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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,462 Subscribers Daily
November 03, 2020 #6,802  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020- 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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When, if at all, do you plan to take the COVID-19 vaccine when it is available to you?
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| PODIATRISTS IN THE MEDIA | |
Many Foot Conditions are a Result of Tight Calves: TX Podiatrist
"200 million Americans will have a foot problem sometime during their lives," says Zach Barnett, DPM with Texas Foot and Ankle Associates. "This is because the foot, unlike the hand, is a weight-bearing structure. As you walk, you put a load on structures like ligaments and tendons, so you can have chronic type injuries based on foot position, or trauma like falls."
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Dr. Zach Barnett |
"Some of the most common things I see including Achilles injuries, plantar fasciitis, and foot pain are generated from a tight calf. That condition happens over time and because of the tightness, you start compensating by rotating the hip, and you wind up with bursitis of the knee and hip," says Dr. Barnett.
Source: The Jeff Crilley Show [10/31/20]
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| PODIATRISTS IN THE NEWS | |
NY Podiatrist Discusses Atherosclerosis and the Feet
Atherosclerosis is a condition that causes fatty deposits in your arteries and prevents adequate blood flow to your feet, causing poor circulation. When enough warm blood doesn't flow to your feet, it can cause cold feet.
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Dr. Danielle DesPrés |
"The arteries in your feet are the smallest, which means they are most likely to be affected first. When these arteries are blocked, you could experience cold and sometimes painful feet," says Danielle DesPrés, DPM, a Board certified foot and ankle surgeon and podiatrist in NYC on faculty at the New York College of Podiatric Medicine. According to Dr. DesPrés, risk factors for atherosclerosis include: Smoking, high blood pressure, high cholesterol, and old age.
Source: MSN Lifestyle [10/31/20]
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| PODIATRISTS AND SPORTS MEDICINE | |
NY Podiatrist Discusses Causes of Neuropathy in Runners
Your body can likely tell you how it’s feeling after your latest training run, sometimes signaling you need a day or two off before hitting speedwork hard again. But other times, your pain can signal a more serious issue, like a symptom of nerve damage. Nerve damage, sometimes referred to as neuropathy, can be caused by several things.
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Dr. Michael Trepal |
“Conditions which affect neurotransmission can include, among others: direct trauma, direct compression, poor fitting shoes or clothes, electrolyte imbalances, hormonal imbalances, medications, biomechanical deformities, and inherent nerve diseases,” says Michael J. Trepal, DPM, Vice President for Academic Affairs and Dean at the New York College of Podiatric Medicine.
Source: Emily Shiffer, Runner's World [10/31/20]
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
NY Podiatrist is the Man Behind the Musella Foundation
Al Musella, DPM is the man behind the Musella Foundation for Brain Tumor Research & Information, Inc. (a.k.a the Musella Foundation), a 501(c) 3 non-profit public charity dedicated to helping brain tumor patients through emotional and financial support, education, advocacy, and raising money for brain tumor research.
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Dr. Al Musella |
The Musella Foundation awards research grants, helps patients find the best treatment options, and offers co-payment assistance for the most commonly used brain tumor treatments. Perhaps even more importantly, the Musella Foundation is on the front lines of advocating for the brain tumor community to have new, improved, and affordable treatment options. Dr. Musella has helped author a bill that will accelerate the search for the cure of most serious diseases such as brain, pancreatic, ovarian, and other cancers as well as ALS, and will possibly even decrease the cost of new drugs for rare diseases.
Source: Wendy Santana, 2ndChance2Live [10/29/20]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
TN Podiatrist Comments on Mask Wearing and COVID-19
As the number of coronavirus cases in Scott County continues to rise, the local health department is urging residents to wear masks when in public places. In a message shared via social media on Tuesday, the health department stated “it is imperative we, as a community, take every precaution necessary to help slow the spread of COVID-19 in our community."
