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| PM News | |
The Voice of Podiatrists
Serving Over 15,671 Podiatrists Daily
December 18, 2013 #4,944  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
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| INTERNATIONAL PODIATRISTS AND FOOTWEAR | |
High-Heeled Boots Put Women at Risk: Canadian Podiatrist
Wearing high-heeled boots puts women at risk for slipping on ice and snow and injuring themselves, a local podiatrist warns. “Wearing high heels makes you more unstable when walking or standing on dry surfaces, let alone slippery ones like ice or snow,” Dr. John Lanthier said. “A low-heeled winter boot is a lot more fashionable than a cast and crutches.”
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Dr. John Lanthier |
He recommends women scuff up the soles of new boots or buy adhesive rubber soles for better traction. If, while wearing high-heeled boots, a woman's ankles roll inward or outward, she can break her ankles. If it twists, ligaments can be stretched or torn, causing a sprain. “This time of year I see a variety of broken bones in patients who have slipped on the ice,” the doctor said. He recommends that women who've hurt themselves get to a doctor as quickly as possible. The RICE method – rest, ice, compression and elevation – will help reduce swelling and pain.
Source: Sudbury Star [12/15/13]
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| OUTSIDE INTERESTS | |
NJ Podiatrist Provides Advice on Disposing Worthless Baseball Cards
Like the average American, the only thing I like more than following sports is making money. As a sports collector for most of my life, I’ve been able to feed both passions at a local sports card show held every few months. Attending it has been one of my guilty pleasures for 20 years. I recently spent most of the afternoon at the JP Sports Card Promotion Show in the White Plains County Center about 25 miles north of Manhattan buying, selling, and trading; but mostly interviewing some of the most active dealers and collectors for my new blog on sports collecting.
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(L-R) Dr. Larry Price with Yankee GM Brian Cashman |
At the show, I heard at least a couple of middle-aged collectors asking dealers for advice on how to dispose of their worthless stash. “My Toys R Us sets sold for $6.99 in 1993,” groused Dr. Larry Price, a podiatrist from Westwood, New Jersey. “Today they sell on eBay for 99 cents. There are thousands of those sets.” The best advice: donate them to a children’s hospital.
Source: David Seideman, Forbes [12/15/13]
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| FUTURE PODIATRISTS IN THE NEWS | |
Heisman Trophy Winner Wants to be a Podiatrist
On Saturday, Freshman FSU quarterback Jameis Winston was named the winner of the 2013 Heisman Award. He's the youngest player to ever win the award, and he won it with the seventh-largest margin of victory, earning 668 first place votes. "Hopefully I'll be another Deion Sanders or Bo Jackson," he told SI.com as a high school senior in 2011. "No [pro] quarterback plays two sports. I want to make a name for myself."
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Jameis Winston |
And there's one other thing - Winston, who had a 4.0 grade-point average in high school, said what he wants to do: "I always wanted to be a foot doctor."
Source: Gary Gramling, Sports Illustrated for Kids [12/16/13]
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| PODIATRISTS AND THE LAW | |
Convicted NJ Podiatrist Loses Right to Ever Prescribe Drugs
Five doctors convicted of illegally selling prescriptions have lost the right to ever prescribe drugs in New Jersey, even if their medical licenses are someday reinstated. Each has been criminally convicted in federal or state courts. Dr. Robert H. Moss, a Williamstown podiatrist pleaded guilty in federal court to illegal distribution of oxycodone and was sentenced to 60 months in federal prison, authorities said. His medical license was revoked in November 2011.
Source: South Jersey Times [12/16/13]
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| CODINGLINE CORNER | |
Query: Wound VAC Application in a PO Period
I place a lot of wound VACs on patients 2-3 days following initial procedure for those wounds left open to drain. What modifier should be used for wound VAC placement (CPT 97605) following a transmetatarsal amputation procedure (CPT 28805) with the wound left open: modifier "-58" or modifier "-78"?
Scott Weiss, DPM, Darien, CT
Response: I recommend appending a "-58" modifier since this a related procedure and this was "planned" at the time of surgery.
