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PM News

The Voice of Podiatrists

Serving Over 18,462 Subscribers Daily


October 15, 2018 #6,286 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- No part of PM News can be reproduced without the
written permission of Barry Block

ohioct818A

PM NEWS QUICK POLL RESULTS
Results of last week's poll
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PM NEWS QUICK POLL

Quick Poll

 
Should podiatrists be allowed to trim fingernails?
 
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PODIATRISTS IN THE NEWS - PART 1
Feet are the Body's Foundation: NY Podiatrist
 
Your feet are the foundation of our entire body but the majority of us hardly give them a second thought aside from squeezing them into our joggers. For Dr. Emily Splichal – podiatrist, movement specialist, author, and global leader in barefoot science and rehabilitation – clueing people up on the importance of our extremities is a personal mission.
 
Dr. Emily Splichal
 
“As the only contact point between the body and the ground, our feet are not only our body's foundation (base) but also our brain's gateway into the perception of the ground we walk on,” Emily says. “Any imbalance in our foundation (feet) will impact our body's alignment proximally. Similarly, any disconnect between the feet, brain, and ground can result in delayed stability when we move and increase our risk of overuse injuries.”
 
Source: Lauren Williamson, Women's Health [10/8/18]
PCC

PODIATRISTS IN THE NEWS - PART 2
MI Podiatrist Discusses Heel Pain
 
Podiatrists of the Michigan Podiatric Medical Association (MPMA) say that although heel pain may be caused by gait abnormalities, an injury from walking, running, or jumping on hard surfaces or from wearing poorly constructed shoes can also cause heel problems.
 
Dr. Jodie Sengstock
 
“A sore heel will usually get better on its own without surgery if given enough rest,” said Dr. Jodie Sengstock, MPMA's director of professional relations. “However, many people ignore the early signs of heel pain and keep on doing the activities that caused it. When a person continues to walk on a sore heel, it will only get worse and could become a chronic condition leading to more problems.”
 
Source: Chris Morrisroe, The Oakland Press [10/8/18]
IQoct1518

INTERNATIONAL PODIATRISTS IN THE COMMUNITY
UK Podiatrist is Finalist For Health Board Award
 
A foot specialist is in the running for a new award against 10 of her peers set up by the health board. Eleven health stars are in the running to receive the Seren Betsi Gold Award at this year’s BCUHB Achievement Awards.
 
Podiatrist Amanda Russell-Smith receives the Betsi Seren Star award from chief executive Gary Doherty
 
Podiatrist Amanda Rossell Smith is renowned among her colleagues for her experience and high skills, her willingness to teach others, and total commitment to improving access to podiatry services in the local community. 
 
Source: Cambria News [10/9/18]
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MEETING NEWS
Podiatrists from Around the World Meet in Spain
 
At the recent meeting of the 49th Congreso Nacional De Podoligia 2018 in Santiago De Compostela, Spain, over 1,000 podiatrists from around the world converged on this UNESCO World Heritage City to exchange the latest information on the growth of podiatry. Among the many guests and speakers were many international presidents, past and present, adding their insight and thoughts.
 
(L-R) Christian Jerome, Drs. Dennis Frisch, Brad Sonnema, Matt Garoufalis; and Jose Garcia Mostazo
 
The International Federation of Podiatrists (FIP) held their Fall Board Meeting after the conference and in conjunction with "International Podiatry Day," which is celebrated on October 8th. Among those present were Christian Jerome, President of the International Federation of Podiatrists (FIP), Dennis Frisch, DPM, President of APMA, Brad Sonnema, DPM, Past President of the Canadian Podiatric Medical Association and Vice President of FIP, Matt Garoufalis, DPM, Past President of APMA and Immediate Past President of FIP, and Jose Garcia Mostazo, President of the Spanish Association of Podiatrists and Secretary of FIP.
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PRACTICE MANAGEMENT TIP OF THE DAY
Negotiating Your Contracts: Hidden Pitfalls and Traps - Part 3
 
Negotiating and reviewing contracts are among the more unnerving tasks physicians face. That’s good! Your subconscious is sending you “danger” signals. You simply need to channel this emotion into action to protect yourself.
 
