|
|
|
|
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 14,601 Podiatrists Daily
September 25, 2013 #4,872  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
written permission of Barry Block
|
| NEW ADDITION TO PM's CME PROGRAM | |
Transcript Feature Added to PM's CME Program
Podiatry Management has added a new feature to its CPME-Approved CME program. Participants can now download a copy of their complete CME transcript, showing each CME that has been successfully completed. For complete details about the program click here.
|
|
| PM NEWS QUICK POLL | |
|
|
| PODIATRISTS IN THE NEWS | |
CA Podiatrist Discusses Importance of Second Opinions
"A second opinion can be valuable to patients who face complex, risky, or costly treatments," says Michael Goddard, DPM, a foot and ankle surgeon. "A second opinion may reveal simpler, less expensive or more effective treatment options. What's more, having two medical professionals concur on a course of treatment can provide patients with enhanced peace of mind that they are making the right decision for their health."
 |
|
Dr. Michael Goddard |
Trust in their current doctor or dentist is a major reason why Americans said they would not seek a second opinion. "Health professionals do not view it as a breach of trust when a patient seeks a second opinion," Goddard says. "We want patients to be as informed and confident as possible when making treatment decisions."'
Source: KNOE News 8 [9/23/13]
|
|
| PODIATRISTS AND SPORTS MEDICINE | |
NY Podiatrist Discusses Prevention of Long Distance Running Injuries
When running in marathons or half-marathons, sometimes injury is inevitable. Podiatrists say even the most experienced and well-prepared runners can hurt themselves. Experts say you can avoid foot pain altogether by training slowly and practicing prevention. "Warm up before you run, cool down when you're done. Those are really important things to do. Be careful of pain, any foot pain or signs of injury: swelling, redness or pain, make sure you see someone to get it taken care of before you continue running and do more damage," said podiatrist Dr. Robert A. Russo.
 |
|
Dr. Robert Russo |
To those running in the Rochester Marathon this weekend, Doctor Russo says that if you experience foot or leg pain after a run, remember "RICE": rest, ice, compression, elevation.
Source: YNN [9/22/13]
|
|
| HIPAA UPDATE | |
New HIPAA Rules Pose Complex Challenges for Providers
Safeguarding patients' personal health information has become a more complicated job—and potentially more punitive—thanks to a raft of new federal rules going into effect this week for healthcare companies and an untold number of their subcontractors. One particularly vexing provision requires providers to honor requests from patients to withhold sensitive records from insurance companies if the bills are paid out of pocket.
Healthcare providers say most of the provisions governing data privacy and security in the 563-page Omnibus HIPAA Final Rule are workable, commendable even. But a few areas will create headaches for years to come, including bigger penalties, a strong push for systemwide data encryption, and drafting contracts assigning new liabilities to hospitals' “business associates,” which now include contractors and subcontractors.
Source: Joe Carlson, Modern Healthcare [9/23/13]
|
|
| SUCCESS TIPS FROM THE MASTERS | |
Bret Ribotsky: What is the legal standard regarding “Peer Review”?
 |
|
Dr. Richard Willner |
Richard Willner: It is not the same as you see on TV. You are not innocent until proven guilty. You are guilty until you are proven innocent. Administrative law (hospital rules, or what what I call Voodoo law) does not contain all the safeguards that civil law has. Rumors and hearsay are fine in administrative law. If a doctor is labeled as a disruptive physician, he or she needs to obtain legal help at once, as it's the ability to practice that is in jeopardy, not just money (like in a malpractice case).
 |
|
Dr. Michael Warshaw |
Meet the Masters returns this Tuesday night with guest coding expert Dr. Michael Warshaw. You can register for this event by clicking here
|
|
| OUTSIDE INTERESTS | |
MD Podiatrist Earns Coast Guard Captain's Master License
Dr. Paul M Taylor recently obtained a Coast Guard Captain’s Masters license. He has been sailing the Chesapeake Bay area for over 25 years. He is also an American Sailing Association Certified Instructor teaching the following ASA courses: Basic Keelboat Sailing, Basic Coastal Cruising, Bareboat Chartering, and Coastal Navigation.
 |
|
Dr. Paul Taylor |
The ASA certification and the Coast Guard Captain’s license provide him an opportunity to share his sailing experience with students at various sailing schools. Dr. Taylor continues to practice with offices in Silver Spring, MD and Washington, DC.
|
|
| PODIATRIC PRODUCTS IN THE NEWS | |
HI Podiatrist Runs Half Marathon in Safety Combat Boots
 |
|
Dr. Steven King at Maui Half Marathon |
Dr. Steven King completed the Maui Half Marathon on Sunday while running with the Kingetics' advanced composite spring lever enhanced safety combat boots that weigh 100 grams less than the currently issued West Point Boot Fit Boots, with 4-5 times the puncture resistance of the current West Point Boot Fit Boots.
|
|
| QUERIES (MEDICAL-LEGAL) | |
Query: Disposal of Office Computers
What do you recommend for removing sensitive patient information from an office computer before giving it away?
