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PM News

The Voice of Podiatrists

Serving Over 17,042 Subscribers Daily


October 10, 2015 #5,494 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

AFOE


PM NEWS QUICK POLL

FINAL DAY TO VOTE

Quick Poll

How is the first week of ICD-10 going for you?

Bakomacer


sols


HOSPITAL PODIATRISTS IN THE NEWS
Silver Cross Hospital Honors IL Podiatrist
 
Silver Cross recently recognized podiatric surgeon Dr. Paul Kirchner of New Lenox on the hospital’s medical staff for outstanding patient satisfaction. 
 
Dr. Paul Kirchner
 
Dr. Kirchner received his Doctor of Podiatric Medicine degree from the Scholl College of Podiatric Medicine and completed a podiatric surgical residency at the Illinois Masonic Medical Center.
 
Source: The Herald-News [10/6/15]

2020


PRACTICE MANAGEMENT TIP OF OF THE DAY

Early Lessons of ICD-10 for One Practice - Part 3

We are all in this together. Physicians need to unite behind the tenets that have guided medicine well over the last century. We must push back against the forces that are compromising the care we provide. Enough with distractions and interruptions that do not further the care of our patients. 

Source: Jennifer Frank, MD, Physicians Practice [10/6/15]

drjill


QUERIES (CLINICAL)
Query: Unidentified Lesions on Feet and Legs
 
I would appreciate any help in identifying these lesions: This 78 year old male has a history of PVD/venous stasis, no recent changes in meds. He takes Xarelto, metoprolol, pantoprazone, asa 81, prevacid, Zetia,  and Lamisil.
 
Unidentified skin lesions
 
These lesions developed about 8 weeks ago, initially almost blister-like with some clear drainage (according to wife), then a purplish color developed. Since putting hydrocortisone on them, they have become more red in color. He complains of itching and burning in these areas. They are slightly raised, appear on anterior legs mostly, but also over the Achilles insertion and medial foot. His PCP prescribed HCTzone cream. I have not biopsied yet.

apex4


CODINGLINE CORNER
Query: ICD-10 Code for Tailor's Bunion
 
Am I correct that there are NO separate codes for a tailor's bunion? Every time I enter ICD-9 727.1 (bunion/bunionectomy) into my crosswalk, I am getting the standard hallux valgus, acquired codes. Although all this ICD-10 stuff has me thoroughly exhausted, I am still fairly certain a 5th metatarsal deformity isn't a "hallux". 
 
Jeffrey Worman, DPM, Largo, FL
 
Response: The closest code we have in ICD-10 for a tailor 's bunion is: 
 
M21.6X1 (other acquired deformities of right foot) 
M21.6X2 (other acquired deformities of left foot) 
 
Jeffrey Lehrman, DPM, Springfield, PA  (Similar response from David Freedman, DPM, Silver Spring, MD)

abbyjenn


RESPONSES/COMMENTS (CLINICAL)
From: Estelle Albright, DPM, Andrew I Levy, DPM
 
Just fix what hurts.
 
Estelle Albright, DPM, Indianapolis, IN
 
Just because there are deformities and just because one has the technical ability to do a variety of procedures does not, in my mind, justify in any way doing all of those things. Surgical judgment is as important, if not more important, as technical skill. Reading the patients compliant, I can't see any reason for anything other then addressing her digital complaints with whatever procedure or procedures are appropriate. 
 
Andrew I Levy, DPM, Jupiter, FL
Blaine21

RESPONSES/COMMENTS (MEDICAL-LEGAL )
RE: CPT 99214 and Billing Calculators (John M. Hurchik, DPM)
From: Lawrence M. Rubin, DPM
 
While no one wants to be "flagged" for an audit, if your overall medical record-keeping is thorough, and your billed codes are supported by your documentation, you may be losing honestly earned practice revenue by not billing CPT code 99214 when it is the appropriate code. When counseling and/or coordination of care is the primary activity during a patient visit, the level of care can be selected based on the time spent with the patient. Under circumstances specified in the CPT, when face-to-face counseling and/or coordination of care dominates (more than 50%) the physician/patient encounter, the time listed for each level of E/M code can be used for the basis of coding.  
 
For example, the average physician time listed for CPT code 99214 is 25 minutes. So, if a visit solely for explaining the results of an x-ray examination and some lab testing along with discussing surgery and other treatment alternatives for a condition were to take, say, 15 minutes -- 99214 is the applicable code. The documentation should include the time spent and a description of the counseling that took place. 
 
Lawrence M. Rubin, DPM, Las Vegas, NV

DrCreju


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
RE: ABFAS Shark Tank
From: David S. Wolf, DPM, Name Withheld 
 
I am board certified with ABFAS and found the whole process exclusionary, elitist, expensive, and totally irrelevant to what we see in private practice. As physicians, we need to overcome the inferiority that was passed on to us and BE KIND to each other. We are only as "strong as our weakest link."
 