3. Do not be swayed by promises of cost savings. For every business need, there is a solution that is cheaper, quicker, and has disaster written all over it. Large, well-capitalized companies often offer the best services or products but cost more than smaller competitors and are less likely to negotiate contracts. This leaves plenty of room for startups of all stripes to attempt to undercut the industry leader. Smaller companies may negotiate but are more likely to present a “C” (only favorable to the seller) contract, because they are undercapitalized and can’t afford liability when things go wrong. So, they write liability out of the contract.
 
Source: Martin Merritt, JD, Physicians Practice [10/9/18]
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RESPONSES/COMMENTS MEDICAL:-LEGAL)
From: Kenneth T. Goldstein, DPM, Michael Lawrence, DPM
 
This is very simple. New York State Law does not allow podiatrists to treat fingers. If you attempt to do this and something goes wrong, infection, etc., you are leaving yourself open for a lawsuit for practicing out of scope. I do not believe any malpractice carrier would cover this.
 
Kenneth T. Goldstein, DPM, Williamsville, NY
 
I applaud all colleagues who have rendered such care under the stated circumstances. I'm "guilty". I did so as well. And you know what? I felt real good about going beyond to help someone in need with such a simple application of my God-given skills, given freely with heart -warming gratitude the only compensation.
 
As far as being subject to board discipline? Any board that would do such would be, in my opinion, just plain shameful.
 
Michael Lawrence, DPM, Chattanooga, TN
Redig-thotics

RESPONSES/COMMENTS (CODINGLINE CORNER)
From: Joel Morse, DPM, Kristin Happel
 
For biopsy of the nail unit, one usually needs to take the matrix via a punch or a tangential. The diagnosis could only be melanonychia L60.8 or melanocytic nevi D22.7x
 
It appears that the doctor is using B35.1, which is never the diagnosis for a CPT 11755. In my view, a nail culture is part of the E&M and not a separate procedure .
 
Joel Morse DPM, Washington, DC
 
Humana has become quite specific about modifiers, and in this case with the 11755, they are probably looking for a T modifier (TA-T9) to indicate which toe the nail biopsy was done on, as RT and LT is not specific enough. As Dr. Kesselman said, though, caution is needed, as this code is definitely under scrutiny by payers for being billed when it is not actually being performed according to the code description. 
 
Kristin Happel, Crystal Lake, IL
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RESPONSES/COMMENTS (OBITUARIES)
 
I read with such sadness of Dr. Bass’ passing. He trained two generations of men and women at Civic/Grand/Kern who are now podiatric surgeons. These two generations are training their share of men and women who are, I’m sure, regaling their trainees with stories of the innate goodness, class, and grace of this man and mentor. RIP, Dr. B.
 
David G. Armstrong, DPM, Los Angeles, CA
Blainefeb518

YOU CAN'T MAKE THESE THINGS UP
At $17M, the World’s Most Expensive Shoes
 
The high-end shoe market is no stranger to expensive, luxurious kicks. For those conspicuous consumers with the pockets deep enough to satisfy any whim, come the most expensive shoes on the market. The set can be your last word in hoof-wear for $17 million.
 
What to buy with your lottery jackpot winnings?
 
Yes indeed, that is real gold on them thar heels, and each is accented with a 15-carat diamond as a culmination. 235 additional diamonds are used to add an exterior line to the shoe, adding just the right amount of ostentatious sparkle.
 
Source: American Luxury [10/11/18] via Dr. Lloyd Nesbitt 
MEETING NOTICES

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CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS
FELLOWSHIP IN LIMB PRESERVATION 
 
The University of California, San Francisco (UCSF) is currently accepting applications for 12-month Fellowship Program for Limb Preservation training that begins on August 1, 2019. The UCSF Limb Preservation Fellowship educates the podiatric physician as a clinically skilled podiatrist in a multidisciplinary approach to the diabetic and vascular complications of lower extremities, as well as generating new knowledge in the treatment, management, and prevention of lower extremity amputations. Please submit letters of interest to Matt Kuhn at matt.kuhn@ucsf.edu, along with your CV and three letters of recommendation. Interviews will be held in January 2019. Salary last year was approximately $62,000.
 
