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PM News |
The Voice of Podiatrists
Serving Over 17,027 Subscribers Daily
September 12, 2015 #5,470 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 Dr. Cosimo Ricciardi of Fort Walton Beach, FL, winner of last week's prize, a one hundred dollar Macys gift card. 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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PODIATRISTS IN THE NEWS |
High Heel Wearers Can Take Sensible Steps to Avoid Injury: NY Podiatrist
While many believe the right pair of shoes can make or break an outfit, podiatrist Dr. Suzanne Levine says high heels have the potential to break something more serious. According to Dr. Levine, there is a laundry list of issues that arise when women wear high heels; like lateral ankle sprain, stress fractures, worsening of bunions, hammertoes, neuroma pain, and burning under the balls of the foot.
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Dr. Suzanne Levine |
Dr. Levine said that while it’s not necessary to kick off the heels just yet, wearers should plan accordingly. “[Take] another pair of shoes with you. If you are going to wear that four-inch heel for dinner, you can’t expect to wear that all day if you’re running around the office,” she said. She also said there are stretching and strengthening exercises that can be done to prepare feet and ankles for high heels.
Source: Avinash Ramsadeen, Fox News [9/9/15]
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PODIATRIC EXCONOMICS |
Pittsburgh Pays Podiatrists Top Dollar in U.S.
Eds and meds are frequently cited as defining Pittsburgh’s economy and primary areas of expertise, so it’s little surprise that highly educated professionals in the medical sector are drawing the healthiest pay here. Surgeons had the top-paying profession locally, bringing home an average annual salary of $238,500 in 2014, according to a 106-market study of U.S. Bureau of Labor Statistics conducted by American City Business Journals, the parent company of the Pittsburgh Business Times. In total, eight of the 10 highest-paying jobs in the region were in the medical sector.
The healthcare job where Pittsburgh pays top dollar in the U.S. was podiatrist. There may only be 140 such jobs in the region, but with an average income of $175,960, there are good reasons to put this career on a short list. Podiatry also ranked No. 7 among the highest-paying jobs in the region.
Source: Ethan Lott and Patty Tascarella, Pittsburgh Business Times [9/11/15]
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QUERIES (NON-CLINICAL) |
Query: Call Center
Our group is considering starting our own call center to handle incoming phone calls. Currently, the front staff (in multiple locations, for multiple doctors) answers the phone. They do this while doing other tasks (check in, check out, etc.). Adding a call center would require us to add at least 2 more employees. Has anyone done this? Has it been beneficial?
Scott Werter, DPM, Myrtle Beach,SC
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CODINGLINE CORNER |
Query: Medicare Provider Address Change
I need to change my Medicare provider address, but I want to still bill Medicare. How much time can I hold my claims for Medicare before they are void? Is it one year?
David Zuckerman, DPM, Cherry Hill, NJ
Response: You have one year to submit a claim.
That said, once you change address, that becomes effective immediately. Medicare will not forward any mail, and any mail returned to them will result in your account being frozen. I would clear the deck with your claims before the switch date or you can get caught up in a very sticky mess (translated: no payments for a long time).
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) |
From: Bryan C. Markinson, DPM
The poster appropriately aspirated the lesion in question, clinically presenting as a cystic mass. It's hard to understand how the pathologic description listed in the post leads to a diagnosis of "low grade fibrous neoplasm." Low grade what? Grade usually is stated in association with malignancy, OR cellularity. But with an acellular specimen, the query as posted is confusing. First and foremost, it has to be determined if there is a solid component to the lesion. This could be accomplished with Ultrasound or MRI. Plain films also should be done.
I would never inject steroid until definitive pathology is known. In the case of a ganglion, cytology studies of aspirated fluid tend to yield a report that at least indicates that the specimen is consistent with a ganglionic cyst. At that point, I think a steroid injection is appropriate. Any solid mass must be biopsied before ANY treatment intervention is planned. The next issue of Foot and Ankle Quarterly (DataTrace) thoroughly addresses this issue.
Bryan C. Markinson, DPM, NY, NY
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RESPONSES/COMMENTS (EMR) |
From: Jay Seidel, DPM
We use Office Ally for billing, together with Practice Fusion as our EHR. Supposedly, you can just upload your superbills to Office Ally in ANSI format and send. Unfortunately, PF does not export superbills in that format, so we have to manually enter the info into Office Ally. Once you input the CPT codes, description and fee one time, there are drop-down menus for subsequent visits, making it pretty quick and efficient for billing. Also, it tracks your A/R allowing you to enter payments against charges, create invoices, and collection reports. Best of all, if <50% of your claims are gov't (Medicare/Medicaid), it's free! Otherwise, it's a reasonable $20/month.
Jay Seidel, DPM Baltimore, MD
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RESPONSES/COMMENTS (NON-CLINICAL) |
From: Sam Bell, DPM
I had a problem with the collimator on my x-ray machine, and it turned out to be a problem with the circuit board. If replacing the bulb doesn't help, then look there next. That issue took a professional repair person, and my machine did not pass inspection until it was fixed.
Sam Bell, DPM, Schenectady, NY
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RESPONSES/COMMENTS (NEWS STORIES) - PART 1A |
From: Jengyu Lai, DPM
APWH certainly provides strong support for podiatrists. There are a few issues involved here. First of all, Medicare currently does not reimburse biomechanical/gait analyses performed by podiatrists. Secondly, this functional assessment requires more than the gait analysis. For this proposed LCD, we should ask for podiatrists to be allowed to perform the orthopedic/gait analysis in collaboration with the patient's primary care providers.
