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| PM News | |
The Voice of Podiatrists
Serving Over 15,992 Podiatrists Daily
September 13, 2014 #5,163  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 | |
LAST CHANCE TO ENTER
Congratulations to Dr. Jennifer D'Amico of San Diego, CA, winner of a dual-core 7" Android tablet. 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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This week's mystery prize |
This week's prize is a mystery prize valued at over $100.
This is also your last opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.
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| PODIATRISTS AND SPORTS MEDICINE | |
IL Podiatrist Discusses Achilles Tendon Tears
We may only be into Week 1 of the NFL regular season but Derrick Johnson, Mike DeVito, and Robert Mathis will all be cutting their 2014-2015 season short due to Achilles tendon tears. The injury, which typically requires a few months of downtime for a full recovery, has become a common malady among NFL athletes. According to Dr. Lowell Weil Jr., President of Weil Foot & Ankle Institute, football players are prone to this type of injury due to the stop and go motion of the game. “Attempting to quickly change directions or stopping abruptly on the toes can exert too much force on the Achilles tendon and cause it to tear or rupture,” notes Dr. Weil Jr.
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Dr. Lowell Weil, Jr. |
Dr. Weil Jr. explains that the recovery timeline for this type of injury typically includes surgery and rigorous physical therapy. “There is a minimally invasive technique we use that allows for a faster and stronger recovery,” adds Dr. Weil Jr. “Achilles tendon tears do not heal well on their own since they tend to have a limited blood supply. It is important for athletes experiencing tendinitis to receive treatment so they do not become susceptible to a more serious injury.”
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| ON THE INTERNATIONAL LECTURE CIRCUIT | |
GA Podiatrist Lectures at Ontario Podiatric Medical Association Annual Meeting
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Attendees at OPMA Annual Meeting |
Drs. Brad Bakotic and Wayne Bakotic lectured Thursday night to the Ontario Podiatric Medical Association at their annual meeting in Toronto! Dr. Hartley Miltchin, Conference Chair, welcomed over 100 attendees as the meeting convened on Thursday afternoon. Drs. Bakotic presented via webcam “Dermatological Conditions and Presentations That every Podiatrist Should Know” followed by a “hands-on” biopsy workshop. The conference runs through Saturday at the International Plaza Hotel in Toronto.
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| CODINGLINE CORNER | |
Query: Billing for Dexamethasone
What is the proper way to bill for dexamethasone phosphate? The price of the 30 ml bottle is $21 and I'm getting reimbursed 15 cents for J1100. This is not a good return on my investment.
Stephen Bennett, DPM, NY, NY
Response: Let's do the math. J1100 or dexamethasone phosphate - a unit is 1mg. The bottle typically says 4mg/ml. So, if you inject 0.25cc you are injecting one unit; 0.5cc=2 units; 0.75cc=3 units; and 1.0cc=4 units. Typically the dexamethasone phosphate is purchased in a multiuse vial - 30ml. That means if you are getting reimbursed 15 cents per unit and a unit is 0.25cc, then your 30 ml vial will get you $18.00 reimbursed.
It sounds like you are paying too much from your vendor. It's time to price-shop. It's costing you money to inject the product. There is no return on investment. Think of an alternative injectable if you can't find it for less than $18 a 30ml multidose vial!
David J. Freedman, DPM, CPC, Silver Spring, MD
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Work Smarter, Not Harder
From: Joseph Borreggine, DPM
Effective Sept 15, 2014, our office has decided to change our payment policy on how we treat our new patients or patients who have been seen in the office in the current calendar year.
These patients will have their insurance benefits checked prior to being seen in the office. They will be seen as a new patient, but the first visit will be a complimentary exam to discuss a differential diagnosis, possible treatment plan, and provide an estimate of charges for...
Editor's note: Dr. Borreggine's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Name Withheld
When you consider the value of your practice, two things come to mind: 1. The market 2. My personal investment.
The market will drive the price that is paid. Price is driven by supply, demand, need in the market, and opportunity for another doctor to "buy" your practice and obtain a reasonable return for taking the risk. This purchase price should not be confused with the value. A lot of different factors make the price different from the value and, as a general rule, they will be different.
My personal investment - this will be considered your emotional value that you have established in the practice. If this is the practice you started, then you have the memories of how you didn't get paid for days, weeks, and months on occasion; however, it has been a great investment for you. So why doesn't everyone else see it that way? The buyer sees it as a business and not something they have nurtured for years. As much as it is difficult to say, you will not get paid for that value. It's just the reality of what it means to you compared to someone else. Look around your market and determine how you can align with another practice. Then be creative on how a payout would work. They can be structured so that everyone gets what they want. Podiatry is a great profession, and there is a very bright future for all who are willing to invest and work.
Name Withheld
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Avi Kornbluth
I agree with the editor's response. During WWII, then General Eisenhower had pictures taken of the concentration camps so no one would ever forget that it did happen and how horrifying it was. Yet there are those who deny it ever happened. – as the editor says.. same here. – Let’s not forget.
