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| PM News | |
The Voice of Podiatrists
Serving Over 18,657 Subscribers Daily
October 16, 2019 #6,528  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
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Do you participate in the Medicare Diabetic Shoe Program?
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| AT THE COLLEGES | |
IL Podiatrists and Scholl Students Volunteer at the 2019 Chicago Marathon
The podiatric community was well represented at the 42nd Annual Chicago Marathon which took place on October 13th. Jeffrey Baker, DPM of the Weil Foot and Ankle Institute and Michael Chin, DPM of the Running Institute were podiatric co-coordinators for the event again for 2019. Other attending volunteers, which included practicing podiatrists, fellows, and residents, were Chris Collazo, DPM, Katie Landry, DPM, Mark Magnus, DPM, Panah Nabill, DPM, Thomas Nordquist, DPM, Nadia Sadeghi, DPM, and Alison Young, DPM.
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Dr. Jeffrey Baker and his team at the Main Medical Tent |
Volunteering as well were 90 podiatric medical students through the American Academy of Podiatric Sports Medicine Scholl Chapter. The podiatry volunteers were stationed at two medical tents and provided podiatric medical care to over 100 runners throughout the day.
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| PODIATRISTS IN THE COMMUNITY | |
Truck Hits Office of NJ Podiatrist
There was a close call as a pick-up truck struck the building in Holmdel, NJ. A driver visiting the Holmdel Executive Plaza apparently jumped the curb and hit the building. This building houses the office of podiatrist Patrick Caputo, DPM.
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Truck hits Dr. Patrick Caputo's Office |
The Building Department was notified and EMS assisted one patient complaining of chest pain. There was damage to the building and to Dr. Caputo's office as seen in the photos.
Source: Jeanne Wall, Tap Into Holmdel
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's Featured Article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Healthcare Trends Impacting Physician Practices - Part 2
Physicians are facing new challenges as they balance patient care with business priorities. Restrictive insurance rules, government regulations, and declining compensation are just a few of the obstacles that modern practices are up against. Despite these challenges, successful practices are identifying solutions to these business pressures. Here are five trends shaping the healthcare industry. As we approach 2020, administrators should consider how these trends may impact, and potentially improve, their practices’ outlook.
2. Increase in medical consumerism - Retail medical clinics and urgent care centers are becoming more popular — and are increasingly owned or operated by physicians. Today, more than 7,600 urgent care centers in the U.S. see a combined total of more than 890 million patients per year. Meanwhile, U.S. retail clinics took in about $1.4 billion in revenue in 2016, more than doubling their revenue from 2010. Since most insurers cover non-traditional care outlets, these clinics continue to emerge as tiny-yet-mighty competitors to larger physician practices.
Source: Mark Bennett, Phyisicans Practice [9/30/19]
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| CODINGLINE CORNER |
Query: Shoes and Visit for Diabetes Management
A patient with diabetes who qualifies for shoes, has seen the PCP recently. However, the reason for the visit was for suture removal. Diabetes is on the problem list, but this visit was not specifically for management of diabetes. Does this still qualify as a visit for the reason of a qualifying PCP visit for the MTSP? The PCP still has to sign off on my notes, but I am waiting to see if the patient will have to return for an “official” diabetes visit.
PM News Subscriber
Response: I’ll assume that your notes that are to be co-signed by the MD/DO will contain the required A-F requirements which are located in the LCD. I also assume the MD/DO who signed the certification statement has completed this correctly and the dates on all the documents are correct.
That being said, your narrative stated that the MD/DO has the history of diabetes in the note but no management is listed. The word management itself does not have to be exactly listed as management. It can be listed as medications, diet, etc. It can even refer to a previous note (which you might want to obtain). A copy of a recent lab test signed by the MD/DO could also be a reflection of management. With the simple narrative you provided, I would not want to go on record as stating it is either okay or not okay.
If you are at all uncomfortable, then obtain a note previous to the one you referred to (it can be up to six months prior to the date the shoes are dispensed). If the previous visit is more than six months prior and you feel uncomfortable about the most recent note, then I would agree with you and refer the patient back to their MD/DO who is treating the DM for a more comprehensive exam (and hopefully note). If you do resort to that, make sure the MD/DO knows exactly what Medicare’s requirements are. Make sure the MD/DO also knows they don’t need to do the foot exam and that the certification statement can’t be signed on a date prior to the exam.
Paul Kesselman, DPM, Woodside, NY
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Steven J Berlin, DPM
Itraconazole/Sporanox is an excellent antifungal and has a much broader spectrum than terbinafin. However, it’s best to prescribe appropriately. Since the medication was taken at half dosage, I recommend and suggest you delay further medication for the next 3 months. I assume there is medication left over, and I recommend giving a booster dose correctly at 200mg BID for one week.
