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PM News

The Voice of Podiatrists

Serving Over 15,748 Podiatrists Daily


November 08, 2013 #4,910 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of Podiatric Medical News can be reproduced without the
written permission of Barry Block

EDITOR'S NOTE

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aetrex


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pedifix


AT THE COLLEGES
NYCPM Professor Awarded “Best Poster” at DPA Meeting
 
A poster by NYCPM Professor of Pre-Clinical Sciences Zev Leifer, PhD, entitled “The Use of Virtual Microscopy, Slide Modification and a Wiki in Pathology Education” has been awarded “Best Poster” in the category “Education” at the annual meeting of the Digital Pathology Association (DPA) held in San Antonio, Texas.
 
Dr. Zev Leifer with Award-Winning Poster
 
Dr. Leifer has been teaching pathology lab at NYCPM for 31 years. For the past several years, he has been using the Olympus Virtual Microscopy System. As an educational component, he put together an online Wiki (similar to Wikipedia) with which the students can take screen shots, edit them with arrows, circles, text and underlining, and cropping to show the desired feature. The wiki is available to anyone to expand and edit.
Diowave

ACFAS NEWS
ACFAS Board Visits Scholl College
 
The American College of Foot and Ankle Surgeons (ACFAS) Board of Directors visited the Scholl College of Podiatric Medicine during its fall Board meeting on October 25, in Chicago. The Board spoke to members of the ACFAS Student Club on work/life balance, attending top-notch residency programs, presented a case study on open fractures, and participated in an open question and answer session.
 
(L-R) Jillian Jadzak (ACAFS Student Club Secretary); Dr. Richard M. Derner; Matt Engelthaler (Club Treasurer); Drs. Thomas S. Roukis and Jordan P. Grossman; Blake Brannick (Club President); Dr. Michelle L. Butterworth; Bryan Holand (Club Vice President, and Shawn Khademi (Club Research Coordinator)
 
“The Scholl students would like to thank the ACFAS Board of Directors for a great visit. We learned a lot from this visit, and as always, the ACFAS Board continues to motivate us for opportunities in our future,” said Scholl ACFAS Student Club President Blake Brannick

AMERX


PODIATRISTS AND DIABETES
FL Podiatrist Featured in Fight 4 My Feet Video
 
Dr. Desmond Bell
 
Dr. Desmond Bell is featured in a new educational video sponsored by  Fight 4 My Feet, a program designed to give wound care providers valuable resources and tools that offer the best chance of preventing and  healing patients' wounds, and raise awareness among patients and caregivers. The video is is viewable by clicking here.

Dr.Comfort


PODIATRISTS IN THE COMMUNITY
IL Podiatrist Receives 40 Leaders Under Forty Award from Magazine
 
Peoria Magazine has named Dr. Jeffrey R. Ruskusky, the owner of Ruskusky Foot and Ankle Clinic to its 40 Leaders Under Forty list. Ruskusky is a podiatric physician, managing a staff of 15 employees, with offices in Peoria, East Peoria, Pekin, and Bartonville. He has been a guest lecturer for the internal medicine and family practice residents at the University of Illinois College of Medicine at Peoria, lecturing primary care physicians on the latest diagnostic tools and treatments.
 
Dr. Jeffrey R. Ruskusky
 
Dr. Ruskusky devotes much of his time outside of work to giving back to the community. He is vice chair of the Pediatric Supportive Care Center at Children’s Hospital of Illinois and a member of its Community Advisory Board, serving on the MOSAIC subcommittee since 2003 and chairing it for two years. Most recently, he served on the hospital’s Family Advisory Board, which brings together families of current and past patients.
 
Source: Peoria Magazine [11/6/13]

Medit


MEETING NEWS
Learning in the Vineyards 2013
 
This past weekend, an international contingent of attendees gathered for a unique boutique-style seminar, Learning in the Vineyards: Advances in Evidence-based Foot and Ankle Treatment, held in Napa, CA. Faculty included Drs. Jack Schuberth, Daniel Lee, Glenn Weinraub, Ron Valmassy, Larry Lavery, Paul Dayton, and Arlene Hoffman.
 
Dr. Arlene F. Hoffman during her pedal arterial flow workshop.
 
The Learning in the Vineyards seminar has gained worldwide recognition for its excellence in education. This combination of exceptional education in the unique exhibitor-free environment resulted in a sold-out event! The seminar was co-chaired by Drs. Paul R. Scherer, and Lawrence Harkless, and was sponsored by Western University College of Podiatric Medicine and ProLab Orthotics.

