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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,685 Subscribers Daily
November 27, 2019 #6,558  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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| APMA COMPONENT NEWS | |
AAPPM Elects New Board of Trustees
At the American Academy of Podiatric Practice Management (AAPPM) Fall Conference, the AAPPM Board of Trustees met and elected a new board to lead the group for the next year.
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(L-R) Drs. Bill McCann, Animesh Bhatia, and Benjamin Weaver |
President - Animesh (Andy) Bhatia, DPM, CWS
Vice President - Andrew J. Schneider, DPM
Treasurer - Jonathan B. Purdy, DPM
Secretary - Michael J. King, DPM
Immediate Past President - Benjamin W. Weaver, DPM
Trustees - Alan Bass, DPM, D. Charles Greiner, DPM, Sam Guillory, CMOM-POD, PMAC, Luke Hunter, DPM, Jonathan Moore, DPM, MS, and Shannon Schnell, DPM
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| PODIATRISTS AND SPORTS MEDICINE | |
WI Podiatrist Discusses External Causes of Arch Pain
Like many other foot issues, plantar fasciitis and other types of arch pain can come from two primary sources, says Maggie Fournier, DPM, a sports podiatrist in LaCrosse, Wisconsin, and past president of the American Academy of Podiatric Sports Medicine: Intrinsic factors, which are related to your individual anatomy and physiology, and extrinsic factors, which come from outside your body—think shoes, terrain, or training habits.
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Dr. Maggie Fournier |
External causes of arch pain include ramping up your training too quickly. Adding too many fast miles proves especially risky, due to the added pounding, Fournier says. Making a switch from running on softer surfaces to harder ones—say, going from trails to roads or gravel to concrete—can also bring on tenderness in this area, as can always running on the same side of the road if the street is sloped or cambered. Fournier also sees arch pain in runners who hang on to their running shoes well past their expiration date.
Source: Cindy Kuzma, Runner's World [11/14/19]
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| PODIATRIC PRODUCTS AND SERVICES IN THE NEWS | |
Arthrosurface Introduces the SpiralUp™ TCL Allograft System
Arthrosurface®, Inc., a global leader in joint preservation technology, has announced the launch of its SpiralUp™ TCL Allograft System. Designed for adult and adolescent patients suffering from talocalcaneal instability, peritalar subluxation, and other injuries resulting in instability in the subtalar joint, the SpiralUp™ TCL Allograft System supplements the talocalcaneal ligament functioning as a dense, strong, and flexible connective tissue layer intended to improve function of the foot as well as conditions along the musculoskeletal chain.
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Dr. Harold Schoenhaus |
"Talocalcaneal instability and peritalar subluxation are progressive conditions with far-reaching symptoms and a vast patient population," said Harold Schoenhaus, DPM, professor of The Temple University School of Podiatric Medicine. "After treating patients for over 45 years with these types of problems and symptoms, I envision the SpiralUp™ TCL Allograft System could be the most effective solution to alleviating these problems. It is intended to stabilize the subtalar and midtarsal joints while simultaneously addressing conditions such as arch, leg, knee, and lower back discomfort."
Source: Business Insider [11/25/19]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
7 Financial Reports Your Practice Needs to Run - Part 2
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.
2. Profit and Loss Statement (P&L) - "A P&L tracks revenues and expenses, showing the profitability of your practice. It can help track key performance indicators such as total encounters, number of procedures, total charges, and collections. Red flags could include a sudden drop in collections. Before deciding on a course of action, look for an explanation behind any warning signs. For example, a decrease in collections this month should have been preceded by a decrease in charges last month." - Ada Stewart, MD, AAFP Board of Directors.
Source: Angela Watkins, Physicians Practice [11/15/19]
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| QUERIES (NON-CLINICAL) | |
Query: ANS and Sudomotor Testing
I send many patients for vascular as well as neuro testing. There is a diagnostic machine available for purchase that allows practitioners to do the testing in our office. One of the machines I have found is called VitalScan which includes autonomic nervous system testing, vascular testing, and sudomotor reflex testing. Does anyone have any experience with these types of machines? Does anyone know if Medicare/commercial insurance allows reimbursement to podiatry for these types of diagnostic tests?
Carol Moore, DPM, Orland Park, IL
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Stephen Musser, DPM
Without viewing other radiology views and clinical pictures, it sounds like your patient has a rigid/semi rigid cavus foot type. The rigid New Balance shoes along with the rigid orthotics may be too supportive for a patient with this foot type and excess weight. Try a New Balance shoe that is not as rigid/supportive with an orthotic material, (i.e., NickelPlasttm) that will cradle/accommodate the foot.
Stephen Musser, DPM, Cleveland, OH
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: The Rebalancing of Podiatric Medical and Surgical Residency Education
From: Alan Sherman, DPM
Chuck Ross started an interesting discussion triggered by his attending the always excellent Richard O. Schuster Memorial Seminar in biomechanics last week. He makes the statement that the concern regarding the lack of emphasis on biomechanics should be focused on the 3 years of residency education, where he notes that there is a “dramatic lack of a continuum once students graduate and enter residency programs, with few exceptions as the emphasis is solely upon surgery.”
Allen Jacobs shares his experiences with speaking to residents, “that it is distinctly uncommon to see gait analysis performed on most patients, including those being evaluated for...
Editor's note: Dr. Sherman's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
RE: Source for CBD Oil (Jack Ressler, DPM)
From: Robert Kornfeld, DPM
The best medical grade CBD oil I have found comes from Canbiola, Inc.
Disclosure: I am on the medical advisory board of Canbiola.
Robert Kornfeld, DPM, NY, NY
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| RESPONSES/COMMENTS (CODINGLINE CORNER) - PART 1 | |
From: Simon Young, DPM
Be very careful with -RT and -LT modifiers especially with BC/BS. I recommend not using -RT and -LT with BC/BS but make sure the ICD-10 codes are correct. Remember the ICD-10 does specify laterality. If your biller places an -LT modifier and the ICD-10 code indicates a right foot, BC/BS will request money back for laterality issues and you will need to send a corrected claim.
For x-ray and diagnostic ultrasound, use -RT or -LT or a -50 modifier for bilateral procedures. -RT and -LT modifiers are also insurance-specific. Remember that the ICD-10 codes indicate laterality. Healthfirst in NYS likes the Q8 modifier after the XU modifier, not like with MCR which is the opposite. Fidelis in NYS likes the DM code first when performing CPT 11721 or 1105* codes. Ask your local representatives - they usually are very helpful per my experiences in NYS for 1199, Healthfirst, Fidelis, and BC/BS (not as much).
Simon Young, DPM, NY, NY
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| RESPONSES/COMMENTS (CODINGLINE CORNER) - PART 2 | |
From: Bryan Markisnon, DPM
Dr. Rubin, on this subject, states that if there is no symptom or clinical diagnosis, payers won’t pay or may not pay, or we may be demanded to pay money back if we get paid. I reject this simply because, if true, then my original statement that all of our proclamations of benefit of a diabetic foot exam or podiatry involvement in overall diabetic management can be beneficial not only during complications, but also in risk stratification and patient education are for naught.
If I am wrong about this, then there is a gaping chasm in the reality of practice and what we espouse as a core important contribution of our profession. Dr. Jacob’s response and...
Editor's note: Dr. Markinson's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Running shoe for a construction worker? |
Source: Submitted by Dr. Lloyd Nesbitt
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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 $229 (less than $16 per CECH)
(Only $15 per credit) http://www.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
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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
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
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.
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 - 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
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
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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- 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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