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| PM News | |
The Voice of Podiatrists
Serving Over 22,125 Subscribers Daily
November 22, 2022 #7,387  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- 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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What post-graduate training do you have?
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| IN YOUR MAILBOX SOON | |
We've just mailed the November/December 2022 issue of Podiatry Management. The cover story is titled "The Diabetic Foot 2022: Clinical and Practice Management Strategies You Need Now." This special annual issue contains over a dozen diabetes-related articles. In addition, you'll find our usual assortment of columns and features. The November CPME-approved CME appears online.
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November/December 2022 PM |
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| PODIATRIC PODCASTS | |
SC Podiatrist Interviewed About Preventative Vascular Testing
Ben Pearl, DPM recently interviewed Alan Block, DPM for his podcast Fit Foot U. Dr. Block highlighted the importance of identifying vascular problems in the lower extremity before patients develop ulcers and other complications. Block recently moved his practice to South Carolina. He said his practice in Ohio was tightly coordinated with other vascular specialists and this made a big difference that improves patient outcomes.
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(L-R) Drs. Ben Pearl and Alan Block. Click on photo to view short video |
Dr. Block advocates getting lab testing such as arterial Dopplers to identify pathology before symptoms occur in populations at risk.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
3 Revenue Indicators People Don’t Talk About
In 30 years of running revenue management, the usual suspects come up in a Key Performance Indicator (KPI) Dashboard such as Charges, Payments, Adjustments, Net Collection, Gross Collection, Days in AR, AR over 90 Days, and Bad Debt. Then you have the breakouts for each category by payer, CPT Code, Location, or ICD Code. There are 3 other KPIs that may not be traditional KPIs, but they have a significant impact on collections and cash flow.
1. Denials - Getting the denial and correcting the issue for that claim is not enough. Many times, I notice repeated instances of correcting the same issue on multiple claims. Once you identify the denial, seek to place a rule in your billing system that would correct this denial before the claim is sent out. The goal is to prevent the denial from ever happening.
Source: Jonathan Friedman, MBA, Physicians Practice [11/15/22]
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: The Commercialization of Medicine
From: Lawrence Oloff, DPM
I would like to share my frustrations with the commercialization of medicine. I grew up in an era of medicine where surgical equipment companies would introduce doctors to their newest gizmo via reps and meetings. Some of these were true advancements, and other not. Doctors would attend labs, listen to experts, and would then incorporate new devices/implants into their practice that they felt had merit. We have now entered an era where companies target the consumer.
In essence, a backdoor approach to the doctor. Promises of better results and faster recoveries have flooded the marketplace via the Internet, and...
Editor's note: Dr. Oloff's extended-length letter can be read here
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Jeff Pinsky, DPM
Like so much of the stuff we see and read on social media, only part of the story gets exposed. I know a few people within Anthem (now Elevance, though still operating under the Anthem brand in many areas) and regardless of pre-authorization, the billing (CPT, HCPCS, ICD, etc.) codes need to be correct and complete to get approved for payment. This didn’t happen in her case.
Also as the TikTok clip stated, we all know that the hospital and doctors did the billing, but the public has little to no insight into how medical billing works, and it’s always fun to blame the “big evil insurers”. Patients shouldn’t have to resort to exposing their medical history on social media to get claims properly...
Editor's note: Dr. Pinsky's extended-length letter can be read here
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3A | |
From: Howard Dananberg, DPM
In 1999, I published an outcome assessment study in JAPMA on 32 patients considered at or near medical endpoint with chronic lower back pain (CLBP). All were treated with custom foot orthotics designed to specifically mobilize the 1st MTP joint. These patients were followed for an average of 13.9 months. 84% reported substantial recovery as measured using the Quebec Back Pain Disability Scale.
In a separate study delivered at the 3rd World Congress on Lower Back Pain, I described the effects of the same type of orthotics on hip extension through the end of single support phase. There was an almost 50% improvement in range at follow-up (from 7 to 13 degrees).