Moore


QUERIES (MEDICAL-LEGAL)
Query: Care Improvement Plus
 
Has anyone else had trouble with Care Improvement Plus denying medically-necessary palliative care? The printed benefits booklets that they provide to their patients state that these services have co-pays, but are covered. The claims are coming back denied. When questioning, we are told that the company isn’t covering “routine care”. We appeal with all the correct modifiers, diagnosis codes, dates last seen, etc. We have even sent them copies of their own pages concerning podiatry care from their own benefits booklets. How can a Medicare policy deny a Medicare benefit? 
 
Karen Malley Banks, DPM, Thomasville, GA

Earthwalk


RESPONSES/COMMENTS (CLINICAL)
From: Art W. Simonetti
 
I have seen a handful of similar cases over my 30+ years. The immediate goal at this point is to facilitate the growth of granulation tissue over the exposed tendon and to prevent desiccation. I strongly suggest applying AmeriGel Saturated Gauze dressings over the site, with dressing changes twice weekly to minimize disturbing the wound bed. The Oakin will prompt the inflammatory response, maintain a moist wound environment, assist in the migration of fibroblasts, balance the MMP, (2 & 8) and TIMPs, and minimize the wound bioburden to help prevent a secondary insult from potential colonization. 
 
Around days 5-7, you should expect to see the “red freckles” of granulation buds start to “take” and many more will appear with each dressing change until you have an entire healthy granulation bed, and even some wound contraction. At that point, you have more options available to you such as grafting, VAC, or continue with AmeriGel until closure is achieved.
 
Disclosure: I am the Director of Research for Amerx Health Care, the makers of AmeriGel.
 
Art W. Simonetti, Clearwater, FL, aws@amerxhc.com

foz


RESPONSES/COMMENTS (MEDICAL/LEGAL)
From: W. David Herbert DPM, JD, Richard Rettig, DPM
 
I am not a Constitutional expert. Requiring mandated participation in any medical care plan as a condition for license renewal sounds constitutionally suspect to me.
 
W. David Herbert DPM, JD, Billings, MT, herbert.dpm.rn@gmail.com
 
I have seen so many polls where doctors weighed in on whether or not they would accept Obamacare patients. So many are not sure, or decidedly against it. As far as I know, this is totally based on misinformation spread by those with an agenda.
 
It is fair to be for or against Obamacare for many reasons. I get it.  But there should be no discussion regarding accepting the insurance in our offices. Why? Because there is no Obamacare Insurance Company, nor American Care Act Insurance company. There is Aetna, Blue Cross/Blue Shield, medical assistance, etc. - all the insurance companies you already accept or don't accept daily. Do they have a special fee schedule for these patients? No - it's just the regular fee schedule. So, what is different about these policies? - Only that the premium may be heavily subsidized, and there may be higher deductibles. So, even if you can determine that the patient is in the "Obamacare" group, why would you not want to accept it?
 
Richard Rettig, DPM, Philadelphia, PA, rettigdpm@gmail.com
DM

RESPONSES/COMMENTS (ICD-10)
RE: ICD-10 Billing Uniformity of Filing and Appeals Limits
From: Cindy Resnick, DPM
 
The challenging implementation of ICD-10 begins October 1, 2014.  Presently, there are varied time periods for claim and appeal submissions for all insurance companies. For example: the Medicare filing limit is one year from the date of service, and the appeal limit is 120 days from the date of denial. This varies from plan to plan for Medicare Advantage plans. Here in NY, the filing limit for Touchstone and Healthcare Partners is 120 days and 45 days, respectively. For most of the payers, appeal limits are either 60, 90, 120 and 180 days.
 
Among other factors, limited filing time parameters in the face of such a huge transition will surely contribute to loss of revenue. Therefore, in anticipation of inevitable denials and subsequent claim re-submissions during the ICD-10 transition, I propose that all insurance companies nationwide allow for a one-year "grace period", and follow Medicare filing and appeal limits for all DOS beginning 10/1/14, or even extend their appeal limits to 180 days. Perhaps the APMA can partner with the AMA and other allopathic and osteopathic physician groups to implement billing uniformity in order to make life a little easier for all of us!  
 
