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| PM News | |
The Voice of Podiatrists
Serving Over 15,766 Podiatrists Daily
November 06, 2013 #4,908  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
written permission of Barry Block
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| STATE PODIATRY NEWS | |
AR Podiatrist Appointed to State Podiatry Board
Gov. Mike Beebe has announced the following appointments to boards and commissions: Alex Dellinger, DPM of Little Rock to the Arkansas Board of Podiatric Medicine. His appointment expires Sept. 1, 2016. Dr. Delinger replaces Kent Magrini, DPM.
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Dr. Alex Dellinger |
Dr. Dellinger graduated from the Ohio College of Podiatric Medicine and completed a 24-month surgical residency with emphasis in comprehensive foot and ankle surgery as well as diabetic limb salvage. He is board certified by the American Board of Podiatric Surgery, and is also a Certified Wound Specialist by the American Academy of Wound Management.
Source: Arkansas Business [10/31/13]
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| PM NEWS QUICK POLL | |
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| APMA STATE COMPONENT NEWS | |
PA Podiatrist to Become 81st PPMA President
Joseph C. Smith, DPM, will be elected the new President of the Pennsylvania Podiatric Medical Association (PPMA) on Saturday, November 9, 2013, during its House of Delegates Banquet at the Radisson Hotel Valley Forge, King of Prussia, PA. Dr. Smith’s inaugural makes him the 81st president of the Association, which was started in 1909.
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Dr. Joseph C. Smith |
Dr. Smith is part of a six-doctor team at Berks Foot & Ankle Surgical Associates, Inc., Reading, PA. He graduated in 1990 with a BS degree from Wilkes University and served overseas with the 402nd MP POW Camp during the first Persian Gulf War. Dr. Smith received his DPM degree in 1994 from Temple University School of Podiatric Medicine.
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| PODIATRISTS IN THE COMMUNITY | |
Two Nevada Podiatrists Named "Medical Marvels" by Business Magazine
The 2013 Medical Marvels list is a compilation of polling wherein all of Nevada’s communities were encouraged to nominate their doctors for the exceptional work they do. The polling was ranked and weighted towards doctors. If a doctor nominated another doctor, that vote would receive three points. All other votes received one point.
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(L-R) Drs. Timothy Mooney and Gary Chambers |
Of the 140 doctors selected, two are podiatrists: Timothy Mooney, DPM of the Northern Nevada Medical Group and Gary Chambers, DPM of Southwest Medical Associates.
Source: Nevada Business [11/1/13]
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| ON THE LECTURE CIRCIT | |
IL Podiatrist Lectures on How to Gain Access to ACOs
This past weekend, Sev Hrywnak MD, DPM spoke at the meeting of the Surgical Center Society of Illinois in Chicago. The weekend’s seminars were organized to give insight on which specialists would be allowed access to the accountable care organizations (ACOs) and surgical centers. Dr. Hrywnak presented two subject matters in his lectures: “Why PASA and DASA do not equal profit” and “Metrics for DPMs to Gain Entry into ACOs.”
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Dr. Sev Hrywnak |
“Insurance carriers will be looking at the metrics for all specialists. Surgical centers as well as hospitals will decide if your procedure is not only beneficial but also cost-effective. The days of plates and expensive screws will be a thing of the past,” stated Hrywnak.
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| QUERIES (CLINICAL) | |
Query: Asymptomatic In-toe Gait in 2 ½ Year Old
My patient is a 2 1/2 year old healthy male who presented with a chief complaint of in-toe gait that the pediatrician has observed since early on and said will self-correct. Family history includes that an aunt was born with a "clubfoot" that was treated with castings and bracing. The patient has no history of excessive tripping or falling. The concern is purely the cosmetic shape of the foot and the in-toe gait. Hip and knee ROM is unrestricted and normal.The tibia is in mild varum. He has normal malleolar torsion for his age. There is plenty of ankle dorsiflexion with knees flexed and extended (30 degrees), and no restriction of plantarflexion at the ankle.
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Asymptomatic In-toe Gait in 2 ½ Year Old |
The patient is neurologically normal, including DTR and other pediatric tests. In gait, his heels are mildly everted (3-5 degrees). All or most of the in-toe gait is coming from the forefoot, which is very much adducted. In gait, there is obvious metatarsus adductus with the toes also adducted. When he walks, he continues to flex the hallux(es) long past midstance and into propulsion. The metatarsus adductus is semi-rigid on the left foot and I can (with pressure in the transverse plane) reduce the foot to a straight lateral border. However, the right foot is much more rigid and not-fully reducible at all. How would you proceed?
