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| PM News | |
The Voice of Podiatrists
Serving Over 17,220 Subscribers Daily
December 05, 2015 #5,542  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 | |
LAST DAY TO VOTE
Quick Poll
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How long do your patients typically wait to be seen? |
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| PODIATRISTS IN THE COMMUNITY | |
NJ Podiatry Practice Participates in #GivingTuesday
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NJ Foot and Ankle Center Staff |
New Jersey Foot and Ankle Center's employees participated in their 3rd Annual Holiday Gift Giving for Court Appointed Special Advocates (CASA) for Children of Bergen County. The staff members sponsored six children in the foster care system's holiday wish lists. This year the donation coalesced with #GivingTuesday, a global day dedicated to giving back on Tuesday, December 1, 2015. New Jersey Foot and Ankle Center is a podiatry practice located in Oradell, NJ led by Dr. Daniel Margolin.
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| INTERNATIONAL PODIATRISTS AND SPORTS MEDICINE | |
Exercise Must Be Started Gradually: Aussie Podiatrist
A prominent sports podiatrist has warned beginners about some extreme yet popular exercise programs, such as bootcamp, crossfit and obstacle-race-style workouts, due to the crippling injuries they potentially cause on joints and muscles. With a "no-limits" mindset, such programs can put beginners at risk of overuse injuries, if they let the culture of "no pain, no gain" overshadow the basic principles of conducting a safe workout.
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Karl Lockett |
Sydney sports podiatrist Karl Lockett says he has seen an increasing number of patients with injuries caused by intense work-outs with a too-hard-too-soon approach on bodies that are at a beginner level of exercise. "Some have crippling pain from ailments such as advanced plantar fasciitis, to torn ligaments which take a long time to heal, to less serious soft-tissue pain that keeps them out of action for weeks," he said. Lockett's advice for those who still want to join an extreme exercise program is to find a trainer you can trust to build your abilities from a beginner's level - not just drive you hard from day one.
Source: Sunshine Coast Daily [12/4/15]
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| PUBLISHED PODIATRISTS | |
ADA Publishes 3rd Ed. of Clinical Care of the Diabetic Foot
The American Diabetes Association has recently published Clinical Care of the Diabetic Foot Third Edition by Drs. David G. Armstrong and (Editor) Lawrence A. Lavery (Editor).
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Clinical Care of the Diabetic Foot 3rd Ed. |
The third edition of Clinical Care of the Diabetic Foot has been fully revised and updated, and continues to be the essential handbook on foot care and the treatment of the diabetic foot. Healthcare professionals and medical students alike will find that this concise, well-indexed, and updated guide offers practical advice on detecting and managing diabetes-related foot complications. Proceeds from the sale of this book help support the ADA.
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| PODIATRIC PRODUCTS IN THE NEWS | |
HyProCure is for Foot Problems What LASIK is for Eye Problems: NY Podiatrist
Podiatrist Dr. Jeffrey Adler, who has been working with the HyProCure treatment for about three years now, said it’s one of the most gratifying treatments he has come across in his 36 years practicing medicine. “We used to treat these problems using arches and orthotics … but what we found out is that these undertreat things. Because you have continual motion [in your foot], many people who wear orthotics over a long period of time end up with unnecessary arthritis in their ankle joint and in the subtalar joint,” said Dr. Adler, surgical director of Adler Footcare. He said HyProCure is for foot problems what LASIK surgery is for eye problems—a treatment that fixes the root cause.
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Drs. Jeffrey Adler and Alex Tievsky |
According to Dr. Alex Tievsky, a surgeon at Adler Footcare, most foot problems are caused by too much movement in the subtalar joint, which causes the talus bone above it to dislocate. Around 30–40 percent of all people roll their ankles in (hyperpronate) when they walk because of this dislocation, and Dr. Tievsky estimates that over 90 percent of their bunion patients have this problem too. “So the majority of foot problems, combined, can be attributed to having this dislocation,” he said.
Source: Epoch Times [12/4/15]
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| HEALTHCARE NEWS | |
EmblemHealth's HIP To Drop Solo Practitioners
EmblemHealth will no longer contract with independent providers, opting instead to work with larger groups such as independent practice associations as it pursues a shift toward value-based payments. Members of EmblemHealth's HIP plans received a letter Oct. 29 stating that independent providers would no longer be covered. The insurer pointed to the move as a sign it is at the forefront of the shift to value-based payments.
That stance has been supported by state regulators with the Department of Financial Services (DFS) who see payment reform as a way to improve quality and lower health costs.
Source: NYSPMA President's Message [12//4/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
Top 5 Tips to Increase Patient Visits - Part 5
5. Create "wow" experiences for existing patients.
By creating moments of "wow" in your office, your current patients are more likely to talk to and tell their friends about you and share their experiences on social media (the new word of mouth), said consultant John Lynn. Be creative and focus on the patient. A nice office is fine, but something that is personal to the patient can create a much bigger "wow."
Source: Lea Chatham, Physicians Practice
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| CODINGLINE CORNER | |
Query: Rx + E/M = 99213: Urban Myth?
I have heard repeatedly that if you write a prescription, then you should bill CPT 99213, even if your documentation is brief. For example:
S - CC itching feet x 2 weeks, sudden onset, progressive,
O - erythema and scaling plantar aspect b/l,
A - tinea pedis,
P - Rx Spectazole cream bid,
Can this be CPT 99213 because of the prescription?