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Dr. Nate Brennan |
As Nate Brennan, DPM, an Oneida podiatrist, pointed out in a comment on the mayor’s post, however, “Those are the exact same ‘strongly encouraged’ recommendations that were advised six months ago. Maybe we need to try something a little different?”
Source: Independent Herald [10/21/20]
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| WOUND CARE NEWS | |
DMEMACs Coverage Policy to Include Payment for Alginate, Fiber Gelling Dressings
The Center for Medicare and Medicaid Services’ (CMS) Durable Equipment Medical Administrative Contractors (DMEMACs) updated its “Local Coverage Article: Surgical Dressings” to include payment for secondary, as well as primary, use of alginate and other fiber gelling dressings. Prior to the October 15, 2020 Policy Article Update (A54563), these products were only reimbursed when used as primary dressings - limiting healthcare providers’ discretion and choices in properly treating their wound patients.
By providing coverage and thus payment for these important wound care products, the updated policy now allows wound care clinicians further access to them to treat their patients. In addition, the DMEMACs’ coverage policies will now be in line with manufacturers’ existing instructions for use (IFUs), which specified that alginate and other fiber gelling dressings were intended for both primary and secondary use.
Source: Alliance of Wound Care Stakeholders [10/30/20]
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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 | |
Things to Consider When a Physician Goes Part-Time - Part 4
There are many factors to consider in coming up with an effective part-time/reduced modality policy that works with the physician practice. The following are some concepts to consider:
4. May more than one physician work under the policy at the same time?
If so, is there a limit on the number of physicians that may be in this status at any one time without creating strain for the practice?
Source: Ericka L. Adler, JD, Logan Lutton, Physicians Practice [10/27/20]
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| CODINGLINE CORNER |
Query: The Basics of L3260
I am reading conflicting information regarding the dispensing of a post-operative/cast shoe. Medicare never seems to pay for this but commercial carriers usually do. But I am reading that this shoe is NOT separately payable when it is dispensed in conjunction with a surgical procedure code. You cannot have the patient sign an ABN and charge the patient for the shoe. Please clarify the do’s and don’ts of using the L3260 HCPCS code.
Gerald Newman, DPM, Conyers, GA
Response: Your question is really about dispensing a post-op shoe; is it a separately billable expense always? My answer is that it depends on the circumstances. If you take the patient to an OR inpatient, outpatient, or ASC and the facility never provides the L3260 and you do afterwards, then you should be able to get reimbursed for that shoe. Next, Medicare will never cover L3260 as it is statutorily excluded, so no ABN is required (you can do one if you feel you must), and the patient pays for that surgical shoe on dispensing.
If you bring the surgical shoe to the operating room on the day of the surgery, the facility is technically supposed to pay for and dispense that device. However, in the spring of this year, I communicated the general DME question with my good friend and colleague Dr. Kesselman about dispensing in an ambulatory surgical center (ASC) when it comes to DMERC/Medicare. This was his response: “As long as they are only dispensing to their own patients, the physician may dispense from the ASC.” If you dispense from an ASC, make sure that patient understands they are going to pay for that L3260, and I would have them sign a proof of delivery at minimum.
David J. Freedman, DPM, CPC, Silver Spring, MD
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Martin M Pressman, DPM
I have posted this information before but apparently it needs more distribution. Compounded Solutions in Pharmacy in Monroe, CT makes 5ml ETOH for injection and charges $70 per vial.
Disclosure: I have no financial relationship with this compounding pharmacy other than purchasing products from them.
Martin M Pressman, DPM, Milford, CT
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| RESPONSES/COMMENTS (OBITUARIES) | |
From: John Parent, DPM
I’m so sorry to hear about the passing of Dr. Mark Fachada. Condolences to the Fachada family. I remember him as a very compassionate man who cared for his patients. He will be missed.
