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| PM News | |
The Voice of Podiatrists
Serving Over 17,224 Subscribers Daily
December 02, 2015 #5,539  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- 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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How long do your patients typically wait to be seen? |
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| EDITOR'S NOTE | |
Call for Nominations - Podiatry Management's 2016 VIP List
Every five years, Podiatry Management Magazine publishes its "Most Influential Podiatrists" list. This list is compiled by the editorial board of PM. We invite nominations of individuals for this prestigious honor. Please send nominations along with a brief statement of why this podiatrist belongs on the VIP list to bblock@podiatrym.com. Self-nominations will be accepted. The deadline for nominations is December 1, 2015.
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| PODIATRISTS AND DIABETES | |
ABMSP Calls for Increased Awareness of Psychology of Non-Compliance by Diabetics
The American Board of Multiple Specialties in Podiatry (ABMSP) has issued a call to the podiatric community to more closely examine the psychological factors that influence non-compliance and non-adherence in order to strengthen prevention and treatment of diabetic foot wounds. In addition, the Board is actively developing standards to help podiatrists adopt a "whole-body" approach that will boost patient self-esteem by focusing on a healthy mindset.
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Dr. Kenneth Rehm |
Using the pioneering research of medical icon Dr. Paul Brand (1914-2003), ABMSP podiatrists are recognizing their roles as "full body and full mind" advocates for wellness in people with diabetes. "The foot is attached to the rest of the body," said Kenneth B. Rehm, DPM, Diplomate of the American Board of Multiple Specialties in Podiatry, in a statement which is reminiscent of Dr. Brand's frequent advice to podiatrists to "think about the person, not just the foot."
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| PODIATRISTS AND FOOTWEAR | |
Flats Cause as Many Foot Problems as Heels Do: IL Podiatrist
“There are a lot of diagnoses attributed to heels, but there are just as many caused by flats,” explains Chicago-based podiatrist Dr. Megan Leahy. When a heel is too low, or the toe of a shoe too tight, the natural distribution of pressure in a step becomes concentrated and strained, causing injuries that can lead all the way from the toe to the knee, back, hips, and even shoulders.
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Drs. Megan Leahy and David Schofield |
When it comes to flats-induced injuries, “most commonly you’re talking about heel pain caused by plantar fasciitis,” says David A Schofield, DPM, who explains that the constant trauma of landing hard on your heel, and the lack of arch support can cause the band of tissue running the length of your foot (the plantar fascia) to stretch and tear. Alternately, shoes that don’t provide enough room for the front of the foot can lead to nerve inflammation, arising when toes cannot spread to distribute weight along the metatarsal bone.
Mackensie Wagoner, Vogue [11/30/15]
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| PODIATRISTS IN THE COMMUNITY | |
NJ Podiatrist Has Made Over 15,000 House Calls
On his first day on the job, Dr. David Carrozzino found a note on his desk to make a house call on his way home. More than two decades and thousands of visits later, Carrozzino, a podiatrist, still makes house calls to homebound patients in South Jersey. Carrozzino is among a rare breed in healthcare these days. A prevalent practice decades ago, home visits by physicians have declined drastically and are more often made today in rural areas.
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Dr. David Carrozzino |
By his count, Carrozzino has made more than 15,700 house calls since that first visit in 1991. He also maintains a busy office practice in downtown Woodbury. Carrozzino, 53, of Swedesboro, usually makes house calls on Mondays, Wednesdays, and Fridays, and some Saturdays. He sees patients in the office the remaining days. House calls, Carrozzino says, "are my favorite part of the practice." The visits are as much social as they are medicinal.
Source: Melanie Burney, The Philadelphia Inquirer [11/30/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
Top 5 Tips to Increase Patient Visits - Part 2
2. Explore patient-focused websites.
The new wave of patient-focused websites that provide pricing information (and even the opportunity to pre-pay in some cases) represents an opportunity for practices to be seen by new prospective patients who are actively shopping for services. Laurie Morgan, senior partner at Capko & Morgan, said there are many models for these new websites: some are being launched as stand-alone start-ups, others are services offered by health plans, and in some cases, even banks are getting in on the action. So it's important for practices to do a bit of research to find out which services are reaching patients in their local area.
Aside from making sure your practice is listed in all of these places and making sure you're visible to any patient who is shopping, you'll want to verify that these sites are displaying updated information about your practice, including confirmation that they are quoting your fees correctly.
Source: Lea Chatham, Physicians Practice
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| CODINGLINE CORNER | |
Query: Covering for a Post-Op Patient
What is the correct CPT code/modifier to use when billing for a patient seen while covering for a doctor from another office? The patient is new to my office and was seen 2 weeks after metatarsal osteotomy for a non-complicated post-op visit to evaluate incision healing, assess for potential infection, and evaluate pain management. Is ICD-10 Z09 (encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm) the correct diagnosis? Does the diagnosis code for the original condition also need to be included? I understand that if this were my own patient, such a post-op visit wound not be covered due to the 90-day global period. Since I am not the surgeon in this case, will I be reimbursed?
Nancy Hayata, DPM, Huntington Beach, CA
Response: I would consider using the same diagnosis as the one used for the surgery as the initial (or "A") diagnosis and pointer. Then as the secondary (or "B") diagnosis, I suggest one of the two following diagnoses: Z48.89 (encounter for other specified surgical aftercare); or Z98.89 (other specified post-procedural states).
Since this was a non-complicated post-operative visit, and if you met the qualifications for an E/M code, I would bill it with a "Q5" (services furnished by a substitute physician under a reciprocal billing arrangement). If you did not meet the E/M requirements, then I would bill the visit as CPT 99024 (post-operative follow-up visit, normally included in the surgical package) to indicate that an evaluation and management service was performed during a post-operative period for a reason(s) related to the original procedure). With this code, too, I recommend using the "Q5" modifier and either billing a zero ($0.00) dollar amount or not billing the visit to the insurance company at all. When the other physician covers for you and your patients, it will all come out in the wash.
