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PM News

The Voice of Podiatrists

Serving Over 18,526 Subscribers Daily


September 25, 2019 #6,513 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

ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
LAST WEEK TO ENTER
 
Congratulations to John Doolan, DPM of NY, NY winner of last week's prize a 24 Inch Samsung LCD TVWe 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.
 
This week's prize
 
This week's prize is a $100 Macy's gift card. 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
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PODIATRISTS IN THE NEWS
Boaters Need to Wear Socks Too: FL Podiatrist
 
Even if you aren’t the biggest fan of how your boat shoes look paired with socks, you should throw some on anyway to avoid damaging your feet. According to podiatrist Stephanie Fields, DPM, not wearing socks causes excessive sweating which, in turn, “causes the formation of blisters and the development of foot and nail fungus.”
 
Dr. Stephanie Fields
 
The only thing worse than wearing shoes without socks is wearing the same socks over and over again. Per Dr. Fields, doing this can lead to “the development of fungus and other diseases”—which is not only bad for your body, but it’s rather unsightly, too!
 
Morgan Greenwald, MSN.com [9/10/19]
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PODIATRISTS AND FOOTWEAR
MD Podiatrist Provides Winter Boot Buying Tips
 
On the surface, snow looks soft, fluffy, pristine. Trudging through the slush is anything but. That's why it's so important to invest in comfortable winter boots to help you brave the harsh elements. Go for a round and wide toe box. A deep and round toe box allows you to wear thicker socks and still give your feet some breathing room. "Your toes should be able to wiggle," says Priya Parthasarathy, DPM, a podiatrist based in Silver Spring, MD and a spokesperson for the American Podiatric Medical Association (APMA). A wide toe box with a soft flexible upper is also ideal for people with bunions.
 
Dr. Priya Parthasarathy
 
Choose a pair with a cushioned, removable insole and a deep heel cup. An insole that's thick and cushioned will provide a lot of support for your arches and heels—a bonus for people who suffer from plantar fasciitis or have flat feet—while also keeping your feet warm. "A removable insole allows you to use custom orthotics or more supportive insoles if needed," Dr. Parthasarathy says.
 
Source: Tiffany Ayuda. Prevention [9/19/19]
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MEETING NEWS
AAPSM Holds Successful Conference in Cambridge, MA
 
American Academy of Podiatric Sports Medicine (AAPSM) members from around the world gathered in Cambridge, Massachusetts this past week to learn about every specialty that deals with podiatric sports medicine injuries. During this 4-day conference, the AAPSM honored those individuals who have made a significant impact on podiatric sports medicine. This year’s John Pagliano Golden Foot Award Recipient was Olympic gold medalist Joan Benoit Samuelson. 
 
Dr. Brian Fullem and Joan Benoit Samuelson
  
Other awards presented at the conference included: the AAPSM Lifetime Achievement Award presented to Gary Gordon, DPM. The Robert Barnes Distinguished Service Award was presented to the 2019 AAPSM Stand Alone Meeting Chairman Brian Fullem, DPM. The President’s Award – presented to a non-DPM for continued promotion and on-going support of advancing podiatric sports medicine went to Ludger Gerdesmeyer, MD. Outgoing AAPSM President Maggie Fournier, DPM received the presidential plaque and gavel for her years of devotion.
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HIPAA UPDATE
Failure to Provide Patient Records can Result in a HIPAA Fine - Part 1
 
After 22 years of HIPAA and 10 years of the HITECH Act on the books, it should be common knowledge that patients have a right of access to their medical records. Although physician practices or business associates can charge a fee for patient medical records, it must be reasonable, and the format (e.g., paper or electronic) matters. “The HIPAA Privacy Rule at 45 CFR 164.524(c)(4) permits a covered entity to charge a reasonable, cost-based fee that covers only certain limited labor, supply and postage costs that may apply in providing an individual with a copy of PHI in the form and format requested or agreed to by the individual.” 
 
Additionally, an entity may charge a flat fee “not to exceed $6.50 per request” to avoid going through the process of calculating allowable costs for electronic copies of PHI maintained electronically. Regardless of the cost issue, which is meant to be minimal, patients do have a right of access to their own medical records, including those of an unborn fetus as part of maternal care.
 
Source: Rachel V. Rose, JD, MBA, Physicians Practice [9/13/19]
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FROM PM's CURRENT ISSUE
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
 
Today's Featured Article
 
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PRACTICE MANAGEMENT TIP OF THE DAY
5 Ways to Avoid Common Billing Mistakes - Part 5
 
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
 
5. Explain your decisions - Not getting prior authorizations when payers require them for procedures and medications is another common mistake. They’re also a hassle. “Pre-authorizations are a big administrative burden. It’s one of the biggest issues for our members,” Cantrell says. “If you have enough staff, it’s ideal to have one person in charge of this.” If that’s not possible, you may need to consider reviewing and adjusting workloads.
 
You also need to make sure the diagnosis code and the procedure code match in order to demonstrate medical necessity to payers. If not, the claim will be refused. It’s important that your staff be well trained on coding if you want to avoid this common error. This applies to clinical staff as well as billing staff. "It’s a good idea if the billing department does in-service training so that the clinical staff has a better idea of how to code complicated cases," Lake advises. "They don’t need to know all the details, but they do need to know when to call in the billing department for clarification."
 
