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PM News

The Voice of Podiatrists

Serving Over 17,500 Subscribers Daily


August 26, 2016 #5,739 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

Diafoot


ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Dr. Keith Gurnick, winner of last week's prize, a $100 Macy's giftcard. We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in the March 2017 issue of Podiatry ManagementIt also makes you eligible to win thousands of dollars of valuable prizes. Enter by completing this confidential survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win.
 
Sony Extra Bass Bluetooth Headphones
    
This week's prize is Sony Extra Bass Bluetooth Headphones (Value $100). To begin the survey, click here. This is also your opportunity to vote for the next DPM and non-DPM inductees into the PM Podiatry Hall of Fame.

perfhealth81


drjill


AT THE COLLEGES
NY State Senator Tours NYCPM and FCNY
 
New York State Senator Adriano Espaillat visited the New York College of Podiatric Medicine (NYCPM) and its clinical affiliate, the Foot Center of New York (FCNY), on Thursday August 25th and toured both facilities.
 
(L-R) CIO Aman Safaei; Drs. Michael Trepal and Howard Rosas; Senator Espaillat; and Louis Levine.
 
He  was welcomed by Louis L. Levine, the President and CEO of the College and Reverend Robert Royal, Chairman of the Board of the Foot Center of New York. Senator Espaillat said that thanks to Howard Rosas, DPM, secretary of the FCNY Board and the senator’s podiatrist, he has become aware of a number of issues in podiatry, and he looks forward to a good working relationship with the two institutions.

Bakomacer


PODIATRISTS IN THE NEWS - PART 1
NY Podiatrist Uses CPR to Revive Wife
 
Shortly after 2 a.m., Dr. Patrick Grippo heard his wife gasping for air. He tapped her on the shoulder. He thought she was snoring. “I realized it wasn’t snoring,” he said. “I got up and turned the lights on.” Patrick Grippo then watched his wife take what he believed would be her last two breaths. A 43-year-old podiatrist, Patrick performed CPR – the first time he ever performed CPR on anyone – on his wife. She didn’t respond. “There was no life coming back,” he said. “There was nothing. I knew the severity of the situation.” As he administered CPR, Patrick called 911.
 
Dr. and Mrs. Patrick Grippo (Photo: Patrick Oehler)
 
"I’ve got the phone in one hand and I’m doing chest compression with the other,” he said. Lucille, 45, had been in good health. She had run seven marathons. But on June 15, according to paramedic Ed Becker of Poughkeepsie-based EMStar Paramedic and Ambulance Service, she had no pulse for at least 35 minutes. Lucille began breathing after being placed in an ambulance. She moved her arms and legs as she arrived at Vassar Brothers Medical Center in Poughkeepsie.
 
Source: John W. Barry, Poughkeepsie Journal [8/24/16]

anodyne


PODIATRISTS IN THE NEWS - PART 2
Plantar Fasciitis Often Caused by Overpronation: DC Podiatrist
 
Mary Ann Joyce had just finished playing a round of golf last March when she felt a sharp pain in her left heel. “I didn’t feel it on the course, but as soon as I changed shoes afterward, it was there,” says Joyce, now 68. The Frankfort, IL resident, who was vacationing in Florida at the time, immediately made a podiatrist appointment. The diagnosis: plantar fasciitis. This condition is often caused by overpronation.
 
Dr. Stephen Pribut
 
“Overpronation [landing on the outside of your foot and rolling in] causes a lot of tension when the heels and toes lift off the ground,” says Stephen Pribut, DPM, a Washington, D.C., podiatrist and past president of the American Academy of Podiatric Sports Medicine. Movement problems at the hip or trunk can also lead to compensation patterns.
 
Source: Nicole Adamson, Experience Life Magazine [8/25/16]

neurogen718


PODIATRISTS AND PHRAMACEUTICALS
CA Podiatrist Critical of EpiPen Price Hike
 
A California podiatrist's editorial on the greater than 400% price increase of EpiPen was shared thousands of times, including by New York Times reporters. Dr. Lee Rogers was critical of drug maker Mylan Pharmaceutical's move to increase the price of the generic drug epinephrine for anaphylaxis. When Mylan acquired EpiPen in 2007, the price was $57. Now it averages $640, can only be purchased in packs of two, and expires in a year.  
 
