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| PM News | |
The Voice of Podiatrists
Serving Over 22,289 Subscribers Daily
November 17, 2021 #7,083  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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Has your office or hospital been hit with a ransomware attack?
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| PODIATRISTS IN THE NEWS | |
Holidays Increase the Risk of a Gout Attack: FL Podiatrist
Your feet can sometimes feel the effects of too much holiday cheer. Foods and beverages high in purines, such as shellfish, red meat, red wine, and beer can trigger extremely painful gout attacks, a condition when uric acid builds up and crystallizes in and around your joints. According to foot and ankle surgeon and Associate Member of the American College of Foot and Ankle Surgeons, Josh Sebag, DPM, “Often, it’s the big toe that’s affected first since it’s the coolest part of the body and uric acid is sensitive to temperature changes, but this may also occur in other parts of the foot and ankle.”
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Dr. Josh Sebag |
If you do experience pain in your big toe or other parts of your foot or ankle, drink appropriate fluids, elevate your foot, and immobilize it. Frequently, non-aspirin equivalents of non-steroidal anti-inflammatory medications are used to treat gout. In severe cases, contact your foot and ankle surgeon.
Source: West Valley View [11/15/21]
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| PODIATRISTS IN THE COMMUNITY | |
MO Podiatrist Elected to Hiram College BOT
Harry John Visser, DPM was recently elected to the Board of Trustees (BOT) of Hiram College to a 6-year term. Hiram College is a liberal arts institution located in Hiram, Ohio. It was founded in 1850. Former U.S. President James A. Garfield had served as its president from 1851-1854.
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Dr. H. John Visser |
Dr. Visser is the residency director at SSM DePaul Hospital in St. Louis, MO. He graduated from Hiram College in 1974 with a Bachelor of Arts in chemistry.
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
DFUs Require Immediate Action: Bahamas Podiatrist
According to Monique Mitchell, DPM, MPH, "A diabetic foot ulcer is an open sore or wound that occurs in about one quarter of patients with diabetes. They are commonly located on the bottom of the foot. These ulcers increase admission to the hospital and amputations, with about a quarter being admitted to the hospital and a quarter of them having an amputation. Diabetes is the leading cause of non-traumatic lower extremity amputations, and 85 percent of people who get an amputation had an ulcer first. Research has shown, however, that development of a foot ulcer is preventable, in most cases."
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Dr. Monique Mitchell |
"Once an ulcer is noticed, seek medical care immediately. Foot ulcers in patients with diabetes should be treated quickly to reduce the risk of infection and amputation, improve function and quality of life, and reduce healthcare costs. The primary goal in the treatment of foot ulcers is to obtain healing as soon as possible. The faster the healing, the less chance for an infection," says Dr. Mitchell.
Source: The Nassau Guardian [11/11/21]
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| MEETING NEWS | |
APWH Holds Virtual 2021 Scientific Symposium
The 2021 Academy of Physicians in Wound Healing (APWH) Virtual 2021 Scientific Symposium featured the largest hands-on biopsy “virtual” workshop ever held. More than 150 (of the 220) registrants received biopsy kits with surgical instruments and tissue specimens. The two-hour workshop by Dr. Steve McClain serves as a model for future virtual educational events.
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Dr. Steve McClain |
Lectures by Pamela Scarborough and Joyce Black discussed skin changes with COVID-19 and early onset symptoms that previously had not been recognized. Most importantly, both speakers indicated many COVID-19 related skin lesions are currently being misdiagnosed as deep tissue injury. This misdiagnosis can lead to several complications in addition to the lack of appropriate treatment. This includes billing and potential legal implications.
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| RELEVANT RESEARCH | |
Prioritizing Foot Ulcers During Lockdown Paid Off in Belgium
Belgium's efforts to prioritize care at its diabetic foot ulcer clinics during the COVID-19 pandemic lockdown minimized both delays in care and adverse outcomes, new data suggest. The country has had a national diabetic foot care program in place since 2005, with 34 multidisciplinary clinics recognized by the Belgium Ministry of Health for the treatment of diabetic foot ulcers (DFUs). The system has resulted in a decline in lower-limb amputations in the country.
And while all non-urgent medical care in Belgium was postponed during the national COVID-19 lockdown period March 14-May 3, 2020, the clinics followed advice from professional associations to consider all active DFUs as urgent. Thus, nearly all foot clinics remained accessible during lockdown.
Source: Miriam E. Tucker, Medscape [10/11/21] via Dr. Robert Creighton
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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 | |
5 Steps to Start Your Own Independent Practice
The key to launching a successful independent practice is proper planning. Knowing what steps to take and what mistakes to avoid is critical to ensuring a sustainable, profitable practice. Follow these five steps to get started down the right path:
3. Create Your Brand - The combination of your mission and your vision becomes your “brand” of medicine. The culture and environment that you are creating influences how you market to your targeted patient population.