Cindy Resnick, DPM, Staten Island, NY, cdrfoot@aol.com

Dr. Remedy


RESPONSES/COMMENTS (ICD-10) -PART 2
From: Jared K Remmers, DPM
 
When it comes to ICD-9 to ICD-10 conversion, the train has already left the station. Starting October 1, 2014, Medicare (CMS and its subsidiaries) will no longer be accepting billing that is not ICD-10 based. All of the large payers are having regular meetings and seminars for billing and coding compliance based on the new ICD-10 system requirements. I recommend that all practitioners start educating themselves on the requirements for ICD-10 documentation. Check with your local hospitals for ICD-10 classes, look to industry sponsored classes, and get educated at the CMS website for ICD-10
 
If you believe in the saying "follow the money", you will begin to understand that ICD-10 transition is not going to be delayed again, and all of the major insurance carriers are making the transition now and will be ready for October 1, 2014. We should be ready also.
 
Jared K Remmers, DPM, Portland, OR, JRemmers@LHS.ORG

Midmark


RESPONSES/COMMENTS (NON CLINICAL) - PART 1
From: John Scholl, DPM
 
I have owned an MTI chair for about 6 years and have not had any trouble with it. It is quiet and quite powerful in lifting the heaviest patients. The debris tray does not move smoothly, however.
 
John Scholl, DPM, Lady Lake, FL, drjms@embarqmail.com

Silipos


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: Paul Fehring
 
We (Drs. Central Billing) are also in Kentucky, Indiana, Pennsylvania, and Florida.
 
Paul Fehring, Drs. Central Billing, LLC, PaulF@drsbillinnginc.com
MEETING NOTICES - PART 1

Desert Foot

aafas

RESPONSES/COMMENTS (NEWS STORIES)
From: Wendy Siegel, DPM
 
I am writing for advice on how we can counteract the severe damage Dr. Oz did to our profession with his show about bunion surgery this past week. On his show, he had the female judge from The People's Court appear as a guest wearing a CAM walker on her foot s/p recent bunion surgery. She stated that the experience of having her bunion surgically corrected was so awful and painful that she will never have the other foot done.
 
He then went on to perform a ludicrous demonstration of a "bumpectomy," using a giant foot as a model and a huge, two-manned cross cut saw to demonstrate, with extreme barbarism, how a bunion is surgically corrected. He then had a "guest podiatrist," a very attractive and well-dressed young woman, hawking OTC gel pads and the like, insinuating that this is all podiatrists are good for. He also, on the same day, had a Daily Dose radio show, which is a one-minute long segment, in which he stated that the best treatment for bunions is wearing very soft, flexible shoes.
 
How do we fight this disservice to our profession? This guy has a huge audience. I am not normally an activist type of person because I feel that my work speaks for itself. But this misinformation being spread by a man with a far-reaching voice is too egregious for me to stand by and do nothing.  
 
Wendy Siegel, DPM, Smithtown, NY, wsiegeldpm@gmail.com
MEETING NOTICES - PART 2

Highlands

CLASSIFIED ADS
ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND 
 
Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to dpmkthomas@gmail.com.
 
PODIATRIST WANTED - SOUTHERN CALIFORNIA 
 
Podiatrist for practice in long-term care facilities. Facilities include Skilled Nursing, Assisted Living and Board and Care homes.  Professionally managed. Email interest and CV to: ZbubblesZ@aol.com
 
ASSOCIATE POSITION - HUDSON VALLEY, NY 
 
Full-time associate wanted for growing practice located in Northern Dutchess County. Looking for well-trained minimum PM&S 36 with great technique and people skills for full-time position in fast growing practice. ABPS BQ/BC a must. Competitive salary with huge growth potential. Send cover letter, CV and work experience to: PodassociateNY@gmail.com
 
ASSOCIATE POSITION – DALLAS/FT WORTH, TX 
 
Dynamic, busy practice in Dallas/Fort Worth area, seeking surgically trained, Board Certified/Board Qualified podiatrist, PSR-36 preferred. Excellent salary and benefits compensation package, for the right candidate, who is motivated to work hard. Contact/Send resume to: jmh6122@yahoo.com
 
ASSOCIATE POSITION - CENTRAL FLORIDA
 
Looking for a motivated individual to join a busy two office practice. Diverse patient population from general podiatry, wound care and surgical. Two hospitals and surgical center coverage. Competitive salary with incentives. Malpractice, health insurance, all fees and dues covered. Must have active Florida license. Please forward CV and surgical log to: footpainbegone@gmail.com.
 