Dr. Lee Rogers
 
Rogers was also one of the first to point out that Mylan's CEO is the daughter of U.S. Senator Joe Manchin (D-WV) and has a history of shady business dealings. Rogers wrote to patients, "if you can't afford to be price-gouged for $600, there are alternatives that are still just as life-saving."
 
Source: DWT Blog

Winland822


PODIATRIC PRODUCTS IN THE NEWS
FL Podiatrists Open Second Neuropathy Clinic
 
Drs. Steven Weinshel and Brent Rubin
 
Drs. Brent Rubin and Steven Weinshel opened the second Neurogenx Nerve Center on the Gulf Coast in Sarasota in mid-June. The practice uses the Neurogenx 4000PRO, an electro-medical treatment tool intended to treat the pain, tingling, burning, and numbness that are symptoms of neuropathy and chronic nerve conditions. 
 
Source: 941 CEO [8/23/16]

stable81


PRACTICE MANAGEMENT TIP OF THE DAY

8 Patient Collection Mistakes to Avoid - Part 8

Medical practices are caught in the cross-hairs when it comes to collecting patient co-pays and deductibles. On one hand, they are obligated by their contracts with payers to collect patient cost-sharing amounts; on the other hand, patients are being faced with unprecedented medical bills. If you are caught in this collection free-for-all, here are the eight worst things you can do.
 
"What happens when the patient doesn't have the money? What decision-making authority do you give your receptionist? If someone comes in and doesn't have the $20 co-pay, does the receptionist have to find the office manager … to determine if they can be seen?" - Owen Dahl
 
Source: Erica Sprey, Physicians Practice [7/25/16]

DPM-Preferred


QUERIES (CLINICAL)
Query: Re-attaching Nail to Nail Bed? 
 
We all know that there are a plethora of reasons that toenails detach from the nail bed from trauma to metabolic issues. Does anyone have any insight or trick to coax the nail bed to reattach to the nail plate? Does anyone know of any source to review basic research in this area?
 
Tip Sullivan, DPM, Jackson, MS

ICS66


QUERIES (NON-CLINICAL)
RE: Recommendations for Digital X-Ray Systems
 
What recommendations do PM News readers have for digital x-ray systems?
 
Michael Sherwin, DPM,  Bellingham, WA

Blaine620


CODINGLINE CORNER
Query: Charcot Check-Up
 
I have a new patient from out of state. She has Charcot deformity with associated lesions. She wears molded inserts and currently has no breakdown of her lesions. She has, by history, had ulcerations in the past. Her past podiatrist was checking her every two weeks with debridement of the lesions. He was charging an office visit on these encounters. Am I missing something here? Is this a legitimate and legal way to see this patient? I think this would fall under the category of debridement of lesions and have a 60-day follow-up. I would understand if there were any hint of breakdown. I would like to make sure this is followed well and the condition not deteriorate. At the same time, I don't want to illegally bill Medicare. Give your specific coding if you think this is worth an office visit every two weeks. 
 
Karen Banks, DPM, Thomasville, GA
 
Response: I think your suspicions are right on. I believe I understand that you are saying the doctor is seeing the patient every two weeks for a callus check and debridement of any hyperkeratotic lesions. If this is the case, the service is palliative, and would fall under the routine foot care guidelines and limits. If the paring of calluses is the primary service performed, if the patient qualifies for routine foot care or qualifies under loss of protective sensation (LOPS), the reimbursement would be based on a 60-day cycle or 6-month cycle, respectively. If the patient needed palliative care sooner, then that would be paid directly by the patient. 
 
The coding would be the CPT 11055 series for routine foot care (with the appropriate ICD-10 codes) or G0245 (or G0246) plus G0247 for LOPS (with the appropriate ICD-10 codes). E/M service coding only would be appropriate when there is a new diagnosis or a "significant, separately identifiable" reason for re-evaluation and management. The level of E/M would be based on medical necessity and documentation. 
 
