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| PM News | |
The Voice of Podiatrists
Serving Over 17,765 Subscribers Daily
December 08, 2016 #5,814  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
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| PM NEWS QUICK POLL |
Quick Poll
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How familiar are you with MACRA? |
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
MA Podiatrist Still Makes House Calls
Lynn podiatrist Dr. Mark Sanphy has been practicing medicine on the North Shore for 25 years, but he also is truly a welcome throwback to an older era. Sanphy, who heads the four-physician practice of the Sanphy Podiatry Group, still makes house calls. “We all make house calls a priority here,” Sanphy said. “It’s important to be able to service patients who struggle to leave home and are in need of a doctor’s care. Housecalls can prevent many patients from being hospitalized.
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Dr. Mark Sanphy (Photo: Owen O'Rourke) |
I am lucky to have a team around me who believes in the value of home visits, as well. Sanphy’s practice includes partners Robert Uhrich, Steve Yamadjako, and Lauren Fisher.
Source: Michele Durgin, Item Live [12/5/16]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
Albany Podiatry Welcomes Third Podiatrist
Dr. Morgan W. Hardy received her undergraduate degree from the State University of New York at Albany and attended Temple University School of Podiatric Medicine
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Dr. Morgan Hardy |
Hardy completed a three-year medical and surgical residency at Cooper University Hospital, a level one trauma center where she worked with multiple podiatric and orthopedic surgeons.
Source: Spotlight News [10/12/16]
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| PODIATRISTS OUTSIDE PODIATRY | |
FL Podiatrist Appointed to Commission on Dental Accreditation
Dr. Chet Evans, Chief Health Innovation Officer for Rollins College, was appointed to the Commission on Dental Accreditation (CODA), the accrediting agency for colleges, schools and residency programs in dental medicine, dental hygiene, and dental therapy. He has many years of experience in medical and health professions program development, administration, and accreditation.
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Dr. Chet Evans |
Dr. Evans will be serving on the Review Committee on Dental Hygiene Education, with a term that lasts through 2018. Dr. Evans was formerly the Vice President for Medical Education and Program Development at Lake Erie College of Osteopathic Medicine in Bradenton, Florida.
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| INTERNATIONAL PODIATRISTS AND FOOTWEAR | |
To Avoid Foot Pain, Opt for Wider Heels: UK Podiatrist
Wearing heels for extended periods of time can leave the wearer with blisters, aching legs, and pinched toes. The shoes can also cause long-term problems for wearers, including bunions, back problems, and can even increase the risk of sprains. However, one podiatrist believes she has the formula to avoid foot pain when purchasing heels. Laura Gleich says that in order to avoid walking home barefoot, we first need to pay careful attention to the shoes we buy.
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Laura Gleich |
Laura revealed to the lifestyle site Mamamia that those looking for comfort should go in search of a wider heel - this means ditching a particularly popular style. She says: "Stilettos with a very small base are the most dangerous kind of heels - they certainly won't feel so great when you roll your ankle walking down the street." She advises investing in some wedged styles rather than a pointed heel for more comfort.
Source: Martha Cliff, Daily Mail [12/5/16]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
The Basics of Incident-to Billing - Part 7
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).
Remember: Incident-to applies only to Medicare. Further, the requirements do not apply to services with their own benefit category. Diagnostic tests, for example, are subject to their own coverage requirements. “Depending on the particular tests,” the Benefit Policy Manual explains, “the supervision requirement for diagnostic tests or other services may be more or less stringent than supervision requirements for services and supplies furnished incident to physicians’ or other practitioners’ services.”
Source: G. John Verhovshek, MA, CPC, Physicians Practice [11/23/16]
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Angelo Monaco, DPM
From: Michael Q Davis, JD
Angelo "Ange" Monaco, DPM of Broomall, PA passed away on December 4, 2016 surrounded by his family. Dr. Angelo Monaco graduated from the Temple University School of Chiropody in 1952. He was one of the original founders of the Pennsylvania College of Podiatric Medicine (PCPM) and served as a Trustee of PCPM from 1968 until 1998, when the School was re-acquired by Temple University.
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Dr. Angelo Monaco |
Dr. Monaco also served on the Board of Visitors of Temple University School of Podiatric Medicine (TUSPM) from 2007 until...
Editor's note: Michael Davis' extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Lancing Malusky, DPM, Richard Silverstein, DPM
The non-healing site is due to a foreign body response to skin pushed subdermal from the original excision. A deep curettage without suturing will remove the inclusion cyst that has formed, causing this clinical picture. Simple topical care will close this in another few weeks.
Lancing Malusky, DPM, Kettering, OH
I would do a wound culture of the skin. Non-invasive arterial Dopplers could provide pertinent information as well. Blood work, including a total lymphocyte count and albumin levels, will also demonstrate your healing potential. Has the biopsy site been properly off-loaded to decrease pressure over the course of the 6 weeks?
Richard Silverstein, DPM, Havre de Grace, MD
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Dane J. Myers, DPM, JD, Mark A. Hardy, DPM
I attended the Global Foot and Ankle Conference in Cleveland this year. As advertised, it included foot specialists from around the world. The lectures were timely and well presented by podiatrists, orthopedists, and others involved in foot care. Insights from specialists from around the world showed different perspectives on treatments. I highly recommend the conference.
