-faceted practice!  Located in Beautiful SW Florida, with offices in Fort Myers and Naples and hospital affiliations throughout.  We are looking for BQ/BC doctor to become a part of our family (Buy in Potential) and continue to grow with us.  If you are caring, interpersonal and motivated individual with a “patient first” mentality, then please contact us at Podiatricapplication@gmail.com.
 
ASSOCIATE POSITION - PODIATRY GROUP IN LOS ANGELES/ORANGE COUNTY 
 
Must be well trained in limb preservation, trauma and reconstructive foot and ankle surgery. Send CV to podiatricri@yahoo.com.
 
ACADEMIC POSITION – SCHOLL COLLEGE
 
The Dr. William M. Scholl College Podiatric Medicine is seeking a full-time academic podiatrist to train and lead the next generation of podiatrists in an interprofessional, multicultural learning environment. Salary and academic rank will be commensurate with scholarly credentials and relevant experience. The University encourages applications from individuals belonging to groups underrepresented in their field and those that can add new and valuable perspectives to the academic environment. We are also particularly interested in applicants with a commitment to mentoring and to increasing diversity in the fields of medicine, science and related health professions. Applicants may apply here , EEO/VETS/DISABLED
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE - PINPOINTE LASER
 
PinPointe Toenail Laser (manufactured 2014). Like new!  Includes 2 new (unused) fiberoptic wands. Sale Price $7,900.
 
EQUIPMENT FOR SALE - SURGICAL INSTRUMENTS 
 
Stryker Pneumatic Surgical instruments: Drill Bit, System II Wire Driver includes 6 Metallic Blades, Foot Pedal in original Stryker Surgical box. Complete Surgical Instruments. TO see photos, click here and here. Price negotiable, motivated seller. Call or text 917-589-1870 anytime or email silva.footcare@gmail.com
 
EQUIPMENT FOR SALE - PEDCAT 3-D CT SCANNER
 
Like new PedCat 3-D CT scanner. 40% off brand new machine. Generate revenue for your CT scans for Medicare and most insurances.  Ideal for group of 4 or more. Takes less time than x-ray and replaces it. No special setup needed.  
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
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.
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