Tony Poggio, DPM, Alameda, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Dennis Shavelson, DPM, Don Peacock, DPM
There seems to be an elevated 1st met head on the WB lateral view, which may be causing a new/continued FHL. That could be diagnosed with a foot typing. I suspect a flexible forefoot FFT. Short of surgery, consider a series of therapeutic common peroneal or posterior tibial nerve blocks a la Steinberg, incorporating cyanocobalamine. Add a neurophylic supplement like Neuremedy.
Cast, prescribe, and dispense a foot type-specific foot centering orthotic and incorporate peroneus longus compensatory strengthening exercises.
Neuroma or neuritis of the first interspace is highly unlikely following a bunionectomy with osteotomy. The etiology of your pain is most likely related to placing the fibular sesamoid from a deviated position to a more rectus position.
As the fibular sesamoid begins to laterally deviate, the cristae erodes. During the Austin, we transposition the metatarsal head laterally, placing the sesamoid into what is essentially...
Editor's note: Dr. Peacock's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Registered in Musculoskeletal Sonography
From: Angela L. Drury, DP
I recently passed the RMSK (Registered in Musculoskeletal Sonography) exam given by ARDMS (American Registry for Diagnostic Medical Sonography).
This credential is a world-wide standard for promoting best practices for enhanced patient safety. Passing this exam gives practitioners a critical edge in promoting themselves as pre-eminent practitioners in musculoskeletal sonography.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Stephen Musser, DPM
I am a member of the Cleveland Clinic Quality Alliance. The only quality measure we are subject to is a yearly foot exam for our diabetic patients. We are required to check our quality measures three times a month and contact patients who are overdue.
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The Traumatic & Reconstructive Foot and Ankle Surgical Fellowship Program sponsored by the Southeast Permanente Medical Group in Atlanta, Georgia, is now accepting applications for the 2014-2015 training year.
Our fellowship program has recently been granted candidate status by the American College of Foot & Ankle Surgeons and offers an exemplary opportunity for advanced lower extremity surgical training. The Southeast Permanente Medical Group (TSMPG) is one of the largest multi-specialty medical groups in Georgia, working with the Kaiser Foundation Health Plan to provide medical care to members in metropolitan Atlanta. The foot & ankle fellow will be provided a broad-based clinical experience focused on adult reconstructive surgery, including sports-related injuries, Charcot reconstruction, total ankle replacement, and traumatic injuries of the lower leg, ankle and foot.
Interested senior residents can find a program application and other information on line at: www.acfas.org/fellowshiptucker/ Daniel J. Tucker, DPM, FACFAS, Director, Traumatic and Reconstructive Foot & Ankle Surgical Fellowship, The Southeast Permanente Medical Group, 770-677-6021 Daniel.J.Tucker@kp.org
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| RESPONSES/COMMENTS (PM JURY VERDICT REPORTER) | |
From: Elliot Udell, DPM
Dr. Roth makes a good point by pointing out that there are cases where a person was legitimately injured by a doctor or hospital's negligence and that person deserves to be compensated. At the annual SAM conference held every year in Orlando, Dr. Merritt lectures on avoiding errors that we, as podiatrists, may make. Other medical doctors have written books and there have been documentaries on CNN on the whole gamut of medical errors. The situation is bad and getting worse.
Just today, an internist told me that his multi-doctor practice was just taken over by a corporation and he is now restricted from spending adequate time with any one patient. Other demands the new non-doctor owners are making on him are throwing him into the realm of not only making potential medical errors, but practicing unethically.
With Obamacare coming around the corner and millions of new patients entering the medical patient pool, will doctors who even want to spend adequate time with patients have the time and resources to do so? Potential problems now face us, including increased potential for mistakes and negligence. I wonder if the tort system as we know it is what is needed to protect the lives of patients.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1 | |
From: William A Sachs, DPM, David E. Gurvis, DPM
This so called "Cinderella" procedure seems like an irresponsible effort to promote a practice. "Preventative" bunion correction? What is being corrected? Prophylactic shortening or lengthening? Really? Any honest experienced foot surgeon will tell you that the "glass slipper" may not always fit so well after foot surgery!
Is anyone else disposed to upchuck? I'm just wondering how these podiatrists can go so far to the dark side as to perform a preventative bunionectomy” and be proud of themselves for providing a “service”? I am now considering asking my doc if I can get a preventative coronary artery bypass graft.
