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PM News

The Voice of Podiatrists

Serving Over 18,517 Subscribers Daily


September 19, 2019 #6,509 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

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ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to David Cauthon, DPM of San Antonio, TX, winner of last week's prize ... a $100 Macys Gift CardWe 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.
 
Samsung 24" TV
 
This week's prize is a Samsung 24 Inch LCD Television. To begin survey, click here.
 
***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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NOMINATIONS OPEN FOR PM FUTURE STARS
Nominations Open for 2020 PM Future Stars
 
In 2020, Podiatry Management Magazine will be publishing our continuing series highlighting young practitioners. We are asking our readers to nominate potential candidates who are making a difference. We invite you to send us the name of a young practitioner (graduated 2010 or later) and why s/he should be recognized. Self-nominations will be accepted. Simply write to bblock@podiatrym.com
richieoct118

PODIATRISTS IN THE COMMUNITY - PART 1
WI Podiatrist Joins Advanced Foot & Ankle Center
 
Kelli Iceman, DPM has joined the Advanced Foot & Ankle Center’s team of foot and ankle surgeons. She will primarily see patients in the Cadillac WI office, but will also see patients at the Manistee and Traverse City locations. She is on the staff of Munson Healthcare Cadillac Hospital. 
 
Dr. Kelli Iceman
 
Dr. Iceman graduated from the Rosalind Franklin University in Chicago, IL, and completed her podiatric medicine and surgical residency training at Gundersen Health System in La Crosse, WI.
 
Source: Heather Stilson, minews25.com [9/16/19]
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PODIATRISTS IN THE COMMUNITY - PART 2
United Podiatry Welcomes OH Podiatrist
 
Dr. Jeffrey Fesler
 
United Podiatry, Inc. has welcomed Jeffrey Fesler, DPM. Dr. Fesler graduated from Kent State University College of Podiatric Medicine and completed his residency at Alliance Community Hospital. He will be joining the clinic team, as well as providing home and nursing facility services to the greater Cleveland and Akron areas. 
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PODIATRISTS AND THE LAW
FL Podiatrist Convicted of Voyeurism; Mistrial on Rape Charges
 
A jury Monday decided a doctor illegally snapped naked photos of a woman hours after meeting her at a West Palm Beach restaurant and bar. But the panel was deadlocked on rape charges. The jury of four women and two men convicted Dr. Scott Strolla of a video voyeurism count, after nearly 12 hours of deliberations over two days. Strolla, 53, will face a retrial on the two felony charges punishable by up to 45 years in prison.
 
Source: Marc Freeman, South Florida Sun Sentinel [9/16/19]
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PRACTICE MANAGEMENT TIP OF THE DAY
5 Ways to Avoid Common Billing Mistakes - Part 1
 
It’s easy to make small mistakes when billing. Unfortunately, small mistakes can sometimes cost you big money. Fortunately, it might not be as difficult as you think to avoid them. Here are five ways to prevent some of the most common — and costly — billing mistakes.
 
1. Use the right modifiers - By now, everyone is accustomed to ICD-10; or mostly accustomed. But modifiers can still be tricky. Not using modifiers can, of course, cause a claim to be denied. But so can using the wrong one. Making sure your staff is well-trained is key to avoiding this mistake. Don't waste time training and retraining staff on codes that you're practice doesn't use. Instead, be sure training focuses on any diagnoses and procedures your practice uses often.
 
Source: Avery Hurt, Physicians Practice [9/3/19]
ortho10

CODINGLINE CORNER
Query: Diabetic Ulcer Coding 
 
When I bill for a diabetic ulcer, I sometimes get a rejection because of a “referring doctor” question. Do you need to use the doctor who is treating the diabetes as well as the date last seen when using E11.61-?
 
George Yarnell, DPM, Lansdowne, PA
 
Response: That would depend on what procedure you are billing. If you are billing for nail care, then yes, you would need the PCP and date last seen. In billing for wound debridement, I have never had to use a referring PCP for those codes. However, it would be wise to look up the local coverage determination for wound care to make sure that your Medicare carrier doesn’t require that.
 
If this is for a commercial policy, even a Medicare Advantage plan, you would have to check with the carrier to find out what the requirements are.
 
Katherine Sharp, Keystone Professional Solutions, Woodbury, TN
 
For information on Codingline subscriptions, click here
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Speaker Compensation from Commercial Organization and Institutional Review Boards
From: Leonard A. Levy, DPM, MPH
 
I served for seventeen years as a member of the university-wide Institutional Review Board (IRB) for Nova Southeastern University. Research and scientific communication developed by university faculty was required to be reviewed to protect the public. This included the potential of papers being presented or published that had the possibility of an intrinsic conflict of interest and/or to assure human participant protection. For example, if it was determined upon review that a speaker or author received or was to receive financial support for a paper he/she was presenting or submitting for publication, IRB approval would be denied. This would be done for ethical reasons including the protection of human subjects who were employed in the study.
 
