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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,041 Subscribers Daily
October 03, 2015 #5,488  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- 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 Dr. William Spielfogel of Brooklyn, NY, winner of last week's prize, 1,000 Podiatry ICD-10 Docuforms Superbill (Value $240). 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 2016 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 prize |
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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| PODIATRISTS IN THE NEWS | |
LA Podiatrist Discusses Ingrown Toenails
How can you tell if an ingrown toenail is infected? "What you would look for is a red or swollen nail border. Usually, you will see some drainage, and it will be painful to the touch and in footgear," says podiatrist Dr. Mallory M. Przybylski.
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Dr. Mallory Przybylski |
"One way to prevent ingrown toenails is widening the footgear. A lot of times we will see children with ingrown toe nails because their shoes are too tight. Their feet grow but they forget to tell mom that they feel pain. If you can avoid tight socks or footgear, you can sometimes avoid this problem," says Przybylski.
Source: KVHP (Fox News)
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| PODIATRISTS IN THE COMMUNITY | |
Preferred Podiatry Group Appoints Three Regional Directors
Preferred Podiatry Group, P.C. has announced the appointment of Drs. Andy Scott, Rebecca St. Louis, and Brian Leykum to the positions of Regional Medical Directors for its practice.
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(L-R) Drs. Andy Scott, Rebecca St. Louis, and Brian Leykum |
Dr. Scott is overseeing Indiana and Kentucky providers, Dr. St. Louis oversees Wisconsin providers, and Dr. Leykum is in charge of Texas providers. They are in charge of monitoring compliance with state and federal guidelines as well as practice policies and helping to ensure the highest quality of care to patients.
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| PUBLISHED PODIATRISTS | |
CA Podiatrist Publishes Analysis of Wound Care Credentialing Organizations
In an effort to shed light on the many facets of certification for today's wound care professionals, Kenneth B. Rehm, DPM, Diplomate of the American Board of Multiple Specialties in Podiatry, has authored an article titled "Certified in Wound Care. What Does It Really Mean?" This article apprears in the current issue of Today's Wound Clinic magazine.
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Dr. Kenneth Rehm |
Rehm's article offers a glimpse into the diverse certification organizations that currently offer credentials in wound care. These organizations, Rehm notes, are not a "one-size-fits-all" solution. Podiatric physicians should choose wisely to ensure they are certified by an organization that offers the most professional validation and that supports a commitment to the highest quality healthcare for patients.
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| ICD-10 UPDATE | |
ICD-10 Has Been Like Y2K, So Far
Some 32 years after work began on developing the International Classification of Diseases 10th Revision of diagnostic and procedural codes, most providers, many with fingers crossed, jumped off the ICD-10 pier at midnight Thursday. And by most accounts, the first 12 hours have gone off without a hitch.
Health information technology experts predict that most large-size providers will swim right along in a sea of far more numerous, complex and very specific new codes. The organizations most likely to have trouble, however, are smaller providers and health plans, which for several reasons lagged in implementing IT upgrades and training to handle the more robust ICD-10 codes.
Source: Joseph Conn, Modern Healthcare [10/1/15]
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| QUERIES (NON-CLINICAL) | |
Query: Recommendations for New Podiatry Chair
I need a new podiatry chair for an exam room. Any suggestions?
Alan Mauser, DPM, Louisville, KY
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| CODINGLINE CORNER | |
Query: Routine Foot Care & E/M Coding
I have been in practice 30 years and have always been under the impression that if a patient on Medicare returns back to your office for scheduled periodic covered palliative foot care (i.e., trimming of nails and calluses) that, unless there is a new problem, all you can bill for is the palliative care services. A podiatrist in my area told me that he bills an E/M code at the same time as CPT 11719 and CPT 11055 codes, even if there is no new problem because he checks the pulses and reviews medications the patient happens to be on. Have I been missing something all these years?
PM News Subscriber
Response: You are correct! In my opinion, your colleague is asking for trouble. Most LCDs used to say that billing an E/M service on the same visit as performing a routine foot care service had to be for a different diagnosis. The E/M could not be used to re-qualify the patient for routine foot care coverage as that was built into the routine foot care coding and payment.
