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| PM News | |
The Voice of Podiatrists
Serving Over 17,253 Subscribers Daily
November 11, 2015 #5,521  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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Thank You Veterans |
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| PM NEWS QUICK POLL |
Quick Poll
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If there were a one-day physician strike, would you participate? |
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| PODIATRISTS AND DIABETES | |
WI Podiatrist Part of Team That Saved Diabetic's Leg
A 10-month process saved Joe Kasuboski's right leg from amputation thanks to care Joe received last year at the newly-launched Agnesian Wound Care services in Fond du Lac. His most recent battle against diabetes was centered on the fight to save his right leg. It all began in June 2014 with the appearance of a sore on his little toe. Joe's primary care physician, Richard Gauthier, MD, a family medicine physician who saw Joe through the entire process, sent him to Jonathan Stroebel, DPM, a podiatrist (foot and ankle specialist) with Agnesian Wound Care.
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Dr. Jonathan Stroebel |
"Gangrene had set into the wound by his toes," his wife Barb says. "Things weren't looking good."As a result, all the toes on Joe's right foot were surgically removed by Dr. Stroebel. Joe received healing hyperbaric oxygen treatments five days a week for 10 weeks. In addition to the hyperbaric oxygen treatments, a wound vac (suction device) was attached to Joe's open sore during his months of treatment.
Source: Fond du Lac Reporter [11/9/15]
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| PODIATRISTS AND SPORTS MEDICINE | |
Wearable Technology Can Help Monitor Injuries: FL Podiatrist
Robert Duggan, DPM notes that, while wearable tech started with the very healthy — like his son, a swimmer at Stanford University whose entire workout is tracked by wearable devices — the opportunity it presents for treating the ill is exciting. In his office, wearable technology is a common component of his patients’ treatment plans. The Orlando-based foot and ankle surgeon finds step counters particularly useful in pressuring his patient athletes to cut back on their activity levels when dealing with an injury.
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Dr. Robert Duggan |
“A lot of them do have the wearable technology, because a lot of them are tracking their performance and their level of intensity of exercise,” Duggan says. “So I’m actually able to dial down their level of activity so that we decrease the number of foot strikes on the ground, or we decrease the intensity to allow the body to kind of catch up with the injury.”
Source: Report on Patient Privacy [November 2015]
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| MEDICARE NEWS | |
Medicare Extends Deadline to Appeal Two Penalties
The Centers for Medicare & Medicaid Services (CMS) has extended the deadlines for physicians and group practices facing two different Medicare penalties in 2016 to request an informal review if they believe the government made a mistake. The penalties, which whittle down reimbursement, are levied under Medicare's Physician Quality Reporting System (PQRS) and the Value Based Payment Modifier (VBM) program. The original deadline for an informal review of both penalties had been November 9. Now it is November 23.
In PQRS, Medicare penalizes physicians for unsatisfactory reporting of clinical quality data. The penalty in 2016, based on performance in 2014, will lower fee-for-service payments by 2%. Physicians, medical groups, and accountable care organizations can learn if they are due for a pay cut by obtaining a PQRS feedback report for 2014. The CMS website explains how to obtain the report. Requests for an informal review can only be made online through the Quality Reporting Communication Support Page of CMS. CMS promises a decision, which is final, within 90 days.
Source: Robert Lowes, Medscape News [11/6/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
Five Hiring Tips for Medical Practice Managers- Part 3
• Team effort. When it comes to hiring right, input is the key. Managers should never try to go it alone, says Bo Snyder, a practice management consultant in Kalamazoo, MI. "Peer interviewing is very effective," he says. "Get your best team players and your most patient service-focused employees to interview all of your candidates. They will help you guard the gates." The act of soliciting their input, says Snyder, has the added benefit of boosting morale. "It's an honor and a perk to be asked to sit on that team," he says.
Source: Adapted from Shelly K. Schwartz, Physicians Practice [11/3/15]
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| CODINGLINE CORNER | |
Query: ICD-10 Diabetic Codes and Nail Care
Previously, I used ICD-9 250.60 (Type II diabetes with neurological manifestations) and ICD-9 357.2 (polyneuropathy in diabetes) to qualify my diabetic patients for nail care. With ICD-10, it appears that E11.42 (Type 2 diabetes mellitus with diabetic polyneuropathy) is the most specific, and therefore the only required code. My software converts ICD-9 250.60 to E11.40 which appears to be an unspecified code. Any thoughts as to whether both E11.42 and E11.40 need to be used, or whether E11.42 is sufficient?
Roger Friedman, DPM, Elyria, OH
Response: E11.42 is to be used because it's the most specific code; I would not use E11.40 since it's the "unspecified" code.