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| RESPONSES/COMMENTS (NEWS STORIES - PART 1B | |
From: Carl Solomon, DPM
I ABSOLUTELY support the editor reminding us, however graphic, of the horror of the 9/11 attacks. We NEED to be reminded of the emotions that we felt that day. It should not bring out the touchy-feely emotions that go along with hanging ribbons and singing little songs. That's okay in response to a disaster like a plane crash, flood, typhoon, Earthquake, or other act of G_d. This was a deliberate act that was meant to be "in-your-face" and they really hit us hard. It should always trigger anger and OUTRAGE within each and every one of us! Don't give in!
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Carl Solomon, DPM
Although Dr. Kirby's comments initially seem to disagree with Dr. Kiel's, his statements actually support Dr. Kiel. Dr. Kirby qualifies his own assertion that external forces cause hallux valgus when he states "...in susceptible individuals." That suggest to me that external forces do NOT cause hallux valgus unless there's a predisposition! And Dr. Kiel cites a perfect example of the unilateral bunion deformity in the patient who wears a pair of identical shoes.
I question that intermittent wearing of tight shoes as a cause for hallux valgus can be compared to...
Editor's note: Dr. Solomon's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 2B | |
From: Brian Kiel, DPM
I do not want to get into an extended discussion of this issue but I felt I did need to respond. Neither of the responses answered the question that if it is true that environmental factors such as shoes can cause hallux valgus, then why are so many bunions unilateral and what explains the presence of juvenile hallux valgus? By the way, Chinese foot binding was applied to girls from infancy 24 hours a day 7 days a week. That is not a fair comparison.
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MEETING NOTICES - PART 2
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Arkansas Podiatric Medical Association Annual Meeting
Little Rock, Arkansas
Friday and Saturday October 3rd and 4th
Includes nationally renowned speakers such as Dr. Brad Bakotic, Rem Jackson, and Chad Schwarz. An Arthrex cadaver lab is included for those interested.
15 hours of CME credits.
$199 before Oct 1st or $275 at the door. $499 for non-APMA members
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Perfect for doing the limbo? |
Source: runwayshoes.com
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MEETING NOTICES - PART 3
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| CLASSIFIED ADS |
FELLOWSHIP POSITION - NAPLES, FL
Reconstructive Ankle /Rearfoot, Ex Fix, arthroscopy fellowship. Must have 3 years residency + Board Qualified RRA by ABPS. 1 year spot. FL license. LOI and LOR from director required. $50,000 stipend. Start 1/2015 or 8/2015. mny1029@gmail.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
ASSOCIATE POSITION - WASHINGTON DC
Busy practice seeking full time/part-time associate. All facets of podiatry including office, ER, hospital surgery, and nursing homes. Partnership available for the right individual. We are in three offices in the DC area. We treat you right. Applicants should be PSR-24/36. Competitive salary. You will be seeing 20 patients a day from the start. Come grow with us. Send CV and references to DCMDfootdoc@aol.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, two location group practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION – DANBURY, CT
Full or part-time associate needed for immediate opening. We are looking for podiatrist for 3 office practice. Salary, bonus, benefits. Send C.V to jtread6692@aol.com or call 860-919-3398.
IMMEDIATE POSITIONS AVAILABLE - BUFFALO and UPSTATE NEW YORK
Looking for podiatrists to see residents in nursing homes in and around Buffalo and Upstate New York. Great opportunity for full-time or part-time income. Positions available immediately! Email inquiries tophasetwopodiatry@gmail.com
ASSOCIATE POSITION - BANGOR, MAINE
Seeking personable, well rounded individual to join our well established, modern three doctor practice performing all aspects of foot and ankle care. Digital x-ray, EHR, DME, etc. Competitive salary with bonus structure and benefits. Early partnership opportunity for the right person. Send letter of interest and CV to:Mainoffice@acadiafootandankle.com
ASSOCIATE POSITION - MASSACHUSETTS
Boston Medical Center. Full-Time Career Opportunity; Boston University School of Medicine Academic Appointment for Clinical/Teaching/Research. 3 year Residency Graduate – passed all boards; General Surgery Department. High volume Diabetes/Wounds/Limb Salvage; One day/week in City Health Center; participate in Residency Training; join in Research effort. Diversity encouraged. Please forward CV toJill.Dolan@bmc.org
PRACTICE FOR SALE - BROOKLYN / QUEENS, NY
30 year old general podiatric practices in Brooklyn and Queens with good mix of biomechanics, RFC,, sports medicine, surgery and DME. Both locations are in multi-cultural upper middle/working class neighborhoods with good mix of payers and self-pay. Fully computerized using ICS (SAMMY). Primary care and specialty physicians at both locations are constant source of referral of new patients, including student athletes from NYC public schools. Owner semi-retiring to pursue other interests. Willing to stay on during transition. Serious inquires only: brooklynpodiatrist@hotmail.com
PRACTICE FOR SALE - FAIRFIELD COUNTY, CT
60 miles to Manhattan, 15 miles to Westchester county. Busy solo practice, grossing 280k 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.
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