December 05, 2019 #6,564 Publisher-Barry Block, DPM, JD
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Nominations Open for 2020 PM Future Stars
In 2020, Podiatry Management Magazine will be publishing our continuing series highlighting young practitioners. We are asking our readers to nominate potential candidates who are making a difference. We invite you to send us the name of a young practitioner (graduated 2010 or later) and why s/he should be recognized. Self-nominations will be accepted. Simply write to firstname.lastname@example.org
PODIATRISTS IN THE COMMUNITY
NJ Podiatrist Celebrates 30 Years in Practice
Hillsborough podiatrist, Peter Wishnie, DPM, is celebrating 30 years in practice with Family Foot & Ankle Specialists. Dr. Wishnie, the sole owner of Family Foot & Ankle Specialists, opened the practice on December 4, 1989 in Piscataway, NJ. He opened the Hillsborough location in 2004.
Dr. Peter Wishnie
Wishnie graduated from the California College of Podiatric Medicine. He completed a residency at Parsons Hospital in Flushing, NY and a fellowship at Hadassah University Medical Center.
Source: Hillsborough Patch [12/3/19]
PODIATRIC PRODUCTS AND SERVICES IN THE NEWS
TX Podiatrist Appointed to Healthcare Solutions Holdings Medical Advisory Board
Healthcare Solutions Holdings, a medical service and device company focused on providing clinicians with state-of-the-art diagnostic and therapeutic tools, announced the appointment of Jeff Hetman, DPM, as member of the Medical Advisory Board.
Dr. Jeff Hetman
Dr. Hetman received his DPM degree from Temple University School of Podiatric Medicine in Philadelphia. He completed his residency through the West Houston Medical Center Podiatric Surgical Residency Program in Houston and is a fellow of the American College of Foot and Ankle Surgeons.
Source: entelligent [12/3/19]
FROM PM's CURRENT ISSUE
Several times 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.
Six EHR-related Malpractice Landmines to Avoid - Part 1
EHRs are increasingly leading to malpractice lawsuits. While EHR-related lawsuits still make up only a small number of lawsuits, user error is the cause of 64 percent of EHR-related malpractice claims, according to the Doctors Company. Practices need to focus on eliminating several common problems, mostly tied to user actions, which have led to the majority of EHR-related suits. Here are six EHR landmines physicians should avoid.
1. Copy and Paste - Many doctors are tempted to copy a note from a prior encounter and make changes as appropriate. This leads to a few potential problems. Sometimes physicians forget to update the note with the appropriate changes when copying and pasting, says David Troxel, MD, medical director and secretary of the Doctor’s Company board of governors.
Source: Chris Mazzolini, Physicians Practice [12/3/19]
Query: Multiple Injections on the Same Foot
I billed CPT 64455 and CPT 20550 on the same day. Both were performed on the left foot and the patient has Aetna insurance. I put LT and -59 modifiers on both procedures, and the CPT 20550 is the only one that is getting paid. Can someone explain what I am doing wrong? Will I be able to submit a corrected claim to get it paid?
Melissa Malamed, DPM, Chalfont, PA
Rule #1 NEVER throw a -59 modifier on every code or a code you think it belongs on!
Rule #2 Go to the APMAcodingrc site and use the CCI edits to determine which code is the column 2 code.
Rule #3 Column 2 code should get the -59 modifier. In your example, CPT 64455-Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (e.g., Morton’s neuroma) is column 2 to CPT 20550-Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar “fascia”).
You need to do a corrected claim billing different diagnosis for each with the following CPT 20550-LT and CPT 64455-59-LT. If they still do not pay, file an appeal explaining these are distinct treatments anatomically unrelated. Provide a copy of your injection procedures showing they are distinct. This answers your question.
David J. Freedman, DPM, CPC, Silver Spring, MD
For information on Codingline subscriptions, click here
Query: Asking About Gender
What choices do podiatrists have on their patient input forms regarding gender? I just wondered what podiatrists are asking their patients these days when it comes to that issue.
Patients with all of these co-morbidities are some the most challenging in all of medicine. There are so many questions that need answered. What are her labs showing? WBC, differential, ESR, CRP, prealbumin, total protein, FBS, A1c? It has been my experience that if the bacteria was Staph aureus, it probably isn't actually sensitive to penicillin per se. The cultures may be suppressed, and not showing true results.
To start, I would take her off any systemic and topical antibiotics/antibacterials for about 10 days. Get an MRI, you probably don't need contrast, or if you feel that contrast is necessary, talk with the nephrologist because of renal complications, to see the extent of any bone marrow edema. Also, look for any soft tissue changes. Then, in the OR, I would do an aggressive debridement and curettage, with deep bone and soft tissue cultures. Chronic, low grade infection is the most obvious concern, but Charcot changes, hyperuricemia/gout could also be involved. I would also get infectious disease involved, if available.
