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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,541 Subscribers Daily
November 12, 2020 #6,809  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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| EDITOR'S NOTE | |
Welcome Canadian Podiatric Medical Association Members
PM News welcomes members of the Canadian Podiatric Medical Association (CPMA). PM News is the daily newsletter of our partner Podiatry Management Magazine.
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Canadian Podiatric Medical Association |
As a PM News subscriber, you are invited to send in queries and comments and to participate in our weekly polls. PM News is a global publication and welcomes other international associations to enroll their members.
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| PM NEWS QUICK POLL |
Quick Poll
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What best describes your memories about the podiatry school you attended?
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| IN YOUR MAILBOX SOON | |
We've just mailed the November/December 2020 issue of Podiatry Management. The cover story is titled "Diabetes and the Diabetic Patient." The is our 26th annual diabetes issue. In addition, you'll find our usual assortment of features, including a CPME-approved CME.
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NOV/DEC 2020 Podiatry Management |
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| PODIATRISTS IN THE COMMUNITY | |
VA Podiatrist Observes Kristallnacht Remembrance Ceremony
Limor Glazer Schwam, DPM is a symbol of the American dream. For three decades, she has been an active Richmonder as a podiatrist, a teacher of podiatric surgery, and a member of numerous professional boards and efforts in the Jewish community. She and her husband, Gary, have raised two daughters and succeeded through hard work — and remembering where they came from. On Sunday, Dr. Glazer Schwam stood before a socially distant crowd of roughly 50 people at the Emek Sholom Holocaust Memorial Cemetery in Henrico County. On the anniversary of Kristallnacht — Nov 9-10, 1938; the night of broken glass and a harbinger of worse years to come — she shared how the Holocaust tore apart both sides of her family. Her courage to tell her story is a reminder of the need to recall, remember, and act.
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Dr. Limor Glazer Schwam |
“What is our part?” Dr. Glazer Schwam said. “To keep their stories alive; invest in Jewish historical education; behave and live as if my family members are your family members because they are.” At Auschwitz, seven pages of “Glazer” names are among the dead. Glazer Schwam’s parents escaped the persecution that killed 6 million Jews during the Holocaust.
Source: Chris Gentilviso, Richmond Times-Dispatch [11/10/20]
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| MEETING NEWS | |
"Hybrid” Schuster Biomechanics Seminar Draws Record Attendance
NYCPM’s eighth annual Richard O. Schuster, DPM, Memorial Biomechanics Seminar was offered on November 7th and 8th as both an on-site conference and online, and most of the record 150 attendees chose to attend virtually. A majority of the presentations were made virtually as well, by notable biomechanics experts located across the country and internationally; six speakers chose to present at NYCPM. The seminar was coordinated and chaired by Joseph C. D’Amico, DPM, a professor and past chair of the department of orthopedics and biomechanics at NYCPM, and was made possible by a significant contribution from a grateful patient of Dr. D’Amico who was cured of his persistent heel pain.
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(L-R): Drs. Mark Caselli, Russell Volpe, Paul Jordan, Jinsup Song, and Joseph D’Amico. |
Dr. Jinwook Song from Korea presented a retrospective study of almost 500 cases of internal tibial torsion that were treated conservatively, entitled “It’s Time to see Internal Tibial Torsion from a New Perspective: a Conservative Treatment of 482 Patients with ITT.” Dr. Song noted an extremely high success rate with a new AFO-type transverse plane bracing device that neutralizes muscle imbalances from the genicular region distally. His conclusion was that ITT may not be the reason for in-toeing gait in children or adults diagnosed with ITT, but rather a “pseudo-lack of malleolar torsion” with the responsible etiology lying in muscular imbalance and can be very successfully treated.
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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 | |
Reducing Medical Practice Embezzlement Risk with Cash Controls - Part 4
Front-desk embezzlement schemes are not uncommon and they are typically the result of loose protocols and lack of oversight. Reduce your financial risk by tightening cash controls using these proven practices.
1. Separate the "change fund" from "petty cash." There is a difference.
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The change fund is an amount in small bills that's always the same - say, $200. This is the money staff use to make change for patients who pay in cash. Every day when they balance to the penny, the amount is counted out and kept in the drawer for change-making the next day.
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The petty cash fund is a small account from which you borrow for small purchases. Each transaction is logged on a "chit", and ultimately posted as an expense in your bookkeeping system. When the petty cash fund is low, the manager replenishes it, and records this in the bookkeeping system too. If you don't track petty cash separately from change, you risk an easy-to-play financial shell game that never matches money spent with specific transactions. And it's difficult to spot missing money if there are no controls for reconciling transactions in the first place.
Source: Karen Zupko, Cheryl Toth, and Logan Lutton, Physicians Practice [10/20/20]
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| QUERIES (CLINICAL) | |
Query: Treatment of Interdigital Maceration
I have a few patients with excessively macerated skin between their toes - usually seen in the 3rd and 4th interspaces. There is typically no evidence of tinea infection. This appears to be caused by medial contraction of toes, which in turn causes very tight interspaces to become chronically moist.