Invest the time and money up front to develop a memorable name, a strong logo, and a mission statement that communicates to potential patients what your practice is all about. And remember that rebranding costs significantly more than branding, so it’s best to take a “measure twice, cut once” approach for marketing materials.
Source: Susanne Madden, MBA, Logan Lutton, Physicians Practice [11/3/21]
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| CODINGLINE CORNER |
Query: Complicated Verruca Treatment
The patient had a large plantar verruca that we chose to excise in the operating room. The lesion was at the left foot and the total size of excised area was 2.5 cm x 2.5 cm x 0.2 cm depth (including some subcutaneous tissue). The site was debrided and prepared for grafting. I applied a Grafix graft. Can I bill the preparation of wound bed? Can I use CPT 15004? What other options are there for billing this plantar verruca removal and graft application?
Codingline Archive
Response: There is no indication as to the insurance carrier involved as each may have their own rules on the use of products such as Grafix. There is also no indication as to the medical condition of the patient. Is this a healthy young person or a debilitated person? Products such as Grafix tend to be covered for certain wounds, primarily diabetic or venous leg ulcer/wounds. Yes, indications for products can expand over time as new indications are found.
With any wound, there is a potential for the wound to heal on its own accord. It may take a combination of local care, offloading, dressing, antibiotic therapy, etc. to get the wound to heal. When it does not heal, then other modalities such as skin substitutes may come into play. These products are expensive and should be used judiciously. Ultimately, taxpayers pay for these products. The first issue is why is ANY skin substitute required in this case versus just allowing the wound to heal on its own? How much faster will this wound heal with or without the graft? Is there literature proof?
Secondly, wound preparation is removing nonviable tissue (infected, non-viable, etc.) to have a clean, vascular base to then add a skin substitute. In this case, the only “prep” is removing the wart which you were paid for. What else was done beyond that? Is it the standard of care to use skin subs for warts or any other non-wound procedures we perform? This is what you must prove in your charting.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Anthony P. Tocco, DPM
Dr. Anthony Tocco, 76, of Daytona Beach, FL went home to be with the Lord, November 2, 2021. Dr. Tocco served as a local podiatrist in Daytona Beach and New Smyrna Beach for the past 45 years. He graduated and was a football star at Cardinal Mooney High School and played college football at the University of Miami Hurricanes. His senior year he played in the 1966 Liberty Bowl.
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Dr. Anthony Tocco |
Tony Tocco went to podiatry school and completed his residency in Cleveland, Ohio. Dr. Tocco moved to Daytona Beach in 1974 and open his practice on Peninsula Drive Daytona Beach and on US 1 in New Smyrna Beach. Dr. Tocco loved his family, golfing buddies, high school teammates, being Italian, and watching his Miami Hurricanes.
Source: The Daytona Beach News-Journal [11/14//21] via Dr. Philip J. Shapiro
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Billy Dabdoub, DPM
Thank you, Dr. Wallace, for all you have done for our profession. You have been a wonderful teacher and mentor for many residents. I have enjoyed our friendship and teaching with you for years. I agree that we all do difficult surgeries that are meant to help patients, but sometimes the deformity is so bad that all we can do is attempt to make it better.
Last week, I did two flatfoot surgeries, one triple arthrodesis, one ankle ligament repair, two bunions, and two amputations. It was so nice to go to the office and correct an ingrown nail. I knew the ingrown nail procedure was easy and so successful and so appreciated by the patient. I think all of us who have practiced for many years still do the complicated surgeries but also enjoy the easy procedures.
I agree that making money should not be your driving force but helping the patient needs to be that driving force. I also think patients have to be educated about the surgical procedures and the risks involved and they must have realistic expectations of surgery. There have been times that I declined to perform surgery on some patients because of their unrealistic expectations of the results of the proposed surgery.
Billy Dabdoub, DPM, Slidell, LA
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What to wear on Sundae? |
Source: Submitted by Dr. Joseph Borreggine
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
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Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-7/1/22 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE – PODIATRY OFFICE RETIRING
8 Motorized chairs “Lemi” all work, about 8 years old, physical therapy equipment, waiting room chairs 20+, Lots of instruments. Will sell all or part. Call (662) 473-6476
PRACTICE FOR SALE - TULSA, OKLAHOMA
30+ years established solo practice in stand-alone medical building, perfect location in key market, Established referral sources, Fully equipped 6 treatment rooms + surgery suite, Well rounded practice with surgery, orthotics, wound care, limb salvage, sports medicine, diabetic and RFC. Great mix of private insurance, Medicare, and private pay patients. Current owner retiring, will transition, Great place to raise a family. Email: footman@tulsacoxmail.com
PODIATRY PRACTICE FOR SALE – NEW YORK CITY
30 years in practice. 2-3 days a week. Located in Gramercy Park, New York with the option to renew lease or bring the patients to your own practice. For more information, please email dr.raminzaghi@yahoo.com or call, text, or leave a message at 201-310-5749.