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| QUERIES (EMR) | |
Query: NueMD or CollaborateMD Billing Boftware
Any opinions about NueMD or CollaborateMD billing software? How is there support in the long run?
Cynthia Kurtz, DPM, Fort Worth, TX
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| CODINGLINE CORNER | |
Query: E/M and Fracture Care Coding
When are you allowed to bill an E/M service along with a fracture care code, for an established patient?
Darryl Martins, DPM, Jackson, MI
Response: It depends. When you see the patient (new or established) for the first time for the fracture, then an E/M more than likely is payable. If you bill the fracture care codes, then you need to append the E/M service code with a "-57" (decision for surgery) modifier in order to have the evaluation and management paid.
After that encounter, subsequent E/M services performed in the global period pertaining to the fracture care would be included in the global allowance. If you decide to bill a la carte and not use the fracture care codes, then the E/M is payable per medical necessity.
Tony Poggio, DPM, Alameda, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Andrew Levy, DPM, John F. Swaim, DPM
I suggest a small volume nerve block proximal to the incision. If and when you find the pain is blocked, you have a diagnosis of nerve entrapment. Dr. Robert Parker has talked about this, discussing various nerve entrapments. Then the treatment of nerve exploration and release would be the recommended course. If there is no relief from the block, then nerve entrapment is not the working diagnosis.
I've had this occur in a patient only to discover later that the patient was wearing a slip-on sandal while at home with a strap that crossed the hallux. When the MTPJ dorsiflexed, pressure was applied to the EHL tendon, creating a repetitive irritation. The footgear didn't cause pain when she walked, but the cumulative result did so. She stopped wearing the sandal, and the pain was gone in a few days. Physical therapy to break up deep scar tissue would be a reasonable next step as well. I assume there's no irritation from the hardware.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Kevin K. Lam, DPM, Simon Young, DPM
I have encountered a few of these and treated them successfully. Assuming negative tissue culture:
1) Debridement of necrotic Achilles tendon, then wound VAC to get granulation tissue for two weeks. 2) Then apply amniotic graft sheet (no chorion) after second debridement.
The goal is to get the necrotic Achilles down to glistening healthy tendon each debridement.
Increasing the circulation to the posterior heel is difficult to achieve. The revascularization might have been insufficient. Obtain a second opinion from a vascular surgeon. If the wound is necrotic, GraftJacket won't help. Consider collagenase first.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Susan Bartos
Earthwalk offers self-adhesive posting strips in 3 or 5 degree skives. They are 14” long and made from an elasticized rubber, allowing for a compression-resistant composite material with a little bounce-back and recovery. They are an inexpensive, no-glue method for adding a rearfoot post, forefoot tip post, or lateral wedge to an OTC. You can also inquire with your orthotic lab or your OTC supplier to see if they offer these strips.
The length of each strip and their pricing vary among suppliers, so be sure to make a price comparison. These posting strips can also be used on a prescription orthotic that is not providing enough control for the patient. Keep in mind that this does not replace a more permanent solution to an under-posted orthotic, but is a temporary fix. Once the correct amount of temporary posting has been established, the orthotics should be returned to the lab for a permanent correction.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
From: Pearl Herman
All Data Health is one of the largest medical billing companies. It is located in Brooklyn, NY. All Data has special units designated to the many specialties it services. All Data has a designated team devoted to podiatry billing services. Distance should not be taken into account as arrangements can be made. For any questions, feel free to contact me via e-mail.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Peter Bregman, DPM
Someone needs to contact the Dr. Oz show and let them know that they misrepresented bunion surgery. I have performed well over 1,000 bunion surgeries. Patients walk in days without a boot, and 80% never take pain meds after surgery. I have seen a show where Oprah was on previously, and Dr. Oz told his audience the only reason to have bunion surgery is pain. This is not always true. I would be happy to lead this fight.
