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PM News

The Voice of Podiatrists

Serving Over 15,821 Podiatrists Daily


March 29, 2014 #5,025 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

abbyjenn


PM NEWS QUICK POLL

FINAL DAY TO VOTE

Quick Poll

Should podiatry school be three years?
Click HERE for Results

Bako


INTERNATIONAL PODIATRISTS IN THE NEWS
Singapore Podiatrist Warns Diabetics About Foot Soaking and Certain Topicals
 
Diabetics should not soak their feet as it may dry them out, said Greig Price, a podiatrist with PhysioActive. Some people like to use ready-made foot masks, but it is important to follow the instructions on the package. Overzealous users may slather as much of the product as possible on their feet.
 
Greig Price
 
But if the mask contains acid, using too much of it may thin the skin, especially for people in their 50s or above, as their skin would be more fragile, said Price. Also, check the ingredients of the product to make sure it does not contain any zinc, aluminium, or acid, all of which can cause allergic reactions, he added.
 
Source: Joyce Teo, The Straits Times [3/26/14]
mailtoSigmaSigma

MEDICARE NEWS
House Passes ‘Doc-Fix’ Patch with ICD-10 Extension; Measure Goes to Senate
 
Despite opposition from doctors’ groups, on a voice vote Thursday, the House of Representatives passed a one-year patch for Medicare’s unpopular sustainable growth-rate formula for physician payments and, in the same bill, extended the implementation deadline for ICD-10 diagnostic and procedural codes for at least a year. 
 
The American Medical Association and its allies had come out strongly against the deal, which was brokered by House Speaker John Boehner (R-OH) and Senate Majority Leader Harry Reid (D-NV) earlier this week. Attention will now turn to the Senate, where influential Senate Finance Chair Ron Wyden (D-OR) also has expressed opposition to the deal.
 
Source: Paul Demko, Modern Healthcare [3/27/14]

Dr.Comfort


QUERIES (CLINICAL)
Query: EPF Complication
 
A 62 year old male failed conservative treatment for about a year and was referred for a fascia 
release (EPF). His PMH was significant for HTN, cardiac stent placement 2006 without sequelae and hypercholesterolemia. His medications included a beta blocker and ace inhibitor, statin for cholesterol, and potassium sparing diuretic. A standard EPF was performed about 10 weeks ago without any peri-operative complications. Section of the fascia was limited to the medial 2/3rds per standard procedure.
 
The patient has had 100% relief of his plantar fascia symptoms, but has developed tingling and burning along the distribution of both the medial and lateral branches of the posterior tibial nerve, sparing the...
 
Editor's note: This extended-length query can be read here
aetrex

QUERIES (NON-CLINICAL)
Query: O & A Healthcare Solutions LLC
 
Has any colleague had experience with O & A Healthcare Solutions LLC with regard to placing a Pinpointe laser in your office?
 
Name Withheld

Mueller


CODINGLINE CORNER
Query: Follow-Up to Debridement
 
Last week, a patient came to my office to have a debridement on the 4th toe left foot of a small ulceration and was advised to come back in one week. He came back and the ulcer does not require debridement, although it is still open. I cleansed the wound, medicated it, and re-bandaged. Can I bill Medicare for this follow-up visit? 
 
Amy Dunetz, DPM, Aventura, FL
 
Response: If you re-evaluated the patient and made some type of recommendation, in my opinion, this sounds like it would an E/M service. Bill CPT 9921x, and make sure you performed and documented the appropriate history, exam, and/or decision-making (two out of three) information to match the level E/M code you chose. 
 
Jeffrey Lehrman, DPM, Springfield, PA 
 
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription

Midmark


RESPONSES/COMMENTS (CLINICAL) - PART 1
From: Charles Morelli DPM
 
Dr. Batelli is exactly right. Too often we don't realize that deep, unseen varicosites and occlusions are a common etiology of cramps and should not be discounted. Oftentimes, a leg cramp is the initial and early sign of something more sinister, and a simple referral to a vascular surgeon will confirm this or rule it out. 
 
Charles Morelli, DPM, Mamaroneck, NY, podiodoc@gmail.com

Spenco


RESPONSES/COMMENTS (CLINICAL) - PART 2 (CLOSED)
From: Michael A. Uro, DPM
 
I have been using 1064 YAG lasers to treat onychomycosis since June of 2008. We have treated more than 4,500 patients in our laser clinic. I have also participated in two retrospective studies that were submitted to the FDA for clearance of first the PinPointe laser and later the 5 mm spot size utilized by the Genesis Plus laser made by Cutera. The Cutera study demonstrated an 84% success rate. 
 
1064 YAG relies on overall heating of the nail to treat the onychomycosis. In vitro studies have demonstrated that...
 
Disclosure: I have spoken for both PinPointe and Cutera. 
 
Editor's note: Dr. Uro's extended-length letter can be read here. This topic is now closed.

Neuremedy


RESPONSES/COMMENTS (EMR)
RE: EHR Incentives are Considered "Gross Income" to an "Eligible Provider"
From: Joseph Borreggine, DPM
 
The following is taken from the CMS website and should be of interest to PM News readers.
 
"Are payments from the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs subject to federal income tax? 
 