Joseph Borreggine, DPM, Charleston, IL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
RE: Compliance or Ridiculous? (Hugh Gorey, DPM)
From: Stephen Musser, DPM, Brian Kiel, DPM
It sounds like the representative was 'over the top', but rules are rules and possibly she may be putting her position on the line if it was revealed that an attendee actually did not attend. Hindsight is 20/20, but the resident, realizing the presentation was over, should have asked if it would be all right to order a meal on the company's tab.
Stephen Musser, DPM, Cleveland, OH
The entire incident shows a lack of respect by the representative of the company involved. There was no reason to act like this and embarrass the resident. I would never allow that representative to call on me or use their products until a complete and public apology was made by the individual and the company. We do have some control... our pocketbooks.
Brian Kiel, DPM, Memphis, TN
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
RE: Compliance or Ridiculous? (Hugh Gorey, DPM)
From: Jeffrey Kass, DPM
Dr. Gorey - the point of my story was to reveal the behavior of the compliance officer. The "whole room" was not aware of the incident as there was a lot going on. The resident himself may have offered to pay for the meal, I was not privy to the entire dialogue between the two, but the maitre'd stated the meal was on the house, and the four podiatrists seated at my table all offered to pick up the tab. But, thanks for your "vote" of confidence in your colleagues.
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (PM NEWS QUICK POLL) - PART 1A | |
From: William Deutsch, DPM
American physicians should regard the happenings in Great Britain as junior doctors ballot for a strike to oppose unsafe working conditions in hospitals. Long hours, reduced overtime, a paltry pay raise has the junior doctor's (residents) Union ready to vote. They have the full support of the BMA. They're not talking about a one-day strike which would go unnoticed. The advantage they have is their strike is against the government which salaries NHS doctors.
Who is the one-day strike in America directed against? The only effective response American physicians can offer is non-participation in all insurance plans, and not just for a day. An insurance company that has no participating physicians is out of business. PPACA reform began and ended with insurers. The fallout from PPACA on the landscape of healthcare wasn't accidental.
EMR and MU are the government's 'common core' response to physician-administered healthcare. They are administrative burdens which only help bean counters, while leaving doctors to drown in a sea of confusion. Like the good lemmings we are, we march dutifully to our own demise.
William Deutsch, DPM, Valley Stream, NY
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| RESPONSES/COMMENTS (PM NEWS QUICK POLL) - PART 1B | |
From: Paul Sommer, DPM
A one-day strike wouuld be highly unlikely and not legal. Another angle would a cash only day.
Paul Sommer, DPM, Valparaiso, IN
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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| Perfect for a cruise? |
Source: Joyce de Gruiter viaVirtual 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 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $195
(Only $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 2- ASSOCIATE POSITIONS AND FELLOWSHIPS |
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
ASSOCIATE POSITION – TAMPA, FLORIDA
Newly available position to join a well established multi-office group practice in the beautiful Tampa Bay area starting July 2016. Our practice has 12 locations and is rapidly growing. We are seeking a highly motivated, ethical, outgoing surgically trained associate for this excellent opportunity. Candidate will require Florida licensure and prefer ABFAS certified or eligible/qualified. Competitive salary, excellent benefits, bonus structure with partnership opportunity. Please email CV: Kristin.pontious@ankleandfootcenter.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 JERSEY
Seeking energetic podiatrist. Must speak Spanish. You must be trained in all aspects of Podiatric Surgery including forefoot and rearfoot surgery. Be willing to follow and learn proven systems for practice success. Competitive remuneration package. Position available for Summer 2016. If you meet all these qualifications, please apply with CV attached. njpod2013-1@yahoo.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 – SOUTHERN CALIFORNIA
Full-time associate leading to partnership. Immediate position available. Busy office with multiple locations. Full scope practice. Three year residency preferred. Board qualified/certified. Benefits included. Inland Empire. Please forward resume to familyfootcenter@verizon.net
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 – 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.
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
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- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - SOUTHEAST FLORIDA
Busy well established successful turn-key Podiatry practice for sale. Active adult community. Professionally designed and decorated. Office is immaculate. Good yearly gross with many new patients. Medicare and cash patients. No managed care. Owner willing to stay for transition. Excellent well trained staff. Click on this link to view website.
PRACTICE FOR SALE - LOUISIANA
Metairie Louisiana. Well-rounded New Orleans area practice. established twenty-five years. Doctor looking to retire. Self-contained 2900 sq. ft. building. Equipped for in-office surgery. Genesis-plus laser. Four treatment rooms. Ideal for main or expansion office. On all insurance plans. Purchase equipment and lease or buy facility. website: www.footnola.com email: footnola1@aol.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
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 – 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
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.
PRACTICES WANTED - HOUSTON AREA
Expanding current practice and looking to buy podiatry practices within 1 hour driving radius of Houston. Prefer selling physician to stay with practice for at least 12 months but more is better. If interested please email faajobs@gmail.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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