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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 16,669 Podiatrists Daily
November 12, 2014 #5,215  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- 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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Does your practice dispense nutritional supplements? |
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| AT THE COLLEGES | |
TUSPM Students Screen Special Olympic Athletes at Fall Festival
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(L-R) Dr. Howard Palamarchuk, Christina Bui, Jordan Long, Lateef Lawal, Raffaella Pascarella, Jim Dodds, CPed |
Temple University School of Podiatric Medicine TUSPM students took part in the Healthy Athletes Fit Feet screenings at the annual Fall Sports Festival at Villanova University. Participating were Howard J. Palamarchuk, DPM, Christina Bui, Jordan Long, Lateef Lawal, Raffaella Pascarella, Andrew Merkel, Matthew Waxman, and Jim Dodds, CPed from the Hanger Corporation.
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| PODIATRIC RESUIDENCY NEWS | |
CA Residents Volunteer at Diabetes Seminar
The Scripps Podiatric Surgical Residency team in San Diego, California volunteered at the Taking Control of Your Diabetes (TCOYD) seminar this past weekend. The seminar is in its 20th year, and its purpose is to heighten awareness of diabetes and provide tools for those affected to better manage it.
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(L-R) Drs. Derek Smith, Ben Cullen, Michael Crawford, Ryan Lee, Bruce Hutchinson, Alayna Puccinelli, and Troy Moghadam. |
Foot screenings were performed for approximately 100 Type 1 and Type 2 diabetic individuals. Participating were Drs. Derek Smith, Ben Cullen, Michael Crawford, Ryan Lee, Bruce Hutchinson, Alayna Puccinelli, Troy Moghadam, Pamela Hong, and Brittany Rice.
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| APMA COMPONENT NEWS | |
Bako Solutions to Sponsor National Park Day Event
The American College of Foot & Ankle Pediatrics (ACFAP) has announced that Bako Integrated Physician Solutions has agreed to provide an unrestricted educational grant in support of the 1st Annual ACFAP Podopediatric Seminar. Bako’s grant will be used in part to support a group outing to the Everglades National Park, a “National Park Day” that will become a tradition at each annual meeting. ACFAP President, Dr. Louis J. DeCaro, hopes that the event will not only provide attendees with a unique national park experience each year, but at the same time will create an “invigorating forum” for getting together and sharing podopediatric knowledge.
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ACFAP Podopediatrics Seminar |
The 1st Annual ACFAP Seminar will take place March 27-28, 2015. The CME event on Saturday, March 28th will take place at Barry University School of Podiatric Medicine and will feature leading authorities on pediatric foot and ankle conditions. It will cover topics ranging from pediatric flatfoot, equinus, sports medicine, surgery, pathology, and practice management.
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| APMA IN THE NEWS | |
Regular and Vigilant Foot Care Can Reduce Amputations: APMA President
A diabetes diagnosis can be daunting, but a simple attitude adjustment can make a world of difference in how well you fare while living with the disease. By proactively taking steps to monitor key health indicators, experts agree that it’s possible to prevent some of the most severe risks of diabetes, including lower limb amputation. “The CDC says the occurrence of diabetes-related foot and lower-leg amputation has decreased by 65 percent since 1996,” says American Podiatric Medical Association (APMA) President Dr. Frank Spinosa. “Working together, podiatrists and their patients with diabetes can reduce the number of amputations even more.
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Dr. Frank Spinosa |
People with diabetes may be less aware of cuts or wounds on their feet due to the nerve damage related to their disease, Spinosa points out. “Regular and vigilant foot care can help catch problems before they develop into a health crisis.”
Source: Hutchinson News [11/10/14]
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| MEETING NEWS | |
450 Attend Goldfarb Clinical Conference
The 42nd Annual Goldfarb Clinical Conference took place November 6-9 in Valley Forge, PA. The theme of the conference this year was "collaborative care", with an emphasis on diversity among the speakers.
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(L-R) Two of the speakers at the conference were Drs. Jeffrey Lehrman and James McGuire. |
In addition to many podiatrists, the faculty included a fellowship-trained hyperbaric medicine doctor, a doctor of physical therapy, a yoga instructor, a naturopathic doctor, and a vascular surgeon. There were 450 attendees and many exhibitors. The conference also included a coding workshop and a risk management update.