We note that nothing in the Act excludes such payments from taxation or as tax-free income. Therefore, it is our belief that incentive payments would be treated like any other income. Providers should consult with a tax advisor or the Internal Revenue Service regarding how to properly report this income on their filings."
 
Joseph Borreggine, DPM, Charleston, IL, footfixr@consolidated.net

Image Map


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE:  Risk of Treating ACA Patients Who Don't Pay Premiums
From: George Jacobson, DPM
 
Physician practices could be put at financial risk because of a little-known rule in the Affordable Care Act (ACA) that provides a 3-month grace period for consumers who do not pay their premiums on time. Several national medical organizations have complained. A recent Medscape article stated, "During the first 30 days of the grace period, insurance companies are required to pay for any claims submitted. However, insurers are allowed to "pend" any claims submitted during the second and third months of the grace period and may ultimately deny such claims if the consumer does not make the missed payment, the rule states."
  
I know of a radiation oncology group who treated patients, only to find out that they will not be compensated from the insurance company due to this 3-month grace period and dishonest patients. A patient's eligibility is not going to be enough. We need to know whether the premium was paid and received. Good luck collecting from patients who didn't pay their premiums to begin with but got your tender loving care!
 
George Jacobson, DPM, Hollywood, FL, fl1sun@msn.com

Care Credit


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
RE: Universal Licensing
From: Neil H Hecht, DPM
 
I have often wondered why different states require independent medical licensing. This is especially true in the modern age. Other than the financial benefit of application fees, etc., current practice of medicine is largely dictated by evidence-based principles and peer-reviewed practices, regardless of geography and specialty.
 
I guess the question is- If I am a good enough doctor for 38 million Californians and re-licensed every two years, am I not good enough for x number of people in Y state without more testing, fees, background checks, etc? Should doctors of podiatric medicine have a unified federal board and practice act? Here is an interesting article I found.
 
Neil H Hecht, DPM, Tarzana, CA, drhecht@drneilhecht.com
MEETING NOTICES - PART 1

RESED

codinglinemarch

RESPONSES/COMMENTS (NON-CLINICAL) - PART 3
From: Larry Huppin, DPM 
 
Several years ago, I participated in an evaluation and review of 9 digital imagers, including 5 optical scanners. We were looking to determine if any of the units were able to create an image from which an orthosis could be produced that would be the same as that of a plaster NWB negative cast of the same foot. To accomplish this, we felt that a scanner must: 
 
Allow for standard neutral suspension cast technique. 
 
Allow the foot to be held with...
 
Disclosure: I am the medical director at ProLab Orthotics, a distributor of the Sharp Shape scanner. 
 
Editor's note: Dr. Huppin's extended-length letter can be read here.
MEETING NOTICES - PART 2

OHFAMA

Image Map


CLASSIFIED ADS
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Very busy, two location group practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
 
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 NEEDED - CONNECTICUT
 
Position available for a board certified or qualified individual who has an emphasis on DM foot care and is comfortable with all surgical aspects of forefoot, rearfoot and ankle surgery.  Excellent opportunity for a surgeon.  Competitive salary and benefits offered and a perfect community to raise a family. fax resume to bfsoffice@4udr.com
 
FULL-TIME ASSOCIATE POSITION – FLORIDA PANHANDLE
 
Immediate position available for hard-working, motivated individual in a well-established practice. Equal mix of primary care and surgery. Excellent opportunity to get on all insurance panels. Board qualified/Certified with ABPS preferred. Competitive salary and benefit package. Please email CV and letter of interest to kmoore@feetareneat.com.
 
ASSOCIATE POSITION - HUDSON VALLEY REGION, NY 
 
Hudson Valley Foot Associates has a great opportunity available!  We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM.  Please visit www.hvfa.com and forward cover letter with CV to info@hvfa.com.
 
ASSOCIATE POSITION - KENTUCKY
 
Immediate opening for palliative/general podiatric care provider in established clinics, nursing home and assistive living settings in beautiful Southern Kentucky. Travel involved, but transportation provided along with ability to provide a wide range of clinical care including DME. Board certification not mandatory, but must be eligible for KY state license. Base salary with incredible bonus opportunity/full benefits. Join Kentucky’s largest and most respected podiatric group. Email CV and letter of interest to: jonkim12000@yahoo.com
 
ASSOCIATE POSITION - ATLANTA SUBURB 
 
Immediate associate position available. PSR 24/36, ABPS certified/qualified for high volume surgical practice. State of the art practice with on-site accredited surgical center, physical therapy and MRI. Full hospital privileges available. Send inquiry and CV to: glewis@mariettapodiatry.com.
 
FULL-TIME ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Well established 65 year old practice looking for full time associate upon completion of a 36-month residency. Salary and full benefits including medical and malpractice included. Purchase opportunity available after probationary period. Full scope modern practice with 2 office locations. Great opportunity. Please email your CV to  bkatzman2@verizon.net
 
PODIATRISTS WANTED – NORTHERN CALIFORNIA
 
Podiatrists wanted for fully managed practice in skilled nursing facilities in the following areas: 1. Chico and Meadowood 2. Sacramento 3. Fresno – local and up to one hour south. Send CV and area of interest to:ZBUBBLESZ@aol.com
 
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 - 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 - 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
 
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
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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