ASSOCIATE/PARTNERSHIP POSITION – MICHIGAN 
 
Immediate opportunity to take over established patient flow with excellent referral base from doctor moving to another state. Busy multi-office, 4-physician practice, three offices Southeast Michigan, EMR, digital x-ray, full scope of practice; opportunity for immediate partnership or employment.  All inquiries kept confidential.  Please respond to footandanklesurgeons@gmail.com.
 
ASSOCIATE POSITION – YOUNGSTOWN, OHIO 
 
Seeking a hard-working, board eligible/certified podiatric physician for our growth oriented practice.  January 1, 2019 start date is preferred. This full-time position assumes coverage at well-established location.  To learn more about us, visit www.ankleandfootcare.com.  Please email your CV to Michael Vallas, Practice Administrator at mike@ankleandfootcare.com.
 
ASSOCIATE POSITION - TENNESSEE
 
Village Podiatry Group, a wholly owned subsidiary of Extremity Healthcare, Inc. is growing and seeking board qualified/certified associates with a Tennessee license. Ideal candidates have 3-5 years’ experience and knowledge of coding/billing, and desire to excel while utilizing our practice owned ancillaries. Our successful model is built to enrich the physicians and their efforts. Serious inquiries only to Tony Brzezicki, Human Resources, at tbrzezicki@extremityhc.com. Starting salary will be based on experience and the value you bring to the practice. EHI also offers a competitive benefits package
 
 
ASSOCIATE POSITION - ARIZONA 
 
Well established, busy surgical podiatry practice has an immediate opportunity for an associate. We have several office locations in the greater Phoenix area. Must have completed a 3 year surgical residency, have board qualification, AZ license and bilingual Spanish is a +.  We have a good balance of office and surgical practice. Base pay- bonus package, with other benefits included. Looking for a leader in the field that is willing to build with the practice and be active in the community. Please submit resumes to: podiatryaz@gmail.com
 
POSITIONS AVAILABLE – BROOKLYN AND QUEENS 
  
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Brooklyn and Queens, New York. Great opportunity for part-time income. Positions available immediatly! Send inquiries to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION – HOUSTON, TX
 
Established Houston practice seeking motivated, hard-working recent graduate for associate position in all aspects of podiatry. Long-term plan includes partnership. Send CV to dpm2docs@gmail.com.
 
POSITIONS AVAILABLE – KENTUCKY 
  
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Kentucky. Great opportunity for part-time income. Positions available immediatly! Send inquiries to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION - NASSAU COUNTY, NY
 
Exciting opportunity! Busy Nassau County, NY office seeks full-time podiatrist. State of the art facility. Complete EMR, digital radiograph and diagnostic ultrasound. Excellent salary and benefits. Must be board qualified. Please e-mail resume to: Medicalofficeinquiry@gmail.com, or call: 516-902-1073
 
ASSOCIATE POSITION - UPSTATE NY 
 
Excellent opportunity to start your career in a fresh practice!  Seeking an associate to join, grow, and become partner. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice. Looking for a motivated individual to contribute to our growth through all aspects of podiatry. Please send CV to: docryanlee@gmail.com
 
ASSOCIATE POSITION - KANSAS CITY 
 
Our busy, multi-office practice is still growing and needs another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with supportive doctors and staff who are committed to your success. Go to: www.YourFutureInPodiatry.com for full details.
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 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 PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICES WANTED - FL, CA, TX, NY, NJ, PA, AL, TN, KY, GA, SC
 
Looking to buy podiatry practices large, small, rural or urban. Podiatrists who are looking to retire soon or in the near future, or wanting to join a larger group to handle business operations can contact us by clicking here. Competitive compensation and benefits package for those who would like to sell and work within the larger company..
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 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.
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Barry H. Block, DPM, JD
 
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