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PM News

The Voice of Podiatrists

Serving Over 16,625 Podiatrists Daily


October 31, 2014 #5,205 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

aetrex


PM NEWS QUICK POLL

Quick Poll

What is your policy on cellphone use by patients?

pedalign


ortho9

AT THE COLLEGES
NYCPM Sponsors 1st Transatlantic Conference in Ireland
 
When the New York College of Podiatric Medicine and the National University of Ireland, Galway signed their affiliation agreement in April 2011, one of the expected areas of cooperation was to be an international conference that would feature the latest developments in podiatric medicine. The inaugural conference of this partnership, “The 1st Transatlantic Wound Science and Podiatric Medicine Conference,” was held in October in Galway, Ireland and attracted 350 foot-care providers from Ireland, England, Europe, and the United States. The conference featured daily lectures, master classes, workshops, cadaver surgery, exhibitions, and poster viewing in a range of subjects.  
 
(L-R) Drs. Eileen Chusid, Caroline McIntosh, Michael Trepal, and Robert Eckles
 
Michael J. Trepal, DPM (‘81), Vice President for Academic Affairs and Dean at NYCPM, served as  scientific co-chair along with Caroline McIntosh, PhD, head of the department of the Podiatry School at NUI, Galway. He also gave the conference’s opening address, “A World of Opportunities.” In it, he spoke about the international value of podiatric medicine and how educational institutions have partnered to enhance podiatric medical education. In addition, Dr. Trepal spoke about metatarsalgia and hallux limitus. Robert Eckles, DPM, Associate Professor of Orthopedic Sciences and Dean of Clinical Education and Graduate Medical Education at NYCPM, gave the keynote talk in the section on biomechanics, and also lectured. During the Biomechanics session, Eileen Chusid, PhD, Associate Professor and Dean of Pre-Clinical Sciences, and Director of Institutional Research, NYCPM, lectured on “Brain stimulation to treat podiatric pathologies,” while Dr. Eckles lectured on “Podiatric intervention in cycling ‘gait’.

AMERXL4


NWPL1


PODIATRISTS AND POLITICS
CA Podiatrist's Patients Encouraged Him to Run for City Council 
 
A 27-year Sonoma resident, Dr. Andrew Sawicki, 59, got his first taste of politics earlier this year when he fought against local government officials’ plans to create a water detention basin in the Montini Preserve near his home to control flooding. He said his patients aired their city grievances with him and encouraged him to run. One of their top issues: the number of vacation home rentals popping up around the city, a popular local destination for tourists. He said some of his patients saw homes in their neighborhood turn into “big frat houses.” “No one was policing them,” Sawicki said.
 
Dr. Andrew Sawicki
 
The city has been going after unlicensed vacation rentals for more than a year, seeking to halt the operations and collect back taxes. Sawicki called for tighter regulations on vacation rentals. He is one of several candidates to stress that residents, not tourists, be the focus of city decision-making, starting with moves to address traffic congestion in town. “When I came here, it was more of a cow town,” he said, adding that “tourism is a good thing. But we can’t let them take us by the neck.”
 
Source: Eloísa Ruano González, The Press Democrat [10/27/14]
abbyjenn

Powerstep


PODIATRISTS IN THE COMMUNITY
MI Podiatrist Celebrates 58 years of Service to Rotary Club 
 
When a group of businessmen got together on June 6, 1949, for the very first meeting of the Berkley Rotary Club, Morrie Dubin, 27, was the youngest in attendance. Now he’s the club’s oldest member and the only surviving charter member. Dubin and podiatrist Dr. Fred Bernstein have been friends since Bernstein joined Berkley Rotary in 1956, when he was just 26 years old. He has had perfect attendance for all 58 years he has been a member.
 
(L-R) Mary Beth Fitzpatrick, Charlie Glogower, Matthew Church, and Drs. Morrie Dubin and Fred Bernstein (Photo: Jeanne Towar)
 
Dubin, the eye doctor, and Bernstein, the foot doctor, practiced out of the Berkley Medical Building. Bernstein became president of the Michigan Podiatric Medical Association and Dubin was president of the Michigan Optometric Association. 
 