David S. Wolf, DPM (Retired), Houston, TX
 
As a young physician going through the certification process, I have concerns about the new requirements for logging. I am in a four-physician practice, and as the newest doctor, I do the majority of hospital surgical cases for our group. Many times, the patient I do surgery on will follow up with the initial physician because they have been seeing them longer. It seems as though this will be held against me for the certification process because I do not have follow-up notes. This does not seem right. I believe if ABFAS went back to the original requirements of our choosing what cases to log, it would be a more even playing field for all. 
 
Name Withheld 
 
Editor's Note: This topic is now temporarily closed. No additional comments will be published. 

DPM-Preferred


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B
RE: ABFAS Shark Tank
From: Name Withheld
 
What's most "unfair and frustrating" about this whole thread is the whining of a podiatrist who cannot achieve board certification. I find it interesting that even after several people have explained that no one has been grandfathered into board certification and have explained the process, this disgruntled Name Withheld still contends that there are those who are (grandfathered in). We finally get where this is coming from - the administrators at his hospital. C'mon, it’s obvious that this is the easiest, most concise way to explain the situation...and shouldn't be taken as gospel - especially after a more correct and thorough explanation has been given by the powers that be. 
 
Concerning case submission. I agree that the current process is time-consuming, frustrating, and...
 
Editor's note: Name Withheld's extended-length letter can be read here.  This topic is now temporarily closed. No additional comments will be published. 

icsdec


RESPONSES/COMMENTS (NEWS STORIES)
From: Peter F. Gregory, DPM
 
After carefully reading the 752 page document in full (NOT), as I understand it:
 
1. For 2015, ANY continuous 90-day period can be reported (bottom of page 580 to 581).
2. The secure electronic messaging only has to be “fully enabled”; there is no percent threshold  (bottom of page 715 to 716). 
 
Am I correctly interpreting this?
 
Peter F. Gregory, DPM, Livonia, MI

padnet


YOU CAN'T MAKE THESE THINGS UP
RE: Another Use for Cialis?
 
When I asked an older patient how she was doing with her fungal toenail treatment, she replied, "They are really growing out fast. I am using that Cialis on them every day!" I thought for a moment and replied, "You mean Clarus?"  She realized her mistake and we both laughed for a long time.
 
Scott L. Schulman, DPM, Indiana Podiatry Group
MEETING NOTICES

Image Map

worldcongress


Planchard


schuster


aafas8

CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
PODIATRIST WANTED - HOUSTON AREA  
 
Looking for a great way to start your practice? Houston Podiatry is offering a great opportunity for Podiatrists looking for stable income while building their own practice. Full and part time positions are available and pay is set as a daily rate.  All applicants must be licensed in Texas and carry their own malpractice insurance.  Please submit resume with LOI to doctoranthon@gmail.com
 
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
 
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 – 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 - NYC
 
Lucrative position available for motivated, entrepreneurial Podiatrist in busy, upscale Park Avenue practice. Fabulous opportunity for creative, confident, skilled individual who is interested in all aspects of Podiatry, including surgery and office based procedures. Partnership opportunity.  Contact institutebeaute885@gmail.com  for details.
 
ASSOCIATE POSITION - NEW JERSEY 
 
Large group has immediate need for well trained and motivated doctor to join as an associate. This is a chance to join a group and be involved with a growing practice. Competitive salary and benefit package.  Forward CV to:  njassociate@comcast.net.
 
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 POSITION - SOUTHWEST, FL
 
Associate position, now or July '16: must be BC by ABFAS, ability to work independently on complex cases. Long hours, hospital rounds, ER calls, great work ethic, team players needed.  Fellowship experience preferred, not mandatory.  LOI with how you are a superstar, LOR from director, key attendings, CV. great salary, bonus, partnership buy-in.  Naples, FL klamdpm@hotmail.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 – CALIFORNIA 
 
OXNARD. Busy podiatry practice with strong office/nursing home patient base seeking podiatrist (Associate) to join upscale practice. Fully-equipped, patient-ready with trilingual staff (English/Spanish/Vietnamese). Located in highly desirable location conveniently located next to freeway, hospital and multiple surgery centers. Must be surgically trained (PSR 12+). Email CV to drtimwynn@yahoo.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.
CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE
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.
 
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.
 
EQUIPMENT FOR SALE – PODIATRY OFFICE CLOSING 
 
Bronx podiatry office closing. Everything must go. X-cell x-ray machine, cassettes, Midmark 117 examining table (needs work), rolling matching cabinet, Stryker cast cutter, Mettler therapeutic ultrasound, chart, filing and storage cabinets, many surgical hand instruments, medical supplies, waiting room furniture.  lee10462@gmail.com. (718) 829-7455.
 
PRACTICE FOR SALE - WASHINGTON, DC
 
- Established practice for sale. Owner desires to sell and transition. High volume surgery and office patient base.  Hospital, Surgery Center and Residency program affiliated.  Contact: MCrosby518@gmail.com
 
PRACTICE FOR SALE – BONITA SPRINGS, FLORIDA 
 
15 year old well established satellite podiatry practice for sale immediately. Well-equipped treatment rooms, digital x-ray. Located in busy multispecialty medical building with very busy Urgent Care Clinic, Outpatient Surgical Center, pharmacy, CT and MRI imaging center. Email bonitaspringspodiatry4sale@gmail.com
 
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
 
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.
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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