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| PM News | |
The Voice of Podiatrists
Serving Over 14,864 Podiatrists Daily
October 02, 2013 #4,878  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
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| OBITUARIES | |
Angelo F. Petrolla, DPM
On Sunday, September 29, the Ohio Foot and Ankle Medical Association lost a long-standing officer, APMA Delegate, and past president. Dr. Angelo F. Petrolla of Poland, OH passed away at the Cleveland Clinic from complications of cancer. He was passionate about podiatry and was a dedicated physician and surgeon. Dr. Petrolla served as president of the Ohio Podiatric Medical Association in 2000, was the current Secretary/Treasurer of the Ohio Foot and Ankle Medical Association and of the OPPAC, and was also serving as a Delegate to the APMA House of Delegates.
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Dr. Angelo Petrolla |
Angelo was a gifted musician, artist, and collector of antique Christmas memorabilia, antique toys, trains, and was a restorer of Corvettes. He participated annually in the Good Fellows charitable car shows with his award-winning restored Corvettes, and was an avid movie buff.
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| PM NEWS QUICK POLL |
Quick Poll
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How do you think the Affordable Care Act (Obamacare) will affect your practice? |
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Click HERE for Results |
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| PODIATRISTS IN THE COMMUNITY | |
Office of Late WV Podiatrist is Now Home for Drug-Addicted Newborns
Four years ago, Mary Brown held a drug-addicted infant in her arms for the first time while volunteering at Cabell Huntington Hospital. Afterward, she asked herself what she was doing with her life and decided to devote herself to a mission: helping newborns who are addicted to drugs. On Saturday, Brown hosted community members at Lily's Place, a pediatric drug-addiction recovery center that she created in Huntington, WV.
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Dr. H. Darrell Darby |
The project began three years ago when Brown approached Sara Murray, a clinical manager at Cabell Huntington Hospital, and state Sen. Evan Jenkins about forming a non-profit to care for the region's drug-addicted babies: Lily's Place. Within a short time, a donation was received from Mrs. Laura Darby, wife of the late Dr. H. Darrell Darby of his former podiatry office, which was unused at the time. This provided Lily's Place a home. Lily's Place officially took over the building on Jan. 12 of this year.
Source: Caitlin Cook, West Virginia Gazette [9/28/13]
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| MEETING NEWS | |
Job Networking Event is a Great Success
The air was full of excitement with the job reception held at the Texas state meeting in Frisco this past weekend. An equal number of those seeking an associate position and those hiring, almost sixty in total, attended this event sponsored by Career Connections, created through a joint effort of AENS, TPMF, AAWP, ASPS, AAPPM, and PM News
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Attendees at Job Networking Event |
Organizer Krista Richter said, "It was so rewarding to see the personal interaction and help make a difference by providing this type of job networking for the doctors and residents."
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| E-HEALTH NEWS | |
Massive EHR Shakeout Could Cause Providers Millions in Lost Benefits
The long-anticipated shakeout in the EHR market is underway. A Modern Healthcare analysis of federal records shows there has been a massive drop in the number of software developers with clinical computer systems tested and ready for use in the second phase of the federal electronic health record incentive payment program, portions of which go into effect this week. Hundreds of hospitals and thousands of office-based physicians caught with underrated EHRs are now facing the prospect of losing full Medicare reimbursements and missing millions of dollars in future payments from the health IT incentive program, which so far has pumped $16.2 billion in federal aid to the industry since 2011.
Just under a thousand software developers had their EHR technologies certified under 2011 standards that met the Stage 1 “meaningful use” requirements under the 2009 American Recovery and Reinvestment Act. But the more stringent Stage 2 requirements, which go into effect Oct. 1 for hospitals and Jan. 1 for physicians and other eligible professionals, have many vendors pole-axed. Just 79 health IT developers have certified systems ready for the government's mandatory 2014 standards.
Source: Joseph Conn, Modern Healthcare [9/28/13]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Delegate the “Why”
When you delegate a job, ensure that employees see it as a symbol of your trust in them—rather than just another “thing” you are asking them to do. Follow these tips:
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Explain why you are delegating the job to them. Tell employees you selected them for the job because of their skills or their ability to attain the necessary skills.
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Describe how the task fits into the “big picture.” People resent having to perform meaningless drudgery. However, even a seemingly small task can have an important impact on a larger goal—and it’s your job to help employees see that.
Source: Adapted from “Effective Delegation Requires Clear Communication,” Helen Wilkie, Communi-keys via Communication Briefings
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| QUERIES (MEDICAL-LEGAL) | |
Query: Inability to Contact a Patient
Two weeks ago, I ordered blood tests for a patient. The results came back with an entire panel of abnormal results. She needs to be referred to her internist or rheumatologist ASAP. I have been calling her and getting a message that her phone has been disconnected. I wrote her a letter asking her to call us. Nothing has happened. How do I handle such a situation? I am not as concerned with the medical-legal implications as I am about her getting proper and timely medical care.
Elliot Udell, DPM, Hicksville, NY
Editor's note: PM News does not provide legal advice. It appears that you have exercised due diligence in attempting to contact this patient. Other means of contact may be through the referral source, the employer, or the emergency contact listed on your patient input sheet.
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| CODINGLINE CORNER | |
Query: Billing a Hospital E/M Within a 10 Day Global
I performed an incision and drainage procedure on a patient. Three days later, I saw the patient at the home. I admitted the patient for related condition, performing a hospital consult that day as well. The next day, I performed a more extensive I&D bedside at the hospital.
Can I bill out for all of these visits, or do these fall under the global fee from the first in-office incision and drainage procedure (CPT 10060)?
