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| PM News | |
The Voice of Podiatrists
Serving Over 18,687 Subscribers Daily
November 26, 2019 #6,557  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- 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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Which operating system do you use on the computers in your practice?
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| PODIATRISTS IN THE NEWS | |
Common Foot Hygiene Problem for 40+s is Not Drying Between Toes: NY Podiatrist
"Many people over the age of 40 have some unhealthy foot hygiene habits," says Bruce Pinker, DPM, a foot and ankle surgeon at Progressive Foot Care in New York City. The most common, he says, is failing to dry between the toes after bathing. "If moist feet are placed inside closed shoes, the feet may become warm and fungus growth may be promoted, due to the wetness and the footwear, which prevents breathability," Dr. Pinker explains. This can lead to blistering and cellulitis, as well as athlete's foot.
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Dr. Bruce Pinker |
"By simply drying between the toes after bathing, one can help reduce the occurrence of such infections and therefore reduce foot discomfort," he says. In addition, Pinker recommends using over-the-counter powders, which can be placed directly onto your feet or into socks to reduce wetness.
Source: Best Life [10/7/19]
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
IL Podiatrist Named Best Podiatrist of Madison County
A record crowd of 600 people celebrated area excellence Wednesday night for the Best of the Best of Madison County and the Riverbend, powered by The Telegraph, The Intelligencer, and The Edge. Mayors from four area communities participated in the celebration, which also included video appearances by Jon Lovitz and Carson Kressley.
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Dr. Lawrence Huels |
Honorees included Best Podiatrist: Larry Huels, DPM. Dr. Huels is a podiatrist with over 32 years of experience in podiatric medicine. He trained at Southern Dallas County Podiatric Residency Association at Oak Cliff Medical and Surgical Hospital. He is affiliated with Alton Memorial Hospital and OSF Saint Anthony's Health Center.
Source: The Edwardsville Intelligencer [11/21/19]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
TN Podiatrist Appointed to TSSAA Sports Medicine Advisory Committee
Podiatrist. David Long, DPM was recently appointed to the Sports Medicine Advisory Committee of the Tennessee Secondary School Athletic Association (TSSAA). The committee is made up of Tennessee health professionals who provide TSSAA’s Executive Staff and Board of Control with important insight. Dr. Long sees patients in Paris, Martin, and Union City.
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Dr. David Long |
A board-certified, podiatric surgeon, Dr. Long has specialized in treating problems of the foot and ankle for more than three decades. He graduated from the Des Moines University College of Podiatric Medicine and Surgery and completed his residency at the Universal Medical Center/The Orthopedic Institute Plantation, FL.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
7 Financial Reports Your Practice Needs to Run - Part 1
Most physicians readily admit that classes on how to run a successful medical practice were not part of the curriculum in medical school. While "financial reporting," might not have been a class at your medical school, experts say you need to at least become familiar with understanding some of the basic reports. Here are seven to track.
1. Appointment Analysis- "Although analyzing appointments is not considered a financial report in the traditional sense, patients who do not show up for scheduled appointments cost the practice money. The ideal fill rate is usually about 90 to 95 percent. Calculate the actual fill rate and compare it to the desired fill rate to decide if any correction or additional action is needed. This report also shows which time of day or which months are busier for your practice. This helps determine if and when additional help is needed." - Ada Stewart, MD, AAFP Board of Directors.
Source: Angela Watkins, Physicians Practice [11/15/19]
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| CODINGLINE CORNER |
Query: Modifiers -LT and -RT
I have been having a difficult time understanding when it is necessary to use -LT and -RT to specify laterality. I am being told that it is unnecessary to specify laterality unless I am doing a specific procedure on both feet. Am I getting incorrect information? It seems easier to just use -LT and -RT for every CPT code and let the payers ignore it if that is their protocol. What do you think?
Archived Codingline Question
Query: Modifiers can be tricky. Using them incorrectly can obviously get your claims denied. Using them when you don’t need them can also confuse the computer and get claims kicked out. If you bill an RT, the computer system might be searching for the corresponding LT procedure and when it can’t locate it on your claim, the claim gets denied.
If there is ever a question as to which side you did, the ICD-10 code might help, but ultimately your chart note will be the definitive documentation. I use RT/LT 100% of the time when billing x-rays. Outside of that I use them when doing procedures on two feet depending on if other modifiers may be more appropriate.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (RELEVANT RESEARCH) | |
RE: Plantar Mechanical Stress Tied to Formation of Plantar Melanoma
From: Leonard A. Levy, DPM, MPH
A study in the Journal of European Academy of Dermatology and Venereology was reported by Dermatology Advisor indicating that “mechanical stress on the plantar surface of the foot, which is typical of normal weight-bearing on the foot, is associated with a higher formation of plantar melanoma compared with other non-weight-bearing areas of the body.” It indicated that “the heel was the most common region with plantar melanoma, followed by the forefoot, plantar aspect of the toes, lateral midfoot, and arch.”
