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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,770 Subscribers Daily
December 20, 2016 #5,822  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 do you manage patients’ credit card information? |
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| SUCCESS TIPS FROM THE MASTERS | |
Bret Ribotsky: What’s the best way to deal with a negative review on a site like Healthgrades, Google, or Yelp?
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Dr. Len Schwartz |
Len Schwartz: Once negative comment has been written, there is almost nothing you can do. What you can do today is start building a huge bank of positive comments in advance. Often, you can ask a patient in the treatment room to take out their phone and capture a 20 second video testimonial on their phone, which you upload to YouTube, Facebook, and Google or a quick review on these sites (from the patient's phone). These video comments will work magic. When someone writes a bad comment about you, it gets lost in the dozens of positive reviews.
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Dr. Guido LaPorta |
Meet the Masters is broadcast each Tuesday Night at 9 PM (EST). This week's guest will be PM Hall of Fame podiatrist Dr. Guido LaPorta. You can register for this event by clicking here
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| INTERNATIONAL PODIATRISTS IN THE COMMUNITY | |
UK Podiatrist Retires After 20 Years
After 20 years, Malvern podiatrist Mark Perkins is putting his feet up and retiring. Perkins, whose practice is in Malvern Link, came to podiatry after a successful career in the Royal Engineers. He and Susan Hubbard built up the practice and have provided complete footcare services, including biomechanics, nail and skin care, nail surgery, and many other services.
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Mark Perkins |
His practice will continue to run alongside that of Sue Hubbard with Rosie Thomson joining the team in clinic. Thomson, who comes from Evesham, trained at the same school of podiatry, in Birmingham, as the two principals.
Source: Mike Pryce, Malvern Gazette [12/13/16]
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| FROM PM's CURRENT ISSUE | |
Twice a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's Featured Article |
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| RELEVANT RESEARCH | |
Engineers Develop a New Non-invasive Method to Detect Infections in Prostheses
Engineers at the University of California San Diego have developed a new non–invasive method to detect infections in prostheses used for amputees, as well as for knee, hip, and other joint replacements. The method, which is at the proof of concept stage, consists of a simple imaging technique and an innovative material to coat the prostheses.
“Current methods to detect infection require patients to undergo burdensome imaging procedures, such as an MRI, CAT scan, or x–rays,” said Ken Loh, a professor of structural engineering at the Jacobs School of Engineering at UC San Diego and the lead researcher on the project. “By contrast, our method could be easily used in a doctor’s office or in the home and, potentially, provide quantitative diagnostic–relevant information about the extent and locations of the infection.”
Source: MDLinx via UC San Diego News, [12/16/16]
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| ACA UPDATE | |
CMS Finalizes 2018 Exchange Rules Ahead of Trump Administration
The CMS has made a handful of final changes to the Affordable Care Act's health insurance marketplaces for 2018, just a little more than a month before Donald Trump takes over the White House and congressional Republicans move to repeal the healthcare reform law. A final rule published late Friday cements many of the CMS' proposals from August. Some of the most notable changes involve the ACA's permanent risk-adjustment program, which funnels money from insurers with lower-cost enrollees to companies that have higher-cost enrollees.
Republicans have not coalesced around a plan to replace the ACA, leaving many wondering if it will be years before the law is changed or simply rebranded. Policymakers view changes to the exchanges in 2018 as vital, especially if the hope is to prevent health insurance companies from leaving the marketplaces due to the uncertainty, which would toss millions of people off their health coverage.
Source: Bob Herman, Modern Healthcare [12/16/16]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
10 Collection Tactics for High-Deductible Patients- Part 8
Patient collections are much more than collecting $10 co-pays: those days are long gone. Patients are paying a greater percentage of what you get paid and will be paying an ever higher percentage in the years to come. Smart and consistent patient collections tactics must be a part of every practice's financial strategy. Though the rate of healthcare spending may have slowed, the share absorbed by patients has done the opposite. Here are a few basics for improving your patient collections.
8. Offer payment plans: It's hard for most patients to come up with $1,000 on the spot. Offer patients a chance to pay large balances over several months. We do not charge interest, but you have every right to do so.
Source: Lucien W. Roberts, Physicians Practice [12/7/16]
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| CODINGLINE CORNER | |
RE: Bone Graft at Bunionectomy Site
Is CPT 20957 (bone graft with microvascular anastomosis; metatarsal) an appropriate code to use when an autologous bone graft for the bunionectomy site was used to rotate the cartilage of the head of the first metatarsal for treatment of hallux limitus/valgus? Can we also bill CPT 28296?
Name Withheld by Moderator
Response: Typically, rather than actually performing a microvascular anastomosis, surgeons use an autograph (from the same metatarsal) to address hallux limitus. If that is the case here, in my opinion, it is globally included in CPT 28296.
Rick Horsman, DPM, Olympia, WA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
RE: MIS Metatarsal Osteotomy Surgery vs. Akin Osteotomy on Elderly Patients
From: Michael M. Rosenblatt, DPM
There are complications from pressure under the 2nd metatarsal head post-surgery. Any 1st metatarsal osteotomy to correct a bunion deformity, whether it is held by internal fixation or not, is subject to leaving the 2nd metatarsal structurally "elongated." This can easily result in a painful plantar lesion and capsulitis under the 2nd metatarsal head.
This is why it is so important for biomechanical examination to be part of patient evaluation. If the patient has forefoot/gastrocnemius equinus and/or a short Achilles tendon, they will be putting a great deal more pressure on their forefoot during gait cycle. This will exacerbate pain under the 2nd metatarsal head. If the patient has hammertoes, this will...