Source: Jeanne Towar, The Oakland Press, [10/29/14]
optima1

PRACTICE MANAGEMENT OF OF THE DAY
8 Essential Steps to Follow When Placing a Caller on Hold - PART 2
 
Placing a caller on hold may seem like a simple endeavor, but it’s amazing how many phone handlers muck it up! Doing so leaves a bad taste in your caller’s mouth, and forces them to re-think doing business with you. Here’s a continuation of a bullet-proof 8-step process that is guaranteed to have your team impressing callers, even when they have to put them on hold.
 
5. Wait for the answer. - Don't assume the caller will automatically say "yes" - make sure to get a clear approval before placing someone on hold. If not, you risk infuriating the patient.
6. Reassure the caller. - Also, don't forget to thank them for agreeing to be put on hold. 
7. DO NOT put a caller on hold for more than 40 seconds.- Note: if you reach the 40-sceond mark and need more time before resuming, you must ask the caller if it's okay to keep them on hold. This may also be a great time to ask if they would prefer a call back instead of continuing to wait on hold.
8. Thank the caller for holding. - Whew, you made it through the holding process, and your patient has been gracious enough to allow you to place them on hold - so don't forget to thank them vigorously.
 
Editor's note: Part 1 can be read here.
 
Source: Spencer Peller, yestrak [10/27/14]

Danipro


QUERIES (CLINICAL)
Queries: Dispensing Antifungals for Onychomycosis in Light of New Prescription Topicals
From: Elliot Udell, DPM
 
I recently attended a symposium sponsored by a company that manufactures one of the new topical prescription products used to treat onychomycosis. There are many companies that have been supplying our profession with medications that we can dispense from our offices for the management of onychomycosis. Formula 3 and Clear Nails Plus are two such products. Others available are made by Blaine labs and Bako solutions. There are many more.
 
The speaker at the event expressed the feeling that, in light of the new pharmaceuticals available, it is unprofessional for us to be dispensing any of the products I just mentioned. Should we continue to dispense antifungals from our offices or should we rely on either of the two new topical pharmaceuticals for the management of onychomycosis?  
 
Elliot Udell, DPM, Hicksville, NY

Safestep


QUERIES (NON-CLINICAL)
Query: Scope of Practice of PAs
 
A physician assistant performed a punch biopsy (two sutures each) on my mother. I saw an EOB from Medicare. The EOB is in the name of the physician assistant, not the MD. In fact, the physician assistant's name has "Dr." in front of her name as well. So, is this the future for podiatry? Will dermatologists be hiring more PAs to perform procedures typically performed by DPMs?  
 
Steven J. Kaniadakis, DPM, St. Petersburg, FL

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 (DME) - PART 1
RE: Podiatrists and the Diabetic Shoe Program
From: Paul Kesselman, DPM
 
In my experience, the most difficult part of the entire process is having the managing MD/DO signing off on my notes. Think about it. Would you want to agree with an exam that you did not personally conduct or supervise? The absurdness of this requirement is beyond comprehension. It is not modern 21st century medicine.
 
Obtaining a copy of the MD/DO progress record is a clerical matter which should not involve the MD/DO. This requirement has been in place for sometime now, and obtaining those records should be handled in a similar fashion on how you handle obtaining other records from other physicians.
 
Paul Kesselman, DPM, Woodside, NY, drkesselmandpm1@hotmail.com

Dr.Comfort


RESPONSES/COMMENTS (DME) - PART 2
RE: Podiatrists and the Diabetic Shoe Program
From: George Jacobson, DPM
 
Maybe I am naïve, but I don't think we have a fraud issue with podiatrists and diabetic shoes. It is poor utilization on the government's part not to create edits bypassing podiatrists who have no outlying parameters and/or have won every erroneous denial. It would be great utilization to go after the high volume "shoe mills", the rips-offs that prey on an uneducated public. 
 
Last week, a diabetic patient of mine (for 10 years) told me that I must have been wrong all these years, and that he is now getting a pair of shoes. He went to a health fair and someone was wearing a shirt that said something to the effect that...
 
Editor's note: Dr. Jacobson's extended-length letter can be read here.

Neuremedy


RESPONSES/COMMENTS (MEETING NEWS)
From: Ed Cohen, DPM
 
All of surgery is changing. Sev Hrywnak, DPM, MD, owner of the Advanced Ambulatory Surgical Center who  gave the lecture stated that the insurance companies are going to a fixed fee for a surgery, and the cost of fixation and hardware will have to be absorbed by the facility. He stated that the neurosurgeons, general surgeons, and orthopedists at his ASC (which includes 165 surgeons and 60 podiatrists) had made the necessary adaptations to their practices. Some were  slow and some were resistant to making the change. 
 
