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PM News

The Voice of Podiatrists

Serving Over 17,768 Subscribers Daily


December 07, 2016 #5,813 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block

Richie711


PM NEWS QUICK POLL

Quick Poll

How familiar are you with MACRA?

OHIMezzo66


Gordon11


PODIATRISTS IN THE NEWS
NY Podiatrist Explains Why Feet Smell Worse in Winter
 
Summer is all sweat and exposed toes, so you'd think foot odor would be at its peak in that season. Not so. As the weather turns cooler, feet often turn smellier; at least, that's what anecdotal evidence suggests. Blame shoes and socks. Enclosing the foot increases heat and traps sweat, said Robert Kornfeld, a doctor of podiatric medicine who runs a holistic and restorative foot and ankle practice in New York.
 
Dr. Robert Kornfeld
 
"If the foot is allowed to [air out] efficiently, you don't build up the breeding ground for bacteria," Kornfeld told Live Science. Kornfeld said he advocates dietary changes, including getting rid of refined sugars, to strengthen the immune system and keep pathogenic bacteria at bay. He also suggested a roll-on anti-perspirant applied to the foot. People who are chronically stressed also tend to sweat more, he said, so foot odor is sometimes a sign of a wider systemic issue.
 
Source: Stephanie Pappas, Live Science [12/5/16] 

hyperion


PODIATRISTS AND HUMANITARIAN EFFORTS
IL Podiatrists Return from Mission Trip to India
 
Lalita Turaga, DPM  (PGY-2) and Martin Yorath, DPM of the Advocate Illinois Masonic Medical Center recently returned from a one-week medical mission trip to India (Nov 19- Nov 26). This was their third visit in three years. Dr. Turaga reached out to an orthopedic hospital for the poor and disabled in the city of Tirupati, Andhra Pradesh, India. The hospital director gladly embraced their interest and extended an invite. Yorath and Turaga delivered CME lectures for 2 days, including live surgeries. 
 
(L-R) Drs. Lalita Turaga,  Martin Yorath, and Venugopal S.M.
 
Fifty patients were screened and twenty six surgeries were performed. Surgeries included correction of vertical talus, CTEV, multiple congenital anomalies, malunion ankle fractures, and a Haglund’s exostectomy. The CME live surgeries were very well perceived and Dr. Yorath gave lectures on multiple topics including Charcot reconstruction and total ankle arthroplasty. The hospital has expressed an interest to conduct these on a recurring basis, annually, and has invited Drs. Turaga and Yorath to come back in 2017. 

Bakomacer


INTERNATIONAL PODIATRISTS IN THE NEWS
Spanish Supermodel Studied Surgical Podiatry 
 
Beatriz Fernández
 
You may be surprised to know that Beatriz Fernández studied podiatry before becoming a full-time model. But for the time being, she has thankfully chosen to stick to a life of globetrotting. I studied podiatry and completed a one-year Surgery Masters Program in Spain, but for the moment it's not the field I want to work in.
 
Source: Liza Consillo, GQ [12/5/16]

Pedihelp66


PRACTICE MANAGEMENT TIP OF THE DAY
The Basics of Incident-to Billing - Part 5 
 
Employing non-physician practitioners (physician assistants, nurse practitioners, clinical nurse specialists, etc.) is an effective way to increase productivity in a physician office. However, under Medicare rules, covered services provided by non-physician practitioners (NPPs) are reimbursed at a reduced rate (85 percent of the fee schedule amount). The “incident-to” billing rules provide an exception, allowing 100 percent reimbursement for non-physician services that meet the requirements detailed in the Medicare Benefit Policy Manual, Chapter 15, Section 60 (Services and Supplies Furnished Incident To a Physician’s/NPP’s Professional Service).
 
There are six basic requirements to meet the incident-to guidelines for Medicare payment:
 
5. Both the credentialed physician and the qualified NPP providing the incident-to service must be employed by the group entity billing for the service (if the physician is a sole practitioner, the physician must employ the NPP).
 
Editor's note: Part  6 of this series can be read here.
 
Source: G. John Verhovshek, MA, CPC, Physicians Practice [11/23/16]

Blaine1003C


QUERIES (NON-CLINICAL)
Query: Recommendations for Credit Card Processing Companies
 
I get advertisements all the time from credit card processing companies and never know if info in their flyers are accurate. I have had two systems and both said one price and amount; then it turns into a lot more depending on the type of credit card being used. What credit card processing systems do you recommend?
 
Robert Fridrich, DPM, Green Valley, AZ

Nuvolase


RESPONSES/COMMENTS (EMR)
From: Scott Davis, DPM
 
The basic Dragon program does not always work with Practice Fusion. I often have to reboot in order for the dictation to be recorded. My brother is a computer scientist and he could not help me make it work. 
 