John Parent, DPM, Sandown, NH
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Ice cream treat for the feet? |
Source: Rhonda Voo via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $249 (less than $17 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FACULTY POSITION -- DES MOINES, IOWA
The College of Podiatric Medicine and Surgery (CPMS) at Des Moines University seeks applicants for a full-time faculty position that will participate in academic, clinical patient care, scholarly, and service activities within the College, University and community. Qualified candidates are invited to apply by submitting a CV and cover letter to www.dmu.edu/employment where detailed information about the position is available. Candidate review and interview scheduling will commence immediately.
POSITIONS AVAILABLE - NEW YORK CITY and LONG ISLAND, NY AND CONNECTICUT.
Looking for reliable and ethical podiatrists to service Assisted Living, Nursing Homes, and Skilled Nursing Facilities in Long Island and the 5 Boroughs of NY and in Connecticut. Send inquiries and CV to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION – NEW YORK CITY
Looking for podiatrist to work in skilled nursing facilities in the 5 boroughs full time or part time available. Please respond to Jayray822@aol.com
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS credentialed fellowship avail, must be BQ ACFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
POSITIONS AVAILABLE - BUFFALO AND SYRACUSE/UTICA, NY
Looking for reliable and ethical podiatrists to service Skilled Nursing Facilities and Nursing Homes in and around Buffalo and Syracuse/Utica. Positions available immediately. Send inquiries and CV to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION - NYC, NY
Opportunity available for new Associate/Graduate for Immediate start in modern practice located in NYC. In search of hard working flexible podiatrist with firm verifiable clinical and surgical experience who is willing to travel as needed. In PDF form, email a letter of interest and resume with references to nynypod7@aol.com for consideration. If both are not received, there will be no consideration. Compensation will be discussed.
ASSOCIATE POSITION – NEW JERSEY
Looking for a part-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com, should you have any further questions you may call Gerry 201-523-9489 ext 101.
ASSOCIATE POSITION- NEW YORK CITY
Need full-time associate starting ASAP for our group practice. Must be capable to do foot surgery and be competent in evaluating and treating patients in the office. Must be willing to travel to any one of our 5 locations within the Bronx, Brooklyn, and Manhattan. To inquire please email cv to contactus@starrettpodiatry.com
ASSOCIATE POSITION - LONG ISLAND
Advanced Podiatry Seeking Full Time DPM for upscale practices located in Suffolk county. 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.
FELLOWSHIP OPPORTUNITY IN SE GEORGIA
Fellowship Opportunity in SE Georgia with Fellowship Director Lee M. Hlad, DPM, FACFAS. In this one year fellowship you will expect to be exposed to deformity correction, trauma, Charcot reconstructions, orthoplastic reconstructions, total ankles, and external fixation. Schedule will be designed and tailored to the fellow but will be mostly surgical based with a private practice experience of in house billing, practice management, and fellows clinic. This is an exciting opportunity with a growing practice. For more information and application contact AnkleandFootFellowship@outlook.com. Applications are due in November and candidate will be chosen by December.
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 |
PRACTICE FOR SALE - NW NEW JERSEY
35 year old practice, all aspects of podiatry. Loyal patient following, large physician referral base. EHR, staff in place. Low overhead. Great potential for surgically oriented podiatrist. Will stay for transition if desired. 201-317-0758
PRACTICE FOR SALE - TUCSON, AZ
Established two doctor podiatry practice, Principal retiring, other physician contractor will stay. Three-year average $1.4MM gross, $322,682 owner net in a three-and-a-half-day week and with no product sales (yet). ~250 new patients per month. Principal will assist transition. Email peter@mcmil.com or call Peter at 860-912-0800.
EQUIPMENT FOR SALE- BOYD CHAIR, X-CEL X-RAY UNIT, LASER
X-cel p700 x-ray unit with orthoposer and 3 cassettes, red motorized Boyd surgery chair with foot screen, Cooper Medical CO2 laser. All in good working order. Each priced for immediate sale, individually or all together. Pick up in central Maryland. Send inquiry to spierfootmanager@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.
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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.
| | 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
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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