Tony Poggio, DPM, Alameda, CA 
 
For information on Codingline subscriptions, click here

Richie711


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
From: Elliot Udell, DPM
 
Thanks, Dr. Levy, for bringing forth that Israeli study showing the relationship between cognitive impairment in diabetics with foot ulcerations. The next step (which was not yet addressed) is to determine which modality we can use to assess a patient's cognitive status? There are some highly specific tests that we can access which are designed for mental health professionals, which can yield qualitative and even quantitative results. Should podiatrists be using these purchasable testing modalities? Is the time spent administering these tests reimbursable? Did the doctors doing the study recommend an alternative type of screening for non-mental health professionals?
 
Elliot Udell, DPM, Hicksville, NY

OHIMezzo66


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: Adam Siegel, DPM
 
Although I appreciate Dr. Moadab’s philanthropic advice about donating to charity, he is incorrect about the idea of borrowing money. Borrowing money does NOT mean you cannot afford a car. If you can afford the full price of the car, borrowing money is always a good idea (if the interest rate is low enough). Take the extra money not used to pay for the car with cash and put it into a diversified market account. Paying full price with cash for a car, a house, equipment, anything large, is just silly and is terrible financial advice. Find a low fixed interest rate loan, and invest the rest.
 
For people looking for low interest rates for a new car, I would direct you to PenFed (you do not have to be a military member), Lightstream by SunTrust, or USAA (you have to be a veteran). These rates are between 1.5 and 1.99% (with good credit). Also, many local banks are more than willing to offer special physician financing. Just ask!
 
Adam Siegel, DPM, Evanston, IL

onlinepod822


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Can you tell the age of the wearer by the number of rings?

Source: Renate Volleberg via Virtual Shoe Museum

MEETING NOTICES

resed815

Neurocure815B


Supersaver822


ACFASR


Buffalo


schuster


CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITIONS - FLORIDA
 
KG Health Partners, Inc., a multispecialty group practice in Florida has two territory openings (Tampa and Lakeland) for a full time podiatric physician servicing skilled nursing, assisted and independent living facilities. Physicians must maintain an active Florida license. Physicians are provided a medical assistant, administrative support including scheduling and billing. 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 admin@KGHP.net
 
ASSOCIATE POSITION FULL-TIME – NEW JERSEY 
 
Do you have 8 arms and 12 legs? Can you handle a challenge? Associate wanted for amazingly busy practice. Must be surgically trained but conservatively minded. The sky is the limit. Wonderful environment and great support team. Great pay with potential for expansion Bergen County, New Jersey. Please email CV to: jackienjfootandankle@gmail.com
 
ASSOCIATE POSITION – DURANGO, CO/FOUR-CORNERS AREA 
 
Busy and growing practice in the 4-corners area looking for high-energy doctor seeking full-time employment. Competitive compensation. Ownership opportunity. Buy-in to surgery center and/or physician owned hospital possible. Board eligible/certified necessary. Competent in all areas of podiatric care. Send CV to nlhuge@gmail.com
 
ASSOCIATE POSITION – NEW YORK
 
Seeking motivated PMS-36 trained podiatric surgeon for full-time associateship in group with offices in Manhattan, Queens, LI, and and the Bronx.  Offering competitive salary with room for growth. Surgical-based practice - special emphasis on trauma, reconstruction, rearfoot and ankle surgery.  Please email resume to: nypodrecruit@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 and next exam is December 2016.  Exam application must be submitted 90 days prior to exam date.  Starting Compensation package $120k-$140k (base + bonus) and benefits. Please send Letter of Interest and CV to: scdpmjobs@gmail.com
 
ASSOCIATE POSITION – NORTH CAROLINA  
 
New associate position available that can lead to partnership. We are a very busy practice providing care in both office and hospital settings. EHR, arterial vascular testing, and ESWT in the office. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of Western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hard-working, and committed to quality and patient care. We are offering a competitive compensation package and a wide range of benefits. All interested candidates should send a CV to MFAS828@aol.com
 