I have tried toe spacers, lamb's wool, etc. with some limited success. I have also tried gentian violet in years past, but it's very messy & stains. I am curious what my colleagues are doing to treat chronically macerated interspaces?
Tom Silver, DPM, Minneapolis, MN
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| RESPONSES/COMMENTS (DME) | |
RE: Therapeutic Shoe Breaking News
From Paul Kesselman DPM
CGS, the JB and JC DMEPOS Contractor, announced on November 5, 2020 a long-awaited update to the Therapeutic Shoe Policy. This update, would for the first time, permit the documentation of a nurse practitioner or physicians assistant (NP/PA) working under the “incidence to” rule. But this is subject to some restrictions. It is not clear how soon the LCD itself will be updated. Auditors at various CMS agencies are currently being educated on this matter now and that expects to be completed in about six weeks. How this new update will affect claims submitted with a DOS prior to November 5, 2020 is unclear at this time. Noridian (DME MAC A and D) has not yet posted this on their website, but since the policies are equally enforced, there is no doubt the posting from Noridian will be forthcoming soon.
I cannot stress enough that for now in states where NP and PA can work independently and bill under their own NPI, this ruling may have little effect and, in fact, create more confusion. This update precludes the inclusion of documentation of an NP or PA working independently. In states where NP or PA can work independently, it is advisable to check with the NP or PA to ensure that their documentation fits the incident to guidelines.
Paul Kesselman, DPM, Oceanside, NY
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| RESPONSES/COMMENTS (CORONAVIRUS PANDEMIC) | |
RE: MIPS and the COVID-19 Exception
From: Gregory Caringi, DPM
With some research, I learned that there is now an "Extreme and Uncontrollable Circumstances Exception" for 2020. Using COVID-19 as the circumstance (prevented collecting data and impacted performance/cost measures), this will allow us to claim an exemption from all 4 categories (Quality, IA, PI, and Cost) for MIPS 2020. This will result in a neutral payment adjustment for 2022. This is no small exception since a neutral adjustment this year requires 45 points (up from 30). Realistically, it will take 85 points to see any positive adjustment.
Gregory Caringi, DPM, Lansdale, PA
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: David E. Samuel, DPM
I just read that another college is being opened. I am not sure how to respond to this. A few things are going through my head like, “Are you kidding me” or “seriously?” Just a few years ago, we had a residency crisis. Now, it is reported that we have plenty of residencies. How did that happen? The Council allowed programs to add more residency spots or gave new program credentials that may not be ready to provide the diversity and complexity of a solid training program. This was just to get the graduates placed and avoid legal issues while ‘selling’ a profession, only to not have needed post-grad training to actually practice?
We don’t have uniform training in general and from what I hear and observe, adding more residents to existing programs limits the hands-on time and overall case load for the residents. The other issue that is quite clear, having been involved with training residents for close to 30 years is that, not everyone is going to be a...
Editor's note: Dr. Samuel's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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What to wear on Thanksgiving ? |
Source: Bata 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.
ASSOCIATE POSITION – HOUSTON, TX
Busy, growing, state of the art surgical, sports medicine office based group practice in Houston, TX currently looking for a full-time associate to start 8/1/21. Must be BQ/BE Competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Opportunity to invest in surgery center and PT clinic. If interested, please submit your CV to mvargas@thefootpros.com
ASSOCIATE POSITION - SOUTHEAST PA
Looking to hire summer 2021. We are a free-standing large office with surgery center on site searching for new surgeon to join our high volume practice. Located in a thriving, affluent community with growing patient base. Partnership opportunity for an individual where significant surgical productivity exists in one's own office. Email inquiries/CV to ascpractice018@gmail.com
NON-SURGICAL OFFICE BASED ASSOCIATE – CENTRAL FL
National comprehensive lower extremity physician group seeking a non-surgical office based Podiatric Physician in Volusia/Flagler county. Established patient base, 2 locations - short commute! ABPM BQ/BC. Current FL license preferred. Hiring ASAP! Competitive, comprehensive comp & health benefits including 401K, PTO, CME, med-mal, partnership path & add’l benefits. Please send CV to physicianrecruitment@upperlinehealth.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 - ST PETERSBURG/CLEARWATER, FL
Rapidly growing two location practice looking for a full-time associate. General podiatry, wound care, sports medicine, DME, surgery, inpatient. Competitive salary, malpractice, paid time off, CME included. Applicant must be highly personable, caring, and self-motivated. New graduate or experienced provider. Submit letter of interest and CV to precisionfootandankleFL@gmail.com.
PODIATRIST POSITION – OCALA FLORIDA TERRITORY
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based foot, ankle, and lower leg care to residents living in long-term facilities in the Ocala Florida territory. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and Florida licenses. Email CV to kgadmin@kghealthpartners.com
FULL TIME PODIATRIST- NORTHERN NEW JERSEY
We are a fast-growing podiatry practice in North Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.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.
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
IMMEDIATE PODIATRY POSITION AVAILABLE - NYC
Podiatric associate needed for Manhattan and Bronx location office. part-time or full-time residency preferred. Please forward CV to email TJPJOSHI@gmail.com. Salary negotiable.
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
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 - 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.
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.
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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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