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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,262 Subscribers Daily
November 02, 2015 #5,513  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
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| PM NEWS QUICK POLL RESULTS |
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Results of Last Week's Poll |
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| PM NEWS QUICK POLL |
Quick Poll
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In the past year, how has your use of generic vs. proprietary drugs changed? |
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| PODIATRISTS AND THE LAW | |
FL Podiatrist Faces Drug Charges for Huffing While Driving
St. Johns County deputies said a local doctor crashed his car Thursday night while allegedly huffing (inhaling a chemical substance) and driving for the third time this week.The third crash happened near U.S. 1 and International Golf Parkway just hours after Dr. James S. Militello was released from jail for driving under the influence in another crash. Deputies were working late Thursday night to get an arrest warrant for Militello. After Thursday night’s crash, Militello was found outside his car. Deputies said was it was a single car crash and the 61-year-old was huffing a can of electronics cleaner. Investigators said he threw the can into the woods to hide it, but deputies quickly found it.
Source: Cole Heath, WFOX-TV [10/29/15]
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| ICD-10 UPDATE | |
CMS Issues ICD-10 Progress Report
For the first time since the ICD-10 compliance deadline went into effect Oct. 1, the Centers for Medicare and Medicaid Services on Thursday released data indicating that the code transition is going smoothly for those providers that have submitted claims to CMS. The agency made public metrics detailing Medicare fee-for-service claims from Oct. 1-27. Over the nearly four-week period, CMS reported that 2 percent of total claims submitted were rejected due to incomplete or invalid information—the same rejection rate according to the historical baseline.
In addition, CMS revealed that 0.09 percent of total claims submitted during that timeframe were rejected due to invalid ICD-10 codes, compared to 0.17 percent of total claims rejected based on CMS end-to-end ICD-10 testing conducted last year. The agency also disclosed that 0.11 percent of total claims submitted were rejected due to invalid ICD-9 codes versus 0.17 percent of total claims rejected based on end-to-end testing.
Source: Greg Slabodkin, Health Data Management [10/30/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
Nine Ways to Reward Your Medical Practice Staff - Part 5
"Allowing flexibility for staff to spend time with their kids is key in my practice. We always have Friday afternoons off. [And], for example, my medical assistant is going to a soccer tournament at Disney with her kids for a week. She can come back depending on when the tournament is over, and doesn't have to give me an exact date now. Another employee will cross cover. We all wear many hats in a small practice." - Dr. Allison Blazek
Source: JoAnna Haugen, Physicans Practice [9/17/15]
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| QUERIES (CLINICAL) | |
Query: Acrosyringeal Metaplasia (Acrosyringeal Nevus)
My patient is a 36 year-old, bed-confined female with advanced multiple sclerosis. The lesion covers a significant area of the plantar surface of her right foot and has been present for more than one year. Serum exudates ooze from the lesion creating a crust. The crust was removed and three punch biopsies were obtained. The pathology report states: Acrosyringeal metaplasia (acrosyringeal nevus). No microscopic images were included.
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Acrosyringeal Metaplasia (Acrosyringeal nevus) |
The literature on this diagnosis is sparse at best. How would one treat this, keeping in mind that the patient is unable to leave her residence except by medical transport?
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Harry Edward Confer, DPM
Dr. Harry E. Confer, 68, peacefully left this Earth on Saturday, Oct. 24, 2015, in the comfort of his home in Irvine, Calif., after a courageous battle with leukemia. Harry pursued his doctorate degree in podiatry from the Ohio College of Podiatric Medicine.
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Dr. Harry Confer |
Upon graduation in 1977, he moved to Southern California, where he set up several private offices, passionately practicing until June of this year. Harry will be remembered fondly as a compassionate doctor, loving husband, proud father, caring brother, and selfless individual as he was all this and more.
Source: New Castle News [10/29/15]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: J. Harry Courniotes, ll, DPM, Ira Baum, DPM
Do a 1st MPJ fusion with a possible bone graft to maintain the ray length.
J. Harry Courniotes, ll, DPM, Springfield, MA
Remove the screw, re-establish the length of the 1st metatarsal, and fuse the joint. If you cannot re-establish length, take a bone graft from the dorsum of the calcaneus as an interposition graft. Take freeze dried bone and place it in the graft donor site.
Ira Baum, DPM, Miami, FL
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Stephen Musser, DPM
Tell the patient her correction will be performed in 2 stages:
1. A distal metatarsal osteotomy to attempt to bring the head over in a more rectus postion. You may have to resect the bone graft to obtain the maximal result.
2. After surgery #1 is healed, I would fuse the first MTP.
Stephen Musser, DPM, Cleveland, OH
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1 | |
From: Paul Kesselman, DPM
This does indeed seem absurd, especially if they are paying you for the taking and interpretation of the original x-ray. You should check with your provider representative.
Here's another slant on this: The radiologist who takes the x-ray has minimal if any clinical information on this patient. If based on your studies, will the carrier pay the radiologist for reading your studies when they've already paid you? How can the radiologist be the watchdog or...
Editor's note: Dr. Kesselman's extended-length letter can be read here.