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MEETING NOTICES - PART 1
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PLAN NOW FOR NAPA MEETING FOR VALENTINES!
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Beautiful Villagio Resort - Yountville, CA
10 CME Hours Provided*
Nerve Reconstruction, Trauma , Problem Cases & WINE
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 2 | |
From: Michael M. Rosenblatt, DPM
In my experience as a consultant to help defend DPMs accused of Medicare fraud, by far the most common cause of action is "nail wedge resections without local anesthetic billed as surgery." It appears that the case of the MI podiatrist is also in this category.
There may be a chance of defending this case by "converting" some of these (billings) into routine foot care, if the patient has risk factors associated with the need for RFC. For example, I have a statistical reporting and analyzing system that could be used to "convert" these. But, if a doctor actually billed a surgery without a local anesthetic administered by injection, it is very difficult to defend. If it was a matter of only a few of these procedures, however, it can be "defendable."
In the worst situations, there were literally hundreds of these billings, with almost no charting to use to defend. I routinely publish articles in Podiatry Management to try to educate DPMs not to take this kind of risk. Yet, we continue to see them. NH practice is usually 30-60% non-compensated. Unless you are willing to accept this, you should not be going into them to practice podiatry, because I assure you, you are being watched. I beg of you, please think of your family and your future.
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
PODIATRY OFFICE FOR RENT - STATEN ISLAND, NY
1000 square foot (approximate) office in large modern medical center. Good parking, public transportation, 36 years as a podiatry office. 5 exam rooms, business office, lab, reception room, bathroom, central air. Great layout. Designed for Podiatry/medical. Call 212 794 0089
EQUIPMENT WANTED - LOOKING FOR A TOENAIL LASER
EQUIPMENT FOR SALE – USED PINPOINTE LASER
EQUIPMENT FOR SALE
Used podiatric equipment for sale from practice with 2 offices. Items available include, without limitation, several treatment chairs, whirlpools, laser, hand instruments, and routine supplies. Call 914 636-7836.
EQUIPMENT FOR SALE - USED CUTERA GENESISPLUS LASER
Purchased new July 2011, new handpiece, updated software and re-calibrated in September 2013. This is a great laser for treating toenail fungus, scar reduction & warts. $33,500.00 OBO. Please email dman1hansen@gmail.com or call 801-870-4161
PRACTICE FOR SALE - DENVER, COLORADO
Established metro practice desires transfer of a successful practice to an experienced, board certified podiatric physician. Exceptionally well equipped with PinPointe /CO2 lasers, EHR Management System, Digital X-Ray (early 2014) and more. For a confidential discussion and details: Contact Mike Crosby, CPA, MBA, Provider Resources, LLC: mcrosby518@gmail.com
PRACTICE FOR SALE - BRIARWOOD, QUEENS
Part-time practice with potential for full time. practice located in the same building with a primary care doctor (great referral base). A block from Grand Central Pkwy and subway station. Serious inquiry only to specialtouchfootcare@gmail.com.
PART-TIME PRACTICE FOR SALE - NYC
Great Opportunity! Retiring podiatrist selling part time (18-20 hrs/wk), fully equipped, multi-disciplinary practice upper West Side of Manhattan. Densely populated, street level location near subway. 27 years at location. Option available to expand to full time or to share with eventual purchase. Reply to kappy105@yahoo.com. In subject please write: West Side Office.
ASSOCIATE POSITION - KANSAS CITY, MISSOURI
Excellent, long-term opportunity for ethical and motivated individual. Established practice featuring all aspects of podiatric medicine and surgery located in a nice, affordable city. Competitive salary with benefits and bonus structure. EMR, PadNet and diagnostic ultrasound. Position available immediately or will work with your schedule. E-mail CV to: Dr.fine@finefootcarecenter.com.