Dr. Hrywnak stated that surgeries where his facility loses money because of expensive hardware or where the profit is minimal will be barred from his surgical center. He also said that medicine will go to very high deductibles and, in his opinion, the doctors who can perform these procedures in their office will be ahead of the game. He also said that $10,000 and $12,000 deductibles will become the norm rather than the exception. 
 
Hrywnak categorically stated that MIS surgery is cheaper than traditionally surgery, citing a case where he gets $1800 for a bunion procedure, and a Lapidus plate cost $2,400, so he loses $600 on each of these cases. He explained all the costs that were involved in surgery and why his profit is minimal on each case due to all the requirements an ASC has to fulfill.
 
Ed Cohen, DPM, Gulfport, MS, ecohen1344@aol.com

Redi-thotics


YOU CAN'T MAKE THESE THINGS UP
RE: Absurd ICD-10 Codes of the Day 
 
In addition to the new codes identifying in detail the specific nature of the injury and what caused it, there are also codes to indicate where patients were when they got injured.  Just a few of the codes for specific locations where injuries occur include:  
 
Injured in a chicken coop: Y92.72
 
Injured in an opera house:  Y92.253
Injured in an art gallery:  Y92.250
Injured in the driveway of a mobile home:  Y92.024
Injured in a chicken coop:  Y92.72
 
Source: Healthworks Collective
MEETING NOTICES

DF

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EQUIPMENT FOR SALE - NEW YORK CITY
 
PDM Treatment chair, 2 treatment room cabinets, Burton Dual overhead ceiling mount OR/Tx room lights, stainless steel surgical back table, Zimmer nitrogen powered handpieces.  All in great condition. Must be sold this week. Contact Dr. Dauber at sedauber@gmail.com
 
EQUIPMENT FOR SALE - NEUROTHERM NT250 
 
Podiatherm /NT250 Incoming test procedure with various accessories. Purchased in 2012 for 7075.00 now priced @ 4995.00. Training possible  Please contact me @ no1footdoc@gmail.com or 845 454 0630 ext 106
 
SPACE TO SHARE -  MANHATTAN AND LI
 
Desirable locations on  Upper East Side, Gramercy,  the Financial District, and  Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815 PODO2345@AOL.COM.
 
PRACTICE FOR SALE - PUYALLUP, WASHINGTON - SOUTH OF SEATTLE 
 
Established practice 3 1/2 days a week plus one day for surgery. Great practice in perfect location. Call 386 597-5766 for info.
 
PRACTICE FOR SALE - LONG ISLAND 
 
30+ year old practice located on a busy street. Referrals from Doctors, Senior residence and Hospital in the community. Neighborhood is very family oriented.  Good mix of general podiatry, sports injuries, DME; seniors, working population and children. Please contact: drlschwartz@hotmail.com.
 
PRACTICE MERGER SOUGHT – NORTHERN NJ
 
If you are tired of the business aspect of running your practice, and are in the Paramus, Ridgewood, or Hackensack area, I am looking for the right practice to merge into my own. I will handle all aspects of your practice. No more worrying about ordering supplies, paying suppliers, dealing with employees, health insurance or malpractice insurance.  Diagnostic x-rays, laser, vascular analysis, diagnostic ultrasound, EMR, etc.,  available. Earn more money without the day-to-day drudgery of practice. No practice is too small to consider. All information discussed will be considered confidential. E-mail Lfg3657@optonline.net
 
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY 
 
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area.  Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM.
 
ASSOCIATE POSITIONS - MISSOURI/KANSAS 
 
Podiatrists needed to join the nation’s largest growing, most technologically advanced and expertly managed nursing home medical and podiatry practice. We ensure your success by providing an established patient base, scheduling and billing assistance, medical assistant, allowances for equipment, coverage of travel expenses, and the newest tablet-technology EMR system to dramatically reduce your workload so you can spend more time providing quality care to patients. We offer generous benefits and flexible scheduling: base salary available, bonus opportunities, malpractice coverage, matching 401(k), health insurance benefits. Part-time positions available. Send CV to careers@aggeus.org. Call 866-216-5518, ext. 305. www.aggeus.org. Confidentiality assured. 
 