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| QUERIES (MEDICAL-LEGAL) | |
Query: Working as a Locum Tenens
I am thinking of selling my practice, but want to continue to do some part-time work. If I were able to do some locum tenens work, I'm not sure of the guidelines such as rate of pay, billing, and time being able to be spent at one practice. Would I be able to stay at one office once per week for an indefinite amount of time under a locum tenens arrangement?
Name Withheld
Editor's note: PM News does not supply legal advice: Paymemt arrangements are negotiated between the practice and the locum tenens, generally on a per diem basis (§30.2.11.). Here are the Medicare Guidelines for locum tenens: If a physician is absent for a limited period of time for vacation, disability, continuing education, etc, you may bill Medicare for services performed by a locum tenens physician under the regular physician’s NPI as long as the following conditions are met.
• The regular physician must be unavailable.
• The locum must be compensated on a per diem or similar fee for time basis.
• The Medicare beneficiary seeks to receive the services from the regular physician.
• The regular physician cannot bill for the services of a locum tenens physician for a continuous period of longer than 60 calendar days.
If, after returning to work for a brief period of time, the regular physician must be absent again, the same locum tenens physician may be re-hired, and a new 60-day period begins. If a physician is absent longer than 60 days without returning to work, the locum tenens must be credentialed and enrolled as you would do if this were a new physician.
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| CODINGLINE CORNER | |
Query: Tendon Repair with Use of GraftJacket
Please advise as to the most appropriate code(s) for repair of a partially torn posterior tibial tendon with use of GraftJacket.
Stuart Honick, DPM, Mays Landing, NJ
Response: The use of GraftJacket does not influence the tendon repair code you choose (in this case, CPT 28200 - repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon). There is no specific code for the application of GraftJacket in tendon repair. Typically, unless you get authorization for additional allowance pre-op, you might very well find that there is no extra allowance for its use in reinforcing a tendon repair.
Some surgeons have added a "-22" increased procedural services modifier to the repair code. Others have billed the unlisted foot/toe code, CPT 28899. I can't tell you if they have been successful.
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 1A | |
From: Tip Sullivan, DPM
I have had to fuse the first ray on several occasions basically from IPJ to TN joint. If you are positive that all conservative efforts have been exhausted, then fuse the first MTPJ. Make sure you use some sort of biomechanically-sound accommodation in the shoe post-op – most commonly a simple rocker bottom or metatarsal bar which can be added to most shoes with ease and is fairly cosmetically acceptable.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Tip Sullivan, DPM
I noticed that Dr. Albright feels like an MRI scan for the clinical situation presented is essential. I would respectfully disagree. Given the scenario presented and if the pain was relieved on the short term by intraarticular injection of local anesthetic I would feel very comfortable with a decision of fusion. I am a believer in technology assisting us in our diagnosis and treatment choices but I am a bigger believer in common sense and clinical experience.
I think the “essential” aspect of getting an MRI in this case is essential only for our malpractice carriers. I can see a point in our future that we may be actually penalized by insurance companies or our government for requesting an expensive diagnostic procedure on fairly routine cases.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Ken Meisler, DPM
Dr. Ribotsky makes it sound like every patient who has bilateral plantar fascitis should use two night splints. I have treated thousands of patients with plantar fasciitis, many bilateral, and almost every patient who is able to sleep with a night splint finds it very helpful. I always start with one night splint and when they come in for a follow-up in a few weeks, I offer a second one. I have found that greater than 90% of the patients do NOT want to use a second night splint, even if the first one is helping significantly.
I tell patients with bilateral plantar fasciitis to use the splint on the leg that has the more severe plantar fasciitis and, then when that foot is the same as the other foot, to alternate legs each night. Patients seem to rather have their fasciitis get better a little more slowly than sleep with two night splints.
90% of the patients I treat for plantar fasciitis are NOT seniors. Perhaps Dr. Ribotsky has an older population and they sleep more soundly, or maybe people in Florida just sleep better than New Yorkers, but I always ask knowing what the patient will say and still get a laugh at the look on their faces at the thought of sleeping with two night splints.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Absurd ICD-10 Codes of the Day
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Prisons have spas and swimming pools. Who knew? |
Y92.146: Swimming-pool of prison as the place of occurrence of the external cause. There is also a code for "day spa of prison as the place of occurrence."
Source: Healthcare Dive
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| CLASSIFIED ADS |
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area. Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM.
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 our website.