2017 GRADUATE ASSOCIATE POSITION - LONG ISLAND
 
Expanding Long Island based, well rounded group practice seeks 2017 third and fourth year graduating residents or fellows to join our state-of-the-art practices. Our practices are affiliated with multiple hospital systems, surgical and wound care centers and a residency program. Requirements: Caring, ethical, board qualified/certified candidates with surgical training and leadership qualities who are willing to live/relocate to the Long Island, NY metro area. Email CV to: Drbrook@countryfootcare.com
 
ASSOCIATE POSITION - NEW JERSEY 
 
Doctor needed in south Jersey for expanding practice. Multidisciplinary setting. Six figures. No weekends. Must be both conservative and surgically capable. ABFAS certified/qualified.  jennberlin1@gmail.com
 
POSITIONS AVAILABLE- FULL TIME/ PART TIME IN MISSOURI, COLORADO, AND OKLAHOMA 
 
Opportunities are available to serve residents of long-term care facilities in Missouri, Colorado, and Oklahoma. High earning potential with superior benefits with Preferred Podiatry Group, P.C. for the right candidates. Contact ckestner@ppgpc.com for additional information.
 
ASSOCIATE POSITION – MARYLAND 
 
Immediate Full-time Opening for Podiatrist in Frederick, Maryland. Great opportunity to join state of the art group practice. Generous salary and benefits package with productivity bonus. Partnership opportunities available. Please email your CV to mynewposition75@gmail.com
 
ASSOCIATE POSITION - CT (NORTH HAVEN AND FAIRFIELD) 
 
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
 
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA 
 
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries.  Modern offices and equipment. A great opportunity for driven personable individual.  Please e-mail  Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
 
ASSOCIATE POSITION – SAN FRANCISCO, CA 
 
Ready for a change? We have an immediate, full-time opening in our fast-paced, technologically driven, Sports Medicine Practice. If you’re looking for a collaborative team environment, free of politics, with an emphasis on work-life balance then we want to hear from you. Partnership track considered. No travel. No wound care. No Medicare. Candidate must have strong biomechanical and surgical background. Generous salary and benefits. Applications accepted online at www.fdfac.com/z/about-careers.html.
 
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA 
 
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries.  Modern offices and equipment. A great opportunity for driven personable individual.  Please e-mail the following: Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
 
POSITION WANTED – ILLINOIS 
 
Recent 2016 graduate seeking position in Illinois. From the Chicagoland area and hoping to stay in the area long-term. Looking to help the practice grow. Hard-working, motivated, personable, team-player, and honest. Well-trained in all aspects of podiatry with an interest in wound care. Please contact pmnewsad2016@gmail.com for information.
 
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.
CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE – SOUTHERN NEW JERSEY
 
25+ year well established practice for immediate sale. Turnkey operation with three well equipped patient rooms. Net collections 200k part time with pronounced full time potential.  Ideal for motivated physician.  Significant growth potential, excellent referral base.  Updated office with existing lease and extension options.  Located next to existing Family and Physical Therapy practices. Equipment and chairs negotiable. Serious inquiries please reply to jrobinson165@comcast.net.
 
PODIATRY EQUIPMENT FOR SALE 
 
2-Midmark 647 Powder podiatry chair $4,250, 2-PDM chair $1000, 5-Midmark 417 $3000, 1-ultrasound $6000, 1-Mini C-arm $15,000, 2-X-cell x-ray $4000 OBO, 1-All Pro imaging scanner, 4- Exam room cabinets, 1-Ritter M9 Ultra autoclave $2500, 1-Sani Grinder $400, 4-Portable office desks, 8-Waiting room chairs, 1-Waiting room table, 5-Patient room chairs, 5-Ritter chairs, 1-Centrafuse Life Line Medical Life Spin 6T, 1-Sonoace Pico ultrasound with Sony printer (1yr old) $13,000 OBO. Contact docbernz@aol.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.

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.
Guidelines
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  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
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Barry H. Block, DPM, JD
 
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