ASSOCIATE POSITION - WEST TENNESSEE
Excellent opportunity for full-time podiatrist trained in rear foot and ankle surgery to join established practice. Full scope podiatry practice with hospital and surgery center privileges. Competitive salary, benefits, and bonus with option to buy into a 33 year practice. Mail CV to footdrtn@gmail.com
ASSOCIATE POSITION - SOUTH CAROLINA
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Above average salary and benefits. Please send Letter of Interest and CV to: scdpmjobs@gmail.com
ASSOCIATE POSITION – OH
Group practice in Ohio seeks a well-trained surgeon, PSR24/36 preferred. Our practice provides all of the latest technology needed to provide patients with the best care, including Lasers, PAD Testing, DME, EMR and Digital X-ray. Competitive compensation package including salary and bonus. Please send CV to: DPMgroup1@yahoo.com
ASSOCIATE POSITION - CT (GREENWICH, FAIRFIELD AND NORTH HAVEN)
Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to: Dr.Kassaris@yahoo.com
ASSOCIATE POSITION – TAMPA, FL
Ethical business-minded practitioner to join a small growing group in the Tampa Florida area. Must have strong marketing skills and be interested in alternative approaches. Write to us and explain why you want to join our practice and what you have to offer. Send CV and Check our website www.theTampaPodiatrist.com. Email docmkatz@gmail.com
ASSOCIATE POSITION - CHICAGO, IL
full-time position to treat homebound patients in Chicago; salary $100K plus bonus based on 40% of collection; car allowance plus malpractice insurance offered; full logistical support provided. If you interested in part-time position, similar conditions can be prorated. If interested, email to dpms2@hotmail.com
ASSOCIATE/PARTNER - CENTRAL FLORIDA
Busy two office, two doctor practice looking for a motivated, hard-working individual for associate leading to partner. Current partner wants to retire. Our practice enjoys a diverse patient population from general podiatry, diabetic, wound care and surgical patients. Full podiatry privileges at two hospitals and surgical center. We are offering a competitive salary with incentives. Malpractice and health insurance, as well as all fees and dues covered. Must have active Florida license and be at least board eligible. Please forward CV and surgical log to: footpainbegone@gmail.com.
ASSOCIATE POSITION - ALBANY, NEW YORK
Exciting opportunity to join a busy, growing and progressive practice with great support staff. Need someone well qualified, motivated, ethical, and personable. Very competitive salary with bonuses. Please email cover letter and CV to Kfriedman@albanypodiatry.com
ASSOCIATE POSITIONS- NY AND PA
We are currently looking for podiatrists to see patients in Nursing Facilities in Central New York, North Eastern New York, Northwest Philadelphia, and Pittsburgh PA. Please contact me at doconcall02@aol.com.
ASSOCIATE POSITION – CONNECTICUT (HARTFORD AREA)
Available immediately. Looking for a Board Certified Surgeon with strong RF and ankle skills. This 20 year established practice offers EHR, digital x-ray and Noveon laser. All dues, malpractice and health insurance paid as well as 401K available. Excellent compensation. email lynnleblanc@cox.net
ASSOCIATE POSITION - NEW YORK/ NEW JERSEY
Looking for experienced podiatrist or 2013 residency graduate who is currently seeking to run a practice within a multi-specialty practice(s). Must currently be on Medicare and at least three to five insurance plans or have been accepted by those plans. Should be motivated and committed to be part of a healthcare team. Extremely competitive salary with the long term relationship in mind. Must have a minimum of one full day per week available and could be up to five days. Opportunities in several areas of NY and NJ areas with new opportunities becoming available. Podiatry8888@yahoo.com
IMMEDIATE OPENING - SOUTH JERSEY
Exceptional opportunity for a full-time, surgically trained podiatrist to join a busy, well rounded practice covering all aspects of podiatry including; surgery, wound care, and sports medicine. Must be highly motivated, personable, and have good communication skills. The practice is affiliated with a hospital residency program. Opportunity for future buy-in/partnership. Please send cover letter and CV tosuperstarstaff1@gmail.com. In the subject line, please write, "I am your next associate."
ASSOCIATE POSITION - BOSTON SUBURB
Excellent opportunity to join a well-established practice. Located in western suburb of Boston. Office includes EMR, digital x-ray, orthotic scanner. Seeking personable, enthusiastic, motivated associate with goal to become partner. Practice includes surgery, sports medicine, general podiatry. PSR 24/36. Send CV to: jstewartdpm@comcast.net
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, two location group practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
PM News Classified Ads Reach over 15,500 DPMs and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 15,500 DPMs. for details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $119 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: 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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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