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PM News

The Voice of Podiatrists

Serving Over 17,210 Subscribers Daily


October 24, 2015 #5,506 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

Blaine21


PM NEWS QUICK POLL

FINAL DAY TO VOTE

Quick Poll

How do you get your CME credits? (indicate % of each)

Bakomacer


Danipro


EDITOR'S NOTE
Call for Nominations - Podiatry Management's 2016 VIP List
 
Every five years, Podiatry Management Magazine publishes its "Most Influential Podiatrists" list. This list is compiled by the editorial board of PM. We invite nominations of individuals for this prestigious honor. Please send nominations along with a brief statement of why this podiatrist belongs on the VIP list to bblock@podiatrym.com. Self-nominations will be accepted. The deadline for nominations is December 1, 2015.

MBB


PODIATRISTS IN THE COMMUNITY
IL Podiatrist is “Head Haunt Master” at Halloween Venue 
 
Dr. John Shoudel said that the Boo Crew Haunted House in Buckhart (four miles east of Rochester) is going to be scarier this year, too. Shoudel, podiatrist and Associate Clinical Professor of Orthopedics at SIU School of Medicine in Springfield, has been putting on the Haunted House for the Rochester Lions Club since 1999. In his role as “Head Haunt Master,” he oversees and helps with a crew of volunteers who construct and light the venue, create special effects, apply makeup, act in horror scenes, and staff the ticket and waiting area.
 
Dr. John Shoudel
 
“We have our own property so we have time to work on our sets — and we have people from all over central Illinois who volunteer here. We attract … the best people in the industry,” who, said Shoudel, help draw visitors from all over central Illinois, St. Louis, and Chicago.
 
Source: Carol Sponagle, The State-Journal Register [10/21/15]

apex4


PODIATRISTS AND DIABETES
AZ Podiatrist Gives Grand Rounds on Limb Salvage at Harbor-UCLA
 
Drs. David Armstrong and Ashley Miller
 
Dr. David G. Armstrong, Professor of Surgery and Director of the University of Arizona's Southern Arizona Limb Salvage Alliance became the first podiatrist to deliver grand rounds to Harbor UCLA's Department of Surgery. The surgery program, led by vascular surgeon Chris deVirgilio has hired its first podiatric surgeon, Dr. Ashley Miller, to begin to develop a "Toe and Flow" model diabetic foot service. 

abbyjenn


HEALTHCARE NEWS
Insurance Premiums: Is $100 the Next Obamacare Hurdle?
 
A large majority of adults say "$100 a month or less" is the highest monthly premium they can afford to pay for health insurance in 2016, according to a survey released Wednesday. The HealthPocket.com report found that 57 percent of respondents named that price range when asked about coverage affordability. The second-most common answer was $200 per month, which was the response of just 17 percent of respondents.
 
Cost, or perceived cost, is a prime reason that the remaining uninsured people give when asked why they do not purchase health insurance, even as the Affordable Care Act has brought the uninsured rate down to record lows. And Obamacare plans routinely cost more than $100 per month before the federal subsidies available to many enrollees are factored into the price. Those subsidies are available to people with low and moderate incomes — but only if they buy plans on government-run insurance exchanges such as HealthCare.gov. About 85 percent of exchange customers qualify for such financial aid.
 
Source: Dan Mangan, CNBC [10/21/15]

AZweb


PRACTICE MANAGEMENT TIP OF OF THE DAY

11 Things to Know about the Meaningful Use Final Rule - Part 10

It Ain’t Over Until Congress Says it’s Over
 
Congress had been urging CMS to delay issuing Stage 3 rules; now, a confrontation appears likely. Sen. Lamar Alexander (R-TN) was furious, issuing a press release immediately after CMS dropped the rule, accusing CMS of “rushing its rule…doing a disservice to more than 500,000 doctors, thousands of hospitals and millions of patients.” There’s also support for a delay in the House, and Congress is expected to review the rule and perhaps change it through the Congressional Review Act.
 
Source: Health Data Management [10/11/15]

Nuvolase


CODINGLINE CORNER
Query: Candida Antigen Injection for Warts
 
When doing a Candida antigen injection for warts, is the correct procedure code, CPT 95115 (professional services for allergen immunotherapy not including provision of allergenic extracts; single injection)? What would be the HCPCS code for the injectable? 
 
James Hatfield, DPM , Encinitas, CA
 
Response: The real answer starts with a question: Aren't you destroying a wart? CPT 17110 is defined as "destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions." Aren't you destroying this using chemosurgery? 
 
I do not recommend CPT 95115 (professional services for allergen immunotherapy not including provision of allergenic extracts; single injection). There is no "J" code for this to bill. 
 
David J. Freedman, DPM, CPC, Silver Spring, MD 

realm


QUERIES (EMR)
Query: Help Simplifying Registering New Patients
From:  Ken Meisler, DPM
 
I'm wondering if anyone has suggestions for solving an issue we have in our office about entering new patient information into our EMR program. 
 
Our office sees many new patients a day. We tried to get patients to download the new patient information sheet from our website, fill it out and fax the information a day or two before the visit so all of the information could be entered in the computer before they arrived. Many patients preferred to fill the form out when they...
 
