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| PM News | |
The Voice of Podiatrists
Serving Over 17,497 Subscribers Daily
December 30, 2016 #5,830  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 | |
LAST CHANCE TO VOTE
Quick Poll
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For what reason will you likely (or did you) retire? |
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| PODIATRISTS IN THE COMMUNITY | |
MI Podiatrist Opens New Practice
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Dr. Sarah Miller |
Dr. Sarah D. Miller has opened a new podiatry practice, Leelanau Foot and Ankle, in Suttons Bay. Miller graduated from the Dr. William M. Scholl College of Pediatric Medicine in North Chicago. She completed her residency at the Jesse Brown VA Medical Center in Chicago.
Source: Record-Eagle [12/28/16]
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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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| HEALTHCARE NEWS | |
FDA Bans Powdered Surgeons and Examining Gloves
The Food and Drug Administration (FDA or Agency) has determined that Powdered Surgeon's Gloves, Powdered Patient Examination Gloves, and Absorbable Powder for Lubricating a Surgeon's Glove present an unreasonable and substantial risk of illness or injury and that the risk cannot be corrected or eliminated by labeling or a change in labeling. Consequently, FDA is banning these devices. This rule is effective on January 18, 2017.
Source: Federal Register [12/19/16]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
10 Steps to Help Make Your Practice Labor Compliant - Part 1
With employment litigation prevalent, most employers have come to expect that a former or current employee will at some point sue or file a complaint. medical practices have to be more proactive to protect themselves. The following steps may not only help prevent the problem, but better position a medical practice to defend a case brought by an employee should one arise.
1. Update Your Medical Practice Handbook. A good handbook should contain policies aimed at protecting employees and the medical practice. Handbooks should have a clear policy about the type of conduct that is unacceptable and will result in discipline and a detailed, easy-to-use policy encouraging employees to report claims of discrimination and harassment to a designated representative. Not only will this allow the practice to promptly address issues internally, but it may also allow the practice to assert a defense in court if the employee failed to follow the policy.
Source: Keith Goldstein, Physicians Practice [12/24/16]
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| QUERIES (CLINICAL) | |
Query: Peroneal Longus Tendon Rupture
I was recently referred a 50 year old fairly active male with two weeks status-post a 90 percent peroneal longus tendon rupture at its insertion. Besides the long-term ramifications on the first metatarsal and architecture of his foot, is surgery an option for this patient?
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| CODINGLINE CORNER | |
Query: Must Sensation be Absent to Bill *Q9*?
I would like to bill Medicare for CPT 11721 on a patient with type 2 diabetes, who has one absent pedal pulse and has completely intact light touch sensation in her feet. She, however, reports burning and tingling of her feet. As long as I document a primary care provider visit within the past 6 months, will this be covered using a "Q9" modifier?
Troy Harris, DPM, Swansboro, NC
Response: The "Q9" modifier represents the presumption of coverage when the physician rendering the routine foot care has identified one class B and two class C findings.
You note that the patient has one absent pulse (either dorsalis pedis or posterior tibial), so the single class B finding is met.
The class C findings options are: Claudication; Temperature changes (e.g., cold feet); Edema; Paresthesias; and Burning.
The tingling sensations described by the patient would qualify for paresthesia. So, the patient describes (and you documented) both paresthesias and burning in the feet - two class C findings. The presumption of coverage ("Q9") appears to have been met. By the way, you still would need to document "the evidence available discloses certain physical and/or clinical findings consistent with the diagnosis and indicative of severe peripheral involvement" as well as qualifying diagnoses for your records and claims.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Simon Young, DPM
Although shortening of the metatarsal doesn't always result in metatarsalgia, there is oftentimes a threshold, i.e.-5 mm protrusion. We need to understand that shortening can oftentimes result in dire consequences, especially with metatarsalgia (which might require further osteotomies on the lesser metatarsals).
I think any surgeon who ignores caveats #1 and #2 is foolish, and is tinkering with danger, which can and oftentimes results in major sequelae and consequences to the patient.
Simon Young, DPM, NY, NY
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Richard Mann, DPM
What a wonderful story. Although I do not know Dr. Becker personally, I wish to express to her and her family how very happy I am for the miracle of the birth of their beautiful son, Jacob. I would also like to wish her a speedy and complete recovery.
Richard Mann, DPM, Boca Raton, FL
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| RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP ) | |
From: Jeffrey Kass, DPM
One has to laugh at the caption in the outrageous shoe of the day picture: "A special hydraulic spring system has been developed for this style, absorbing the impact at each step" - is this supposed to imply it's safe to wear? Statements can be very misleading.
Jeffrey Kass, DPM, Forest Hills, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Perfect holiday gift for those who like to slam and jam |
Source: Mostinterestingfacts.com
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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
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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 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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.
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 - 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 – BROOKLYN, NY
Full time position available for a motivated podiatrist in a growing podiatry practice in Brooklyn, NY. Excellent compensation and partnership opportunity available. Please send your resume to Footcareemployment@gmail.com
ASSOCIATE POSITION – NY & PA
3 doctor, multi-location practice in NY & PA seeking associate. Partnership available after 1 year. Email CV and contact information to atuccio@stny.rr.com
IMMEDIATE 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
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.
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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
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