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PM News |
The Voice of Podiatrists
Serving Over 17,216 Subscribers Daily
December 19, 2015 #5,554 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 |
FINAL DAY TO VOTE
Quick Poll
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In general, how long do your patients wait for an appointment? |
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HOSPITAL PODIATRISTS IN THE NEWS |
MI Podiatrist Joins Staff of McLaren Flint
McLaren Flint welcomes a number of new physicians to its medical staff, including Naga Kommuri, cardiologist; Sherezade Khambatta, interventional cardiologist; Douglas Stoinski, podiatrist.
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Dr. Douglas Stoinski |
Dr. Stoiniski graduated for the Kent State University College of Podiatric Medicine and completed his residency at St. Mary Mercy Hospital/St. Joseph Health System - Livonia, MI.
Source: Lynn Goff, mlive.com [12/16/15]
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INTERNATIONAL PODIATRISTS IN THE COMMUNITY |
UK Podiatrists Win Prestigious KPI Award
Peter and Tina Allton are owners of Lewisham-based Circle Podiatry. They are also the founders of Undefeeted a Surrey based not-for-profit organization, which has led to them receiving the top award from the Key Person of Influence program, run by Entrevo UK. Key Person of Influence is a nine month leadership and business development program that has, so far, helped more than 1,000 entrepreneurs across the globe develop their businesses
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Peter and Tina Allton |
The KPI award recognizes such feats as the launch of Peter’s book Undefeeted by Diabetes, which is the spearhead of the Undefeeted campaign, drawing on the author’s 27 years’ experience as a podiatrist fixing feet and his personal journey with diabetes. The book focuses on helping people with diabetes live in what Peter Allton calls the ‘diabetic sweet spot’ – the safest possible position for them. The ‘sweet spot’ refers to a combination of knowledge of what can go wrong, awareness of their personal risk, and taking appropriate and timely action.
Source: Yareah Magazine [12/17/15]
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PODIATRISTS AND THE LAW |
Healthcare Company Settles Medicare Fraud Accusations for $4.5 Million
A company that provides medical services to nursing homes in several states — including Ohio — has agreed to pay $4.5 million to settle government accusations that it fraudulently billed Medicare for services. Mobile Medical, a Troy, Michigan-based company that provides dental, podiatric, vision, and hearing services, was accused of billing Medicare for services and equipment it did not provide, or were worth less than the company claimed, or were not subject to reimbursement, according to a copy of the settlement approved Tuesday. There were four relators in this case, including North Royalton podiatrist Dr. Barbara Petkovic, who used to work at Mobile Medical's Akron office. Petkovic's attorney said while Mobile Medical was caught, this practice is prevalent throughout the industry.
Source: Eric Heisig, Parma Sun Post [12/16/15]
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BOARD CERTIFICATION NEWS |
ABIM Suspends Controversial MOC Requirements Through 2018
In a policy retreat longer than Napoleon's march from Moscow, the American Board of Internal Medicine (ABIM) once again has relaxed its controversial requirements for maintenance of certification (MOC).
ABIM announced that it is lifting the requirement that physicians earn MOC credits for improving patient care and safety and incorporating their preferences in medical decision-making for an additional 2 years. The three MOC activities in question go by the name of Practice Assessment, Patient Safety, and Patient Voice. The organization told diplomates in February that they won't have to complete these requirements, widely lambasted as busywork, for at least the next 2 years. The latest decision extends the suspension through the end of 2018.
Source: Robert Lowes, Medscape News [12/16/15]
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E-HEALTH NEWS |
Providers Press for Delay, Flexibility in EHR Rule
The federal government's $31.7 billion electronic health-record incentive payment program needs to be refocused on promoting interoperability of electronic health-record systems, improving their usability and enhancing outcomes instead of measuring processes, according to comments on the feds' latest round of program rules.
Several groups, including the American College of Cardiology, asked CMS rulemakers to scrap full-year reporting periods for meaningful-use metrics, replacing them with 90-day periods. The groups also asked the CMS to end the program's pass-fail requirement, which has been in place since its inception. It requires hospitals, physicians, and other eligible professionals to meet all meaningful-use criteria to receive incentives payments and avoid program penalties.
