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PMNews
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PM News |
The Voice of Podiatrists
Serving Over 17,042 Subscribers Daily
September 02, 2015 #5,461 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.
![](http://podiatrym.com/pmphotos2015/8/PMNews11007.jpg) |
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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INTERNATIONAL PODIATRISTS IN THE NEWS |
Changes in Feet May be Indicators of Wider Health Issues: UK Podiatrist
They may spend most of the year hidden away under socks, but our feet are in fact a window to what’s really happening in our bodies. “We neglect our feet and put up with signs and symptoms that, in any other part of the body, would have us running to medical professionals,” says podiatrist Jake Heath from One Wellness Clinic in London. “Yet noticeable changes can be indicators of wider health issues.”
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Jake Heath |
Hairless toes could mean vascular disease. Few of us would want hairy feet. But toes totally devoid of hair can be a problem. If the heart is struggling to pump enough blood to your extremities, it will cause problems with your circulation. That will make the skin look shiny and hair will not grow there. “Discolored feet which appear red, white, or purple with thick nails, loss of hair and thin, brittle, or shiny skin, can all be signs of underlying circulatory issues or peripheral vascular disease,” says Jake.
Source: Natasha Holt, Mirror [8/31/15]
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PODIATRISTS IN THE COMMUNITY |
NV Podiatrist Pushes for Creation of Certified Foot Exam Assistants
Dr. Larry Rubin, a retired podiatrist, is asking people to bare their "soles:" He and his wife, Arlene, are the founders of the Lower Extremity Amputation Prevention Alliance, which seeks to ensure more diabetics get their feet checked for loss of sensation and poor circulation. To do that, the LEAP Alliance is taking input from health professionals and diabetic patients on how to create awareness of how the simple test can save limbs. It is also proposing that Nevada have healthcare workers become certified foot examination assistants to help physicians perform annual preventative foot exams for diabetic patients.
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Dr. Lawrence Rubin holds the amputated bones of a diabetic (photo: Jan Hogan). |
In the past, LEAP has partnered with various Lions Clubs to do filament screenings at health fairs and other community events. Now, it is looking to expand the effort so that those who work in doctor's offices are trained and certified for more in-depth testing. Rubin said he hopes the effort will eventually trickle out to other states until it covers the entire country. LEAP says foot checks for diabetics should be a part of every doctor visit.
Source: Jn Hogan, Las Vegas Review Journal [8/30/15]
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PODIATRIC PRODUCTS IN THE NEWS |
IN Podiatrist is Co-Founder of Southern Hospitality Foot Care Line
Southern Hospitality is a soothing product line that was created by a southern podiatrist and his business savvy belle, to help change the face of foot care. The Indianapolis-based handmade natural foot care line focuses on preventative care - all with a southern charm. Co-founder Dr. Quinton Yeldell says don’t neglect your feet until there’s a problem.
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Dr. Quinton Yeldell |
"Our feet do a lot for us, but unfortunately, they are often an afterthought in terms of pain. Studies have shown that at least 75% of us will have at least one foot ailmaent over the course of our lifetime. A lot of those conditions could be lessened if we simply implemented a routine foot care regimen," says Yeldell.
Source: Amber Hankins, Indy Style [8/31/15]
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PRACTICE MANAGEMENT TIP OF OF THE DAY |
4 Myths about Using Electronic Funds Transfer in Healthcare - Part 5
Myth 4. Not all health plans offer the Healthcare EFT Standard
Health plans have been required by law since January 2014 to offer the Healthcare EFT Standard via ACH to any provider who requests it. If a health plan refuses to offer the Healthcare EFT Standard via ACH, providers should speak with the company’s compliance officer and, if necessary, file a HIPAA violation.
Additionally, some health plans are offering virtual cards for claims payments instead of EFTs and believe that this complies with the standard. It does not. The healthcare EFT standard is the NACHA CCD+ and must flow through the ACH Network. Providers have the option to say no to virtual cards, and all health plans must offer the healthcare EFT standard via ACH if it is requested.