Robert E. Sherman, DPM, Stratford, CT
Editor's comment: PM News does not provide legal advice. The key is to remove and manually destroy the hard drive. The same procedure applies to giving away or disposing of copy machines, which also save sensitive information on a hard drive.
|
|
| QUERIES (EMR) | |
Query: Billing Service for TRAKnet
We presently use TRAKnet, but we have farmed out our billing to a billing service. The problem is that we are not able to integrate the billing company's statements and billing records with TRAKnet. While I have been happy with my billing company, I really cannot keep good track of ledgers and what insurance companies are doing on a patient by patient basis. I have two choices: 1) switch software to MDsuite which is being used by my billing company (a lot of work). 2) let TRAKnet's billing company do my billing. My questions are: 1) Does anybody have experience with MDsuite? 2) What has been your experience with the TRAKnet billing service?
Mark E Weaver, DPM, FT Myers, FL
|
|
| CODINGLINE CORNER | |
Query: Fluoroscopic-Guided Injection Coding
What is the correct code for a fluoroscopic-guided injection for a stiff arthritic joint?
Patrick Grisafi, DPM, Jamaica Estates, NY
Response: CPT 77002 is the code for fluoroscopic guidance for an injection. Since fluoroscopic guidance isn't typically needed for a joint injection, be sure that your medical record documentation describes what it was about the joint injection in THIS patient that required the use of fluoro.
If the charge for CPT 77002 is initially denied as not being a medically necessary service, I'd recommend appealing with a copy of your notes that clearly describes why, in this patient in this joint, fluoro was needed. You may be able to get this charge paid upon appeal.
Joan Gilhooly, CPC, CHCC, Lebanon, OH
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
This is a photo of post-op day one surgical debridement, which was performed 9/16/13 by a local vascular specialist. No HBOT treatments were ever initiated. HBOT was deemed not indicated by two local HBOT specialists as "there was no acute ischemia" and "demarcation was complete." Four specialists are involved in this case: Vascular, plastics, podiatry, and another orthopedic doc. No other ancillary modalities were initiated.
 |
|
Gangrene follow-up 9/16/13 |
At this point, the boy is in the hospital waiting for likely Chopart or BKA amputation. Any opinions or thoughts at this point? Particularly on level of amputation i.e., how do young Chopart amputees do functionally? The etiology at this point is considered injury to dorsalis pedis artery vs. compartment syndrome vs. a combination of both. I will continue to update on this tragic case.
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Greg Caringi, DPM
My wife had knee replacement surgery about 2 years ago. Although her orders included a narcotic pain med PRN, most of her pain was managed by a combination of Lyrica and Celebrex. The orthopod said that this combination was their part of their standard post-op protocol and very effective for this surgery. I have since tried combining an NSAID with either Neurontin or Lyrica with good results. I don't do it often, but it seems to be a good alternative for a narcotic pain medicine.
Greg Caringi, DPM, Lansdale, PA, drgregc@msn.com
|
MEETING NOTICES - PART 1
|
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
RE: Unstable Scar
From: Shari Lewis Kaminsky, DPM, Bret M. Ribotsky, DPM
I have seen this in a case of a Achilles tendon tear and over-lengthening of the Achilles tendon. He ended up with a patellar tendon weight-bearing device, and it finally healed. I also did a FHL tenotomy because of a hallux malleus, and he healed quite rapidly after that.
Can we agree that the previous treatments did not go as planned; thus, it's time to step back and ask a lot of questions and get a very good medical history. Review the blood work, check the radiology tests, do gait analysis, etc. What we know is that the patient has diabetes with multiple amputations and Achilles tenotomies. The first thing that "pops" in my mind is "What does the other foot look like?" I want to know if this patient has a revasculized leg. I think we all need to gather more information.
|
MEETING NOTICES - PART 2
|
|
|
| CLASSIFIED ADS |
ASSOCIATE POSITION AVAILABLE – MANHATTAN
Excellent opportunity to join a Midtown Park Ave practice. Surgery only. You need to do forefoot surgery well. Must be ABPS board qualified or certified. CV to mailto: nealblitz@yahoo.com
ASSOCIATE POSITION - CT (GREENWICH, FAIRFIELD AND NORTH HAVEN)
Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to: Dr.Kassaris@yahoo.com
ASSOCIATE POSITION - NYC METRO AREA
Must participate with HealthFirst, Affinity, Fidelis health plans (2 of 3 OK). Preferably on staff at Bronx or Manhattan hospitals or surgicenters. Excellent opportunity for quick partnership. email CV to: rrranch7@yahoo.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, two location group practice seeking a full-time, self motivated and hard working podiatry associate. Competitive salary and benefits are offered. Please email CV to: footcare4all@aol.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to: cmedders@atlanticpodiatry.com
ASSOCIATE POSITIONS – MARYLAND (FULL-TIME/PART-TIME)
Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Podiatry Management Services provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.
