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Podiatry Management Online


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PM News

The Voice of Podiatrists

Serving Over 22,121 Subscribers Daily


November 24, 2022 #7,389 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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We wish all our readers and families a Happy Thanksgiving

2020oct3122B


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PM NEWS QUICK POLL
What post-graduate training do you have?

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PODIATRISTS IN THE NEWS
Walking Barefoot Through Airport Security Carries Risks: NY Podiatrist
 
"It's not necessarily 'bad' to go barefoot through airport security, but there are some things that we need to remember when we do," says Mark Kosinski, DPM, faculty professor at the New York College of Podiatric Medicine. "Shoes and socks serve a protective function. Shoes protect us from injury, from things dropping on our feet, from stubbing our toes, and from stepping on sharp objects. We lose that protection when we go barefoot and need to be careful with each step," he says. Since airport security can get pretty hectic, you'll want to watch your step and get your shoes back on as quickly and safely as possible.
 
Dr. Mark Kosinski
 
Another small risk of going barefoot at the airport? The number of germs and pathogens present in a place where so many people are walking include fungus and athlete's foot, as well as bacteria, and viruses that can cause warts, infection, or illness. While Dr. Kosinski adds that the amount of time you spend barefoot means you're probably not at serious risk of contracting one of these pathogens, the risk is still not zero. You'll want to be especially mindful if you have existing cuts, blisters, or rashes on your feet, as this could make an easy access point for one of those nasty bugs.
 
Source: Hannah Schneider, Well + Good [11/22/22]

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PODIATRIC PRODUCTS IN THE NEWS
Treace Announces MTA3D™ Adductoplasty® Clinical Study
 
Treace Medical Concepts, Inc., a medical technology company driving a fundamental shift in the surgical treatment of hallux valgus has announced treatment of the first patient in the MTA3D™ Adductoplasty® Clinical Study. The study will evaluate outcomes of the Adductoplasty® Procedure combined with the Lapiplasty® procedure for patients in need of hallux valgus and metatarsus adductus (midfoot) correction surgery.
 
Dr. Paul Dayton
 
“Recurrence rates following traditional hallux valgus correction are found to be significantly higher when certain deformities of the midfoot are present. With Adductoplasty® and Lapiplasty® instrumentation, we now have technologies to enable reproducible correction of both the bunion and coexisting midfoot deformities,” said Paul D. Dayton, DPM, MS of Foot & Ankle Center of Iowa and co-lead principal investigator.
 
Source: globenewswire.com [11/21/22]

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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.
 
Today's featured article
 

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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.
 
3. Waterfall analysis - I utilize a Waterfall analysis in estimating the amount of collections in any month. A Waterfall analysis is a report that indicates the percentage of collections contributed by each month. For example, if you are running a Waterfall analysis in June you may find 20% of the collections come from charges in that month, 35% come from charges entered in May, 20% come from charges entered in April, etc.... This, along with modifications made for specific events such as seasonal differences or temporary closure of a location, provides a decent estimation of collections.
 
Source: Jonathan Friedman, MBA, Physicians Practice [11/15/22]

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CODINGLINE CORNER
Query: Heel Lift
 
Is there any change on the CPT or HCPCS code regarding application of an OTC cork or leather heel lift added to one side for balance? What is the best choice if the patient wants me to bill it to her insurance (in this case an Aetna Medicare Replacement plan)? To be clear, this is just a small removable heel lift placed under the insole that already came with the patient’s shoe. This is not part of a brace or an orthotic. My understanding is that these are not covered by any insurance plan.
 
Todd Lamster, DPM, Scottsdale, AZ
 
Response: I do not believe any insurance company covers lifts such as you describe. You would charge a cash fee. If the patient balks at that, there are some lifts available online or at pharmacies. You could send the patient to a cobbler who might fabricate such a lift.
 
As an aside, I have a piece of EVA rubber in the office that I will fashion a lift to balance out a patient that I put in a cast or some off-loading accommodative padding. The cost: 5 seconds at my grinder and a few pennies of rubber. The benefit: a happy patient that you saved a trip to a store or online search who hopefully will refer you lots of patients.
 
Tony Poggio, DPM, Alameda, CA
 
For information on Codingline subscriptions, click here

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RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Overcoming the Influence of the AMA
From: W. David Herbert, DPM, JD,
 
In 1967, the AMA declared that it was unethical for an MD to refer patients to chiropractors, but today chiropractors can obtain privileges on hospital staffs to perform spinal manipulation under anesthesia. A half dozen states allow psychologists to prescribe psychotropic drugs and at least one allows optometrists to perform lasix surgery. We know that a number of states allow nurse practitioners to practice independently.
 