Scott Davis, DPM, Franklin Square, NY

OHIMBB117


20201003


RESPONSES/COMMENTS (NON-CLINICAL)
From: Ralph Graham
 
In response to the inquiry about the China meeting: To the best of my knowledge, this is a scam. A Google search will show many others in different fields from biochemistry to Vets who have the same very impressive scam about conferences. The website they have is especially convincing. Be very cautious - if I am incorrect, those who are listed to speak could correct me. 
 
Ralph Graham, Witham, Essex, UK

Clearanail125


RESPONSES/COMMENTS (CLINICAL)
From: Stephen Musser,  DPM
 
I will assume that there is adequate circulation. Have any x-rays or a culture been taken? Try using a Darco or other wound shoe and try to sleep on your right side. In the worst case scenario, have a wide excision and have them perform a primary closure. 
 
Stephen Musser, DPM, Cleveland, OH

toerific1031


RESPONSES/COMMENTS (PM ARTICLE OF THE DAY)
From: Brian Lee, DPM
 
It's refreshing to finally see MIS get some positive press. It is a technique that I have used for 30 years with great success and numerous referrals from it. It most definitely has an important place in our profession. Many thanks to Dr. Peacock for writing the article.
 
I would like to add a few of my personal applications of the Akin and some observations I've seen over the years. There is obviously more than one way to skin a cat. I routinely use a Silver/Akin bunionectomy (all MIS) to correct bunions with IMs even in the 18-20 degree range. I know what many of you are thinking, but let me present an often encountered...
 
Editor's Note: Dr. Lee's extended-length letter can be read here.

Pilgrim912


RESPONSES/COMMENTS (PM NEWS QUICK POLL)
From: Paul Busman DPM, RN
 
I had to laugh at the survey this week. Having left podiatry practice 9 years ago, I remained blissfully ignorant about what MACRA stands for. Only the U.S. healthcare system could come up with an acronym that contains, nested within it, another acronym (The C in MACRA stands for Child Health Improvement Program)!
 
I read what Wiki says about MACRA and  found it to be the same kind of garbage that prompted me to leave practice, only much worse. I'm predicting more early retirements or career changes. 
 
Paul Busman, DPM, RN, Frederick, MD

RediH-thotics


RESPONSES/COMMENTS (NEWS STORIES) - PART 1
From: Dan Michaels, DPM, MS
 
Recently, the AHA asked President-elect Trump to stop stage III of Meaningless use. How about the APMA joining the AHA in the request to President-elect Trump that Medicare cancel Stage III, MIPS, PQRS all other ridiculous programs which add red tape? In addition, get rid of the last alphanumeric character in ICD-10! We should be leading this charge and getting other organizations to join us in this request.
 
Dan Michaels, DPM, MS, Frederick, Hagerstown, MD

padnet


RESPONSES/COMMENTS (NEWS STORIES)
From: Evan Meltzer, DPM
 
As a former proud member of the NYS Podiatry Board prior to moving out-of-state, I recall going to Albany for an interview conducted by the Board Chairman and another Board member. I do not know if this is still a requirement, but if Dr. Karman was interviewed, I wonder how she managed to get past this hurdle. I strenuously oppose her appointment for all the reasons previously discussed.
 
Evan Meltzer, DPM, San Antonio, TX

Fabi1205


YOU CAN'T MAKE THESE THINGS UP

RE: Cartoon of the Day

Doctors Strike

Source: Reddit.com via Dr. Paul Hilbert, Navarre, FL

MEETING NOTICES

mailtoIFAF

aafas314r


acfasannual95


CLASSIFIED ADS PART 1- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE - PADNET SYSTEM 
 
Padnet System for Sale: $6,500 OBO. Complete system. The computer has been erased and it’s software updated by Padnet. I will include two rolling stands as well if the purchaser wants to pay the shipping or pick it up on the west coast of Florida. Contact: venicefootclinic@comcast.net
 
PRACTICES WANTED - NEW JERSEY 
 
Practice looking to expand through acquisition and/or merger. Ideal locations within one hour of NYC. Opportunity to receive cash for your practice. NJAssoc@comcast.net
 
LOOKING TO BUY YOUR PRACTICE! 
 
We are an expanding, well-rounded, multi-site, state-of-the-art podiatric practice seeking to acquire another practice located anywhere in North Broward County or Palm Beach County, FL. If you are interested in selling, but still hope  to continue working part-time within the field, we are flexible and open to accommodating this request. If interested, please contact Dr. Ian S. Goldbaum at Podfather5@aol.com.
 