Editor's note: Dr. Rosenblatt's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Keith L. Gurnick, DPM
Without addressing Dr. Peacock's use of the Katzen Modified MIS Wilson procedure for HAV/Bunion correction in general, I'd like to address his pre- and post-surgery x-ray angle interpretation from the x-rays he sent us to review. I can't agree with his measurements of either the pre-op and 6 week post-operative x-rays. I am not trying to be critical, but to be honest here. Here is what I measured from his x-rays sent in.
Pre-Op IM Angle
His measurement was 13 degrees
My measurement is 11 degrees
Pre-Op HA Angle
His measurement was 22 degrees
My measurement is...
Editor's note: Dr. Gurnick's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Andrew Levy, DPM
I commend Dr. Loshigian for his letter and stance with Castle Connolly. It is important for each of us to speak up for the profession where we can. For several years, their representative tried to sell me advertising space in the Top Doc issue in this area. Each year, I wrote a similar letter, essentially telling them I would consider an ad if and when they included podiatry as a classification. Now they have given up soliciting me, and unfortunately still haven't moved to a more enlightened inclusive focus. Keep up the good work Dr. Loshigian.
Andrew Levy, DPM, Jupiter, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Talk about winged feet! |
Source: Masaya Kushino via Virtual Shoe Museum
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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 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE - NEW 2016 MODEL STORZ MEDICAL SHOCKWAVE (EPAT)
New 2016 model Storz Medical Shockwave (EPAT) machine for sale. LED display on hand piece. Comes with 2nd hand piece, cart, and portable tote. Great condition, 5 year warranty, less than 50,000 pulses. Selling everything for $10,000. vimreddy@gmail.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
OFFICE FOR SALE - PART TIME CENTRAL NJ PODIATRIC
Includes two podiatric chairs, X-Cell x-ray machine, office furniture, custom made cabinets, alarm system, file cabinets, show display; excellent location on Main Street. Podiatrist leaving for hospital practice. Serious buyers only. Call 347-512-2006 and leave your name and phone number and we will contact you.
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 - TORRANCE, CALIFORNIA
Beautiful South Bay of LA - Seeking Doctor/Associate to work full-time in a busy, progressive, modern podiatry group practice. Surgical 2-3-year residency, and ideally, 3 years of practice experience and board qualified. Please email CV and contact information to footcareone@verizon.net if you are interested.
MMEDIATE ASSOCIATE POSITION AVAILABLE – INDIANAPOLIS
For motivated, hard-working residency-trained podiatrist in busy 3-office practice leading to partnership. Would consider 2017 residency graduate. Two locations in Indianapolis and 1 location outside of Metro area. Competitive salary and benefit package including 401, profit-sharing, Health insurance. Surgery center ownership available. Forward letter and resume to Imalament1@comcast.net.
ASSOCIATE PODIATRIST - FREDERICK, MARYLAND
Group practice seeks well-trained podiatrist to join our group. Our practice has all the bells and whistles. Hospital emergency room call is required. Must be confident in Trauma, Ankle Fractures and Diabetic Limb Salvage. Drsteinberg@mynewfeet.com
ASSOCIATE POSITION - NORTHERN NJ
Practice with multiple locations looking for a surgically trained podiatrist with license to practice in NJ, BQBC Full Or Part time for immediate hire, attractive salary with bonus structure and profit sharing. Partnership for the right individual. Please send CV with references. Full scope of podiatry. dpmassociate@hotmail.com
ASSOCIATE POSITION – FLORIDA
Excellent opportunity for qualified candidate. Looking to add an accomplished, driven individual looking to grow personally and professionally with a successful and thriving practice. Ideal candidate will have 2-3 years of experience, but will consider new grad as well. Reply with letter describing your personal and professional goals with CV to podsuccess123@gmail.com
ASSOCIATE POSITION - ST. PETERSBURG/CLEARWATER FLORIDA
Community Health Solutions of America (CHS) has a territory opening in the St. Petersburg/Clearwater 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 second year doctors earn $150,000 and up. Email CV to psojobs@chsamerica.com.
ASSOCIATE POSITION - TAMPA BAY
Seeking a PSR-36 associate completing their residency and begin in July 2017. Well-established, dynamic multi-doctor practice in Tampa Bay. High tech, EMR, digital x-rays. Sports medicine, surgery and general podiatry. No NH/HMO's. Excellent hospital privileges. C.V. to floridapodiatrist@tampabay.rr.com
ASSOCIATE POSITION - ST. LOUIS, MO
Expanding group practice seeks full-time podiatrist to join our team, we have state of the art facilities with EHR, lasers, EPAT, digital x-ray, etc. Candidates must have completed a PSR/36 residency and be well-trained, ethical and collegial.
Competitive salary with incentives and benefits. If interested, please Contact CHARLENEW@FACSTL.COM.
POSITION AVAILABLE – WESTCHESTER, NY
One day per week for house calls in the Southern Westchester area. Podiatrist must be licensed in the state of New York, and have malpractice insurance. Podiatrist will see 13-17 patients per day. Will discuss competitive compensation for interested podiatrists. Please email your CV to: westchesterpod1@gmail.com
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
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 - EAST CENTRAL FLORIDA
Large Practice in East Central Florida has a fulltime position open. Responsibilities include servicing patients in ALF and SNF facilities along with inpatient hospital responsibilities. To apply please go to www.yourcareerinpodiatry.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.
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
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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- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
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RE: (Topic)
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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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