PRACTICE FOR SALE - LAKE TAHOE, CA
Solo practice, turn-key with 2 treatment rooms, 3rd available. General podiatry mix with hospital nearby. Zoomers with insurance moving to town. Boomers with cash anxious to maintain active lifestyle Rent or buy freestanding building. Contact patwooft@hotmail.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - MIDWEST UNITED STATES
ONCE IN A LIFETIME OPPORTUNITY to join a SUCCESSFUL thriving group. Starting with an annual six-figure salary and six-figure bonuses, 15k signing bonus; Buy-in anticipated after initial contract, our practices encompass ALL aspects of podiatry. We are a group of 5 physicians at 4 modern well-appointed complete offices. We have been engrained in the community for over 35 years and enjoy excellent referrals from hospitals and area physicians. This is the best place in the world to raise children with the best schools!!! PAID-Medical malpractice/Vacation/Hospital dues/medical organizational dues/health insurance/disability insurance/phone & car allowances/401k. DPMPROFESSIONAL2021@GMAIL.COM
ASOCIATE POSITION – NEW JERSEY
Full-time position available for immediate hire in New Jersey with multiple locations. We are currently looking for a board certified/qualified person who is highly motivated with excellent bedside manner and personality, charismatic, and most importantly a team player. Compensation would include a competitive salary with bonus structure, health insurance, paid vacation time off, paid malpractice insurance. Full array of office-based services with local hospitals, surgery centers and wound care centers. The practice includes all aspects of podiatry ranging from trauma, elective forefoot and rearfoot patients to routine foot care. If interested, please submit your CV to drbhuta@ankleandfootdoctors.com
ASSOCIATE POSITIONS – VA, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA, CT, DE and PA for immediate start)
ASSOCIATE POSITION - LONG ISLAND/QUEENS
Advanced Podiatry Seeking Full Time DPM for upscale practices based on Long Island with opportunities in Queens and Suffolk. 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 - SUBURBAN NYC, NY
Podiatric trauma – Well-established practice Suburban NYC Seeking well-trained, podiatric limb salvage/trauma/RRA surgeon. Must be BQ/BC ABFAS. Generous benefits w/ very competitive salary/Bonus, PTO, Retire Plan, Prof Fees, Malp Ins. Join our winning team. Can start now or 08/2022. Please send CV to: linchpindpm@yahoo.com
ASSOCIATE POSITION – SOUTH CAROLINA
Podiatry group in the coastal South Carolina region is seeking a full-time, well-trained doctor of podiatric medicine. We are a high volume, six office/six physician practice. This position will cover the entire gamut of the foot. From comprehensive patient examination to the surgical and non-surgical management of foot and ankle conditions. Partnership track available. Generous base salary + bonus. Full benefits package provided. Candidate must be ABFAS eligible or certified. marketing@coastalpodiatry.com
ASSOCIATE POSITION - HAGERSTOWN AND FREDERICK MARYLAND
Offices located in Frederick and Hagerstown Maryland. Motivated seller/owner of 26 years is ready to sell Hagerstown practice after one year associate position. Would consider selling outright from the start. Will be available for advising, teaching, and practice management as long as needed. Highly producing, full scope podiatry office. drhenrock@yahoo.com
ASSOCIATE POSITION - RHODE ISLAND
Well-established 28 yr practice is looking for motivated and caring doctor with the possibility of eventual partnership and transition to buyout Compensation includes competitive six-figure salary, health & malpractice insurance, vacation and CME time. Hospital privileges with referral base; all aspects of podiatry. Digital x-ray, Laser, EMR. Please send CV to: ripodiatryassociate@gmail.com
ASSOCIATE POSITIONS – OH, KY, CO
National podiatry leader hiring physicians to practice at state-of-the-art facilities in Columbus, Louisville, and Denver — with more national locations to come soon. Our physicians receive generous compensation, bonuses, and a path to partnership without the financial risk. Email resume to careers@podiatry-partners.com
ASSOCIATE POSITION - PENNSYLVANIA
Looking to hire no later than July 2022. We are a free-standing large office with surgery center on site searching for a new surgeon to join our high volume practice. Located in a thriving, affluent community with growing patient base. Partnership/equity opportunity for an individual where significant surgical productivity exists in one's own office. Email inquiries/CV to ascpractice142@gmail.com
ASSOCIATE POSITION - WESTERN NY
This practice is seeking an independent contractor to join the practice. Opportunity to be fully office based with no hospital responsibilities. Potential to join fulltime as an employee in the future. Contact: MCrosby518@gmail.com
ASSOCIATE POSITION - WESTERN NY
Opportunity to join growing dynamic practice. Office is fully equipped for in office services. Surgical privileges available. Opportunity to become partner with competitive compensation and benefits. Contact: Yourpracticenow@gmail.com
ASSOCIATE POSITIONS – DELAWARE
Brandywine Podiatry, the premier practice throughout the state of Delaware, with 13 doctors and 8 locations are expanding. Looking for several PMSR/RRA, BQ/BC physicians. Applicants interested in nursing homes, office-based practice and surgically focused are needed. Please send CV tosavage6026@comcast.net
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Busy two office practice in Upstate SC seeking a full time podiatry associate. Senior doctor looking to slow down. Partnership potential. General podiatry and surgery. Benefits include 401K, malpractice, health and dental insurance, CME, short and long term disability. PTO. Please send CV to podiatryresumes@upstatefootdocs.com.