Please make sure it is taken after a meal for best absorption. The changes in the nail will be revealed after 6-8 months. If you are using it for this period of time, let it run the course to about 1 year post-meds. You may want to do another course of treatment for 3 months. After the first year, evaluate the results. I have used this protocol personally for 30 years of treating hallux nails with complete success, including non-recurrence of either skin or nail issues.
Steven J Berlin, DPM, Baltimore, MD
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| RESPONSES/COMMENTS (MEDICAL/LEGAL) | |
RE: Re-use of Single-Use Injectables
A podiatrist in a local hospital has been given by the nurses used single-use vials of Marcaine, Xylocaine, Celestone, and Decadron at the conclusion of his cases. He then uses these same single-use vials and re-draws from them to give injections to his patients. The illegality here is two-fold: First, this is fraud due to double billing, because the patient is charged for the full 50cc vial in the hospital, and then the patients are charged in the office for the same vial. Second, there are no preservatives in the single-use vial, hence the chance of infection is huge when using on multiple patients, especially when many of the patients are diabetics with infections. This podiatrist has been reported to the OIG as well as to the county health board.
A very similar situation had occurred in Las Vegas, in which a physician was doing the same thing, with the state health department coming in and having to contact all the patients who had been injected to check on their health and well-being. I foresee the same situation here in that the health department will come into his office, and have to contact all the patients who have received injections and place them on notice that they have been injected with a contaminated medication. This is only the beginning of the end, with the hospital now being liable also by allowing him to remove the medications from the hospital.
Name Withheld
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From:Pamela Hoffman, DPM, Ara Kelekian, DPM
I have used the vacuums from Jan L attached to my Dremel drills for over 3 decades. I have had no lung issues or dust problems. I have replaced several drills, but the vacuums have lasted.
Pamela Hoffman, DPM, Katonah, NY
In our office, we use Surround Air units Multitech XJ3000C with replaceable filters. They have timers which make it easy to turn on and forget about it.
Ara Kelekian, DPM, Montebello, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Richard D Wolff, DPM
For the past 12 years of practice, I have had zero residual nail dust in my treatment rooms, but I understand where you are coming from. During my first two years of practice, I had the same issue. When I moved to a different office, I had a central vacuum system installed. The vacuum is in a closet and shared by all treatment rooms. The rooms are connected to the vacuum via 2" PVC pipe above the ceiling tiles. The noise is contained to the closet, which has 2" thick foam added to the walls.
I bought a cone nozzle (#ACC-SHEATH) from Jan L. It attaches directly to the end of a Dremel Multi-Pro and has a 1/2" tube connection. I also bought a reducer from Allegro Vaccums. It reduces the 2" outlet down to 1/2". The last item was a piece of 1/2" vinyl tubing I purchased from the local hardware store. There is strong suction noise in the treatment room, but no motor noise. The vacuum also serves as a floor vacuum for each room and we vacuum in between patients. No nails, no dust. I Dremel every patient. It is still going strong after 12 years of heavy use. I'm guessing I have about $1,500 in the system.
Richard D Wolff, DPM, Oregon, OH
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| RESPONSES/COMMENTS (PM ARTICLES) | |
From: Alan Sherman, DPM
Like Amol Saxena, Joe Borreggine, and Jeff Robbins, I too would like to see a single board that represents all podiatrists. One single board would help eliminate the current confusion as to what a podiatrists is. I call on the two boards to begin talks to move this process forward. I think we can achieve a single merged board with a well-constructed 5-year plan. I agree with Dr. Saxena that we need to be training all podiatry students to take the USMLEs.
I have spoken to Kathy Satterfield, the new Dean of the Western University School of Podiatry and she is a strong advocate of this. I’m sure the other deans aren’t far from this view. We can run pilot projects, test the students to assess current education gaps, expand the curriculum, do remediation, and...
Editor's note: Dr. Sherman's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Inspired by Lepidoptera moths |
Source: Vin + Pmi via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
INFECTIOUS DISEASE/ WOUND CARE AND LIMB SALVAGE FELLOWSHIP – OHIO
Join a premiere podiatry program. Become a leading expert in our profession. The fellowship has a multi-disciplinary approach to wound care and limb salvage. Participate in numerous surgical procedures. Be exposed to the world renowned Harrington Heart and Vascular Surgery Institute at UH Cleveland Medical Center along with research at Case Western Reserve Medical School. Become part of a winning team. Change your future. One 24-month fellowship position beginning July 1, 2020. Candidate must currently be completing a PGY 3 residency. Application requests: Deborah.mott@uhhospitals.org Deadline November 8, 2019. Interviews: Saturday, December 7, 2019. Visits encouraged. CPME approved
NON-CLINICAL FACULTY POSITION – POMONA, CA
Western University of Health Sciences College of Podiatric Medicine is seeking a podiatric physician who is interested in a full-time non-clinical faculty position at the Assistant, Associate or Professor level. Academic rank will be commensurate with past experience. Please apply at https://apptrkr.com/1591872.