Editor's note: Dr. Meisler's extended-length note can be read here
earthwalk

QUERIES (MEDICAL-LEGAL)
Query: Associate Billing Under Owner's Tax ID
 
I wonder how prevalent the following problem is, and how others are dealing with it. I'm taking in a new associate, who will likely purchase my practice. In trying to get him contracted with the plans in which I'm a participating provider, we're informed that at least one of the panels is closed to new providers. I'm a solo practitioner, but do my billing and send claims to managed care under my own individual Tax ID number.
 
I'm told that one solution would be to have him bill under my Tax ID number, even though it's an individual, not a group Tax ID. I've got some concerns about doing that, and it may also only be a temporary solution. If and when I turn the practice over to him and possibly retire, my Tax ID will evaporate, and he'll be on his own trying to get on panels that are closed.
 
Name Withheld

DPM-Preferred


RESPONSES/COMMENTS (NEWS STORIES)
From: Brian W. Fullem, DPM
 
The advice provided in the Buffalo News by Dr. Ioli is incomplete at best. Rest, stretching, and ice are options that only help the symptoms. The medical evidence shows that eccentric strengthening exercises and extracorporeal shock wave therapy are two of the most beneficial treatments for Achilles tendonosis. Degeneration of the tendon is the main pathology in most tendon disorders.  
 
Immobilization is one of the worst treatments and should be reserved for those cases that are resistant to treatment. Keep in mind that when an area is immobilized, there will be an associated atrophy of those structures that must be addressed following the immobilization. Strengthening the hip abductors and core musculature will also have a great impact on improving Achilles tendonosis. Iontophoresis is a modality that may help with symptoms, but is lacking in medical-based evidence. 
 
Brian W. Fullem, DPM, Clearwater, FL 

Dr. Remedy


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day 

Perfect for a mermaid?

Source: Nguyen Ngoc Thanh via Virtual Shoe Museum

MEETING NOTICES

Image Map

ACFAS


aafas8


Novastep


schuster


CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION – NEW YORK CITY
 
Highly ethical and motivated practitioner sought. Experienced, assertive, podiatric surgeon wanted. All aspects of forefoot, rearfoot, and ankle surgery. Board qualified or certified.please send C.V. to bunioncenter135@yahoo.com
 
ASSOCIATE POSITION - BRITISH COLUMBIA, CANADA
 
Have you ever dreamed of owning a practice where you can see 0-50 patients daily, average 100 new patients monthly, have zero accounts receivable, gross $440K per year, live in a beautiful community with skiing, hiking, fishing and boating on your doorstep?  Contact pistone@telus.net or call 250-754-4192.
 
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 POSITION – SAN FRANCISCO 
 
San Francisco podiatry office is seeking an associate, immediate opening, partner or buyout opportunity. You should have excellent communication skills and bedside manners. Chinese or Russian speaking is a plus. The practice is open four days a week and can expand. Excellent for energetic provider. Email: mcbucb@hotmail.com
 
ASSOCIATE POSITION - SOUTHERN MICHIGAN 
 
Associate wanted for rapidly growing 5 physician practice. Salary plus incentive. Great opportunity and partnership potential for right person. Have an opportunity in controlling your own destiny….which you will not have working for a hospital or multi-specialty group. Send CV and contact information to: PaulaPMAC@me.com
 
ASSOCIATE POSITION – VIRGINIA 
 
Associate position, two location practice, modern facilities with EHR, US, Digital X-rays, Dermatologic and MLS lasers. ED call, sports medicine, wound care, reconstructive surgery, and general podiatry. Competitive salary with benefits. To apply forward a letter of interest and CV to: www.practiceva505@gmail.com
 
ASSOCIATE POSITION - WESTERN PHILADELPHIA SUBURBS
 
Wanted: One well-rounded, PMSR36 with RRA trained podiatrist to join “our family”. Your Benefit:  A growing  practice and exposure for treatment of ALL aspects of podiatry. Special Attraction:  Our Associates actually become partners!  You could be next! Please send an email with a cover letter and CV to: Teegee46@gmail.com
 
ASSOCIATE POSITION - CHICAGO AND SUBURBS - HOUSECALLS 3 DAYS A WEEK 
 
We provide logistical support, malpractice, and mileage allowance; another half day at the office is possible if interested; physician will make $140-150k; salary plus bonus structure ; benefits are available. Schedule can be tailored to your need. If you are interested to fill out your schedule, contactchipod12@yahoo.com
 
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY 
 
Available immediately in a busy high visibility office with digital x-ray, diabetic shoe store, and 5 years experience in EMR.  Good patient volume and potential for partnership or purchase.  Contactsamuel10530@yahoo.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 - TEXAS
 
Suburban North Dallas. Exceptional opportunity for the right individual with superb personal,  clinical and surgical skills. Seeking well trained (PSR 24+), ethical, hard working, motivated individual to join our group practice of 3 podiatrists. Full scope of podiatry including office, hospital and surgery center work. Partnership opportunity for the right individual. Well rounded practice with competitive salary/benefits package. Please send letter of intent, CV and current photo to dpmopening@gmail.com
 
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.
 
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
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
 
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.
 
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.
 
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.
  • Notes must be in the following form:
    RE: (Topic)
    From: (your name, DPM)
    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
    Your name, DPM City/State
  • 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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