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| PM News | |
The Voice of Podiatrists
Serving Over 18,492 Subscribers Daily
October 18, 2018 #6,289  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
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| PM NEWS QUICK POLL |
Quick Poll
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Should podiatrists be allowed to trim fingernails?
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
NY Podiatrist’s Organization Donates 180 Pairs of Back-to-School Shoes
Shoes For All (SFA), the not-for-profit organization founded by Williston Park podiatrist Dr. Mary Carlson, donates new and gently worn shoes to those in need in the community. Recently, her organization donated new back-to-school sneakers to the entire student body at Martin DePorres School in Elmont. Every student at Martin DePorres School received a brand new pair of sneakers from SFA. This school educates challenged students in grades 1-12. 84% of this student population lives below poverty level, so these sneakers were truly needed.
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Dr. Mary Carlson |
“We are happy to be able to make such a large impact locally,” said Carlson. “The smiles on the children’s faces and gratitude that they and the school staff expressed were heartwarming!” She added, “Shoes are a basic necessity for everyone."
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
IL Podiatrist Joins OrthoIllinois
OrthoIllinois has announced the addition of Nicholas Brissey, DPM to their Algonquin clinic team. Dr. Brissey graduated from the Rosalind Franklin University of Medicine and Science in North Chicago. After graduating, he pursued surgical training in orthoplastics along with advanced reconstruction of the foot and ankle at Saint Anthony Medical Center in Rockford, Illinois.
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Dr. Nicholas Brissey |
Prior to becoming a podiatrist, Dr. Brissey joined the Army in 2000 and worked in military intelligence as a Chinese language crypto-linguist. In 2002, while serving at the U.S. embassy in Beijing, he developed a foot condition that was successfully treated by a podiatrist. This experience piqued his interest in the field and ultimately led to a career in healthcare. He is multi-lingual, speaking English, Spanish, and Chinese.
Source: Northwest Herald [10/14/18]
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| MEETING NEWS | |
DFCon18 Welcomes Speakers from the World's Top Institutions
The International Diabetic Foot Conference, better known as DFCon, celebrated its 18th year with speakers from the world’s top academic institutions as well as a renewed focus on the next generation of men and women working in limb preservation.
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Dr. Lawrence Lavery |
The symposium’s signature event, the Edward J. Olmos Award for Advocacy in Limb Preservation was given to Lawrence A. Lavery, DPM, MPH, Professor of Plastic and Reconstructive Surgery at University of Texas Southwestern. DFCon19 will return to Universal Studios, Hollywood, October 17-19, 2019.
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| INTERNATIONAL MEETING NEWS | |
U.S. Podiatrists Featured at Spanish Annual Meeting
Three years ago, Luke Cicchinelli, DPM moved to Vigo, Spain to help elevate the training of Spanish podologos. This year, he invited several U.S. podiatrists including Drs. Amol Saxena, Richard Blake, Scot Malay, Michael Downey, Dennis Frisch, Tracey Vlahovic, and Thomas Zgonis to speak at their 49th annual national meeting, chaired by Borja Perez Serrano.
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(L-R) Borja Perez Serrano, Drs. Amol Saxena, Luke Cicchinelli |
Over 1,000 podiatrists/podologos from 21 countries attended the annual meeting Oct 5-6 in Santiago de Compostela, Spain.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Negotiating Your Contracts: Hidden Pitfalls and Traps - Part 6
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.
6. Keep bona fide purchasers in mind. In many cases, you, the simple purchaser, may be asked to sign more than just an SaaS contract. The vendor may produce a finance contract, which is a type of negotiable instrument, called a “promissory note.” Under the promissory note, you become not only a purchaser, but also a debtor, who promises to pay the payee the total obligation under the SaaS contract. This can have very negative consequences because you may be required to pay the note, even if the SaaS doesn’t work.
Even if the SaaS vendor is the payee, the note will usually be sold to a bank or finance company unrelated to the vendor. When that happens, the bank or finance company is considered a bona fide purchaser if it pays value to purchase the note without knowledge of any defenses or reasons why the note might not be owed, such as the product is defective. This means you still must pay the bona fide purchaser note even if the product failed, the same as if you had paid cash up front. Your only recourse is against the vendor.
Source: Martin Merritt, JD, Physicians Practice [10/9/18]
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| CODINGLINE CORNER |
Query: Wound Debridement Combination Coding
Can you bill CPT 11042 and CPT 97597 together if they are for different wounds? If you have an ulcer on the left foot at one depth and another ulcer on the right foot at a different depth….can you bill CPT 11042 for the left and CPT 11042 for the right? Is CPT 11042 based on size per wound or total wounds size if different wounds?