It is the improvement in hip extension which is the most important factor in the podiatric management of CLBP. This improves pre-swing mechanics which ultimately relieves iliopsoas origin stress in the lumbar spine, disks, and intervertebral septa. Since this pathological motion is repeated thousands of cycles daily, resolving it produces outcomes which tend to be excellent. It represents a non-specific repetitive stress to the lower back region which cannot be relieved by other methods. Podiatrists should be at the core of every lower back treatment clinic worldwide.
Howard Dananberg, DPM (retired), Stowe, VT
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| RESPONSES/COMMENTS (NON-CLINICAL) -PART 3B | |
From: Allen Jacobs, DPM
While there would seem to be certain circumstances in which foot pathology (e.g., excessive pronation, rigid supinated foot) may be a contributing or even causative factor of mechanical back pain, I would urge caution to the readers. Asking a patient if they suffer from back pain, and then suggesting that orthotics might be helpful, opens a potential quagmire. I recently acted as an expert witness in a malpractice case against a podiatrist who successfully treated a patient for a Morton’s neuroma. The patient mentioned unilateral paresthesia in one leg. In hindsight, the patient was eventually diagnosed with a rare spinal-dural AV malformation.
Unfortunately, this resulted in a permanent neurologic deficit. The podiatrist was alleged to have failed to recognize the serious nature of the back pathology, leading to a delay in diagnosis and resultant irreversible progression of the neurologic deficit. Back pain may be mechanical in nature, but may be associated with spinal stenosis, infection, tumor, spinal nerve compression. In the case I referred to, the patient was under concurrent management of a primary care physician (also named as a litigant) for back pain.
Unless you are prepared to complete a detailed clinical and necessary radiographic or electrodiagnostic studies for the evaluation of acute or chronic back pain, should you undertake the responsibility of treating back pain with orthotics (and some have actually suggested sinus tarsi “stents”), make sure that a capable physician has taken the responsibility of diagnosing the etiology of that back pain.
Allen Jacobs, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 4 | |
From: Greg Caringi, DPM
As I have gotten older, I put together a rock-and-roll cover band with some of the other docs in my community as a reaction to many of my high school friends joining ukulele groups and playing pickleball. I hope that future generations do not ignore the wisdom and work of those who went before them. Our parents' generation is all but gone. I still have many questions that I wish I could ask them.
Greg Caringi, DPM, Lansdale, PA
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Allen Jacobs, DPM
It is one thing to know how to do something. It is a better to know when to do something. It is best to know when not to do something. There are things a nurse may know. There are things a nurse may know that she does not know, and make an appropriate referral. What is worrisome are those aspects of foot pathology that a nurse does not know they do not know such as: The significance of a pressure induced callus in a neuropathic diabetic. Unilateral edema in a diabetic patient. Atypical appearing melanonychia. Lateral impingement pain. The differential diagnosis of heel pain. Early manifestations of psoriatic arthritis. Atypical presentation of PAD in an elderly patient. Entrapment neuropathy in the diabetic patient with paresthesia or dysesthesia.
Many commonly presenting signs and symptoms of foot pathology require the integration of knowledge in dermatology, biomechanics, neurology, vascular disease, rheumatology, gait analysis, and so on. The foot is an anatomic region, not a “system”. I have had many opportunities to address physicians, nurses, and PAs at CME programs. As my old professor and educator Dr. James Ganley told me years ago, when you educate non-podiatric healthcare providers, they come to appreciate the complexities of these problems, and referrals to the podiatrist increase.
Yes, there are those who will attempt to practice podiatry. Ultimately, I believe it will be vulnerable patients such as the geriatric patient, the diabetic patient, the vascular compromised patient, who will suffer the consequences of well meaning but incompetent care.