ASSOCIATE PODIATRIST - CALGARY, AB
Seeking full-time podiatrist for private office in Calgary. Well-established practice equipped with 4 examination rooms, in-suite accredited operating theatre, shockwave therapy and laser equipment, digital x-ray and EMR. Partnership and buyout opportunities available. Interested candidates, please e-mail lalani@alpinefootankle.com
ASSOCIATE POSITION - UPSTATE SC
Group practice looking for ABPS certified or PSR-36 trained DPM. Must be well versed in forefoot, rearfoot and ankle surgery and diabetic wound care. Senior doctor looking at early retirement or transition to part time work. Please send resume and cover letter to rose6584@att.net
PART-TIME POSITION - SOUTH JERSEY
POSITIONS AVAILABLE - UPSTATE NEW YORK, BRONX, NY and MINNESOTA
Rapidly expanding company serving Skilled Nursing Facilities, Nursing Homes, and Assisted Living Centers is looking for doctors for positions in Bronx, NY, Upstate New York and Minnesota. Positions available immediately. Send inquiries and CV to: phasetwopodiatry@gmail.com
MOBILE PODIATRIST NEEDED - SAN DIEGO AREA
Fast growing house call practice is looking for a podiatrist to see patients in their homes or an assisted living facility. We offer a flexible schedule (Part-Time /Full time), excellent monthly compensation, dedicated support staff. If interested, please email CV to: barefeetpodiatry1@gmail.com Our website: https://barefeet-podiatry.com
ASSOCIATE POSITION – MARYLAND
Perfect opportunity for highly motivated individual with excellent clinical skills and bedside manner. Candidate must be proficient with inpatient management, wound care and all aspects of podiatry. Competitive compensation package which includes base salary and bonus structure. Email letter of interest/CV to contact@shadygrovepodiatry.com
ASSOCIATE POSITION - LONG ISLAND/QUEENS
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture. Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Visit www.LIFootCare.com and email eavieiradpm@gmail.com for more info.
ASSOCIATE POSITION - ST. LOUIS
Group practice seeking motivated DPM. Only 25% Medicare (no Medicaid) so excellent compensation resulting from substantive workload with good surgical balance. No travel and includes malpractice coverage, health insurance, 401k, and all professional fees. Please send CV to stlouispodiatrists@gmail.co
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Well established practice is looking to expand and have eventual partner and possible even transition to possible buyout. Compensation along with 401K, health insurance, malpractice, vacation, etc. Looking for pleasant person, who is desiring to become rearfoot and ankle certified along with skills in wound care and general foot-care. We have a large referral base and new office, digital x-ray, lasers, EMR, etc. Please send CV to scfootdoc@gmail.com
ASSOCIATE OPPORTUNITY – FLORIDA
Private Practice in the Tampa/St Pete area that is looking for a preferably full-time podiatrist to see patients in long-term care facilities. Some travel would be required. Traditional office hours in modern office setting also available. Part-time candidates will also be considered. Candidate must have active FL license. Reply to MCrosby518@gmail.com
ASSOCIATE POSITION - UPSTATE NY
Rapidly growing practice seeks associate for fast paced, fun, busy practice. 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. Office work, hospital call, and surgery. Please send CV to: docryanlee@gmail.com
ASSOCIATE PODIATRIST - NORTHERN NEW JERSEY
We are a fast growing podiatry practice in North Jersey with multiple locations, and more to come! We are currently looking for full-time motivated and caring associates to join our practice. Some benefits include: competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time, we pay for malpractice and give CME time off. This is an excellent opportunity to expand your podiatric medical and surgical experience in an office-based practice! If interested, please submit a CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION – KENTUCKY
Modern, upscale, all-female group practice seeking energetic, team-oriented and caring FT Associate to join our busy practice. No travel, nursing homes, minimal wound care, or Medicaid. Only 18% Medicare. Compensation benefits: Salary of $125,000 + generous bonus structure, health insurance, 410K, all professional fees covered (including malpractice), time off for paid CME, scrubs/shoes annually, etc. Looking for a highly motivated and ethical individual with excellent clinical and surgical skills (residency must be 3-year surgical with plans on sitting for the FF & RF boards. Please see our website: www.lexpodiatry.com and email drfreels@lexpodiatry.com your cover letter and CV.
