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PM News

The Voice of Podiatrists

Serving Over 18,381 Subscribers Daily


November 21, 2018 #6,313 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- No part of PM News can be reproduced without the
written permission of Barry Block

richieoct118

PM NEWS QUICK POLL

Quick Poll

 
What is your outlook for podiatry in the next 5 years?
 
blaineoct2918

vanguardnov518

PODIATRISTS AND DIABETES
Vigilant Foot Care Can Reduce Diabetic Complications: MI Podiatrist
 
The diabetes epidemic has reached more than 30 million Americans to date, and complications in the feet send more people to the hospital than any other complication. Reedsburg Area Medical Center podiatrist Elizabeth Baker, DPM says, “Regular and vigilant foot care can help catch problems before they turn into a health crisis.”
 
Dr. Elizabeth Baker
 
“These problems can turn into ulcers, essentially open wounds on the feet, and can develop serious infections. Unfortunately, diabetic ulcers often lead to amputation. No single case of diabetes is the same as another,” Dr. Baker said. “Our care must be with the patient’s specific needs in mind. 
 
Source: Baraboo News Republic [11/14/18]
orthonov518

PODIATRISTS IN THE COMMUNITY
AR Podiatrist Featured in "Talk With a Doc" Seminar
 
Dr. Spencer Mortensen, a doctor of podiatric medicine at Sparks Foot and Ankle Clinic, recently introduced himself to the community during a "Talk With a Doc" seminar held at Sparks Regional Medical Center. During his presentation, "Focus on Your Feet," Mortensen addressed topics including how to avoid diabetic foot complications as well as general recommendations for good foot health. 
 
Dr. Spencer Mortensen
 
Mortensen also had several recommendations for prevention of problems. Lifestyle changes including diet and exercise, keeping blood sugar within reason and smoking cessation were all suggestions for prevention. In addition, Mortensen gave some general recommendations: visiting a podiatrist regularly, daily foot inspections - recognizing even the smallest abnormality, wearing clean, thick, white socks, investing in good shoes, cutting toenails straight across the top, and not performing at-home surgeries such as removing ingrown toenails or corns or calluses.
 
Source: Carole Medlock, Times-Record [11/18/18] 
NWPLjul218

STATE PODIATRY NEWS
Governor Signs Legislation Updating Scope of Practice for MI Podiatrists
 
Governor Rick Snyder recently signed Senate Bill 901 into law. It’s now Public Act 355 of 2018 and will update the scope of practice for Michigan podiatrists. The legislation moved through the entire legislative process without any votes in opposition from legislators.
 
The Michigan Podiatric Medical Association (MPMA) has never sought to expand their scope-of-practice but rather correctly define how they practice on a day-to-day basis with procedures like venus leg ulcers and ankle fractures. The previous scope of practice put podiatrists in a very gray area when performing these procedures.
 
Source: MPMA Footnotes
realmoct1518

PRACTICE MANAGEMENT TIP OF THE DAY

Reasons to Say No to Payer Contracts - Part 4

4. Excessive denials/higher accounts receivable 
 
Some payers deny more claims than others. Ask your staff to show you the first pass denial rate for your payers—that is, what percent of initial claims submitted to each payer are denied. A payer who denies more claims is cutting into your bottom line since a denied claim requires additional work by your billing department.  
 
While looking at denial rates, take the extra step to look at why claims are being denied. You may find patterns—incomplete/incorrect registration, for example— that can be improved internally.
 
Source: Lucien Roberts, Physicians Practice [11/7/18]
bakonov1918C

RESPONSES/COMMENTS (OBITUARIES)
RE: The Passing of Robert C. Alberhasky, MD
 
Bako Diagnostics and the podiatric community mourn the loss of pathologist, Robert C. Alberhasky, MD, who died on Saturday, November 17th in a single-engine plane accident at Lee Gilmer Memorial Airport in Gainesville, GA. Details of a memorial service will be forthcoming on the BakoDx website.
 
Dr. Robert Alberhasky
 
Wayne L. Bakotic, DO, Bako co-founder and dermatopathologist stated, “It is with great sadness that we share this news. Dr. Alberhasky had a long history in the podiatric medical community and was part of the Bako family from nearly our inception. He will be remembered for his professionalism and dedication to podiatric pathology, but especially for his cheerful and kind disposition. "Dr. Bob", as he was known around the lab, was always available to help, be it for a colleague or a friend and will be sorely missed. Our deepest condolences to the Alberhasky family and to his many friends.”  
 