Source: Health Data Management
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CODINGLINE CORNER |
Query: Removal and Replacement of Implant
What would be the best procedure code for the removal of a subtalar implant and re-implantation of new subtalar implant at the same time? The patient has Medicare Noridian.
Timothy Shea, DPM, Concord, CA
Response: When removing and reinserting an implant, that is essentially billed as one procedure. There is no additional allowance to remove the original implant. You would only bill to insert the new implant.
That said, many payers do not reimburse for subtalar implant (arthroereisis) procedures - investigational/experimental - so be sure you pre-authorize the procedure (S2117 or 0335T). Since Noridian does not have a mechanism for pre-authorizing the procedure, I strongly recommend that you have the patient sign an ABN so they know they may be held financially responsible.
Tony Poggio, DPM, Alameda, CA
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: G. Dock Dockery, DPM
I have treated many types of scars similar to this one. My main treatment is to perform an adhesiotomy. This is done by making a very small incision proximal to any adhesions and taking a small instrument, like a Freer elevator, and putting it as deep as possible and then sweeping side-to-side, freeing up the deep scarring underneath the entire scar.
Try not to allow the instrument to get too shallow. Once this is completed, it is important to make sure that there is not much bleeding, and if there is, apply a small drain for 24 hours. Then, begin application of topical Cica-Care Silastic Gel Sheeting for about one month. This technique is extremely effective in most cases.
G. Dock Dockery, DPM, Seattle, WA
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RESPONSES/COMMENTS (CLINICAL) - PART 1B |
From: Tip Sullivan, DPM, Joseph Borreggine, DPM
Consider a musculo-cutaneous flap (like EDB, if any is left). Look for a primary closure of donor site which is often difficult in post-trauma cases, but at least you can put an STSG in an area of less pressure.
Tip Sullivan, DPM, Jackson, MS
Even though this is a dated article from the Podiatry Institute circa 1993, it fully provides the information on scar revision. Even though I have provided this reference, I would not do any scar revisions on any patient if you have not had formal training to do so, because you could have a worse result than when the patient presented to you.
Joseph Borreggine, DPM, Charleston, IL
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RESPONSES/COMMENTS (DME) |
From: Frank Lattarulo, DPM
I recently joined a large multi-specialty hospital group. I too found this to be the LAST stumbling block. Salary, PTO, 403b, health coverage, etc. all seemed to be a snap compared to that negotiation. I finally settled a bit lower than what I asked for, yet compared to what the other codes fetch in terms of time and wRVU, I ultimately agreed. Remember, it's always billed with an E&M code, so it makes it a higher value. You can email me at FLattarulo@pmhc.us and I would be glad to disclose what I negotiated.
Frank Lattarulo, DPM, Sleepy Hollow, NY
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YOU CAN'T MAKE THESE THINGS UP |
RE: Outrageous Shoes of the Day
‘Ingenium’ means ‘engineering’ and ‘existere’ means ‘existing’ or ‘existence’. All forms convey their own patterns, and they are all made up of the same shapes, configurations, and logic.
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Is there such a thing as a high heel clog? |
The elements, in which ILJA chooses to engineer her couture, are a mix of nostalgic techniques, poetic silhouettes, and the nonchalant attitude of its hometown: Amsterdam.
Source: ILJA, made by René van den Berg via Virtual Shoe Museum
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MEETING NOTICES
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5 SPOTS LEFT! - Peripheral Nerve Cadaver Course
DO NOT WAIT!
Enhance your nerve treatment. Learn Diagnostics & Techniques
Take 3-day Intensive Nerve Course - Nov 11-13, Denver
* Includes instrument set, cadaver leg, loaner loupes, book, faculty mentor & must be ABPS certified/equiv
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CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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
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.
ASSOCIATE POSITION - NEWTOWN, CT
Seeking associate for solo podiatry practice that operates within a multi-specialty medical practice. Must be able to start by November 1st. 60 minutes to NYC. Full time or part time. Competitive salary and benefits with option to purchase practice. Excellent opportunity for the right person. Please email CV and references to: bbrick2@yahoo.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, 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 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 2- 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 – 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
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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- 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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