Allen Jacobs, DPM, St. Louis, MO
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Result of a kick to the head? (photo: Charlotte Visser) |
Source: Liesel Swart via Virtual Shoe Museum
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MEETINGS & WEBINARS
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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 $279 (less than $19 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, PA, 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, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-1/1/23 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
ASSOCIATE POSITION – WAYNE, NEW JERSEY
FT position. $200K starting base salary. Includes health insurance, malpractice, bonus opportunity, paid vacation. Well established, single location, over a decade in practice. Office has been recently renovated. Position has high financial growth potential for those that are motivated. Private practice experience recommended, but not required. Email CV to northjerseypodiatrist@gmail.com
PODIATRIST POSITION - PA
Excellent opportunities working in LTC facilities across PA. Flexible scheduling, excellent pay. PT to FT. Allentown, Altoona, Bensalem, Philadelphia, Pittsburgh, Pottsville, Scranton, Wilkes Barre, York. Resume to sara@docrite.com
ASSOCIATE POSITION - ALBANY, NY
We are looking for a surgically trained podiatrist to join our busy practice. We are a well-established office with local hospital affiliations, and see a good variety of pathology. If interested, please send CV to: Steven.Lam2@gmail.com
ASSOCIATE NEEDED - VIRGINIA
Multi-office practice in the DMV and Shenandoah Valley Region. Desired candidates should be ethical, energetic, and surgically trained with BE/BC. High volume in all aspects of podiatry including both foot and rearfoot/ankle reconstructive surgery. Competitive base/bonus structure and benefits. Please forward a cover letter and CV to careers.footandankle@gmail.com
ASSOCIATE POSITIONS - AVAILABLE IMMEDIATELY - TEXAS , PENNSYLVANIA, & VIRGINIA
Podiatrist positions available for immediate hire to treat patients in Nursing Facilities in Texas (Dallas/Ft Worth, San Antonio +), Virginia, and PENNSYLVANIA. A unique opportunity with flexible schedules and an unmatched potential for growth. Send CV and Cover letter to office@easternpodiatrypllc.com
ASSOCIATE POSITION FOR FELLOWSHIP TRAINED - SUBURBS OF NYC
Live and work in a great community. Successful and supportive practice. Only 30 minutes from NYC. Desirable area. High volume surgery to build cases for surgical boards quickly - elective, trauma, diabetic limb salvage. Busy, modern, technologically advanced offices. ABFAS BQ/BC required. Competitive Salary + Bonus, PTO, Paid Vacations, Retirement Plan with Employer Matching, All Professional Fees Paid, Generous Signing Bonus. Please send CV to: linchpindpm@yahoo.com
ASSOCIATE POSITION - THE WOODLANDS, TEXAS
Wonderful Opportunity! #1 Place to live in the USA. Multi-physician, multi-office, successful practice. Own surgery center, physical therapy, and imaging. Seeking well-trained, personable and highly motivated Foot and Ankle Surgeon. Immediate opening! Send resume to: Alexandra_lopezsuarez@yahoo.com
FULL-TIME PODIATRY POSITION - NEW YORK & NEW JERSEY
Esteemed Metropolitan Practice looking for a surgical podiatrist to join our well established team. Starting $90,000, w/PTO, w/401K, and insurance. Starting $150,000 if surgically experienced. Position for Immediate filling, Moonlighting and fulltime applicants only. Submit resume to enlist@deloorpodiatry.com
ASSOCIATE POSITION – WESTERN NORTH CAROLINA
Join a well-established, busy and growing podiatric practice. We are fully integrated with the medical community in a large tertiary teaching hospital. Research opportunities are available. Applicant should be ethical, personable, hardworking, and committed to quality patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. Associate position can lead to partnership. All interested candidates should send a resume to JCMOOREDPM@aol.com
FOOT & ANKLE SURGEON - SOUTH CAROLINA, GEORGIA
Physicians Footcare, is seeking a highly skilled and personable physician to join our TEAM. If work-life balance and above average compensation is important to you send letter of interest and CV to: careers@physiciansfootcare.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New 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, guaranteed 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 – HUDSON VALLEY, NY