I understand the frustration of Elliott Udell, DPM, in this matter; but speakers/authors to receive funds to support their scientific study from a company that has a product or other commercial interest directly or even indirectly involved in what is to be reported by the author/speaker, are violating IRB requirements. In scientific journals, the result of IRB reviews are typically reported at the end of the article. Failure to have IRB approval or indicate if financial support from some commercial source was acquired can be an ethical violation and may even have legal consequences, possibly putting at risk the journal or organization at which the author is speaking. Furthermore, the veracity of a paper that received financial support from a commercial organization making a product that a speaker was articulating may be a conflict of interest.
 
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 2A
From: Alan Sherman, DPM
 
The always erudite Elliot Udell’s call to orthotic companies to support biomechanics education is currently being generously met by Scott and his son Robert Marshal of KLM, Michael Friedman of Redi-thotics, and Pavel Repisky of 8Sole, all of whom sponsor podiatric education. 
 
Doug Richie, DPM shared an important point: for podiatrists, there is so much more to biomechanics than orthotics. While all corporate entities working in the podiatry space should do their share, I would add that while we all appreciate corporate sponsorship, we can’t and shouldn’t ever rely on it to choose what is taught at the colleges or at the post-graduate level.
 
Alan Sherman, DPM, Boca Raton, FL
2020aug1919

RESPONSES/COMMENTS (NON-CLINICAL) - PART 2B
From: Jeffrey Root
 
Dr. Udell states he has no idea why orthotic labs stopped sponsoring biomechanics at conferences and podiatry schools. As the owner of a prescription foot orthotic laboratory I can shed some light on the subject. The short answer is that there is no/inadequate return on investment. Sponsorships are essentially a marketing expense for most businesses. If an orthotic lab can’t benefit from a sponsorship or if it can’t afford to fund one for altruistic purposes, then they are unlikely to do so.
 
The economics of the custom foot orthotic manufacturing industry have changed over the years. There was a time when the exhibit halls at podiatry conferences had many foot orthotic labs in attendance. That is no longer the case. In fact, exhibitors at podiatry conferences are down in general. It's extremely expensive to exhibit, sponsor speakers, or to otherwise financially support educational content. As Dr. Richie indicated, foot orthotic labs have relatively meager budgets and have watched their profit margins shrink for many years, in part, because podiatry has become more of a surgical specialty. Unless that trend changes, you are not likely to see orthotic labs support biomechanics like they once did.
 
Jeffrey Root, President, Root Laboratory, Inc.
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PODIATRISTS IN THE COMMUNITY - PART 2C
RE: Welcome To The Future Of Podiatry
From: Paul Kesselman, DPM
 
I applaud each and every one of you for providing your excellent comments on this matter. I have to agree with all of you, but your comments did not go far enough. At the risk of receiving a rash of unfriendly mail, the following "top ten" need to be pointed out:
 
1) The undergraduate level of biomechanical training is apparently shameful as compared to when I was at ICPM 1977-1981. This is based on my query of student residency interviews or externships over the past 10 years. Biomechanics was the "calculus" of...
 
Editor's note: Dr. Kesselman's extended-length letter can be read here
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RESPONSES/COMMENTS (NEWS STORIES)
From: Robert Scott Steinberg, DPM
 
From my experience, high energy shockwave was 90% curative at 6 months. I am not convinced low energy shockwave does anything more than desensitize the nerve.
 
With that said, as soon as BC/BS (IL) stopped paying for it, the procedure and facility fees were too much for most, out-of-pocket. 
 
Robert Scott Steinberg, DPM, Schaumburg, IL
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YOU CAN'T MAKE THESE THINGS UP

RE: Outageous Shoe of the Day

The future of recycling? 

Source: Kayla Donaldson via Virtual Shoe Museum

RediH-thotics

MEETING NOTICES

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CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION – LOS ANGELES 
 
Come Work for Us, We are running multiple fulltime clinics throughout the greater Los Angeles area. We are seeking a talented full-time podiatrist to join our growing team of DPMs. The right candidate will have strong clinical and surgical skills and must be able to hit the ground running. Your success is measured by how quickly you can assimilate to our protocols and procedures. Earn a very competitive salary on top of generous bonuses paid quarterly, additional benefits include medical insurance, paid vacation and holidays, and malpractice, not to mention growth opportunity up to partnership. Please send C/V to: comeworkforDPM@gmail.com
 
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 – 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 – MANHATTAN
 
Part time position: Well-established Park Avenue podiatric practice seeks associate for office coverage Mondays and Wednesdays. All aspects of podiatry including diagnostic ultrasound, lasers, fluoroscopy and digital x-ray along with office-based procedures. Excellent opportunity for ethical, energetic and skilled individual. Please send CV to Healthyfeetny@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. $140k salary plus bonus . E-mail woundcaredocs@gmail.com with CV
 
