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PM News

The Voice of Podiatrists

Serving Over 15,833 Podiatrists Daily


April 19, 2014 #5,043 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block

EDITOR'S NOTE

Advance Notice: PM News will not be publishing from April 24 - May 3rd

abbyjenn


Bako


PM NEWS QUICK POLL

FINAL DAY TO VOTE

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APMA COMPONENT NEWS
NYCPM Student Wins APMWA Student Writing Competition
 
James Adrian Wright, a third-year student at the New York College of Podiatric Medicine has been named the winner of the 28th Annual American Podiatric Medical Writers Association Student Writing Competition. His paper was entitled, "Healthy Patient or Healthy Business: The Dissolution of Private Practice?" Wright will receive a one thousand dollar honorarium from a special endowment by Dr. and Mrs. Steven Berlin to the APMA Educational Foundation.
 
James Adrian Wright

The award for Honorable Mention went to Brandon Brooks, a third-year student at the Barry University School of Podiatric Medicine for his paper, "In Defense of the Doctor-Patient Relationship."

Spenco


INTERNATIONAL PODIATRISTS IN THE COMMUNITY
Husband and Wife Team Bring Podiatry to the Aussie Outback
 
A husband and wife team have begun delivering podiatry services in remote Queensland. Lucas Lundgren and Helen Day are working with the Central West Hospital and Health Service, based at Longreach, but travelling to centers including Winton, Alpha, and Blackall. They are also looking at the potential for providing a private practice podiatry service. Day says people's feet are often a good reflection of their general health but those with a diabetes diagnosis could be susceptible to foot problems.
 
 Helen Day and Lucas Lundgren (Photo: Chrissy Arthur)
 
"People need to be changing their habits and they need to be checking their feet," said Day. "People are surprised when they have a little blister they think it is going to heal, but once you are diagnosed with diabetes, that blister can develop into an ulcer and your foot or leg could be amputated. "It is very serious." Lundgren is originally from England and says there is a big demand for podiatry services across rural Queensland. 
 
Source: Chrissy Arthur, Australian Broadcasting Company [4/16/14]
Dr.Comfort

PODIATRIC PRODUCTS IN THE NEWS
Innocutis Introduces "Dexter"
 
Innocutis, a specialty pharmaceutical company in dermatologic and podiatric specialties, has launched an animated social media campaign to educate about the prevalence of nail dystrophy and NUVAIL as a viable treatment option. The antagonist of healthy nails in this fun, light-hearted, social media campaign is Dexter, the dystrophic nail.
 
Dexter
 
Who or what is Dexter? Dexter epitomizes nail dystrophy by representing the splitting, fragile and weak nail associated with dystrophic nails that many patients experience. Innocutis hopes to educate the general public on the various forms of nail dystrophy; most commonly being mycotic (fungal), psoriatic, and brittle nail syndrome (affecting as much as 20% of U.S. population). 

aetrex


CODINGLINE CORNER
Query: An Ingrown Nail Procedure and Nail Biopsy
 
When I perform an ingrown nail correction using either CPT 11750 or CPT 11730, I send the nail plate to a pathology lab for evaluation for suspected pathology such as nail fungus, for example. I understand that the pathology lab has specific CPT codes that they can bill the patient's insurance or patient directly for reimbursement. The physician can also opt to have the pathology lab bill them directly for reference lab fees for biopsy evaluation services. I believe the physician can, in turn, bill the patient's insurance or the patient directly (non-Medicare/Medicaid) using the same CPT codes as used by the pathology lab for the services rendered, along with a "-90" (reference [outside] laboratory) modifier.  
 
If this is correct, then can the physician bill for a nail biopsy procedure as well as using the CPT 11755 for suspected and documented nail pathology along with the CPT 11730 or CPT 11750? I checked the CCI edits on the APMA Coding Resource Center, and it looks like those pairings are possible. Can someone please verify this for sure? 
 