Christopher Roever, DPM, Tarpon Springs, FL
Response: These visits are included in the basic allowance of the global surgery package; therefore, they may not be billed separately. The incision and drainage service (CPT 10060) has 10 follow-up days.
Robert Weatherford, DPM, Jacksonville, FL
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
RE: Final Update on Gangrene S/P Cast Complication
Unfortunately, the case went on to BKA (see attached photo) due to further ascending tissue loss and non-viable bone beyond Chopart's joint. The decision was made by vascular, plastics, ortho, and family that the patient would fare better and return to "normal life" faster with a BKA. Plastics felt that a circumferential insensate skin graft would be doomed to fail.
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BKA Post-Cast Complication |
Now our thoughts turn to prosthesis, rehab, and unfortunately litigation. Thank you to all who commented and offered help with this tragic case.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: G Dock Dockery, DPM
This case of multiple blisters on the feet of a 17-year old female most likely represents a case of epidermolysis bullosa simplex, Weber-Cockayne type. There is a great deal of information on the Internet on this condition along with suggestions of cause and treatment.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Stan Blondek, DPM, MD
The best seminar that I have attended this past year was here in Scranton dealing with Obamacare and podiatry. The seminar was given by Dr. Sev Hrywnak, from Chicago, and it cuts to the chase using facts and numbers on how podiatry will be affected. Dr. Hrywnak's background and involvement with the ACA in various capacities has made him an expert in this field. Not only does he outline the changes in healthcare, but her offers numerous suggestions on how podiatry can survive. This is one seminar that the leaders in the profession should attend. I know there will be a seminar in Chicago in early December.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Don Peacock, DPM
There seems to be a lot unknown territory when exploring the consequences we face as a result of changes in our healthcare system. Foot deformities are not departing ways with our society. How they are treated and how they are paid for will change. Foot surgeons should become skilled at executing procedures in the office setting. Presently, patients with high insurance deductibles have to shell out their hard-earned cash to acquire medical or surgical remedies. This trend will most likely continue.
Utilizing minimally invasive techniques, I can perform nearly all of my treatment modalities in the office setting. Obviously, this allows for a considerably diminished cost to patients compared to facility charges. We must become proficient at what we love to do anyway. It is likely that a Darwin-type structural environment will take place during the transitory phase. The strong and those capable of cost-saving will continue to thrive.
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MEETING NOTICES - PART 2
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
RE: Smartphone Photo-Documentation of NH Visits
From: Michael M. Rosenblatt, DPM
I am writing this brief note to let DPMs know about changes and improvements in smartphone cameras that are occurring with the latest products. I am now recommending that DPMs use their smartphones to take pictures and document NH and other patient visits. I have recently written an article on that subject for a future issue of Podiatry Management Magazine, which I respectfully request you keep your eyes open for.
Smartphones are now replacing “point and shoot” cameras in the family-picture market. But my point is that photos that contain “embedded” information on your NH visits are an important way to additionally protect you against audit. NH podiatrists face an enormous challenge of documentation. Fortunately, it is POSSIBLE to do this. Smartphone pictures are another method for your holster.
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MEETING NOTICES - PART 3
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| CLASSIFIED ADS |
EQUIPMENT FOR SALE - 2012 PINPOINTE FOOTLASER
FDA-cleared treatment for toenail fungus. Used only 30 times. Doc closing practice. Paid 66K asking 46K or best offer. Buyer pays shipping from Arizona. rmfleck@cableone.net or call Robin at 928-443-0943 Thursday or Fridays 8-5.PST.
EQUIPMENT FOR SALE
Chair Midmark 117-Burgundy very good working condition, Stryker surgical instruments (set of 3) System ll wire driver/RotoOsteome 10/Oscillating Saw 30 all recently refurbished with all accessories, and Quantiflex M.D.M nitrous oxide with 2 oxygen/2 nitrous oxide- mobile-needs to be refurbished. Valley Stream NY. Please respond to msjs63@yahoo.com
PINPOINTE FOOT LASER FOR SALE $18,000
Eyewear, thermometer and new fiber included. Lowest priced unit on the market Manuals Included: Yes - Under Warranty: No. Questions and Inquiries - please contact elizaseattlefootdoctor@yahoo.com.
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: 18,500 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.
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 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 - 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
NEW YORK PODIATRIST SOUGHT FOR PART-TIME WORK
at two different multi-specialty practices. These practices are interested in expanding their current medical services to include podiatric rehabilitation and possibly surgery. These medical sites are very dynamic with excellent/instant referral base. Must have excellent communication skills and be confident in your skill set. Bronx, Long Island and Brooklyn areas possible, depending on your location. If interested, please send resume and short statement concerning your interest in this job offering. Podiatry8888@yahoo.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- 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 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 POSITION – RICHMOND, VA
Virginia-Richmond- Motivated DPM Independent contractor 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 email: feet22@verizon.net.
ASSOCIATE POSITION – SOUTHWEST, FL
R U a SuperStar? PM&S36 or PSR24. Comfort W Recon surgery. Hardworking w/o Ego. Excellent salary, benefits, chance at partnership. ABPS BC/BQ required RRA. Send CV, Tell why you are a superstar. mny1029@gmail.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.
PRACTICE FOR SALE - CENTRAL NY SYRACUSE SUBURB
Disability forces quick sale of well-established 25+ year practice. Grossing 460,000. Fully equipped with pedorthist on staff. Brick building with apartment above office rented to same tenant 10+ years. Will sell practice and lease space or sell building along with this well rounded practice. High physician referral base. Respond to: instepwithpodiatry@gmail.com
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.
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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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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