Source:  Bako Diagnostics
ohioct818A

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Has Evidence-Based Medicine Gone Too Far?
From: Al Musella, DPM
 
I was at a cancer conference recently and there was a discussion on how we moved too far to the "evidence-based medicine" camp and lost all common sense. A doctor at the meeting (Brian Alexander. MD) presented this funny abstract: Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomized controlled trials
 
Objectives: To determine whether parachutes are effective in preventing major trauma related to gravitational challenge.
Design: Systematic review of randomized controlled trials.
Data sources: Medline, Web of Science, Embase, and the Cochrane Library databases; appropriate Internet sites and citation lists.
Study selection: Studies showing the effects of using a parachute during free fall.
Main outcome measure: Death or major trauma, defined as an injury severity score > 15.
Results: We were unable to identify any randomized controlled trials of parachute intervention.
Conclusions: As with many interventions intended to prevent ill health, the effectiveness of parachutes has not been subjected to rigorous evaluation by using randomized controlled trials. Advocates of evidence-based medicine have criticized the adoption of interventions evaluated by using only observational data. We think that everyone might benefit if the most radical protagonists of evidence-based medicine organized and participated in a double-blind, randomized, placebo-controlled, cross-over trial of the parachute.
 
Al Musella, DPM, Hewlett, NY
2020nov1918

RESPONSES/COMMENTS (CODINGLINE CORNER)
From: Jessica M. Wade
 
In response to Dr. Long's query regarding injection coding for Morton's neuroma, the current CPT code is 64455. This was updated from the CPT 64450 in the CPT manuals and NCCI several years ago. When billed with the "G" ICD-10 codes (G57.61 or G57.62), the 64455 is valid and billable in conjunction with the proper "J" code(s). As Dr. Borreggine stated, the 20550 and 20551 are the proper injection codes for plantar fasciitis. 
 
Jessica M. Wade, Practice Manager, Blue Ridge Footcare & Surgery, PLC
OBI627

RESPONSES/COMMENTS (NEWS STORIES) - PART 2A
From: Keith Gurnick, DPM
 
Mechanically-induced back pain can be reduced/improved or alleviated with better postural mechanics and improved lower extremity function in standing activities and during gait with the help of custom prescription foot orthotics. This usually requires a combination of treatment modalities including stretching, core muscle strengthening, activity modification, and foot orthotics.
 
An excellent test to see if custom orthotics might be successful is to first try a properly applied low-Dye tape strapping(s) and when indicated also concurrently the use of a unilateral measured heel lift inside the shoe for limb-length discrepancy. Podiatrists who dispense orthotics should be checking for LLD on exams. If the temporary taping and a heel lift helps, I have found that this is a good predictor that custom prescription orthotics will help as well. This two-step approach is quite understandable to our patients who are looking for relief of their back pain. These patients will often try anything but unfortunately they become disappointed when poor outcomes and results don't meet the hype and their expectations.
 
Keith Gurnick, DPM, Los Angeles, CA
DPMpreferredjun1118

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B
From: Robert Scott Steinberg, DPM
 
Dr. Simon seems to suggest that I don't do a thorough work-up. He is also of the opinion all chiropractors don't know what they are doing. On both counts, how unprofessional. Do all DPMs immediately refer out their patients with heel and back pain. I highly doubt it, unless maybe if they are employed by hospitals. Are there chiropractors I do not trust, sure, but the ones I know, do not exceed their training, do not do orthotics, and don't sell products except for the occasional back brace and Biofreeze. Chiropractors have been a steady referral source. Here's what I believe: If you want respect, give respect.
 
Robert Scott Steinberg, DPM, Schaumburg, IL
Stablefeb1218

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

And you thought your shoes were torture!

Source: Maayan Eisner via Virtual Shoe Museum

drcomfortnov1218

MEETING NOTICES

presentnov518A

aafasnov1918A

Fapaoct2818R

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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PODIATRY PRACTICE WANTED SOUTHERN CALIFORNIA  
 
Looking to purchase Southern California podiatry practice from podiatrist willing to stay for transition.  Please reply to socalpod12@gmail.com.
 
