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PM News

The Voice of Podiatrists

Serving Over 18,505 Subscribers Daily


October 16, 2018 #6,287 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

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PM NEWS QUICK POLL

Quick Poll

 
Should podiatrists be allowed to trim fingernails?
 
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IN YOUR MAILBOX SOON

We've just mailed the October 2018 issue of Podiatry Management. The cover story is titled "Are Millennials a Good Fit for Your Practice?"In addition, you'll find our usual assortment of features, including a CPME-approved CME.

October 2018 Podiatry Management
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PODIATRISTS IN THE NEWS
OH Podiatrist Discusses Sever's Disease
 
If your active school-age child complains of heel pain, you may chalk it up to ill-fitting shoes. But that may not be the whole story. True, new shoes can cause heel pain. But physical activity, especially sports, can also trigger a problem called Sever’s disease, or pediatric calcaneal apophysitis. "While Sever’s disease is temporary, kids can have it for several years until their growth plates close," says podiatrist Christopher Herbert, DPM of the Cleveland Clinic.
 
Dr. Christopher Herbert
 
"Kids typically feel better with reduced activity. We give them anti-inflammatory medication like ibuprofen (acetaminophen doesn’t work as well for this). That usually reduces symptoms. We also have them apply ice over their sock and wear a heel cup if they’re still sore. This cushions the heel and provides added shock absorption. If these measures don’t work, kids often have to use a walking boot to really reduce their activity," says Dr. Herbert. 
 
Source: Health Essentials from Cleveland Clinic [10/12/18]
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MEETING NEWS
 OCPMA Symposium with USC Returns After 3-Year Hiatus
 
After a 3-year hiatus, the Orange County Podiatric Medical Association (OCPMA) recently held its annual scientific symposium in Huntington Beach. Entitled “Advancements in Foot and Ankle Surgery”, the symposium was the association’s first partnership with the Keck School of Medicine of the University of Southern California (USC).
 
(L-R) Symposium co-chairs, Drs. David Armstrong and Jeffrey Haupt
 
“The symposium was, by every measure, a terrific success,” noted OCPMA president and symposium co-chair Jeffrey Haupt, DPMThe meeting, held at the Hyatt Regency Resort along Pacific Coast Highway, welcomed top flight speakers from USC, Orange County, and nationwide.
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PODIATRIC PRODUCTS AND SERVICES IN THE NEWS
Bako Diagnostics Celebrates 10 Years
 
This month, Bako Diagnostics, the largest national lab for podiatric pathology services including nail dystrophy diagnostics, is celebrating its 10-year anniversary and partnership with the podiatric medical profession. The 250-strong team at BakoDx consists of dermatopathologists, pathologists, laboratory professionals, IT specialists, client service and billing professionals, clinical consultants, podiatry account managers, payor relation experts, and more.
 
(L-R) Drs. Scott Acker, Ralph Winkler, Robert Alberhasky, Wayne Bakotic, Kim Whisenant, and Andrea Volk.
 
For a decade, BakoDx has been dedicated to the advancement of podiatric medicine, and leverages its unique position as a dermatopathology market leader to collect, analyze, study, and share their findings with the podiatric medical community. The BakoDx dermatopathology team emphasizes the important role that podiatrists play in the early diagnosis and treatment of malignancies. “The incidence of lower extremity skin cancer represents an often overlooked and understudied disease,” said Wayne L. Bakotic, DO, dermatopathologist and Bako Diagnostics co-founder.
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PRACTICE MANAGEMENT TIP OF THE DAY
Negotiating Your Contracts: Hidden Pitfalls and Traps - Part 4
 
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.
 
4. Beta testing is code for “we don’t know what we are doing but are hoping for the best.” Watch out for signs a startup or small vendor is trying their product to see if it works. It means they don’t really know and can’t really say if it works. This also means you are the test case. Ask for references and check them.     
 
Source: Martin Merritt, JD, Physicians Practice [10/9/18]
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CODINGLINE CORNER
Query: Billing Non-Foot & Ankle Orthopedic Cases
 
I am wondering if and how a DPM would bill for assisting in non-foot & ankle orthopedic cases. Occasionally, my orthopedic partners need assistance for hip fractures, etc. No PAs/NPs are available. Can I bill Medicare for an assistant fee? Would I use modifiers -80-82 (physician) or modifier -AS (non-physician)?
 
PM News Subscriber
 
Response: If your state allows you to assist in other non-podiatric surgeries, then simply bill whatever codes the primary surgeon billed and append your claim with the -80 modifier for each line item.
 
Tony Poggio, DPM, Alameda, CA
 
For information on Codingline subscriptions, click here
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RESPONSES/COMMENTS (MEDICAL-LEGAL)
RE: Requests to Trim Fingernails (Michael Lawrence, DPM)
From: Michael Forman, DPM
 
I agree with Dr. Michael Lawrence that there are times when we can further help an aged or infirm patient by cutting their fingernails. I understand why my colleagues have second thoughts about this because of malpractice issues, however to refuse this simple request would be horrid. I wish I could offer better advice. I admit that we have a few patients who have their fingernails trimmed in our office. I admit that I have a few dermatologists who referred patients to me for surgical correction of nail deformities. I performed these procedures although it may have been a foolish decision. And one more shameful admission, as a podiatrist who has an interest in the law and has studied law - I don’t even know if the state of Ohio allows us to work on fingernails.
 
Michael Forman, DPM, Cleveland, OH
 
Editor's note: PM News does not provide legal advice. The State Medical Board of Ohio has determined that an Ohio podiatric physician who has successfully completed appropriate training may, as medically appropriate, provide treatment of fingernail fungus in podiatric patients and for treatment of scars on the hand when the etiology is not associated with trauma.
 
Source: ohfama.org
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Dragon Voice Dictation
From: Ira Meyers, DPM
 
Every once in a while, someone has a question regarding voice dictation. I have been using Dragon Dictate for 10 years. Up until recently, I found the program to be fair. I recently upgraded to Medical Version 4 and I am pleasantly shocked how well it works. If you have been holding off waiting for an almost perfect dictation program, now is the time. 
 
Ira Meyers, DPM, Huntingdon Valley, PA
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
RE: Kudos to David Arkin, DPM
From: George Jacobson, DPM
 
With the posting of so many of our colleagues recently passing away, I'd like to congratulate Dr. David Arkin, CCPM Class of 1983, on his retirement. Live long and prosper. When you retire, do it while you have good health, so you can enjoy all that you worked so hard for. Enjoy retirement Dave; you deserve it. 
 
George Jacobson, DPM, Hollywood, FL
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YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

What a cowgirl wears?

Source: Submitted by Dr. Dan Jones

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CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE DPM – NEW YORK AND/OR NEW JERSEY 
 
NY-NJ Supergroup looking for highly trained DPMs. Full time and/or part time positions. Salary plus bonus, medical, 401k. Top producers ONLY or will train the right candidate. Send CV, salary requirements. dr.williamsdpm@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.
 
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
 
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.
 
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 2 - 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.
DISCLAIMER: Internet communications cannot be guaranteed to be either timely or free of viruses.
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Barry H. Block, DPM, JD
 
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