Dane J. Myers, DPM, JD. Springdale, AR
This is a legitimate meeting unlike some predatory conferences and spam emailings that we all receive from time to time. Current and past presidents and leaders from foot and ankle societies throughout the USA, UK, Europe, and the Asia-Pacific rim, founded this organization in 2015. The inaugural event was held in Cleveland, OH this past June. As a global organization, GFAC will rotate the annual meeting to a different host country each year. Much like the Olympics, each host country will bring its own flare and cultural contributions to the annual congress. 2017 will be in Chongqing, China; 2018 will be in Milan, Italy; 2019 will be in Delhi, India. Faculty and council members are comprised of ACFAS, AOFAS, EFAS, APSFAS in addition to many other national/international organizations. GFAC is an organization designed to be inclusive (MD, DPM, DO, PhD, PT, RN, etc.), not exclusive. Thus, the organization’s name: Global Foot and Ankle Community.
Mark A. Hardy, DPM, Cleveland, OH
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: P David Applegate, DPM
I'm in the midst of opening a practice and have found a number of ways that technology can make for a nimble startup. With recent advances in cloud computing, an entirely cloud-based office is possible. Gone are the days of expensive server installations with costly monthly IT service contracts. With a modern EHR like Medi-Touch, much of the practice is handled via web browser. Patient registration and check-in can be handled entirely through the EHR, saving time and administrative costs over a traditional paper system. In addition, charting, surgical consent signing, and patient instruction on everything from stretching to wound care can all be done electronically.
Medi-Touch is what I've elected to go with, but there are a number of others out there like DrChrono and Practice Fusion that can be considered. The decision is entirely personal, but can be overwhelming. The same goes for digital x-rays. I recommend a good consultant to help you decipher between all of the options out there and aid you in negotiating competitive pricing. Again, the choice is entirely personal, but I've retained Cindy Pezza with Pinnacle Practice Achievement and have been very happy with the service I've received so far.
P David Applegate, DPM, Houston, TX
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
From: Pam Thompson
Check out Cardfellow.com. They are an ISO (like a broker), but they do not take commissions from the merchant. They have pretty strict standards as to their agreements. For example, where most credit card processors structure tier pricing (so you wind up paying much more than their advertised rate), all Cardfellow processors must offer Interchange Plus pricing, so there's no hidden tier "upcharging". Cardfellow processors basically compete for your business, and so they offer better rates and terms.
That said, I always review any processor's agreement before committing. Sometimes they'll have a cancellation fee in the agreement but not mentioned elsewhere, which should be negotiated out. Some processors want a reserve bank account you must fund, but they control, to cover their potential losses. I consider that a deal killer.
Always review the fees the processor lists, like PCI compliance, or marketing add-ons that are actually optional, but may not look like it. They should offer an easy, very inexpensive PCI compliance done-for-you, or a free DIY PCI compliance site. Cardfellow has a fair bit of non-biased, fairly and simply explained educational material on their site, so you can ultimately make a very educated decision without having your head blow up with credit card complexity.
Disclaimer: I don't have any financial relationship to Cardfellow.
Pam Thompson, Jacksonville, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 4 | |
RE: Medical Marijuana and Podiatry
From: Jay Kerner, DPM
As per my previous posts regarding prescribing medical marijuana for such conditions as diabetic neuropathy, ishemic pain, and debilitating arthritis, I again wish to raise my concern that as podiatrists, we de-value our profession by not retaining parity with the other medical professions.
As stated in Newsday last weekend, as of November 29th, nurse practitioners may certify patients for medical marijuana in New York State. Physician assistants will no doubt eventually be included, as they are already licensed to prescribe...
Editor's note: Dr. Kerner's extended-length letter can be read here.
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Faculty Full-time Professional
College of Podiatric Medicine
[Job #988847]
Kent Campus – Independence, OH
Opportunity: The College of Podiatric Medicine has an immediate, full-time clinical faculty opening in our Department of Podiatric and General Medicine.
Qualifications: Successful candidates must possess current licensure (DPM) in the State of Ohio (preferred) or eligible for licensure in the State of Ohio; completion of a residency program; board qualification required (certification is preferred); ability to pass risk management and malpractice underwriting; ability to be fully credentialed on private and public health insurance plans.
For a complete description of this position and to apply online,
Equal Opportunity / Affirmative Action Employer / Disabled / Veterans
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| RESPONSES/COMMENTS (PM ARTICLE OF THE DAY ) | |
From: Tip Sullivan, DPM
It is nice to hear from another perspective regarding indications and application of foot surgery techniques. I simply ask Dr. Lee to let us see the volume after 30 years of doing this, clinical pictures, and the x-rays of these 18-20 degree IM angle bunions that he has done using this technique at 5 years post-op. In my opinion, this technique in a person with a high IM angle is a “quick fix” and in my experience, it is doomed to long-term failure.
I suppose that if one explained to the patient that the need for future surgery is very likely, it would be more palatable or if your goal was short-term (i.e.-with an older minimally ambulatory patient), I could understand the rational of using it. On a younger patient with a significant structural deformity, I cannot rationalize its use. I will say that I do not have 30 years of experience using this technique and am willing to learn something new from someone with more experience.
Tip Sullivan, DPM, Jackson, MS
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Mr. Malaprops' Strange Medical History
A patient wrote this on a form: "I'm recovering from a womb on the bottom of my right foot." Maybe he should see an Ob/Gyn?
Source: Submitted by Dr. Rich Rettig
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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 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
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- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
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
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
PRACTICE WANTED - MIDDLESEX OR MONMOUTH COUNTY NEW JERSEY
Are you interested in selling your practice in Middlesex or Monmouth County in New Jersey? If so, please email advancedfoot1@aol.com.
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
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.
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| CLASSIFIED ADS PART 2- ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - KANSAS CITY
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We’re busy and still growing and need another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with doctors who are committed to your success. Go to: www.YourFutureInPodiatry.com for full details
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.
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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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