Stephen Bennett, DPM, New York, NY
Response: The fact that you are writing a prescription alone does not automatically bump up your level or guarantee you a level "3" E/M service.
E/M levels are based on significance/relevancy, medical necessity, and documentation of the history, examination, and decision-making. For an initial visit, all three components need to be documented to validate a level of E/M. For follow-up visits, 2 of 3 of the components need to be documented (and relevant - in most cases representing interval changes or new information from previous encounters).
Tony Poggio, DPM
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Jeff Kittay, DPM
The Medicaid policy bemoaned by Dr. Gegerson has been in place in MA since 1990, when the state was in a financial crunch. Clever accountants at the State House figured out a way to stop paying part of their bills with creative accounting. I first called Medicare because I believed the gouging was illegal. The CMS rep told me, "It's not illegal, but it is immoral. Why don't you just drop out of Medicaid and then you can bill the patients?" I tried that, sent bills to patients for $3-$5 and got angry phone calls from them advising me that not only would they not pay the bills, but that they would then go to the DPM down the street who would not send them a bill. So much for patient loyalty and concern for quality of care. NY is simply following the example of multiple other states that decided that doctors were rich enough and did not need that piddling 20% anyway.
Jeff Kittay, DPM (retired), San Isidro del General, Costa Rica
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Don Peacock, DPM
Dr. Bregman, I have a similar story that I believe resulted in limb salvage for one of my patients. I was referred an uncontrolled diabetic patient with a 6-month limb-threatening sub-3rd metatarsal ulceration. Her circulation was also affected by her diabetes and she had been on Levaquin for 1 month.
For these ulcers, I have employed gastrocnemius recession with the usual good results that most of us get with this soft tissue rebalancing. I was reluctant to perform the ...
Editor's note: Dr. Peacock's extended-length letter can be read here.
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| RESPONSES/COMMENTS (PM QUICK POLLS) | |
From: Paul Kesselman, DPM
I have read with great interest the polling results regarding PQRS penalties posted on this forum. The polled responses, I believe, are somewhat skewed to those individuals who were subjected to the penalties, simply because they either chose not to participate, attempted to perform this manually, or used a system which did not track or automatically bill the appropriate "G" codes when required. Certainly, the possibility exists that CMS also made errors. The system is fraught with not having sufficient numbers of trained support staff and the only way to get through is being persistent or calling at the crack of dawn. The appeals system appears to also be fraught with problems, and from those who attempted an appeal, it appears to be a nightmare with no positive results.
In speaking with those who use the same EHR in the same manner as I do (ICS Software - AKA Sammy), I have found no podiatrists who were subjected to the penalty. This silent majority using similar systems thus has...
Editor's note: Dr. Kesselman's extended-length letter can be read here
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WEBINARS
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Celebrity Shoes of the Day
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These shoes were worn by Marilyn Monroe. |
Source: Dr. Hartley Miltchin, Toronto, Canada
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MEETING NOTICES
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Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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 - LOWER HUDSON VALLEY, NY
Multiple locations. 50 minutes from NYC. PMSR RRA. Surgical practice, strong surgical volume. Must be willing to perform all phases of Podiatry. New graduates or experienced practitioners. Salary 110k-120k plus bonus. Please email letter of intent, CV and surgical logs to podiatrypractice@yahoo.com
ASSOCIATE POSITION - NASSAU COUNTY
Full-time/Part-time associate needed for busy Long Island practice with EHR, digital x-rays and DME. Excellent income opportunity for hard working energetic podiatrist. ABPS board qualified/certified preferable. Must be versed in all aspects of podiatry surgical/medical/orthoped and able to work independently. Send resume: jbmbcw@yahoo.com
ASSOCIATE POSITION - CONNECTICUT
High volume practice seeking a hard working, motivated, Connecticut licensed podiatrist. Duties to include diabetic foot care, wound care, and minor office procedures, nursing homes, and house calls. Please submit CV to: podiatrypeople@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 POSITION – SOUTHERN CALIFORNIA
Full-time associate leading to partnership. Immediate position available. Busy office with multiple locations. Full scope practice. Three year residency preferred. ABPS Board qualified/certified. California license required. Benefits included. Inland Empire. Please forward resume to familyfootcenter@verizon.net
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
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
PART-TIME PODIATRIST POSITION - CHICAGO SUBURBS, WILL AND LAKE COUNTIES
Excellent supplemental income opportunity in an established podiatry practice. Scope of work-- seeing patients in an office setting in retirement communities; nursing home visits, house calls and office visits are available if desired. Must be hardworking, personable and self-motivated. Please send your CV to chifootcare@yahoo.com
FULL OR PART-TIME ASSOCIATE - BRONX NY
Associate needed for 30 plus year busy private practice. Bilingual a plus. Applicant should be confident, personal, independent and motivated. Practice entails all aspects of podiatry including surgery, wound care, general podiatry, sports medicine and orthopedics. Please Email 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
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 - NYC - BROOKLYN
Established 25 yr old practice with strong patient flow for sale. Corner location with lease transfer. Opportunity to expand. Patient mix Sx (15%), palliative care (15%) balance in clinical pathology. Currently active at local hospital and sx ctr Contact: MCrosby518@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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| 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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