ASSOCIATE POSITION ST. LOUIS
 
Group practice seeking motivated DPM with initiative & leadership skills. Must have the ability to lead your own clinic. Group is fully automated, utilizes EMR, digital x-ray, etc. Base salary starts at $125k, with incentives to grow income to $200k+, includes malpractice coverage, health insurance, 401k. Please send CV to stlpodgroup@gmail.com
 
ASSOCIATE POSITION - CT (GREENWICH, FAIRFIELD AND NORTH HAVEN) 
 
Join one of the largest podiatric groups in Connecticut. 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
 
ASSOCIATE POSITION – BROOKLYN  
 
Podiatrist needed for busy Brooklyn practice. Must be at least Board Qualified. Surgical background, personable and able to travel to different offices in Brooklyn. Part-time to start, with the potential for full time and partnership. Please email CV to evangbreth@gmail.com or fax to 718-840-0653. 
 
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
 
PART-TIME PODIATRIST WANTED - SUFFOLK COUNTY, NY 
 
Approximately 25 hrs/per week Must be reliable and punctual. Must have excellent chair-side manner and be highly skilled in conservative care. Offering $50/per hour. No other benefits. bombbustr7@aol.com
 
HOME FOOT CARE, INC- LOS ANGELES, CALIFORNIA
 
Looking for reliable, honest, and motivated podiatrists to join our group to assist with house calls to patient’s home residences, and some group facilities. Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles area.  Part/Full time, flexible hours, independence, great compensation! If interested, please email resume to: homefootcare@hotmail.com
 
RECONSTRUCTIVE FELLOWSHIP POSITION – SOUTHWEST, FL
 
R U a SuperStar? PM&S36 or PSR24. prerequisite. Hardworking w/o Ego.  ABPS BC/BQ required RRA. 1 year Fellowship will entail Ring, Rods, complex reconstructive planning/procedures and practice management.  Research projects and posters to present at yearly fellowship conference. Send CV, Tell why you are a superstar. mny1029@gmail.com
 
CENTRAL KENTUCKY - DIABETES MANAGEMENT FELLOWSHIP 
 
Directed by Dr. Jonathan Moore of Cumberland Foot and Ankle Centers of Kentucky,  this non-accredited, 1-year fellowship starts in July and offers a wide variety of training opportunities that focus on diabetes, but span a wide variety of pathologies and unique training opportunities. Work hands-on with our office administration team to learn ICD-10. Our on-staff certified orthotist, physical therapist, shoe store staff, MRI director and  other team members  will make this the most valuable training year of your career. Generous stipend, benefits, and free housing. Learn more at www.myhappyfoot.com (click the Fellowship Tab). Send CVs to jmoore@aappm.org.
 
PRACTICE FOR SALE – SOUTHWEST QUEENS, NEW YORK 
 
Busy, well established , fully equipped , newly redecorated office in good neighborhood. Grossing approximately $500k. Doctor relocating, but will stay on through July. Contact dfoot35@gmail.com
 
PRACTICE FOR SALE - TAMPA BAY 
 
Florida licensed young podiatrist or just someone who wants to get out of the cold. 39 year solo practice. Looking to retire or drastically reduce hours. Unusually low investment. Biomechanics, wound care, routine care and the potential for full surgical practice. It is what you will make of it. Footdoc@verizon.net
 
PRACTICE FOR SALE - NASSAU COUNTY, NEW YORK 
 
60 year old practice currently operating only 16 hours per week. Plenty of room for growth. Stable lease. Grossing 100k priced for quick sale at 65k. Three complete treatment rooms plus O.R. staff in place. Turn-key operation. Respond to footman007@aol.com
 
PRACTICE FOR SALE - DEBARY, FL (SOUTH OF DAYTONA BEACH AND NORTH OF ORLANDO) 
 
Turn-key operation, fully-equipped 1,200 sq. ft. Suite, $56,000; FOR IMMEDIATE SALE:www.DeBaryFamilyFootCare.com ; Email sweisman@cfl.rr.com for details.
 
EQUIPMENT FOR SALE  - 10 WATT  LASER   
 
10 watt laser.  Hardly ever used  9K  Still under warranty.  E mail Dr. Zuckerman at: footcare@comcast.net. for questions and pricing .
 
PM News Classified Ads Reach over 15,500 DPMs and Students
 
Whether you have used equipment to sell or our 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. Weekly ad rates start as low as $119 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: 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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