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 - SOUTHWEST FL
 
Immediate Position. Associate for busy practice. ABFAS or ABPM BC or BQ. Great interpersonal skills and willingness to work as a team a must.  EMR, dig x-rays, Ultrasound, DME.  Base salary, bonus, health, 401K, etc. DrLam@NaplesPodiatrist.com
 
MOBILE PODIATRIST NEEDED - NEW JERSEY  
 
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time or Part time podiatrist (at least 2 weekdays) to provide services to home-bound patients in New Jersey.  Full-time position salary 100K+ bonuses, paid time off, gas/health insurance/car/malpractice compensation and administrative support . Lana.Raginsky@homefootcareservices.com 
 
ASSOCIATE POSITION – FLORIDA 
 
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based foot, ankle, and lower leg care to residents living in long-term facilities throughout Florida. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and Florida licenses. Email CV to kgadmin@kghealthpartners.com
 
ASSOCIATE POSITION – WESTERN, NY 
 
Full-time, residency-trained associate podiatrist wanted for a busy two-doctor practice in Western New York.  Practice involves surgery, routine footcare, wound care, and sports medicine.  Please send CV to riznykpodiatry@gmail.com.
 
PODIATRY POSITION – BROOKLYN 
 
Well rounded podiatrist needed for private office, competent in all aspects of podiatry including surgery. Competitive rates, negotiable. Please email resume to contactus@starrettpodiatry.com
 
ASSOCIATE POSITION - BERGEN COUNTY, NJ 
 
Part-time podiatric physician needed in the Bergen County NJ area.  Must have NJ license and be a Medicare provider.  Must have reliable transportation to travel from office to facilities.  Email Myfootdoctor2@aol.com also Podiatry X-ray Unit for sale, best offer.
 
EMPLOYMENT/INDEPENDENT CONTRACTOR - FL  
 
Mobile podiatrist wanted to cover long-term care facilities throughout Florida. Travel is required however we do offer Flexible schedule, flexible hours, no call. Office days available if candidate wishes to keep that aspect of practice.  Full-time preferred but part time will certainly be considered. Looking for a personable and dependable doctor to join our team. Very competitive salary with benefits and buy-in options.  We are not a big corporation and want a doctor who will grow with us. Contact: DrGatCare@gmail.com 
 
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 - PEDCAT 3-D CT SCANNER
 
Like new PedCat 3-D CT scanner. 40% off brand new machine. Machine is 4 years old and covered for 2 more years under warranty. Location Las Vegas 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. Big Tax write off! email: footguru@cox.net
 
PRACTICE FOR SALE - WV-KY-OH TRI-STATE AREA 
 
Established 21+ yr practice, 5yr avg over 500k gross. Nonsurgical practice, no nursing homes, hospital privileges available. Owner moving out of state AT END OF THE YEAR. Will help with transition. WILL OWNER FINANCE. $75,000 FOR PRACTICE. $200,000 FOR BUILDING. WILL SELL SEPERATELY. Contact: gardenrogue@gmail.com
 
PRACTICE FOR SALE – MARYLAND 
 
Established 22+ year. Grossing over 450K 3 days a week all palliative. Digital x-rays, diagnostic ultrasound, EMR. Turn-key set up, ideal for a new practitioner, can easily increase revenue with surgery and wound care. Priced for immediate sale, owner is retiring and will help with transition. Send inquiries to beachhouse179@gmail.com
 
PRACTICE FOR SALE - EAST BAY OF SAN FRANCISCO 
 
Energetic practice with completely updated technology and ready made patient base. Owner looking to relocate out-of-state. - Full service practice with ancillary services. Practice operated on a part-time basis. Employment option available. Priced to sell. Contact MCrosby518@gmail.com
 
PRACTICE FOR SALE - PITTSBURGH, PA
 
Southern Suburb - Established practice with motivated seller offering practice for sale.  Key opportunity to grow existing business or enter practice with established and educated patient base. Full range of services. Primarily office based.  Contact: SWPADPM224@gmail.com
 
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS (JUST SOUTH OF CHAMPAIGN) 
 
Highly motivated to sell practice. Great demand for a residency trained podiatrist to take over busy practice located in Charleston/Mattoon. Buy on contract for $2,000 a month with an upfront deposit and secure mortgage on building after 24 mos. Purchase practice for $130K includes building all equipment, computers, EHR, billing software and receivables. Staff will stay. Revenues are $350K gross/yr. Established in 1992. Contact 217-549-1887 or drjoe@myfeethurt.net
 
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.
DISCLAIMER: Internet communications cannot be guaranteed to be either timely or free of viruses.
Guidelines
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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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.

Barry H. Block, DPM, JD
 
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