Joseph Borreggine, DPM, Charleston, IL
 
Response: CPT 11755 is what the surgeon bills when performing a medically necessary nail unit biopsy. It would not typically be used to determine the presence of nail fungus. If you are looking for the presence of fungus, a fungal culture is what you would need, not a biopsy. 
 
Keep in mind that the definition of CPT 11755 is biopsy of nail unit, and not merely biopsy of nail. Again, typically a nail unit would include a specimen of nail, adjacent skin, nail bed, etc. If you are performing a biopsy of nail unit that includes the need for a partial or complete nail avulsion in the same site, you would bill one or the other, but not both. 
 
Tony Poggio, DPM, Alameda, CA
 
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription

Danipro


RESPONSES/COMMENTS (CLINICAL)
From: Paul R. Scherer, DPM
 
Let's stop calling it Reiter's syndrome. The proper term is reactive arthritis. Hans Reiter was not the first to describe the triad. He was a Nazi war criminal who experimented on live inmates at Buchenwald concentration camp during the Holocaust. He was convicted of horrible war crimes at the Nuremberg trials. Let's not honor his name by mentioning it again.
 
Paul R. Scherer, DPM, San Francisco, CA, paulscherer18@gmail.com

Image Map


RESPONSES/COMMENTS (NON-CLINICAL)
RE: APOS Therapy
From: Paul Kesselman, DPM
 
I recently saw a TV news segment on APOS therapy. The manufacturer claims wearing their shoe (with adjustable clamped-on wedges) can re-align the wearer's biomechanics. This, they claim, solves a myriad of aches and pains including lower back, shoulder, knee, as well as foot and ankle pain. They claim to be able to prove this "re-alignment" with computer digital technology. They further claimed that they have saved countless patients from surgery. Interestingly enough, the smallest segment of this show spoke about the fact that this therapy was not covered by health insurance in the U.S., and costs approximately $5,000.
 
Having been in practice for only 32 years, I thought this is what foot orthotics have been doing throughout my career for only 10% of the price. It was quite interesting to see my patients' reaction to this story and wonder what others may have experienced. Those caring to see this video segment can click here.
 
Paul Kesselman, DPM, Woodside, NY, drkesselmandpm1@hotmail.com

ACE USA and RPS Healthcare Expand Podiatrist Professional Liability Coverage

The Patient Protection and Affordable Care Act and Centers for Medicare & Medicaid guidelines and rules resulted in a record number of investigations and enforcement actions in 2011. ACE Medical Risk, a division of ACE USA, has responded through an endorsement that increases limits on Medicare/Medicaid legal expense reimbursements, raising coverage limits from $30,000 to $50,000 per action, with an annual aggregate of $50,000. This product is underwritten by companies within the ACE Group, an A.M. Best “A+” rated carrier, and is offered to podiatrists exclusively by RPS Healthcare, National Program Administrator of the Podiatry PLUS programs and one of the largest wholesalers and the largest Managing General Agent in the country. For more information Call 800-397-9697 ext 2646.


RESPONSES/COMMENTS (EMR)
From: Jengyu Lai, DPM
 
Our clinic switched to eClinicalWorks last year, a company not familiar with podiatry practice and billing.  We are now in the process of switching out, even though we have to pay a penalty.
 
Jengyu Lai, DPM, Rochester, MN, jylai99@yahoo.com
Codes for Podiatric Medicine and More! 2013/2014 (26th Edition)
 
Make the transition this year with minimal stress and ultimate convenience.
 
This two-volume set contains podiatric medicine specific ICD-9-CM, ICD-10-CM (cross-referenced), E/M, HCPCS, CPT, E/M, E, and V codes, modifiers, guidelines for wound care, diabetic foot care, the Medicare Diabetes Shoe Program, and more.
 
Telephone and email support is provided at no additional cost for help with your tough coding questions.
 
Accept no substitutes. My publication is the one that you hear about. Join the thousands of satisfied podiatrists using my coding manuals for over 25 years. Available for immediate shipping!
 