I acquired my first ultrasound some 20 plus years ago. I learned in workshops to do the guided injections. The guided plantar fascia injection is my primary use therapeutically; the ultrasound is a very versatile imaging modality diagnostically.
The only way to measure the “effectiveness” is from what patients tell you who have had both. Since I don’t inject the fascia without it, my feedback is from those who have come from other practices over the years where non-guided injections had been given and the overwhelming majority say...
Editor's note: Dr. Gauntt's extended-length letter can be read here.
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CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
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. email@example.com
POSITIONS AVAILABLE IMMEDIATELY - ST. LOUIS AND KANSAS CITY, MISSOURI
Looking for reliable and ethical podiatrists to service Skilled Nursing Facilities and Nursing Homes in and around St. Louis and Kansas City, Missouri. Positions available immediately. Send inquiries and CV to: firstname.lastname@example.org
ASSOCIATE POSITION– LOS ANGELES, CA
Established multispecialty private practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Expertise in complex and chronic wounds is needed but residency or wound care certification not required. Full-time and well compensated based on a private practice productivity model with salary and benefits guaranteed. Our experienced team provides beautiful, fully equipped offices with on-site ASCs. We provide trained office staff, marketing and expert revenue cycle management, ensuring doctors can focus on patient care. Excellent opportunity to build a great wound care and podiatry practice as part of a reputable and established company. TWCCJobs@gmail.com
ASSOCIATE POSITION – NAPLES, FL
Immediate and July 2020 associate positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Interpersonal skills and willingness to work as a team a must. Cloud EMR, Digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, Paid vacations etc. Our practice cadaver surgical labs to enhance everyone's skills as a group exclusively available. If you like FL sunshine, fishing, golfing, beaches and to live and work in paradise. Also 1 fellowship position: ACFAS-approved surgical fellowship open for 2020 yr. MIS, RRA Surgery, Practice Management w over 1,200 procedures/450 cases/yr. Must have foot/RRA ABFAS qualified status by 8/2020. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – LONG ISLAND, NY
FT associate position available July 2020 with a nearly 40 y/o group practice on LI. Future partnership opportunity. Compensation includes competitive salary & production bonus, pension, medical & malpractice insurance & PTO. Board qualified/certified needed for hospital affiliation. Send CV to PODCOAL@gmail.com.
ASSOCIATE POSITION - TAMPA BAY
Immediate opening. Also accepting applicants to begin July 2020. Well-established, multi-doctor practice in one of the finest demographic areas of Tampa Bay. High tech, EMR, digital x-rays, ESWT. Sports medicine, surgery and general podiatry. No NH/HMO's. Excellent hospital privileges. C.V. to email@example.com
ASSOCIATE POSITION - ROCKLAND/WESTCHESTER/SUBURBAN NYC
Well-established foot and ankle surgery/sports medicine practice looking to hire a Talented Team Player to add to our successful family. Must be surgically trained, willing to work hard, and grow with us. Highly competitive salary. Modern, advanced equipment, including PinPointe Laser. Terrific opportunity for the right doctor. Signing bonus. Partnership potential. Please send Cover Letter and CV to: firstname.lastname@example.org
ASSOCIATE POSITION - SUFFOLK COUNTY, NY
Multi-office podiatry practice in Suffolk County seeks full time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to email@example.com
ASSOCIATE PODIATRIST- METROPOLITAN MARYLAND
Established practice (3 locations) looking for a full-time podiatrist with opportunity for partnership. Must be motivated, personable and dedicated to our growing practice. Must have strong skills in wound care, diabetes, general podiatry and surgery. The ideal candidate will be able to merge into an already protocol-based office. State of the art, fully staffed facility including EMR, PadNet, DME, digital x-rays and shoe stores on premises. Staff privileges at 3 local hospitals. Great location close to Washington D.C. and Virginia. Please send CV to firstname.lastname@example.org
ASSOCIATE POSITION- WESTERN PHILADELPHIA SUBURBS
Is your ideal practice opportunity one with all aspects of podiatry included? We are a group practice with 6 offices looking for the right surgically trained board qualified/certified doctor to join our family. Forefoot and rearfoot surgery, as well as, wound care and limb salvage with privileges at 2 local hospitals are available. Partnership is certainly part of the long-term plan. We are looking for the right candidate. Send all inquiries and CVs to email@example.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 DPMs AND STUDENTS
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CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE
Complete Stryker TPS system including oscillating, reciprocating, rotary heads and pin driver, $5,000, obo Stryker arthroscope 3.5mm with camera and all tubing etc. $1,500 obo Mindray DP30 ultrasound, portable, very lightly used. $2,900 OBO (new $5,000+) Contact firstname.lastname@example.org or call 414-882-0371
SPACE AVAILABLE – FOREST HILLS, NY
Room for rent in a busy physical therapy office all utilities included, storefront great for DPM. Will definitely cross refer patients. 71-60 Yellowstone Blvd. between Clyde and Dartmouth St. contact 646-246-1016 email@example.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 DPMs AND STUDENTS
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