Source: Avery Hurt, Physicians Practice [9/3/19]
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CODINGLINE CORNER
Query: Bundling a Bunionectomy and a Hallux Exostectomy
 
Our doctor performed a bunionectomy with 1st metatarsal osteotomy (CPT 28296) and an exostectomy of the dorsal aspect of the distal phalanx of the hallux of the same foot (CPT 28124). These two codes have an edit with an indicator of 1 meaning a 59 modifier can be appended. BCBS Nebraska denied my reconsideration stating that the decision was upheld to bundle the codes. The operative report was attached proving that the procedures were through separate incisions and the bunionectomy is at the 1st MTPJ and the exostectomy at the distal phalanx. Should these be reimbursed separately?
 
Jessica Diaz, Billing Specialist, Office of Jonathan M. Little, DPM, Bellevue, NE
 
Response: If the exostosis was at the base of the proximal phalanx, I would agree that it would be bundled as part of the bunion procedure. However, in the way you describe your case, this in my opinion, is separate and should be paid. This is not a common part of a “bunionectomy.” The fact that a separate incision was made is not a valid point. Codes are codes and computers and even first level reviewers are not going to see past that. I would ask for a second level review or a peer-to-peer review or a medical director review. That way you can get to someone who understands what procedures you did and they may reverse this decision for you.
 
Tony Poggio, DPM, Alameda, CA
 
For information on Codingline subscriptions, click here
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RESPONSES/COMMENTS (NEWS STORIES)
RE: Cambridge Foot & Ankle Associates Joins Upperline Health, Inc.
From: Lloyd Smith, DPM
 
Seeing Drs. King and DeSantis on the same team is a wonderful development. I have watched their respective careers develop over many years. Both have become great friends and inspirational leaders. I wish them well in their newly formed relationships.
 
Lloyd Smith, DPM, Newton, MA
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YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Does red licorice come to mind?

Source: Annie Foo via Virtual Shoe Museum

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MEETING NOTICES

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LAST CALL - COME TO KEY WEST OCT 11-13!
Theme Breaks, Lunches, Beach Party & More! 
You Deserve a Break!  Enjoy Podiatry in Paradise! Up to 20 CECH hours 
GTEF No Nonsense Meeting - Marriott Beachside
(Contact mrich@spottswood.com to get discount rate $199 thru 9/26.) 
 
Lectures Include: Complications, Fusions, Wounds, Nerve & Special Section on Coding Tips & Practice Buy-outs.
*Sign up at the meeting for free legal practice consult questions with Dr. Stan Churchwell. Space limited. 
Faculty includes:  Drs. Sam Mendicino, Mark Hofbauer, Joe Giovinco, Greg Alvarez, Chris Lamy,  Ira Kraus & More. 
 
Pre  Register & see agenda http://www.gtef.org or Register On Site.

CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
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
 
MOBILE PODIATRIST NEEDED - SAN DIEGO AREA 
 
Fast growing house call practice is looking for a podiatrist to see patients in their homes or an assisted living facility. We offer a flexible schedule (Part-Time /Full time), excellent monthly compensation, dedicated support staff. If interested, please email CV to: barefeetpodiatry1@gmail.com Our website: https://barefeet-podiatry.com
 
POSITIONS AVAILABLE – MINNESOTA 
 
Rapidly expanding company serving Skilled Nursing Facilities, Nursing Homes, and Assisted Living Centers is looking for doctors for full or part time positions throughout Minnesota. Positions available immediately. Send inquiries and CV to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION - LONG ISLAND/QUEENS 
 
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture.  Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Visit www.LIFootCare.com and email eavieiradpm@gmail.com for more info.
 
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA 
 
Well established practice is looking to expand and have eventual partner and possible even transition to possible buyout. Compensation along with 401K, health insurance, malpractice, vacation, etc. Looking for pleasant person, who is desiring to become rearfoot and ankle certified along with skills in wound care and general foot-care.  We have a large referral base and new office, digital x-ray, lasers, EMR, etc. Please send CV to scfootdoc@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 PODIATRIST - NORTHERN NEW JERSEY 
 
We are a fast growing podiatry practice in North Jersey with multiple locations, and more to come!  We are currently looking for full-time motivated and caring associates to join our practice. Some benefits include: competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time, we pay for malpractice and give CME time off. This is an excellent opportunity to expand your podiatric medical and surgical experience in an office-based practice! If interested, please submit a CV to DrSamofal@PodiatryCenterNJ.com
 
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 – 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.
 
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 - SOUTHWESTERN PA 
 
Very busy, very reputable, turnkey, 32 year practice; podiatrist retiring. Hospital privileges within one mile. Equipment, instruments, furnishings included. Lessor desires to continue lease with new podiatrist of this reasonably priced, large, office space. Wonderful community, schools and patients. Reply to Podiatristopportunity@gmail.com 
 
PRACTICE FOR SALE - LEHIGH VALLEY PENNSYLVANIA 
 
Over 30 years in practice. Both hospital and office-based surgery, with orthotics and palliative care also part of the practice. Most insurance plans accepted. Meaningful use compliant EHR. Digital x-ray and EPAT shock wave therapy present in office. Contact at Blarney13@verizon.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
 
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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    RE: (Topic)
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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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