ASSOCIATE POSITION - DC/MD/VA
Experienced practitioner needed! Come join our team of top docs. Foot and Ankle Specialists of the Mid-Atlantic, LLC, is acquiring a busy, multi-faceted practice, with all the bells and whistles. From day one, walk into a full schedule, as the current and well-established doctor is ready to retire. See patients, do your charting and leave the rest to us. Please email your resume and cover letter to newdpm@footandankle-usa.com. We look forward to receiving your information.
ASSOCIATE POSITION - FREDERICK, MARYLAND
Exceptional opportunity for an associate Podiatrist who is trained in all aspects of trauma and podiatry. ER call is required. Salary with bonus structure and benefits package is offered. Please send CV and case log with cover letter to drsteinberg@mynewfeet.com
ASSOCIATE POSITION - TAMPA FLORIDA
Beaches, great weather, great restaurants, culture, laid back lifestyle – all year! "old-style" work ethic unique practice model. Buy into thriving established practice. Customer service, sense of humor detailed, driven, laid back personality. Market yourself and the practice, Good surgical skills, great practice management ability. Email, "I'm the ONE!", CV, docmkatz@gmail.com
ASSOCIATE POSITION – NY, LI, and NJ
Position available for a 3-year residency trained, board eligible/certified experienced DPM to work in multiple locations. NYC, Long Island,and New Jersey. Call for information (516) 476-1815
ASSOCIATE POSITION – TEXAS
Seeking three-year surgically trained podiatrist for busy podiatric medical and surgical practice in Texas. Must be hard-working, open to direction, and willing to do all phases of podiatric foot and ankle care. Please send CV, and salary history to: jmh6122@yahoo.com
ASSOCIATE POSITION - CALGARY, ALBERTA
Growing new practice is seeking a highly motivated associate. State-of-the-art office (5 exam rooms, 1 surgical suite), EMR, digital x-rays, Cutera Genesis Plus laser, shockwave therapy and orthotic scanners. Must have excellent bedside manner and people skills. Please e-mail CV to info@alpinefootankle.com.
ASSOCIATE POSITION - GEORGIA
Join our Team! Thriving, five location, progressive, podiatry practice seeking a family-oriented Associate Podiatrist to build career and long-term relationship. Must be surgically trained (PSR-24/36) and have EMR experience. Position available in our Statesboro, GA location, one of the fastest growing cities in Georgia and home to Georgia Southern University. Associate will have full range of services and access to Surgical Center along with access to all of the latest diagnostic and therapeutic technologies. Email CV with Cover Letter to hr@atlanticfeet.com.
ASSOCIATE POSITION - AVAILABLE IMMEDIATELY- KANSAS CITY
Kansas City may be the perfect move for you and your family. We are looking for an entrepreneurial-minded associate who wants to grow and then own part of an already successful practice. If you are the right candidate for this associate position, you will enjoy a competitive compensation package and you will be working with doctors who are as committed to your success as we are to our own. Go to: www.YourFutureInPodiatry.com for full details.
ASSOCIATE POSITION - CALIFORNIA
We are a group practice based in Irvine (Orange County), with a second office in the high desert city of Victorville. Currently, there are four doctors in the group and we are ready to bring on a fifth doctor. Both offices are attached to surgicenters. We have a high patient volume and very little C & C. Our compensation is competitive and negotiable. If you are interested in this opportunity, please feel free to reply via email or call me at your convenience. Michael Goddard 949-289-0685 Email: mgoddard@cafai.com
ASSOCIATE POSITION - NEW YORK
Well-rounded, hospital based podiatry practice. Large number of new patients monthly, digital x-rays, and EMR. Team podiatrist for Division 1 college sports program. Currently have 3 DPMs and 3 offices. Senior partner is Chair of Pod Dept.; Partner & Associate are involved in wound center. Offices located 75 miles north of New York City, in the beautiful Hudson Valley. More affordable cost of living; great place to live. Looking for a personable individual with strong ethics and high motivation. Seeking an associate leading to potential partnership. Must have PM & S-36 training. Please call (845) 471-2243 or emaileriksims@hotmail.com.