Source: Joseph Conn, Modern Healthcare [12/16/15]
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ACA UPDATE |
Has the Cadillac Tax Hit a Dead End?
The delay of the tax on high-end insurance plans will not have much of an immediate effect on healthcare economics or the success of the Affordable Care Act, but if the tax continues to be pushed off and is essentially dead, consequences loom large. Congress announced the omnibus budget agreement and tax extenders bill late Tuesday with a vote planned before the end of the week. White House officials have indicated the president will sign the package into law.
It includes delaying for two years implementation of the "Cadillac" tax, which was scheduled to go into effect in 2018. It also freezes the medical-device tax that began in 2013 for two years and delays the annual tax on health insurers by one year. The Cadillac tax is 40% of the value of employer-sponsored plans that exceed certain thresholds: $10,200 for individual coverage and $27,500 for family coverage. An August report from the Kaiser Family Foundation estimated that about a quarter of businesses would be subject to the tax in its first year, increasing to 42% by 2028.
Source: Shannon Muchmore, Modern Healthcare [12/16/15]
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PRACTICE MANAGEMENT TIP OF OF THE DAY |
Improving the Performance of Medical Practice Staff - Part 1
As you look ahead and plan for 2016, ask yourself these questions:
1. Are you actively cultivating your high performers?
The key word is actively. Just as plants need water and nutrients to grow, your strong performers need inputs to thrive. Are you taking the time to teach and mentor them so they can ultimately assume more advanced roles (maybe even yours)? Do you give them opportunities for learning? Not just the annual CPT code changes, but skill-building that results in them bringing you innovative, new ideas? Are there projects that your star employees could take on next year? This is the time of year to ask these questions and factor the answers into next year's budget, so your top performers don't stagnate.
Source: Adapted from Cheryl Toth, Physicans Practice [12/16/15]
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QUERIES (NON-CLINICAL) - PART 1 |
Query: Hospital Employment
I am considering a position with a small local hospital that would pay a base salary plus RVU bonus production. I am curious as to colleagues' opinions or experiences with this employment structure and whether or not they would recommend it vs. private practice, large group, etc. The other option that I am weighing is joining a small practice with one other practitioner who seems business savvy and has big plans for growing the group. Any suggestions?
Name Withheld
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QUERIES (NON-CLINICAL) - PART 2 |
Query: Fax and Fios
Ever since I changed my old phone system to Verizon Fios, I have been having difficulty sending faxes. I discovered from both HP and Verizon that fax machines are made to work on regular analog lines. Fios is something different. The various fixes that both suggest don't work. I can receive faxes okay since I got a new fax machine, but both the old machine (HP) and new machine ( also HP) have frequent communication errors when sending faxes. MS Scan and Fax says it requires a fax modem connected to an analog line, which will probably have the same problem. Does anyone else have this problem? Short of asking Verizon to install an additional line on "copper wire", as they say, does anyone have suggestions for this?
Ron Werter, DPM, New York, NY
Editor's comment: Myfax.com is a low-cost service ($10 per month) that replaces fax machines and telephone lines. Faxes are sent and received on your computer like e-mails. Your existing fax line can be ported, so you can even maintain your exisitng fax number.
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CODINGLINE CORNER |
Query: Codes for Foreign Body Removal
What is the difference between these foreign body removal codes: CPT 10120 (incision and removal of foreign body, subcutaneous tissues simple and CPT 28190 (removal of foreign body, foot)? Both codes refer to removal of foreign body, subcutaneous.
Laurie, Office of John Arsen, DPM, Lake Orion, MI
Response: The best answer to your query on this topic is found from Supercoder "The difference between these codes is that 28190 specifically identifies the foot in the definition, while the more generic 10120 does not list a specific body site. However, 10120 does include the word incision in the definition.