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. Salary range $120k-$140k (base + bonus) and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com
 
ASSOCIATE POSITION - CENTRAL FLORIDA 
 
Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
 
FULL-TIME ASSOCIATE POSITION WESTERN NORTH CAROLINA 
 
Beautiful mountain area near Asheville. Two doctor, busy, established practice looking for associate with long term goal of partnership. Growing two-office practice that is looking to expand days and hours in both locations. Ideal candidate would have a three year residency and a combination of surgical and in-office skills to meet the needs of our patients in this rapidly growing area. EMR, laser and modern up-to-date office features. Offer to include salary, bonus and benefits. Please send CV to drh@mountainpodiatry.net
 
ASSOCIATE POSITION – TEXAS 
 
Seeking three-year surgically trained podiatrist for busy podiatric medical and surgical practice in Texas. Must be hard-working, open to direction, and willing to do all phases of podiatric foot and ankle care. Please send CV, and salary history  to: jmh6122@yahoo.com
 
ASSOCIATE POSITION - SEATTLE WA AREA
 
General podiatry practice with offices in Kirkland, Everett and Renton seeking an associate. Must be board qualified or certified by ABFAS. Must be self-motivated, Office is state of art with EHR, digital x-ray, ultrasound, laser. Salary with bonus and benefits. Email resume with cover letter:seattlefootdoctor@yahoo.com
 
INDIANAPOLIS-BASED PODIATRY GROUP SEEKING FULL-TIME HOSPITALIST PODIATRIST 
 
Very busy established practice has an immediate position available for a full-time hospital on-call podiatrist. We service two of the largest hospital organizations in Indianapolis and are in need of a hospital podiatrist to manage a high volume call schedule with 2 office clinic days per week. PSR-24 Required. Base salary plus commission, benefits and malpractice included. Contact Marla Watson, Practice Manager:marlakwatson@aol.com.
 
ASSOCIATE POSITION - CALGARY, ALBERTA
 
Growing new practice is seeking a highly motivated associate. State-of-the-art office (5 exam rooms, 1 surgical suite), EMR, digital x-rays, Cutera Genesis Plus laser, shockwave therapy and orthotic scanners.  Must have excellent bedside manner and people skills. Please e-mail CV to info@alpinefootankle.com.
 
ASSOCIATE POSITION - GEORGIA
 
Join our Team! Thriving, five location, progressive, podiatry practice seeking a family-oriented Associate Podiatrist to build career and long-term relationship. Must be surgically trained (PSR-24/36) and have EMR experience. Position available in our Statesboro, GA location, one of the fastest growing cities in Georgia and home to Georgia Southern University. Associate will have full range of services and access to Surgical Center along with access to all of the latest diagnostic and therapeutic technologies. Email CV with Cover Letter to hr@atlanticfeet.com.
 
ASSOCIATE POSITION – BRIDGEVIEW, IL 
 
Seeking a highly motivated Podiatrist for a part-time position (two to three days a week) mainly performing home visits, with potential for growth. Transportation, equipment, and a medical assistant are provided to assist the podiatrist.  Call 708-477-6512 or email podiatry_123@yahoo.com.
 
ASSOCIATE POSITION - MICHIGAN  
 
Professional Foot & Ankle Centers of Davison and Lapeer is seeking personable and self-motivated associate(s) looking to build a career and long-term relationship/partnership.  Must have PM&S 36 or equivalent training with a good work ethic and strong surgical skills.  ER call and affiliation with a major wound care center is available.  Modern offices with EMR and a fantastic staff.  Competitive salary, bonus, benefits.  E-mail CV with cover letter to: contactus@professionalfoot.com.
 
ASSOCIATE POSITION – PART TIME – NEW JERSEY 
 
Very busy practice is seeking a PT associate in the Toms River, NJ area. Office is state of the art with electronic EHR, digital x-rays, ultrasound and fully trained medical assistants. High RNC.  Must have great people skills, bedside manner, and positive demeanor. Please email toesec@aol.com.  Looking for associate to start ASAP.
 
PM News Classified Ads Reach over 16,000 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 16,000 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.
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.
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Barry H. Block, DPM, JD
 
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