ASSOCIATE POSITION – NORTHWEST INDIANA/CHICAGOLAND AREA
Busy established practice looking for a full time Associate with long term goal of partnership. Two to Three PSR trained. Modern office with EHR/Digital X-ray. Competitive salary, bonus and benefits. Please send cover letter, and CV to Pjames@cffaac.com
ASSOCIATE POSITIONS - MISSOURI/KANSAS
Podiatrists needed to join the nation’s largest growing, most technologically advanced and expertly managed nursing home medical and podiatry practice. We ensure your success by providing an established patient base, scheduling and billing assistance, medical assistant, allowances for equipment, coverage of travel expenses, and the newest tablet-technology EMR system to dramatically reduce your workload so you can spend more time providing quality care to patients. We offer generous benefits and flexible scheduling: base salary available, bonus opportunities, malpractice coverage, matching 401(k), health insurance benefits. Part-time positions available. Send CV to careers@aggeus.org. Call 866-216-5518, ext. 305. www.aggeus.org. Confidentiality assured.
ASSOCIATE POSITION - SOUTH CAROLINA
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Salary range $120k-$140k (base + bonus) and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com
FULL-TIME ASSOCIATE POSITION - WESTERN NORTH CAROLINA
Beautiful mountain area near Asheville. Two doctor, busy, established practice looking for associate with long term goal of partnership. Growing two-office practice that is looking to expand days and hours in both locations. Ideal candidate would have a three year residency and a combination of surgical and in-office skills to meet the needs of our patients in this rapidly growing area. EMR, laser and modern up-to-date office features. Offer to include salary, bonus and benefits. Please send CV to drh@mountainpodiatry.net
ASSOCIATE POSITION - SEATTLE WA AREA
General podiatry practice with offices in Kirkland, Everett and Renton seeking an associate. Must be board qualified or certified by ABFAS. Must be self-motivated, Office is state of art with EHR, digital x-ray, ultrasound, laser. Salary with bonus and benefits. Email resume with cover letter: seattlefootdoctor@yahoo.com
EQUIPMENT FOR SALE - MULTIPLE ITEMS
PADNET $14,000 OBO Cost $28,000, 2 Midmark 417 chairs and 2 stools $4,000 each, Autoclave Ritter/MidmarkM 9 $2,000, Fluoroscan Premier Purchased used 1 year ago $20,000. Email Tajranier@aol.com
DIGITAL X-RAY SYSTEM - $8,000 OR BEST REASONABLE OFFER
ScanX12 with In-line Erase by All-pro and Tigerview software for managing/viewing Xrays. Located in NH. Purchased new in 2008 for $22,000. Selling b/c office was moved to multi-doctor outreach clinic already equipped for X-rays. Older X-cell unit also available. Email twoponyfarm@gmail.com for more information.
EQUIPMENT FOR SALE - NEUROTHERM NT250
Podiatherm /NT250 Incoming test procedure with various accessories. Purchased in 2012 for 7075.00 now priced @ 4995.00. Training possible Please contact me @ no1footdoc@gmail.com or 845 454 0630 ext 106
SPACE TO SHARE - MANHATTAN AND LI
Desirable locations on Upper East Side, Gramercy, the Financial District, and Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815 PODO2345@AOL.COM.
PRACTICE FOR SALE- ARIZONA
Central Arizona - between Phoenix and Tucson. Well established and very busy 35 year old solo-practice. High volume surgery and general practice with good cross-section of patients from pediatric to geriatric. Hospital, surgicenter and in-office surgery. Located in professional center. Contact E-mail:pmmpod@gmail.com
PRACTICE FOR SALE - KANSAS
Well-established, successful practice for sale in a vibrant, Kansas City Metro area city that offers great schools along with recreational and cultural activities for the entire family- the perfect blend for a great quality of life and a rewarding career. The practice opportunity provides a full array of adult and children services, with limited palliative care. Newly revised scope of practice also offers additional levels of surgical care opportunities for qualified physician. Practice has high level patient and physician referrals. Strong commercial insurance mix with Medicare 20%. Well -trained office staff. Traknet EHR. Owner would assist buyer in practice transition. Contact Mike Crosby at MCrosby518@gmail.com
PRACTICE MERGER SOUGHT – NORTHERN NJ
If you are tired of the business aspect of running your practice, and are in the Paramus, Ridgewood, or Hackensack area, I am looking for the right practice to merge into my own. I will handle all aspects of your practice. No more worrying about ordering supplies, paying suppliers, dealing with employees, health insurance or malpractice insurance. Diagnostic x-rays, laser, vascular analysis, diagnostic ultrasound, EMR, etc., available. Earn more money without the day-to-day drudgery of practice. No practice is too small to consider. All information discussed will be considered confidential. E-mail Lfg3657@optonline.net
PM News Classified Ads Reach over 16,000 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 16,000 DPMs. 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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