Even though that statement no longer appears in most LCDs, I doubt that the MACs have changed their computer tracking of those services. There are more than a few DPMs who have recently gotten into trouble with the ZPICs, OIG, and/or the FBI for doing what your colleague suggests. To be "forewarned is to be forearmed" is an old English proverb that is certainly as true for this scenario as anything that came up in jolly old England. Except perhaps, the punishments are a little more civil today.
Paul Kinberg, DPM, Dallas, TX
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| RESPONSES/COMMENTS (ICD-10) - PART 1A | |
From: Joseph Borreggine, DPM
So, here we are... hours into the ICD-10 transition. The sky has not fallen, but it might still. "The proof will be in the pudding," as they say. Whether we get paid on these new codes will be up to the insurance companies that we bill. We will see what happens over the next few weeks and months.
The warnings that we may not get paid in a timely fashion may still occur; so be prepared for some "expected" financial shortfalls in your revenue stream during this transition. It is a good idea to identify any available...
Edior's Note: Dr. Borreggine's extended-length letter can be read here.
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| RESPONSES/COMMENTS (ICD-10) - PART 1B | |
From: Neil Hecht, DPM
Ode to ICD-10
Hip hip hooray, yippee kay yay
The ICD-10 started today.
The old codes were so few
They were the ones that I knew.
Now 69,000 codes to use...
So much better, I’m so confused.
The patients will get well
Because the statistics will tell.
An ankle sprain on flaming skiis
Sucked into a jet, holy jeez!
Subsequent visits for broken toes
Have different letters, don’t you know?
I could keep on rhyming this nonsense poem
I got to the office early from home.
But I need extra time to code the visit
I need seven things to ID which digit!
Help me survive this latest change
The old codes were easy, these are so strange.
I’m feeling helpless, my brain is frayed
But I’ll do it right so I might get paid!
Neil Hecht, DPM, Tarzana, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Paul A. Galluzzo, DPM
I had this same situation nearly 30 years ago. I have been board certified by the American Board of Lower Extremity Surgery (ABLES) since 1988. I find that all insurers and the majority of hospitals accept this board. I suggest that you contact ABLES, as they are more concerned about people as opposed to payment.
Paul A. Galluzzo, DPM, Rockford, IL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Sheldon Nadal, DPM
I am very sorry to hear about the travails that young practitioners experience in order to get board certified to perform foot surgery in hospitals. I am Canadian and have been practicing in Toronto, Ontario, Canada since completing my residency in foot surgery in Philadelphia in 1980.
When I came back home, it was made very clear to me by the orthopedic powers that be that hospitals were for orthopedic surgeons to do foot surgery, not podiatrists. Consequently, I, like other Ontario podiatrists before me who were trained in foot surgery, set up my office so that...
Editor's Note: Dr. Nadal's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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The original Crocs shoe? |
Source: Drs. Daalia Jones and Joseph Borreggine
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $195
(Only $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 1- ASSOCIATE POSITIONS AND FELLOWSHIPS |
POSITIONS AVAILABLE IN CALIFORNIA AND NEVADA WITH WOUNDTECH
Why Woundtech? Largest employer of podiatrists * Earn a six figure living (No nights, No weekends, No call) * Benefits offered (health, dental, vision and paid malpractice)* No billing (No ICD10)* Flexible schedule.If you are ready to take back control of your life give me a call @ 954-602-9148 or email me @ manker@woundtech.net to get a priority interview.
ASSOCIATE POSITION – CHICAGO
Chicago. Office and housecalls; projected income $140-180K. Base salary and bonus structure are flexible. Malpractice and mileage allowance are paid. Partnership track is available. Contact chipod12@yahoo.com
MOBILE PODIATRISTS NEEDED - HOME FOOT CARE, INC.
Looking for podiatrists to service the following areas: Las Vegas, Nevada, Oxnard/Ventura County, Santa Barbara, Lancaster/Palmdale, San Bernardino/Riverside, Palm Springs/Palm Desert. Full or Part-time available, Full/Part time available, flexible schedule, independence, excellent compensation, electronic billing/scheduling, great support staff. If interested, email CV to: homefootcare@hotmail.com check us out @ www.footdocs2u.com
ASSOCIATE –PARTNERSHIP- OWNERSHIP FAST TRACK- CUPERTINO, CALIFORNIA
If you’re bright, articulate, and skilled in all aspects of foot and ankle surgery with a prime focus on the biomechanics of foot and leg function, I’m interested in you. Earn what you’re worth and live in Silicon Valley. Send resume to setdpm44@yahoo.com.