Paul Kinberg, DPM, Dallas, TX
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Sheila D Schuler, DPM
Here is something I just learned recently that I wonder how many members know. I believed the government only penalized the public if they did not purchase health insurance, any type. I discovered we are penalized even if we obtain health insurance with a lower premium and deductible, but not an "approved ACA" plan. Boy is this government overreaching. It seems the current administration keeps this fact well hidden. Even being a health provider, I had never heard of this policy. I bet many Republicans who are against ACA do not know of this part of the ACA.
Sheila D Schuler, DPM, Nashville, TN
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Neil H Hecht DPM
Just a little math to clarify: based on the PM News published survey results, 82.63 % of the responding podiatrists will suffer the 2% Medicare payment penalty in 2016. My comment: does that seem like any physician quality improvement to anybody? Is PQRS valuable only to the fiscal intermediary who saves the 2%?
I am curious if the MD/DO numbers are similar. Does anybody have any statistics in that regard? And, is anybody in Washington listening?
Neil H Hecht DPM, Tarzana, CA
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| RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) | |
From: Pete Harvey, DPM
I had a good laugh at Dr. Howard Dinowitz's ICD-10 contribution of “Bitten by a Cow”. For further ICD-10 laughs, the readers might consider a small book called Struck by Orca. Initial encounter W56.22xA or W56.22xD struck by orca, subsequent encounter.
Pete Harvey, DPM, Wichita Falls, TX
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous New ICD-10 Code of the Day
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Is there a separate code for the prison Jacuzzi? |
Source: Keith L. Martin, Medical Economics
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METTING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FULL TIME ASSOCIATE - BRONX, NY
Associate needed for 30 plus year busy private practice. Applicant should be personal, independent and motivated. Bilingual a plus. Practice entails all aspects of podiatry. Surgery, orthopedics, wound care, primary care and sports medicine. Competitive compensation package. Partnership opportunity for the right person. To apply please email letter of intent and CV to Bronxfootspecialist@gmail.com
ASSOCIATE POSITION - NEW ENGLAND - BOSTON SUBURBS
Multi-office group practice has need for well trained and motivated doctor to join as an associate. This is a chance to join a group and be involved with a growing practice. Competitive salary and benefit package. Forward CV to: NEassociate@comcast.net.
ASSOCIATE POSITION - BANGOR, MAINE
Seeking personable, well rounded individual to join our well established, modern three-doctor practice performing all aspects of foot and ankle care. Digital x-ray, EHR, DME, etc. Competitive salary with bonus structure and benefits. Early partnership opportunity for the right person. Send letter of interest and CV to: Mainoffice@acadiafootandankle.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage. Excellent opportunity for a promising future. To apply, go to www.yourcareerinpodiatry.com
ASSOCIATE POSITION – MISSOURI
Newly available position to join a well-established independent practice, associate leading to partnership. Board qualified/certified. Please forward resume to stcpod@att.net
ASSOCIATE WANTED - SOUTHWEST, FL
Associate position: now or July '16: must be BC or BQ by ABFAS, ability to work independently on complex cases. Hospital rounds, ER calls, great work ethic, team players needed. Fellowship experience preferred, not mandatory. LOI, LOR from director, CV. great salary + bonus, partnership buy-in. Naples, FL klamdpm@hotmail.com
ASSOCIATE POSITION - PHILADELPHIA AREA
Wonderful and diverse full spectrum growing well established practice seeking a hard working, highly motivated, ethical individual with excellent surgical skills and training (PSR 24/36) to join us. Very competitive salary with significant upside potential. Come join a wonderful expanding practice. Send CV, Resume to bestfootnow@gmail.com
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY
available immediately in a busy, 30 year established, single location, high visibility office with digital x-ray, DME, diabetic shoe store, and EMR. Good patient volume and potential for partnership or purchase. Contact samuel10530@yahoo.com.
ASSOCIATE TO PARTNERSHIP POSITION – SOUTH FLORIDA
Rapidly growing, cutting edge south Florida practice seeks well rounded, personable, hard-working surgical podiatrist for immediate start and for July 2016. Practice is involved in all aspects of podiatry, foot and ankle surgery and resident training. Clear, successful model for partnership with competitive salary, incentive and benefits..please send CV and cover letter to kkinmon@gmail.com
ASSOCIATE POSITION - NEW JERSEY
Well established Podiatry practice in NJ is looking for hardworking and very energetic Full-time podiatrist to do House-calls In Nothern part of NJ. Salary 100k plus Bonuses. Must have NJ Podiatry license and NJ Medicare number. Full-time position available starting immediately. Please email your resume to lraginsky@gmail.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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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| CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PART TIME OFFICE SPACE AVAILABLE - LODI, NJ
Podiatry office space available for use more than half the week in Lodi, NJ. 2 fully stocked treatment rooms, digital x-ray and EHR available. Perfect for someone looking to expand their practice into the Northern NJ area in Bergen County, or just starting out. Currently only seeing patients on Mondays and Thursdays. If interested please email lodipodiatrist@gmail.com
PRACTICE FOR SALE - SOUTHEAST FLORIDA
Busy well established successful turn-key Podiatry practice for sale. Active adult community. Professionally designed and decorated. Office is immaculate. Good yearly gross approaching 500K with many new patients. Medicare and cash patients. No managed care. Owner willing to stay for transition. Excellent well trained staff. Click on this link to view website.
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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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.
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either timely or free of viruses.
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