Click here for information or to Order    Martin R. Taubman, DPM, MBA

RESPONSES/COMMENTS (CODINGLINE CORNER)
From: Jim Christina, DPM
 
There is no question that FNA biopsies are appropriate for podiatrists to perform (as long as they are on the anatomical portion of the body covered by your state scope-of-practice law). To our knowledge, there is no scope-of-practice act that excludes podiatrists from performing FNA biopsies. However, because they are rarely billed by podiatrists, some payers may not reimburse for them. Your APMA Carrier Advisory Committee (CAC) representative can address this issue with local carriers, possibly with some support from the state licensing board. Visit APMA’s website for a complete listing of CAC representatives.
 
Jim Christina, DPM, APMA Director, Scientific Affairs, jrchristina@apma.org

Neuremedy


RESPONSES/COMMENTS (OBITUARIES)
RE: The Passing of Roy Corbin, DPM
From Jeff Ross, DPM
 
When I heard the sad news of Roy's passing, I was overcome with grief and could not write these words until today. I feel as if AASPM (and I personally) have lost more than just a colleague and friend. I got to know and befriend Roy during my junior year at NYCPM when he was my resident. As so many have stated, Roy reached out and became everyone's friend. Roy loved Bangor - the ice fishing, the skiing, the people, and his patients. He adopted Maine as his home, and with it, were all his down Eastern lobstermen jokes. Roy could make you laugh so easily. It was there that Roy raised Garrett and Brandon. He loved them and was so proud of them. He would bring them to meetings so he could share his family with us. Roy also contributed so much the field of podiatry in Maine. He often shared with us his work with the teams and with Special Olympics.
 
I remember our days on the board together. Mark Julsrud said it best when he referred to Roy as Roy Boy. He was truly a young spirit, and wanted to share laughter and camaraderie with all his friends. We were his family as well. He was truly a good soul. Friday night, I said kaddish (memorial prayers) for Roy, and will continue to say them for the 30-day mourning period. As an Academy, we have lost a brother and friend. May God grant him eternal peace. Our deepest sympathies to Garrett, Brandon, Susan, and his family.
 
Jeff Ross, DPM, Houston, TX
MEETING NOTICES - PART 1

RESED

NYCPM


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Feet of the Day

"Bigfoot" spotted on Miami Beach?

Source: Submitted by Dr. Eric Weinstein

MEETING NOTICES - PART 2

AAFAS

PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn 5CPME-Approved CME Contact Hours Online

Earn 15 Contact Hours only $179

(Less than $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, VA, WV, WI, & WY

Partial required credits can be taken online for AZ, FL, GA, ID, IL, IA, MO, MT, NH, NY, NC, OK, PA, PR, TN, TX, UT, VT, WA, and DC

Choose any or ALL (50 CME Contact Hoursfrom the 30+ CME Category-1 articles posted


CLASSIFIED ADS
FULLY EQUIPPED PODIATRY OFFICE FOR SALE - DES PLAINS IL AREA
 
With Real Estate.  Complete turn-key facility include four exam rooms, X-ray room, office,  podiatry chairs, reception area with furniture. Large reception area, low real estate taxes. Please Call Al Kantner at 847-293-2932  for more info.
 
FELLOWSHIP OPPORTUNITY -  INDIANA/HAITI
 
Introducing a first of its kind Podiatric Continuing Educational Opportunity!  International Mission Podiatric Medicine and Surgery Continuing Educational Opportunity will be split between Haiti and Indiana.   Two opportunities are being offered.  Includes salary, free housing in Haiti and Indiana, malpractice insurance and Indiana license, APMA and IPMA membership dues.  Contact:  Patrick A. DeHeer, DPM (padeheer@sbcglobal.net) 317-557-6710
 
PRACTICE FOR SALE/ASSOCIATE POSITION - WISCONSIN
 
Well established 30 year plus practice for sale. Good referral base, patient mix of general podiatry, surgical, diabetic and wound care. North of Milwaukee in a busy, high exposure commercial area. Building and property with Main Street access. Close to hospital and surgery center. Contact tjbcjb@yahoo.com.
 