ASSOCIATE POSITION – NAPLES, FL
Immediate and July 2020 associate positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Interpersonal skills and willingness to work as a team a must. Cloud EMR, Digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, Paid vacations etc. Our practice cadaver surgical labs to enhance everyone's skills as a group exclusively available. If you like FL sunshine, fishing, golfing, beaches and to live and work in paradise. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – CENTRAL FLORIDA
We are an established and growing group of podiatric physicians and surgeons looking for new physicians in central Florida. We are looking for a full-time, hard-working, doctor to join our practice. Board certification or qualification preferred, but not mandatory. We offer a competitive compensation and benefits package for those who would like to join a larger group of podiatric physicians. If interested, please submit your CV to cindy@atlanticfootandankle.com
ASSOCIATE POSITION - SOUTHEAST FLORIDA
Seeking part time position for well-established busy 2-office practice in Palm Beach County. ABFAS or ABPM BC or BQ with 2 plus years of work experience in a private practice. Both offices have digital x-ray, EMR, Shockwave therapy, PT, DME. Please send CV and cover letter to: NissanTT92@sol.com
Gentle Foot Care is a rapidly growing podiatry practice. Well established busy 42 year old group podiatric practice with multiple locations. Great opportunity for energetic, motivated, personable podiatrist. Broad scope of practice. Full-time or Part-time positions available. Full-time available if able to travel between multiple locations. High salary based on production includes malpractice. Hospital privileges available. Please send CV and cover letter to pnnywlls@hotmail.com
POSITION AVAILABLE - ST. LOUIS, MISSOURI
Busy private practice seeking full time associate who is personable, ethical, team oriented and motivated. ABFAS Qualified/Certified in rearfoot and ankle surgery. Please send CV and cover letter to: paifootandankle@gmail.com
ASSOCIATE POSITION – LOS ANGELES
Come Work for Us, We are running multiple fulltime clinics throughout the greater Los Angeles area. We are seeking a talented full-time podiatrist to join our growing team of DPMs. The right candidate will have strong clinical and surgical skills and must be able to hit the ground running. Your success is measured by how quickly you can assimilate to our protocols and procedures. Earn a very competitive salary on top of generous bonuses paid quarterly, additional benefits include medical insurance, paid vacation and holidays, and malpractice, not to mention growth opportunity up to partnership. Please send C/V to: comeworkforDPM@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE - F-SCAN & SENSORS
F-Scan Versatek System. Use it wireless or tethered. Software for both applications provided on a flash drive. THIS IS NOT F-SCAN LITE, but a bilateral in-shoe system. Comes with 46 new in-shoe sensors for the Versatek system in the original packaging.System and sensors: $7,500. Contact: drgct1950@gmail.com
EQUIPMENT FOR SALE - 2020 DIGITAL X-RAY SYSTEM
I purchased a brand new combined server computer rather than upgrade the older-type laptop and server to Windows 10. So it’s basically like new. X-ray hardly used. It was at a satellite research office. $17,000 delivered and set up. Email AustinPodiatry@hotmail.com for pictures, details and questions.
EQUIPMENT FOR SALE
PDM chair (excellent condition), Diagnostic ultrasound FALCO 100 Pie Medical with printer and stand, wound mapping and all other functions. Instratek Edintrack systems for endoscopic decompression and endoscopic plantar fasciectomy. Gold instruments complete set, hardly used. Surgical instruments and osteotomes. Ergo power drill for osteotripsy. drjsfox@gmail.com
EQUIPMENT FOR SALE - PEDCAT -D CT SCANNER
Like new PedCat 3-D CT scanner. 50% off brand new machine. Machine is 4 years old and covered for 2 more years under warranty. Location Las Vegas Generate revenue for your CT scans for Medicare and most insurances. Ideal for group of 4 or more. Takes less time than x-ray and replaces it. No special setup needed. Big Tax write off! email: footguru@cox.net
PRACTICE FOR SALE - LEHIGH VALLEY PENNSYLVANIA
Over 30 years in practice. Both hospital and office-based surgery, with orthotics and palliative care also part of the practice. Most insurance plans accepted. Meaningful use compliant EHR. Digital x-ray and EPAT shock wave therapy present in office. Contact at Blarney13@verizon.net
PRACTICE FOR SALE – MARYLAND
Busy practice with great reputation in the community. Well rounded practice with 25+years. Includes office and potential ownership in surgery center. High volume, high gross. Confidentiality insured. Serious and highly qualified candidates only. Respond to: footopportunity@gmail.com
PRACTICE FOR SALE - WV-KY-OH TRI-STATE AREA
Established 21+ yr practice, 5yr avg over 500k gross. Nonsurgical practice, no nursing homes, hospital privileges available. Owner moving out of state AT END OF THE YEAR. Will help with transition. WILL OWNER FINANCE. $75,000 FOR PRACTICE. $200,000 FOR BUILDING. WILL SELL SEPERATELY. Contact: gardenrogue@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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.
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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.
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If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
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