EQUIPMENT FOR SALE - NORTHERN INDIANA
 
Closing satellite office. Selling misc medical and office equipment including Xanar 15 watt laser, 3 treatment chairs, x-ray machine. Email for complete list of items available. Fwfeet7@gmail.com
 
PRACTICE FOR SALE – BLOOMINGTON, IN
 
A well-established, profitable 47 year-old podiatry practice is for sale in Bloomington, Indiana.  All office equipment and inventory is separately for sale, including but not limited to a digital x-ray, c-arm, laser, and power chairs.  Inquires can be made to blmpodiatry@gmail.com
 
SPACE AVAILABLE – NY AND LONG ISLAND
 
Offices available to sublet and share, Manhattan and North Shore Long Island. Offices fully equipped with state-of-the-art equipment extremity MRI, foot/ankle CT scanner, diagnostic ultrasound and the availability to become a staff member of a certified ambulatory surgical center. Call 1516 476-1815 podo2345@aol.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@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
CLASSIFIED ADS PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - EL PASO, TX
 
If your passion is to enhance people's independence and quality of life through helping them improve their mobility, then a career as a Preferred Podiatry Group podiatrist could be for you. Flexibility, autonomy, resources - they're all yours! Oh, and did we mention that there's very high earning potential based on patient volume? Please send an email to recruiting@PPGpc.com if you're interested in learning more about PPG podiatric care for residents in long term care homes.
 
ASSOCIATE POSITION – MARYLAND 
 
Established practice looking for a full-time podiatrist for our three Maryland locations. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general foot care. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol based office. Please send C/V to podiatristsmd@gmail.com
 
ASSOCIATE POSITION - NASSAU COUNTY, NY 
 
Exciting opportunity! Busy Nassau County, NY office seeks full time podiatrist. State-of-the-art facility. Complete EMR, digital radiograph and diagnostic ultrasound. Excellent salary and benefits. Must be board qualified. Please e-mail resume to: Medicalofficeinquiry@gmail.com, or call: 516-902-1073
 
ASSOCIATE POSITION – HOUSTON, TEXAS
 
Busy podiatry practice seeks motivated DPM to join our team. Amazing opportunity for someone looking to grow with us. Incredible company culture. Suburban outpatient practice in an active part of town. Sports medicine and lots of kids. No weekends or hospital call. Interested applicants invited to send CV's to: HoustonDPMJob@gmail.com
 
ASSOCIATE POSITION - ORANGE COUNTY, CA 
 
Busy practice looking for a bilingual, Spanish speaking, part or full-time associate for a multi-office practice. Both Non-surgical & PSR-24-36 Board qualified/certified foot and ankle physicians and/or fellowship trained surgeons wanted. Candidate must be personable, outgoing and motivated with excellent bedside manner with ability to be busy from day one. Must be competent in all areas of conservative, wound care and surgical treatments of the foot and ankle. Competitive salary offered. Email CV to:  ocfootdoc27@gmail.com
 
ASSOCIATE POSITION - LOUISVILLE, KY 
 
Immediate opportunity to walk into a busy three doctor practice to take over for an established podiatrist moving back to his home town for family reasons. Multifaceted well-equipped office centrally located with a local residency. Send resume and letter of interest to benfeet@yahoo.com.
 
MULTI-LOCATION GROUP - CHICAGO/NEAR WEST SUBURBS 
 
Seeking F.T. ABFAS Board Certified/Eligible associate- P.T. available. MINIMUM 2 year practice experience required. Surgical/ortho patients. Great staff. DME, MIS, EMR, ultrasound, PRP, shockwave, digital x-ray, laser, sx center & Physical Therapy- Top pay, associateship & practice equity available for experienced candidates. Contact podiatryoffer@gmail.com
 
ASSOCIATE POSITION – WESTERN PA 
 
Well-established podiatry practice in Western, PA looking for a full-time Podiatrist to join their team. Position will involve seeing patients at multiple hospitals, wound care centers and satellite offices. Basic qualification: Graduation from an accredited medical school and completed accredited residency program. Board Certified/Qualified. Certificate/license medical license to practice in State of Pennsylvania. We offer a competitive compensation and benefits package to our team members.  email CV to: dysteindpm@gmail.com
 
POSITIONS AVAILABLE – ROCHESTER, NY
  
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in and around Rochester, NY. Great opportunity for part-time income. Positions available immediately! Send inquiries to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION – NORTH CAROLINA 
 
Great opportunity in rural Northeastern NC! 20 year, well established practice with multiple locations, ready to continue to grow, seeking hard working podiatrist/s just entering practice or with experience, to join us. North Carolina license a must, Send questions and/or CV to  iiicms@aol.com
 
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA 
 
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. A great opportunity for driven personable individual. Please e-mail CV, Letter of references, 1 minute Video Introduction Email: cnunez1940@gmail.com
 
ASSOCIATE POSITION - LOS ANGELES CA 
 
Excellent opportunity for hard working, ethical rearfoot and ankle trained foot & ankle surgeon. Full scope practice including fore/rearfoot surgery, trauma, biomechanics.  Located across the street from a major hospital.  Associateship leading to partnership.  Email CV to lafootanklesurgeon@gmail.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 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.
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.
Guidelines
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Barry H. Block, DPM, JD
 
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