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 2 | |
From: Bradley Bakotic, DPM, DO
Recently, I sent a letter to our clients regarding a Novitas Local Coverage Determinant affecting the States of NJ, PA, MD. DC, DE, TX, CO, OK, AR, LA, and MS. Because there was some confusion regarding the missive, today I sent out an additional letter to clarify, and to provide the most current LCD number (the previous LCD was recently retired to accommodate for ICD10; however, the content was otherwise unchanged). The updated LCD number is #L35013.
Regarding the LCD contents, podiatric clinicians in Novitas jurisdictions should be aware that no lab testing is required prior to debridement (11720 / 11721) while patients are being treated for fungal nail infections, as long as the features of onychomycosis are present. Testing is only required when patients are not candidates for treatment, when treatment is unsuccessful (thereby requiring continued post-therapy debridements), or when debridements will be frequent and occur over a long duration (12 in a 24 month period).
A final point that should be made is that this LCD currently does not affect jurisdictions outside of the above listed states. Over the next year, however, it is exceedingly likely that it will be adopted by the other Medicare administrators. For this reason, physicians should check with their state’s administrator routinely.
Bradley Bakotic, DPM, DO, Alpharetta, GA
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WEBINARS
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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High Scream Heels? |
Source: Submitted by Dr. Joseph Borreggine
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE WANTED – WESTERN PA
Seeking an associate with partnership availability. Must be highly motivated and have good patient skills and personality. Established practice with all aspects of foot and ankle surgery, wound care and medicine. Competitive salary, benefits/incentives, bonus structure and partnership. Please send CV/resume to papodiatry@outlook.com
PODIATRIST WANTED - NORTHERN NEW JERSEY
Looking for a podiatrist who is either in the process of or is Board certified by ABPS. Must participate with all Blue Cross Blue Shield plans including Horizon NJ health. Amerigroup, Americhoice, Wellcare and Republic a plus. Must be energetic and able to handle large volume. Spanish speaking a plus but not required. Excellent forefoot and rearfoot training. Salary negotiable. Retirement, health and malpractice. laoshih5@gmail.com
POSITIONS AVAILABLE - FULL TIME/ PART TIME IN MISSOURI AND OKLAHOMA
Opportunities are available to serve residents of long-term care facilities in central Missouri and in Oklahoma. High earning potential with competitive benefits as part of a 40 year old ethical company for the right candidates. Contact ckestner@preferredpodiatry for additional information
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 - 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
IMMEDIATE PART TIME ASSOCIATE OPPORTUNITY - CHICAGO
Multi-location group - Opening for ABFAS Board Certified associate for Chicago. Large surgical/ortho patient load. Must hit the door running! EMR, digital x-ray, laser, ultrasound, surgery center & amazing support staff. Benefits available, Full-time available for the right doc. Send CV to chicagopodwork@gmail.com
IMMEDIATE ASSOCIATE POSITION - INDIANAPOLIS, INDIANA
Available in busy three office practice Leading to Partnership. Position available for graduate in 2016. Two locations in Indianapolis and 1 location outside of Metro area Competitive salary and benefit package including 401, profit sharing, Health insurance. Surgery Center Ownership Available If interested forward letter and resume to Imalament1@comcast.net
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 – LONG ISLAND, NY
Seeking Full Time Podiatrist for two upscale practices located at the Americana Manhasset and Huntington. Excellent work environment 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. Email phendizadeh@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, contact chipod12@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. Contact samuel10530@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
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.
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| CLASSIFIED ADS PART 1- PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - NEW JERSEY
Eestablished practice in Mercer County. Average volume 130 patients / week with room for growth. Annual gross revenue of practice approaches $500K. Well trained staff. Current doctor willing to stay to ensure smooth transition. drkillian_103@optonline.net
PRACTICE FOR SALE – BONITA SPRINGS, FLORIDA
15 year old well established satellite podiatry practice for sale immediately. Well-equipped treatment rooms, digital x-ray. Located in busy multispecialty medical building with very busy Urgent Care Clinic, Outpatient Surgical Center, pharmacy, CT and MRI imaging center. Email bonitaspringspodiatry4sale@gmail.com
PRACTICE FOR SALE - 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.
PRACTICE FOR SALE - KANSAS CITY METRO CITY
Well established, successful practice in prime Kansas community. Full array adult, pediatric services. RFC less than 10 percent. Strong commercial mix. High level of patient, physician referrals. TRAKNET EHR. Equipment purchased- no leasing. Owner would assist buyer in transition. Contact Mike Crosby @ MCrosby518@gmail.com
PRACTICE FOR SALE – CENTRAL NEW JERSEY
Perfect opportunity to purchase a practice in an ideal location. Office is located in a busy town center shopping and dining complex. Modern and fully equipped office in a building with other medical professionals. Easily accessible to major roadways and highways with visible signage at busy intersection. Excellent potential for increased revenue in a great town to own a practice. Owner financing may be available to qualified buyer. Serious inquiries only to healthnet708@gmail.com
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 tbrzezicki@extremityhealthcare.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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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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