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) | |
From: Jay Berenter, DPM
Greenway was fined over $50 million by the DOJ for fraud as it related to their EHR system. As part of their settlement, they were REQUIRED to transition records to an EHR platform of their customer's choice FREE of charge. This doctor should not be paying anything for the conversion.
Jay Berenter, DPM, La Jolla, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Bob Hatcher, DPM
This website for Charlotte's Web has a variety of CBD products plus information on production and cost.
Bob Hatcher, DPM, Raleigh, NC
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| RESPONSES/COMMENTS (CODINGLINE CORNER) - PART 1 | |
From: Allen Jacobs, DPM
The normal diabetic foot examination - The discussion of how to submit charges for a “normal foot examination” reminds me of the old adage “the eye sees what that the mind knows.” If the examination is cursory, then I suppose one may lack a diagnosis for the justification of a diabetic foot examination.
I propose that the ability to diagnose relevant foot pathology in the diabetic is only as good as...
Editor's note: Dr. Jacobs' extended-length letter can be read here.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) - PART 2 |
From: Paul Busman DPM, RN
Dr. Ron Werter replied to my comments of the other day: "I do not take issue with Dr. Busman's comments about bundling. I do take issue with his surgery...a toe exostectomy taken to the OR and the patient sedated and having a painful recovery period? Does he also take a patient to the OR and sedate them for a P&A. What’s wrong with just a digital block for an exostectomy or even an arthroplasty?"
I fully agree with Dr. Werter and even if I was still in practice, I would never take a patient to the OR for such simple procedures, but would do them in the office under digital block. I retired from podiatry and worked as a circulating OR nurse for 10 more years, during which time I did indeed see podiatrists bring patients to the OR for very minor procedures. Sometimes the anxious patients had insisted on it, refusing the procedure otherwise. Some matrixectomy patients were children who had failed office attempts at digital blocks and truly needed the procedure. There were indeed instances were no such special conditions existed. Sad, but true.
Paul Busman DPM, RN Frederick, MD
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| YOU CAN'T MAKE THESE THINGS UP | |
Indian Woman with 20 Toes, 12 Fingers is Ostracized
A woman who was born with 20 toes and 12 fingers says she has become a social outcast, with neighbors believing she is a witch.
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Indian Woman with 20 Toes |
Kumar Nayak, 63, was born with a rare condition called polydactyly, which causes people to have more than the average number of digits on their hands and/or feet. But with no money to pay for treatment, Kumar, who lives in Ganjam, Odisha, in India, says she has no choice but to live with the condition.
Source: Dominic Smithers, ladbible.com [11/22/19] via Dr. Wenjay Sung
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MEETING NOTICES
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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
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
2020-2022 LOWER EXTREMITY PERIPHERAL NERVE SURGERY FELLOWSHIP
US Neuropathy Centers is now accepting applications for their 2-year lower extremity peripheral nerve surgery fellowship accredited by the Association of Extremity Nerve Surgeons (AENS). This fellowship is directed by Dr. Stephen L Barrett in Atlanta, Georgia. The fellowship includes microsurgical training at the Mayo Clinic, fundamental and advanced AENS peripheral nerve surgery cadaveric courses, and qualification for fellowship status in the Association of Extremity Nerve Surgeons upon completion. Applicants will need a Georgia license by 6/30/2020 and have completed a CPME accredited 3-year residency. Send your CV, two letters of recommendation, and a cover letter to: USneuropathyATL@gmail.com
ANKLE & FOOT ASSOCIATES DEFORMITY CORRECTION & ADVANCED SURGICAL SKILLS FELLOWSHIP - SE GEORGIA
Fellow position available for the year 2020-2021. Focus on deformity correction, orthoplastics, minimally invasive surgery, and trauma. Interested candidates should send CV to AnkleandFootFellowship@outlook.com. Fellow to be chosen by mid-December.