Obviously, the influence of the AMA to block legislation by other professions trying to enlarge their area of practice is not what it used to be. Maybe podiatric leaders should hire some of the same lobbyists the chiropractors, optometrists, and the nurses use!
 
W. David Herbert, DPM, JD, Billings, MT

Tetrajul2522


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: George Jacobson, DPM
 
When I first glanced at this post, my brain saw "Commercialization of Medicare." The television commercials for Medicare here in Florida are beyond commercialization; they are fee splitting. If a doctor offered to pay your Medicare premium for coming in, we'd be jailed. Some Medicare Advantage plans now also offer quarterly cash payments for out-of-pocket expenses. The TV commercials are frequently a bait and switch. You call the hotline for one thing and are switched to another. They have always had many additional benefits, but cash payments! If the health insurers get so much money per patient for these Advantage plans, how about reducing the Medicare premium for everyone and pay them less. 
 
We pay for some of this through our paychecks. Why should we have reductions in our reimbursements, when the payments are bloated to the insurers? Are commercialization and politicization of drugs and healthcare the same thing? My vote is yes. A good example of this is the current Covid vaccine commercials. They most certainly are commercialization, under the guise of being politically correct. 
 
George Jacobson, DPM, Hollywood, FL

astepabovejun2821


RESPONSES/COMMENTS (NON-CLINICAL) - PART 3
From: Jeff Root
 
I agree that foot orthotics can be effective in the treatment of low back pain, be it an intentional or coincidental result. In addition, it is important to recognize that foot orthotics can also cause or aggravate foot, ankle, knee, hip, or back symptoms. That is why it is important to inform the patient that they should discontinue the use of their orthotics and contact your office immediately should their devices cause or aggravate such symptoms. This is a component of informed consent. I recommend that when prescribing and dispensing foot orthotics, the patient should be advised in writing as to the recommended break-in procedure and that the devices will cause changes in forces in the kinetic chain.
 
I also recommend informing the patient that while their orthoses may feel totally comfortable or may feel unusual at first, they should never hurt. If the devices hurt or are uncomfortable, it is an indication that they need to come back in for further evaluation. It is also important that the patient be advised to strictly follow the recommended break-in procedure even when their orthoses are totally comfortable, because they may develop symptoms such as knee, hip, or back pain as a result of ignoring the recommended break-in procedure.
 
Jeff Root, President, KevinRoot Medical

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YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoes of the Day

Designed for the Turkey Trot?

Source: submitted by Dr. David Alper

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MEETINGS & WEBINARS

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You can Earn up to 5Continuing Education Contact Hours (CECH) Online

Earn 15 CECH only $279 (less than $19 per CECH)

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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


CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS
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.  Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail  Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
 
ASSOCIATE POSITIONS - FLORIDA, SOUTH CAROLINA, AND GEORGIA 
 
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based lower extremity care to residents living in long-term facilities throughout the states of Florida, South Carolina, and Georgia. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and State licenses. Email CV to kgadmin@kghealthpartners.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 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 
 
 
 
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.
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE LOCATION FOR SALE – ATASCOCITA, TX 
         
Recently remodeled, well established, turn-key podiatry practice for sale in Atascocita, TX (northeast suburb of Houston). Fully stocked with four exam rooms, exam chairs, instruments, digital x-ray equipment, autoclave, computers, and phones. Contact Rebeccah at 281-361-7400 or rburgers.tcfa@gmail.com.
 
PRACTICE FOR SALE- NORTHERN IL 
 
35 year practice for sale. Busy schedule. Excellent payor mix and patient demographic. No Medicaid or nursing homes. Located in medical corridor. Close to Hospital (Northwestern Medicine) and surgical center. Doctor retiring. Fully staffed. 3 treatment rooms plus dedicated procedure room, surgical power equipment and fluoroscopy. Surgical prep area with scrub sink. Digital x-ray with viewing computers in all treatment rooms.  Orthotic lab, nurse's station, abundant front office area and storage. Patient bathroom and private office with bathroom. Kitchen area. Professionally decorated. Digital x-ray, Zimmer radial shockwave machine. Contact: Mcrosby518@gmail.com
 
PRACTICE FOR SALE - CENTRAL GA 
 
Outstanding opportunity. Busy practice with fully licensed and accredited sx ctr for sale. High volume patient flow. Fully equipped and staff practice and sx center. Owner desires to retire. Opportunity to expand and grow business. Contact MCrosby518@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.
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
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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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.

Barry H. Block, DPM, JD
 
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