Opportunity to improve your quality of life and start a thriving career in the beautiful Hudson Valley. Offices are located in Hudson and Catskill. We are looking for skilled, well rounded podiatric surgeon. Position available immediately but also willing to wait for skilled resident to begin in July. Please send CV to: mzhubrak@yahoo.com
ASSOCIATE POSITION – MARYLAND
Thriving podiatry practice with 3 office locations and ASC seeking a highly motivated and reliable full-time associate. Candidate must be board eligible, residency with RRA preferred. Great work environment with strong support staff. Competitive compensation and benefits package with bonus opportunities offered. Please email CV to: careers@mynewfeet.com
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Work where you want to live. Supportive environment, Sunny SWFL, build your surgical boards cases quickly, busy, modern, technologically advanced offices. ABFAS BC/BQ a must, EMR, CT, DME, Base salary + bonus, PTO, 401K, health ins. 1 ACFAS fellowship position also DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – BEVERLY HILLS, CALIFORNIA
SIGNING Bonus. We are looking for a podiatrist that provides service to our in-office patients, skilled nursing home patients, wound care patients and our affiliated hospitals. Required: Completion of a 3-year residency program • Current holder of a state podiatry license • Board certification/qualification is highly preferred • Looking for well trained, well rounded and personable candidate to plug into our growing group of 5 Podiatrists and 4 locations. Competitive 6 figure base with lucrative bonus structure. Full benefits including 401K and match. Email resumes directly to victorian@footnankledoc.com
ASSOCIATE POSITION -- LAS VEGAS, NEVADA
Busy and well-established practice in Las Vegas, NV. Must have excellent bedside manner. Send cover letter and CV to: sierra@lasvegasacfac.com
ASSOCIATE POSITION – PHOENIX, AZ
Well established, growing, group practice looking for an associate immediately. Multi location practice. Looking for well-rounded podiatrist that is capable of working on your own. Base pay with bonus package. Great opportunity Please submit resumes to: podiatryphoenix@gmail.com
ASSOCIATE POSITION - COLUMBUS, OH
Seeking DPM to join well-established, multi-office private podiatry practice in Central Ohio. We provide high quality care using state of the art technology. Competitive salary and benefits package with bonus opportunities. Please email Cover Letter and CV to: dkaplansky@yahoo.com
ASSOCIATE POSITIONS – VA, MD, 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)
ASSOCIATE POSITION – NORTHERN VIRGINIA
Seeking a well-trained physician to join a multi-office practice in northern Virginia. Good variety of pathology with multiple hospital and surgery center affiliations. Competitive salary and benefits package. Ability to work with and train residents. Seeking a start date over the summer, however immediate start date is available for the right individual. If interested, please email resume to: krpsgold@cox.net.
ASSOCIATE POSITION - VIRGINIA
Growing podiatry practice is seeking a high energy associate interested in providing care to multi senior living facilities as well as working into a partnership to own the practice in 2 to 4 years. The office is located in Annandale, Virginia. Great opportunity to add a surgical aspect to the practice as surgery is currently referred out. Compensation is personal productivity commission based. Please respond to: DrBreiner@AOL.com
ASSOCIATE POSITION – NEW YORK CITY/BROOKLYN
Great opportunity for a recent graduate to join a rapidly growing team. Will have hospital privileges at a prestigious, institution in NYC. Looking for a self-motivated, positive individual willing to work hard. Competetive benefits package. Please send resume to: simonpodiatrystaff@gmail.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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – MINNEAPOLIS
Beautiful clinic in suburban Minneapolis with large population draw. Well established, busy solo practice grossing over 500K-4 days per week. Has everything needed to produce immediate income. Golden opportunity with amazing potential. Wonderful place to live & to practice the way you’ve always wanted to. Contact: https://mailchi.mp/00143c0ccdcb/wwfootclinic
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.
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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