ASSOCIATE POSITION – LOS ANGELES, CA
Established multispecialty private practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Expertise in complex and chronic wounds is needed but residency or wound care certification not required. Full-time and well compensated based on a private practice productivity model with salary and benefits guaranteed. Our experienced team provides beautiful, fully equipped offices with on-site ASCs. We provide trained office staff, marketing and expert revenue cycle management, ensuring doctors can focus on patient care. Excellent opportunity to build a great wound care and podiatry practice as part of a reputable and established company. TWCCJobs@gmail.com
ASSOCIATE POSITIONS - PENNSYLVANIA - AVAILABLE IMMEDIATELY
Podiatrists wanted for immediate hire to treat patients in Nursing Facilities and Assisted Living Communities in multiple locations in Pennsylvania. Full time and Part time positions available. A unique opportunity with flexible schedules and an unmatched potential for growth. Send CV and Cover letter to tajdpm@verizon.net
ASSOCIATE POSITION - ROCKLAND/WESTCHESTER/SUBURBAN NYC
Well-established foot and ankle surgery/sports medicine practice looking to hire a Talented Team Player to add to our successful family. Must be surgically trained, willing to work hard, and grow with us. Highly competitive salary. Modern, advanced equipment, including PinPointe Laser. Terrific opportunity for the right doctor. Signing bonus. Partnership potential. Please send Cover Letter and CV to: linchpindpm@yahoo.com
ASSOCIATE POSITION - SUFFOLK COUNTY, NY
Multi-office podiatry practice in Suffolk County seeks full time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to newpodiatrist@optimum.net
ASSOCIATE PODIATRIST - METROPOLITAN MARYLAND
Established practice (3 locations) looking for a full-time podiatrist with opportunity for partnership. Must be motivated, personable and dedicated to our growing practice. Must have strong skills in wound care, diabetes, general podiatry and surgery. The ideal candidate will be able to merge into an already protocol-based office. State of the art, fully staffed facility including EMR, PadNet, DME, digital x-rays and shoe stores on premises. Staff privileges at 3 local hospitals. Great location close to Washington D.C. and Virginia. Please send CV to marylandpodiatryjobs@gmail.com
ASSOCIATE POSITION – NAPLES, FL
Immediate and July 2020 associate positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Interpersonal skills and willingness to work as a team a must. Cloud EMR, Digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, Paid vacations etc. Our practice cadaver surgical labs to enhance everyone's skills as a group exclusively available. If you like FL sunshine, fishing, golfing, beaches and to live and work in paradise. Also 1 fellowship position: ACFAS-approved surgical fellowship open for 2020 yr. MIS, RRA Surgery, Practice Management w over 1,200 procedures/450 cases/yr. Must have foot/RRA ABFAS qualified status by 8/2020. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – ALABAMA
Love the beach? Busy, established practice located in a coastal community is looking for a full-time or part-time podiatrist! ABFAS board qualification or certification is required. Must be motivated, hardworking, positive, and dedicated to growing the practice and individual career and reputation. Must have great people skills, caring bedside manner, and positive demeanor. Must work well with staff and local medical community. Competitive pay and partnership track available. Send CV and contact information to: manager@southbaldwinpodiatry.com
ASSOCIATE POSITION - WESTERN PHILADELPHIA SUBURBS
Is your ideal practice opportunity one with all aspects of podiatry included? We are a group practice with 6 offices looking for the right surgically trained board qualified/certified doctor to join our family. Forefoot and rearfoot surgery, as well as, wound care and limb salvage with privileges at 2 local hospitals are available. Partnership is certainly part of the long-term plan. We are looking for the right candidate. Send all inquiries and CVs to sgrulke2002@yahoo.com
POSITIONS AVAILABLE IMMEDIATELY - MISSOURI, MINNESOTA AND KENTUCKY
Looking for reliable and ethical podiatrists to service Skilled Nursing Facilities, Nursing Homes, and Assisted Living Centers. Generous compensation offered. Positions available immediately in Kentucky, Minnesota, and Missouri. Send inquiries and CV to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION – MARYLAND
Perfect opportunity for highly motivated individual with excellent clinical skills and bedside manner. Candidate must be proficient with inpatient management, wound care and all aspects of podiatry. Competitive compensation package which includes base salary and bonus structure. Email letter of interest/CV to contact@shadygrovepodiatry.com
ASSOCIATE POSITION PART-TIME – BROOKLYN, NY
ASSOCIATE POSITION - SOUTHERN CALIFORNIA (LONG BEACH)
Established busy practice looking for a full-time podiatrist. This special doctor should be personal, teachable, motivated and independent. Five or more years of practice experience welcome. Need someone immediately. Please submit a CV with a cover letter and three professional references to PodiatristLB@gmail.com
ASSOCIATE POSITION – SAN ANTONIO, TX
Well established practice seeks full-time podiatrist in San Antonio, TX. Recent expansion to second office location offers exclusive opportunity for growth. Candidate must possess strong surgical and clinical skills and have a team player attitude. Salary with incentive structure and benefits. Please send description of your background, training, practice expectations and CV to: lisa.baine@gmail.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 |
EQUIPMENT FOR SALE - CUTTING EDGE MLS MPHI 5 LASER
Pre-owned Cutting Edge MLS Mphi 5 Laser, with upgraded Battery and new features for treatment of most all Inflammatory Conditions. New $48k. Now $21,500 obo Shipping included. Contact: surgeonman@aol.com
PRACTICE FOR SALE - SOUTHWEST PA
Make this your practice. Own this practice and gain an immediate return on your investment. Opportunity to harvest surgery currently referred out. Fully equipped. Turn-key operation for next owner. Transition by seller. Member Top Practices. Contact: MCrosby518@gmail.com
PODIATRY PRACTICE FOR SALE – WESTCHESTER, NY
Well established, successful, located downtown in growing major city Westchester, NY. Parking, public transportation. Retiring due to health reasons. On surgical staff of close major hospital, On ALL major health insurances, four treatment rooms, power chairs, EMR with Dragon, Electronic Billing, ERx, Digital Xray,Vascular Testing, Fluoroscopy, RSWT, Ultrasound, Radiofrequency, Cryoprobe, Autoclave, Whirlpools, Footmax Metascan, complete surgical (with power) and conservative care instruments. PRICED TO SELL. Will introduce. E-mail: lifehope53@yahoo.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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| 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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