PT - ASSOCIATE PODIATRIST - CHARLOTTESVILLE, VA
Foot and Ankle Specialists of the Mid-Atlantic, LLC is looking for a part-time practitioner to join our practice in Charlottesville, VA. We are looking for someone who is available to work two days per week. We are a growing group of 117 providers and 70 locations. If personable, motivated, well-trained, and licensed in VA or willing to secure a VA license, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. We look forward to hearing from you.
ASSOCIATE POSITION - ST. LOUIS, MO
Rapidly growing podiatry practice is seeking a personable, outgoing and self-motivated individual, who is competent in office-based practices, surgery, and enjoys all aspects of podiatry. Position available immediately and/or July 2022. $120k base salary with bonus and incentives. Please send CV and letter of interest to podiatrystlouis@gmail.com
ASSOCIATE POSITION - CHICAGO SUBURBS
Looking to hire Summer of 2022. Thriving podiatry practice in Chicago suburbs looking for associate to take practice to the next level. Must be highly motivated and the ability to wow our patients with your charismatic personality and professional expertise. This is an excellent opportunity to work in a state-of-the-art office (which includes MRI) with a team-oriented culture. 3-year surgical residency required. Submit CV to jswalter@hotmail.com
ASSOCIATE WANTED – FT/PT IN WESTERN PA/NY
Well established, growing practice with offices in Western NY and Northwest PA seeks BC/BE podiatrist for PT/FT position. Immediate position available as well as for August 2022. Must have or be willing to obtain NY and PA license. Competitive base salary plus bonus, 401K, medical, CME. Send CV and cover letter to jhs.podiatry@gmail.com
ASSOCIATE POSITION – MANHATTAN
Available immediately we are looking for a full-time associate that is board qualified/certified to join a well-established Upper East Side private practice. We offer custom services to our patients who are considered to be Manhattan's elite clientele. You must be a self-motivated individual with excellent communication, problem-solving and interpersonal skills. Someone who is confident in performing podiatric surgical procedures. We are looking for someone who has an understanding of insurance and coding. This position includes a six-figure salary and additional benefits that are based on your level of experience. Potential for partnership and buy-in. Please email resume and cover letter to NYCPodiatrists@gmail.com
MOBILE PODIATRIST NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time OR Part time podiatrists to do home visits in NJ. Full Time Position: $100,000 Base Pay Plus BONUS, Paid Gas, Malpractice Ins., Health Ins, Car allowance, Administrative/EMR support. Email resume - Lana.Raginsky@homefootcareservices.com
ASSOCIATE POSITION - ANAHEIM, CA
Immediate associate position for a well-trained, highly motivated individual. Competitive salary with commission structure, PTO, CME allowance, health and malpractice insurance. All aspects of podiatry. ABFAS RRA Board Certified is preferred but will consider the right Board Qualified Candidate. Must be confident in working solo in your own office environment. Please email cover letter and CV to dr.ellsworth@summitfootankle.com
PART TIME ASSOCIATE WANTED - CENTRAL NEW JERSEY
20 hours a week. Looking for ABFAS BC/BQ, highly motivated, patient caring, protocol following, growth minded individual. Come be part of New Jersey's only Podiatric Supergroup. Great work environment. Competitive ompensation with bonus. NJ license required. Please send "CV" to footfixerofc@yahoo.com
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Stat position for busy, modern practice. ABFAS BC/BQ, EMR, Dig x-rays, U.S., DME, Base salary + bonus, PTO, 401K, fees, health ins. 1 ACFAS fellowship available. DrLam@NaplesPodiatrist.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com 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.
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