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MEETING NOTICES - PART 2
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
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Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
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| CLASSIFIED ADS |
PRACTICE FOR SALE – SOUTHWEST QUEENS, NEW YORK
Busy, well established , fully equipped , newly redecorated office in good neighborhood. Grossing approximately $500k. Doctor relocating, but will stay on through July. Contact dfoot35@gmail.com
PRACTICE FOR SALE - TAMPA BAY
Florida licensed young podiatrist or just someone who wants to get out of the cold. 39 year solo practice. Looking to retire or drastically reduce hours. Unusually low investment. Biomechanics, wound care, routine care and the potential for full surgical practice. It is what you will make of it. Footdoc@verizon.net
PRACTICE FOR SALE - NASSAU COUNTY, NEW YORK
60 year old practice currently operating only 16 hours per week. Plenty of room for growth. Stable lease. Grossing 100k priced for quick sale at 65k. Three complete treatment rooms plus O.R. staff in place. Turn-key operation. Respond to footman007@aol.com
PRACTICE FOR SALE - DEBARY, FL (SOUTH OF DAYTONA BEACH AND NORTH OF ORLANDO)
PRACTICE FOR SALE - CONNECTICUT
Well-established, 35-year-old reputable practice/condo with approx 2,500 Square ft. Grossing approximately $450,000. Outside Hartford area. All phases of podiatry. Contact drsch52@hotmail.com
EQUIPMENT FOR SALE - 10 WATT LASER
10 watt laser. Hardly ever used 9K Still under warranty. E mail Dr. Zuckerman at: footcare@comcast.net. for questions and pricing .
ASSOCIATE POSITION - ST. LOUIS
Group practice seeking motivated DPM with initiative & leadership skills. Must have the ability to lead your own clinic. Group is fully automated, utilizes EMR, digital x-ray, etc. Base salary starts at $125k, with incentives to grow income to $200k+, includes malpractice coverage, health insurance, 401k. Please send CV to stlpodgroup@gmail.com.
ASSOCIATE POSITION - CT (GREENWICH, FAIRFIELD AND NORTH HAVEN)
Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to: Dr.Kassaris@yahoo.com
ASSOCIATE POSITION – BROOKLYN
Podiatrist needed for busy Brooklyn practice. Must be at least Board Qualified. Surgical background, personable and able to travel to different offices in Brooklyn. Part-time to start, with the potential for full time and partnership. Please email CV to evangbreth@gmail.com or fax to 718-840-0653.
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
PART-TIME PODIATRIST WANTED - SUFFOLK COUNTY, NY
Approximately 25 hrs/per week Must be reliable and punctual. Must have excellent chair-side manner and be highly skilled in conservative care. Offering $50/per hour. No other benefits. bombbustr7@aol.com
HOME FOOT CARE, INC. - LOS ANGELES, CALIFORNIA
Looking for reliable, honest, and motivated podiatrists to join our group to assist with house calls to patient’s home residences, and some group facilities. Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles area. Part/Full time, flexible hours, independence, great compensation! If interested, please email resume to: homefootcare@hotmail.com
ASSOCIATE POSITION – DALLAS/FT WORTH, TX
Dynamic, busy practice in Dallas/Fort Worth area, seeking surgically trained, Board Certified/Board Qualified podiatrist, PSR-36 preferred. Excellent salary and benefits compensation package, for the right candidate, who is motivated to work hard. Contact/Send resume to: jmh6122@yahoo.com
ASSOCIATE POSITION - DAYTON, OHIO
Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR;diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon. Future Buy-in available. Please send CV to: Ohiomedical@aol.com
ASSOCIATE POSITION - PENNSYLVANIA
Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to: 123bunion@gmail.com
CENTRAL KENTUCKY - DIABETES MANAGEMENT FELLOWSHIP
Directed by Dr. Jonathan Moore of Cumberland Foot and Ankle Centers of Kentucky, this non-accredited, 1-year fellowship starts in July and offers a wide variety of training opportunities that focus on diabetes, but span a wide variety of pathologies and unique training opportunities. Work hands-on with our office administration team to learn ICD-10. Our on-staff certified orthotist, physical therapist, shoe store staff, MRI director and other team members will make this the most valuable training year of your career. Generous stipend, benefits, and free housing. Learn more at www.myhappyfoot.com (click the Fellowship Tab). Send CVs to jmoore@aappm.org.
RECONSTRUCTIVE FELLOWSHIP POSITION – SOUTHWEST, FL
R U a SuperStar? PM&S36 or PSR24. prerequisite. Hardworking w/o Ego. ABPS BC/BQ required RRA. 1 year Fellowship will entail Ring, Rods, complex reconstructive planning/procedures and practice management. Research projects and posters to present at yearly fellowship conference. Send CV, Tell why you are a superstar. mny1029@gmail.com
PM News Classified Ads Reach over 15,500 DPMs and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 15,500 DPMs. for details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $119 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: 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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