ASSOCIATE POSITION - KANSAS CITY
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We need another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with doctors who are committed to your success. If you are an entrepreneurial-minded doctor who wants to grow and eventually own part of an already successful practice, go to: www.YourFutureInPodiatry.com for full details.
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage . Excellent opportunity for a promising future. To apply, go to www.yourcareerinpodiatry.com
ASSOCIATE POSITION – GEORGIA
Village Podiatry Group, a subsidiary of Extremity Healthcare, has opportunities for motivated, talented, and board qualified or certified doctors to start immediately. Ideal candidates have 5+ years’ experience and knowledge of coding/billing. EHI currently offers the following ancillaries: Ambulatory Surgery Centers, Vascular Intervention Centers, Compounding & Retail Pharmacy, JACCHO Accredited Pathology lab able to perform Anatomic Pathology, DNA & Pharmacogenetics. We are also adding Hyperbaric Medicine, Wound Care and other ancillary services. Our successful model is built to enrich the physicians and their efforts. Serious inquiries to Tony Brzezicki, HR, tbrzezicki@extremityhc.com or fax (770.874.1748). EHI offers a competitive benefits package.
ASSOCIATE POSITION - WALDORF AND CLINTON, MD **IMMEDIATE HIRE**
Well established practice with multiple offices located just south of Washington D.C. Practice amenities include EHR, digital x-ray, state-of-the-art surgical suite, shoe stores, PADnet, and large support staff. This is an extremely busy practice with high patient, new patient, and surgical volume. We are looking for a highly motivated, personable individual. Must be well trained in a PMSR-36/RRA forefoot and would like someone with rearfoot surgery experience, but not required. Competitive base salary with bonus structure. Relocation fees will be covered if able to join practice immediately. Send CV to:feet_r_neat@aol.com
1 YEAR FELLOWSHIP IN RRA SURGERY & ASSOCIATE POSITION
Get more experience in arthroscopy, fusions, trauma & complex hindfoot/ankle deformity corrections. Must be BQ or BC in foot & RRA or on track to be. CV, DPM school transcripts, director LOR, LOI. ALSO AVAIL Associate position , now or Aug '16: must be BC by ABFAS, ability to work independently on complex cases. Long hours, hospital rounds, ER calls, great work ethic needed. Fellowship experience preferred, not mandatory. LOI, LOR from director, CV. great salary, bonus, partnership buy-in. Naples, FL klamdpm@hotmail.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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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| CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PODIATRY MEDICAL PRACTICE - NORTHWEST MONTANA
Immediately available due to illness. Four treatment rooms, 1,400 square feet, digital x-ray, up-to-date computer and software. 150,000 drawing area. Will exchange practice for lease on the office space. Beautiful location surrounded by the Rocky Mountains with excellent hunting, fishing, skiing, boating, and hiking opportunities. If interested send email to: wlranch@montanasky.net or call (406) 752-4988 or (406 )250-1756
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK / NEW JERSEY
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
PRACTICES WANTED - GEORGIA, TENNESSEE & OTHER SOUTHEASTERN STATES
If you are serious about selling or merging your practice into our model, the EHI Equity Based Supergroup Model, then we are interested in a conversation. We are looking mainly in Georgia and the Atlanta area but we will be ready for scaling in early 2016. Our practice top 3 criteria are; successful, must have a high volume of patients and Physicians who stay must be willing to utilize EHI's in-house ancillaries. If you meet these criteria, send us an e-mail to dhelfman@extremityhealthcare.com and dmazzone@globalmna.com, our investment banking firm.
PRACTICE WANTED
Two 3rd year residents seek to buy a practice financially stable to sustain two podiatrists. Well trained in conservative care, forefoot surgery, and wound care. Willing to move anywhere and start practicing in July 2016. Ideally selling physician would stay on during transition period. Please emailfootdoctors2016@gmail.com with more information.
PRACTICE WANTED
Two 3rd year residents seek to buy a practice financially stable to sustain two podiatrists. Well trained in conservative care, forefoot surgery, and wound care. Willing to move anywhere and start practicing in July 2016. Ideally selling physician would stay on during transition period. Please email footdoctors2016@gmail.com with more information.
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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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