ASSOCIATE POSITION - ARIZONA
Immediate opening for a full time podiatrist in a rapidly expanding multi-office practice in the suburbs of Phoenix, Arizona. Compensation is performance based with patients scheduled from day 1 but must be entrepreneurial and an ambitious individual who can provide excellent care and expand already existing patient base. Should be familiar and competent in podiatric surgery, biomechanics, trauma, PRP, wound care, and ultrasound diagnostics. Send CV to: ArizonaFootAnkle@gmail.com
ASSOCIATE WANTED: DPM NOT INTERESTED IN BONE SURGERY - ONTARIO, CANADA
Rare, Unique Opportunity Join my well established, dynamic and successful practice in a most amazing cosmopolitan city- Ottawa, Canada. The successful candidate will be permitted to perform soft tissue surgery including sinus tarsi stent implants. I do in-office osseous surgery (bunions, hammertoes, etc.). New DPMs in Ontario permitted bone surgery pending legislative changes. We also provide full orthopaedic and rehabilitative services, routine care and laser for onychomycosis. Remuneration is generous and commensurate with experience and productivity. Visit www.feetdocs.com and submit resumes and queries to dgreenberg@feetdocs.com
ASSOCIATE POSITIONS - CHICAGO
Chicago practice has 2 part-time house calls positions available. You'll make at least $3,000 per months working your own hours. Full logistical support provided. Great moonlighting opportunity for 2nd and 3rd year residents -IL license required; we'll provide malpractice insurance . Contact: dpms2@hotmail.com
ASSOCIATE POSITION - NORTHWEST IOWA
A well-established, Midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.
ASSOCIATE POSITION- DAYTON, OHIO
Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR;diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon. Future Buy-in available. Please send CV to: Ohiomedical@aol.com
ASSOCIATE POSITIONS - LOS ANGELES, CALIFORNIA
Looking for reliable, honest, and motivated podiatrists to join our group to assist with house calls to patient’s home residences and group facilities. Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles area. Part/Full time, flexible hours, independence, great compensation! Please email resume to: homefootcare@hotmail.com
ASSOCIATE POSITION - UPSTATE NY
Busy well, established multi-specialty practice in Upstate New York looking for an additional podiatric physician. Work with our three podiatric physicians that have a combined practice experience of over 100 years. Very busy practice with a high volume of surgical cases. Working with three local hospitals. Foot, Rear Foot & Ankle Surgical procedures. Outstanding opportunity, Excellent salary and benefits. Advanced wound care. Broad based referrals. Opportunity for partnership. Electronic medical records. NYS Finger Lake Region. University atmosphere. Recreational, Social, Educational Opportunities. Please send CV to: associateinfoot@yahoo.com or fax 607-723-1567.
ASSOCIATE POSITION - 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 OK. Base salary, percentage, benefits including 401K. Fax CV to (239)566-8778 or Email CV to: Drgordon@gulfcoastfootcare.com
PODIATRIST WANTED - MN
We are seeking highly motivated, experienced and enthusiastic associate’s to join our successful, well-established practice, we currently have 6 locations and plans to add more, throughout Minnesota. The practice incorporates surgery, wound care, sports medicine and general podiatry. This opportunity offers an excellent salary, bonus and % commission with benefits, also an opportunity to become an associate down the road. PPMR/PSR required. Email CV to: kpepple@midwestpodiatrycenters.com
PRACTICE FOR SALE - CONNECTICUT
Well-established, 35-year-old reputable practice/condo with approx 2,500 Square ft. Grossing approximately $450,000. Outside Hartford area. All phases of podiatry. Contact: drsch52@hotmail.com
EQUIPMENT FOR SALE – USED PINPOINTE LASER
EQUIPMENT FOR SALE - DIOWAVE 15 WATT, PORTABLE 980 LASER
This is a used multiple function laser, plantar fasciitis, Achilles tendonitis, joint pain. nerve pain, post surgical, warts, toenail problems, two-year plus warranty, MSRP: $25,000. E mail Dr. Zuckerman at: footcare@comcast.net for questions and pricing.
EQUIPMENT FOR SALE - FOX DIODE 1064nm LASER FOR SALE
Like new, under warranty, excellent results for onychomycosis, verrucae, spider veins. Portable, many extras. $9800. 727-586-3668 or 727-321-3100.
PM News Classified Ads Reach over 14,500 DPMs and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 14,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $119 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.
|
| 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.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