Do not use 10120 for the procedure presented because...(if the) physician did not make an incision...there are lingering questions about when to use 10120 and 28190. Code 28190 is obviously anatomically specific. However, some experts believe 28190 may be intended for operative procedures. The RVUs attributed to 28190 support this argument. Code 10120 has 2.43 RVUs while code 28190 has 4.90 RVUs. So, contrary to common sense, the code with more RVUs does not seem to require an incision. It is unlikely CPT intended to assign 4.90 to the simple procedure of pulling out a foreign body or splinter, but the language of the definition supports 28190 in this situation."
Joseph Borreggine, DPM, Charleston, IL
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YOU CAN'T MAKE THESE THINGS UP |
RE: Outrageous New ICD-10 Code of the Day
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Used by doctors in Cape Canaveral, Florida? |
Source: Keith L. Martin, Medical Economics
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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 $195
(Only $13 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 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION AVAILABLE- INDIANA (NORTHWEST) AND ILLINOIS (SOUTH)
Looking for an associate to work at our established offices in Indiana and Illinois. Individual must well rounded, personable, good ethics with medical and surgical skills and must be have PSR-24 or greater training. Duties include hospital calls, office patients, wound care, routine foot care, surgical cases in office and hospital setting. Practice has EMR, digital x-ray, pinpoint laser, and all aspects of DME, vascular testing, ultrasound and more. Competitive salary with benefits. Please send CV to: vipul65@yahoo.com
ASSOCIATE POSITION - PENNSYLVANIA
A well-established, podiatry practice located in Delaware County, PA, is seeking a BE/BC podiatrist to join our team. The ideal candidate is a highly skilled, personable, and hardworking physician with an interest in partnership. Please forward cover letter and a current CV via email to podiatrymgmt@gmail.com
ASSOCIATE POSITION – YONKERS, NY
Well established podiatry practice is looking for part-time podiatrist to work 2-3 days per week, including some Saturdays. Will work to get you on as many plans as possible. Competitive compensation package with bonus structure and partnership/ownership opportunity for the right individual. Please submit resume to: Podiodoc@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 – MARYLAND, DC SUBURBS
Large, well established, multi-office practice looking for an Associate to begin July 2016. Looking for a highly motivated, surgically trained, outgoing, ethical Podiatrist to join us. Walk in day one with a full schedule. Must be at least Board Qualified by start date with Maryland license. Competitive compensation package with excellent base salary, bonus structure, benefits, and partnership opportunity. Well rounded Practice that covers all aspects of Podiatry. Cover Letter and CV to Sharon at MarylandPodiatry@yahoo.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 - 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
PART TIME PODIATRIST POSITION - CHICAGO SUBURBS, WILL & LAKE COUNTIES
Part time, excellent supplemental income opportunity in an established podiatry practice. Must be hardworking, personable and self-motivated. Please send your CV to CHIFOOTCARE@YAHOO.COM
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 - NORTHERN VIRGINIA
Busy practice looking to expand. Looking for a well trained, well rounded, energetic podiatrist. Should be competent in forefoot, rearfoot and ankle surgical procedures as well as wound care. All aspects of podiatry, pediatrics, orthopedic and surgical. Competitive salary, bonus, benefits and buy-in potential. Send cover letter, CV to footdocva@cox.net
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
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 – PHILADELPHIA, PA
Podiatry office space available for use more than half the week in downtown Philadelphia. More than 2,000 square feet of treatment space with digital x-ray, diagnostic US and EHR available. I am looking to segueway out of practice in the next several years and this could be a beginning opportunity for an individual to gradually purchase the practice and create their own right now. Also seeking a preceptor to be involved with the practice. For more info: ediamond7@comcast.net.
PRACTICE FOR SALE - FIVE TOWNS, LONG ISLAND
40 y/o podiatry practce and medical co-op for sale. Own your own office. Very low monthly cost. Located in the Five Towns on Long Island. Fully equipped, wheelchair accessible, ground floor, no steps. Office also suitable for renting to other professionals. Contact at MLife.Rudolph@gmail.Com or 516 316-6690
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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