M. Diane Collier, DPM, Dothan, AL
Response: Yes, you can. The payments for wound debridements are indeed based on overall size debrided, but also on the depth and type of the wound. That said, we may encounter wounds that are at different depths and locations so those can be billed separately, uniquely. Example: 10 sq cm of muscle depth ulcer debrided from the left foot and 15 sq cm of skin depth ulcer debrided from the right foot, separate wounds.
CPT 11043 1 unit
CPT 97957-59 1 unit
The CCI allows these to be debrided together but requires the -59 appended to the column 2 code, CPT 97597.
Michael King, DPM, Nashville, TN
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) | |
RE: Requests to Trim Fingernails
From: Daniel Chaskin, DPM
Trimming or debridement of fingernails might be interpreted as part of good podiatric care concerning a comprehensive podiatric exam in conjunction with podiatric treatment. The purpose of such an exam is to ultimately treat the foot so that its condition remains as healthy as possible.
Look how far we came. In NYS, for example, podiatrists can cut above the malleolus to perform epidermal nerve fiber density (EFND) testing so long as the purpose of the exam is to treat a foot condition. The law says that we cannot cut above the malleolus, but I believe this refers to...
Editor's note: Dr. Chaskin's extended-length letter can be read here.
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A | |
From: Elliot Udell, DPM
Dr Kass raises a good point. Why shouldn't podiatrists be allowed to cut fingernails when manicurists with no college education are permitted to do so? I looked up what a manicurist must do to be licensed in my state. He or she must take a 250-hour course and then pass an exam. There are also separate licensing fees as there are with any other profession.
The solution to those who feel impelled to cut someone’s fingernails in a state where it is out of scope for podiatry can choose to take such a course at one of the cosmetology schools, pass the exam, pay the licensing fees, and then if a patient asks you to cut his or her fingernails, you will be able to do it without worrying about violating the law.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (PM QUICK POLLS) - PART 1B | |
From: Carl Solomon, DPM
I think the discussion about our cutting fingernails has gotten a little out of hand. I can’t provide any legal advice because I’m not a lawyer, but the following is my personal common sense opinion. I believe it goes beyond the question of “Should podiatrists be allowed to trim fingernails?” The issues seem to be whether our license covers it, whether we can be sued if we cause some damage, and whether our professional liability insurance would cover us.
There’s a difference between our trimming fingernails as part of our professional license vs. trimming fingernails as a lay-person, which anybody is “allowed” to do. I can give someone a...
Editor's note: Dr. Solomon's extended-length letter can be read here.
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| RESPONSES/COMMENTS (OBITUARIES) | |
Dr. Bass, in simple terms, was a mensch. As a Kern Hospital resident, he taught us all the importance of knowledge, professionalism, and humility. He always took his time to simply listen, a trait that many of us fail to do with our patients and even our friends and family. He taught us how to relate to patients and colleagues. And yes, he taught us how to enjoy our lives. Dr. Bass, you are already sorely missed and many of us who were lucky to know him have a big hole in our hearts this week.
Mitchell Greenbaum, DPM, Plainview, NY
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Diabetic Limb Salvage Fellowship
Two positions for a 12-month Diabetic Limb Salvage fellowship beginning July 1, 2019. Candidates must complete a podiatry residency by June 30, 2019 and be eligible for a Texas Podiatric Medical License. Training involves all aspect of diabetic foot management. Curriculum focuses on surgical limb salvage, and medical management of the complex, high-risk diabetic patients at risk for limb loss. Interested candidates should email their CV, personal statement and three (3) letters of recommendation to Tomeka.bennett@utsouthwestern.edu UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Just call them belt mules. |
Source: Marko Bakovi via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - WESTERN WASHINGTON
30 year established practice in Auburn Washington. In medical office building connected to hospital. Practice scope includes clinic, hospital-based surgery, and hospital consultations. Forefoot, rearfoot, and ankle surgery. Will stay on three months during transition. Contact/send resume to Dgusman@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@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 PART 2 -ASSOCIATE POSITIONS AND FELLOWSHIPS |
POSITIONS AVAILABLE - UPSTATE AND WESTERN NEW YORK
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Upstate and Western New York. Great opportunity for part-time income. Positions available immediately! Send inquiries to: phasetwopodiatry@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 – 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.
ASSOCIATE POSITIONS - SOUTHERN CALIFORNIA
Full-time and part-time associate positions available in busy state-of-the-art offices. Broad responsibilities including wound care, diabetic limb salvage, hospital rounding, etc. Offices in downtown Los Angeles, CA and Lancaster, CA. Must be available at least 2 days in Lancaster, CA. Please send CV and references in an email to PodiatryTeam@hotmail.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 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, excellent referral base. Surgical experience needed; well-trained partners available to mentor. Team orientated and transparent Practice. Senior Partner cutting back. Busy 4-physician practice, three offices Southeast Michigan, EMR, digital x-ray, full-scope; Partnership or employment opportunity. All inquiries 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
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.
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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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