PRACTICE FOR SALE - SOUTHWEST FL  
 
Multilocation multidoctor practice in beautiful Southwest Florida. Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com
 
PRACTICE FOR SALE - BANGOR, MAINE
 
After 30 years of  full service podiatric  practice in the same high visibility office, I am looking to fully retire by summer’s end. The practice has been very rewarding financially and patients are wonderful.  I am asking a minimal amount for all equipment, supplies, good will, etc. An ideal opportunity to walk into an active and rewarding practice. Two podiatric friendly hospitals nearby as are recreational opportunities.  mainefootdoc@yahoo.com
 
PRACTICE FOR SALE – HOWARD BEACH, NEW YORK 
 
Busy, well established, fully equipped, newly redecorated office in good neighborhood.  Doctor relocating. Contact dfoot35@gmail.com
 
PRACTICE FOR SALE - CONNECTICUT
 
Dr. Edward H. Denkin of New Canaan Ct. is looking to retire in the coming years. Hence he is looking for a Podiatrist to take over the surgical part of his practice and pick up some C&C hours. He has been in New Canaan for over 40 years and is highly regarded with an excellent reputation. He is currently the only podiatrist in New Canaan, CT, a prestigious community, forty minutes away from NYC, with 20,000 plus residents who prefer to see their doctors locally. For inquiries, please contact Dr. Denkin at 203-727-7645.
 
PRACTICE FOR SALE - BETHLEHEM, PA 
 
Must sell. Established over 30 years; 2 days week; 30-35 pts/week; c&c ortho, soft tissue surg. 4 facilities. Gross $250,000. Good opportunity for graduate with no residency as Pa not required. Asking $70,000. Contact  podoro123@gmail.com
 
ASSOCIATE POSITION -  NORTH OF BOSTON 
 
Looking for podiatry associate hard working  with a busy schedule.  4 office locations with all the amenities. EMR, nerve treatments for neuropathy, vascular testing the works. Big focus on sports medicine, wound care and surgery. Lots more but would like to discuss with the right candidate. Mitchellwachtel@ yahoo.com
 
ASSOCIATE POSITION - HOUSTON, TX 
 
Twenty-year-old Houston area practice with three offices and two doctors seeks to replace one physician moving out-of-state. Applicants should be board certified/board eligible, competent in all aspects of podiatric medicine and ready to take on immediately busy schedule including surgery, wound care and hospital medicine. Practice uses state-of-the-art EMR, digital x-rays, in-house physical therapy, vascular studies and shockwave treatment. Excellent salary, benefits. Send CV to houstonfootdr@yahoo.com.
 
ASSOCIATE POSITION – NEW YORK 
 
Great opportunity to share space with Board Certified podiatrist in mid-town Manhattan and White Plains “state-of-the-art” offices. On premises Joint Commission certified OR and "cutting edge" equipment. Out-of-network providers preferred but participating providers welcome. Please call 212-704-4310 for additional information or fax your CV to 212-704-4311 or email to ifanelli.hms@verizon.net.
 
ASSOCIATE POSITION - CENTRAL FLORIDA
 
Associate wanted for well-established practice in central Florida. Multi Physician Practice – Multi Practice Locations Competitive Salary and Benefits. Experienced support staff. Excellent opportunity for a promising future.  To apply please go to www.yourcareerinpodiatry.com
 
ASSOCIATE POSITION – SW FLORIDA  
 
Immediate position available in SW Florida. Podiatrist to join a small group. Must be Florida licensed, surgical privileges pending experience. Board Certification or Qualified preferred but not necessary. Some nursing home care and limited travel. Excellent pay and lifestyle. Send CV to:1foot.ankle@GMail.com
 
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY
 
Immediate position leading to imminent partnership/ownership.  Single location multi-physician group.  Senior doctor has run the practice 32 years.  Large balanced patient base,  large diabetic population and diabetic shoe store.  Office has great location, EMR, digital x-ray, PADnet.   Surgical and admitting privileges with 2 local residencies. samuel10530@yahoo.com
 
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. 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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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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