PRACTICE FOR SALE- MASON CITY, IA  PRICED TO SELL 
 
Well-established, full range, solo podiatry practice for 34 years. Located in professional building next to hospital. Fully equipped with digital x-ray system. Currently 3 days/week, 5-year average gross $409K and $265K net with growth potential. Call 641-423-1565 after 5PM (CST) or e-mail sbrau@mchsi.com 
 
PRACTICE FOR SALE  – REDUCED TO SELL-  WESTERN MASSACHUSETTS 
 
State-of-the-art medical suite renovated 4 years ago Modern equipment, prime location, large physician referral base, full hospital privileges. No house calls, nursing homes or hospital ER call. Established patient base and unique opportunity for surgically-oriented podiatrist in the Berkshires. Will transition, if desired.. Contact: drross@albany.twcbc.com or 413-443-2468.
 
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@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.
CLASSIFIED ADS PART 2- ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - UPSTATE NY 
 
Rapidly growing practice seeks associate to join and become partner. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice. Partnership starts beginning year 2 based on per-established criteria. Contact: docryanlee@gmail.com
 
ASSOCIATE POSITION - NEW JERSEY 
 
Doctor needed in south Jersey for expanding practice. Multidisciplinary setting. Six figures. No weekends. Must be both conservative and surgically capable. ABFAS certified/qualified. jennberlin1@gmail.com
 
ASSOCATE POSITION – GEORGIA 
 
Village Podiatry Group, a wholly owned subsidiary of Extremity Healthcare, Inc. is seeking board qualified/certified associates with a Georgia license. Ideal candidates have 3-5 years’ experience and knowledge of coding/billing, and desire to excel while utilizing our practice owned ancillaries. Our successful model is built to enrich the physicians and their efforts. Serious inquiries only to Tony Brzezicki, Human Resources, at tbrzezicki@extremityhc.com or fax (770.874.1748). Starting salary will be based on experience and the value you bring to the practice. EHI also offers a competitive benefits package.
 
F/T OR P/T PODIATRIST- PENNSYLVANIA
 
Expanding, well rounded, multi-site, state-of-the-art group with offices and Nursing homes throughout Lehigh County, Pennsylvania. We offer: Competitive salary Benefits, paid time off, partnership opportunity We're associated with hospitals, wound care centers, and a residency program.  Requirements:  Hard-working, self- motivated, Non-Surgical OK 2017 graduating residents welcome. Please email CV to:   recruiting@foi-solutions.com
 
PODIATRIST WANTED - NORTHERN NEW JERSEY
 
Graduating in 2017 or existing podiatrist looking for a change. Must be go getter and work well with others in great opportunity. Confident forefoot and rearfoot /ankle training a must. podiatrydocsnj@gmail.com
 
ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND 
 
Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to dpmkthomas@gmail.com.
 
ASSOCIATE POSITION - SPRING HILL/CITRUS COUNTY AREA OF FLORIDA
 
Community Health Solutions of America (CHS) has a territory opening in the Spring Hill/Citrus County area of Florida for a mobile podiatric physician.  Physicians must maintain an active Medicare and Florida licenses.  Expenses including malpractice insurance, medical supplies, travel allowance, etc. are covered. Exceptional benefits include paid holidays, vacation, health insurance and 401K retirement plan with company match. First year six figure salary is guaranteed! Second year profit sharing. Most 2nd year doctors earn $150,000 and up. Email CV to psojobs@chsamerica.com
 
POSITION AVAILABLE - LOS ANGELES, CA
 
Multi office, multi physician foot and ankle surgical practice looking for highly trained foot and ankle surgeon to join our growing group. Practice emphasis on sports medicine, reconstructive foot and ankle surgery and revision surgery. Prospective candidate must have excellent personal skills and work well with a team. Competitive compensation and 401K, profit sharing, health insurance, dental and vision insurance. Surgical center partnership potential and full scope hospital privileges available. Facility is state-of-the-art with PT, CT, MRI, ultrasound and digital x-ray all in office. New graduates are welcome. Interviews prior to and at ACFAS in Las Vegas.  Contact us at: bbaravarian@mednet.ucla.edu
 
ASSOCIATE POSITION – NEW YORK  
 
Seeking motivated PMS-36 trained podiatric surgeon for full-time associateship in group with offices in Manhattan, Queens, LI, and and the Bronx.  Offering competitive salary with room for growth. Surgical-based practice - special emphasis on trauma, reconstruction, rearfoot and ankle surgery.  Please email resume to: nypodrecruit@gmail.com 
 
1 YEAR RECONSTRUCTIVE FELLOWSHIP  
 
Requirements graduate of PM&S36, CV, board scores, school transcript. in service exam scores for ABFAS. Common cases to expect, Rods, Illizarov, hindfoot & midfoot fusions. Adult/pediatric flat foot.  ACFAS poster to be done. Energetic, well spoken & efficient. BQ in RRA by end of residency. 55k / yr www.fflcreconfellowship.com  klamdpm@hotmail.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@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.
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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Barry H. Block, DPM, JD
 
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