Alternatively, we could request for the partial/total foot amputations to be exempt from this functional assessment. In the long term, we should work for getting all podiatrists approved to perform H&Ps, and to perform and be reimbursed for the biomechanical/gait analyses.
Jengyu Lai, DPM, Rochester, MN
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RESPONSES/COMMENTS (NEWS STORIES) - PART 1B |
From: James McGuire, DPM
I was very pleased to see the APWH response to the recent draft LCD attempting to eliminate podiatric care for millions of Americans at risk for or suffering from amputations of the lower extremity. Podiatric physicians have been inadvertently left off of the definition of physician which we have enjoyed for many years now. Podiatrists have been doing comprehensive lower extremity assessments on diabetic, vascular, arthritic, and traumatic patients at risk for or suffering from amputations for many years. They are an integral part of the toe and flow model for limb salvage which includes a podiatric physician and a vascular surgeon.
Podiatrists are experts in wound healing and partial foot amputations as well as experts in biomechanics of the foot and ankle. This is a skill not shared by many physicians and an essential skill to have when assessing or prescribing prosthetics and braces of the lower extremity. The LCMP definition needs to be amended to include podiatric physicians and include them in any wording regarding DMEPOS. Also, they should eliminate the term "natural gait" from the document, and if anything, increase the benefit for prostheses and ambulatory assistive devices, not restrict it.
James McGuire, DPM, Philadelphia, PA
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YOU CAN'T MAKE THESE THINGS UP |
RE: Celebrity Shoe of the Day
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Paris Hilton's autographed shoes |
Source: Dr. Hartley Miltchin, Toronto, Canada
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MEETING NOTICES
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CLASSIFIED ADS - PART 1- ASSOCIATE POSITIONS AND FELLOWSHIPS |
INFECTIOUS DISEASE/WOUND CARE FELLOWSHIP
One position for a 24-month fellowship beginning July 1st, 2016. Candidate must have completed a PMSR residency. Fellows training includes all aspects of a multidisciplinary faculty practice and clinical training opportunities in the medical and surgical management of wounds. Deadline: October 15, 2016. UHRMC, 27100 Chardon Road, Richmond Heights, OH, 44143, Phone: 440-516-8704Deborah.mott@uhhospitals.org CPME approved program.
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 WANTED – NAPLES, FLORIDA
Great opportunity for PSR- 24/36 BE/BC podiatrist with strong surgical skills to join multi-office practice. Hospital privileges available at 648 bed hospital system, 200 bed hospital system and multiple surgical centers. Florida has a great scope of practice law and we rotate for ER call at all 4 hospitals. Candidate needs to be ethical and motivated. Established practitioner or new practitioner Email CV to Drgordon@gulfcoastfootcare.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 - RICHMOND, VIRGINIA
Motivated DPM needed for busy practice to work in our 2 offices. Outside retirement facilities are an option. Hospital and surgery center privileges available. Send CV to PO Box 8211, Richmond, VA 23226 or odiel@comcast.net.
ASSOCIATE POSITION - SOUTHERN NEW JERSEY
Are you ready, willing and eager to join a wonderful podiatric office! Immediate opportunity for a well-rounded, board qualified or certified podiatrist to join our office. State-of-the-art with EHR, Digital x-ray, ultrasound. Experience preferred. Base salary plus bonus , health insurance, 401K. Email:njfootdr722@gmail.com
ASSOCIATE POSITION---MARYLAND/DC SUBURBS
Looking for a part time Podiatrist in Montgomery County, MD to begin immediately. Must have active Maryland license and malpractice insurance. Excellent compensation. Position has potential to grow into more hours. Candidate must be at least Board Qualified. Email cover letter and CV to Becky atMarylandPodiatry@yahoo.com
ASSOCIATE POSITION – CENTRAL & SOUTH NJ
Well established podiatry practice (www.homefootcareservices.com) is looking for hardworking and very energetic Full-time Podiatrist to do House-calls In Central and South NJ. Salary 100k plus Bonuses. Must have NJ Podiatry license and Medicare number. Position available starting mid-October. Please email your resume to lraginsky@gmail.com
ASSOCIATE POSITION – CENTRAL ILLINOIS
Are you unhappy in your current associate position? Are you a third year resident looking at Ads thinking - they all look the same? Are you looking for an opportunity where you can help grow a practice and are you an energetic TEAM player looking to work with all-stars? Then WE have the position for you! Fast paced practice in Central Illinois is searching for a ROCK star to join our growing team. Please visit www.HeartlandFootAndAnkle.com (look under employment opportunities) for details regarding this unique opportunity! We can’t wait to meet you!
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 – 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
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
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
EQUIPMENT FOR SALE - NEUROGENIX 4000 PRO
Like new, 100% functional Console, pads, start kit & instruction manual. Asking $13000 OBO new over $18000 + Also: Biosound Esaote MSK US w cart use for guide / exams flash card save. Asking $3000 OBO klamdpm@hotmail.com
EQUIPMENT FOR SALE - CYNOSURE PINPOINTE FDA-APPROVED LASER
TAKING ALL BEST OFFERS/WILLING TO NEGOTIATE. Laser is in like-new condition. Price includes laser, original fiber optic cable, 3 laser goggles, laser temperature gauge, manuals, marketing materials AND shipping. Laser is in Queens, New York and also available for pickup. Photos available. Contact docrahulpatel@gmail.com or call 917-620-3168.
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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