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PM News

The Voice of Podiatrists

Serving Over 18,655 Subscribers Daily


December 12, 2019 #6,569 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block

anodynedec919

PM NEWS QUICK POLL

Quick Poll

 Does your practice hold regularly scheduled staff meetings?
 
Gordonfeb2519B

PODIATRISTS IN THE NEWS
NY Podiatrist Provides Tips on Keeping Your Feet Warm 
 
Technically, winter doesn’t arrive until December 21. But let’s be real—it’s already in full-force. And with the freezing temps and snowy days comes a constant battle to keep your feet warm. Miguel Cunha, DPM, New York City-based podiatrist and founder of Gotham Footcare, says to make sure your boots and shoes have a thick sole. For even better results, Dr. Cunha says you can also add an insole to keep your feet further from the ground. “More heat is lost from your feet simply by standing on cold surfaces through conduction,” he says.
 
Dr. Miguel Cunha
 
If you’re all for planning ahead, start heating up your shoes before heading out for the day. “Place your shoes over or near a heating source—like a radiator or heat floor vents—for an hour or so before leaving to warm them up,” Dr. Cunha says. “This will also dry out your shoes from any moisture that may have built in the liner. Even better if you remove the liner and leave it out to dry the night before.”
 
Source: Tehrene Firman, Well and Good [12/8/19]
docshopprodec219C

PODIATRISTS IN THE COMMUNITY - PART 1
VA Podiatrist is President of Civic League Sponsoring Food Pantry
 
The Pembroke Manor Civic League is now fighting food insecurity from its front yard, thanks to donations that will keep its new little free food pantry well stocked. Canned goods and packaged foods can be left in the pantry. Other essentials such as toilet paper and toothpaste are also welcome, said Joseph G. Smith, DPM, president of the league.
 
Dr. Joseph G. Smith
 
Dr. Smith, who is also a podiatrist, hopes the food pantry will be a good thing for the community. “Some of us have been blessed with a little more than other folks and hopefully some will be willing to share it,” Smith said. “This is a way for the civic league to give back to some of our neighbors and residents that might not be as fortunate as we are.”
 
Source: Cleo-Symone Scott, Virginia Pilot [12/10/19]
danidec919

PODIATRISTS IN THE COMMUNITY - PART 2
 PA Podiatrist Opens Office in Hershey
 
Diane Stchur Bray, DPM  recently opened Healthy Steps Podiatry Center in Hershey. Dr. Bray received her Doctorate in Podiatric Medicine from The Temple University School of Podiatric Medicine.
 
Dr. Diane Bray
 
After doing a three-year intensive surgical residency at Our Lady of Lourdes Hospital in Binghamton, NY, Dr. Bray then joined a group practice where she provided podiatric care and served as a wound care specialist for patients of upstate New York for 16 years.
 
Source:  Times Leader [12/10/19]
lasercentersdec919

ON THE INTERNATIONAL LECTURE CIRCUIT
AAPSM Podiatrists Featured at GFFC Symposium
 
American Academy of Podiatric Sports Medicine (AAPSM) past presidents Amol Saxena, DPM and Maggie Fournier, DPM along with Stephan von Ruediger, MD and AAPSM Fellow John Grady, DPM presented lectures and moderated during the 28th Annual German Association for Foot & Ankle Surgery (GFFC) Symposium held recently in Munich, Germany. This meeting is the largest European foot and ankle conference with over 700 attendees and this year featured a 3-day International track with all lectures in English. 
 
(L-R) Drs. Amol Saxena, Maggie Fournier, Stephan von Ruediger, and John Grady
 
AAPSM representatives gave lectures on various topics including Achilles and peroneal tendon surgery, Charcot, bunion surgery in athletes, turf toe, hallux rigidus, shockwave, and arthroscopy. Both Drs. Grady and Saxena have previously been inducted as lifetime honorary members of this Society.
drjillaug1219A

PRACTICE MANAGEMENT TIP OF THE DAY
Six EHR-related Malpractice Landmines to Avoid - Part 6
 
EHRs are increasingly leading to malpractice lawsuits. While EHR-related lawsuits still make up only a small number of lawsuits, user error is the cause of 64 percent of EHR-related malpractice claims, according to the Doctors Company. Practices need to focus on eliminating several common problems, mostly tied to user actions, which have led to the majority of EHR-related suits. Here are six EHR landmines physicians should avoid.
 
6. Missing Information  - The idea of physicians missing a vital piece of information in the EHR can be either a user or a technical error. These types of problems are most likely to crop up when a physician is using a new system.
 
Source: Chris Mazzolini, Physicians Practice [12/3/19]
ortho10

CODINGLINE CORNER
Query: Handling Medicare Balances
 
Medicare requires that I bill patients for their responsible portion. When patients repeatedly don’t pay, although I have been sending invoices consistently, I would think that Medicare wants me to stop seeing the patient. Legally, in order to do this, must I send a termination letter each time I do this?
 
Troy Harris, DPM, Jacksonville, FL
 
Response: Yes, balance billing is required. However, if a patient or guarantor does not pay their bill for services rendered does not in anyway prevent you from seeing a patient. Moreover, until you have officially discharged them based on the aforementioned reason of not paying their bill, then you can stop seeing the patient.
 
This is ultimately your call and not a requirement of any insurance carrier. Medicare also has a “financial hardship” agreement based on individual cases that you can execute when needed.
 
Joseph Borreggine, DPM, Port Charlotte, FL
 
For information on Codingline subscriptions, click here
kevindec919B

QUERIES (MEDICAL-LEGAL)
Query: Legality of Seeing Patients for Start-Up Laser Company
 
Recently, I was approached by a start-up laser company. They want to refer patients to me for evaluation of toenail fungus. If clinically there is fungus, their company will provide the laser and the technician to treat the condition. It would be my job to supervise the treatment and provide the treatment room. No insurance is involved and they would pay me $200 per patient. Is this above board and do I need to be concerned.
 
Name Withheld
 
Editor's comment: PM News does not provide legal advice. Having a technician treating patients under your supervision is problematic at best. Your first call should be to a healthcare attorney in your state. Next, call your malpractice carrier and see if they will cover you in this scenario. 
2020jun2419

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A
From: W. David Herbert DPM
 
Dr. Jacobs, individual states determine the standard of care for individual medical practitioners. For example, a podiatrist can testify concerning the standard of care for procedures performed on the foot by an orthopedic surgeon in California. That was not always the case, but it was changed by a court decision a few years ago. You will find that in some cases, nurses can testify against a physician as an expert as to the standard of care in some states. Of course it is up to the trial court judge in most cases to allow this. 
 
An attorney practicing in the malpractice area must know the law about who can testify against whom when it comes to any malpractice case. Also, pre-trial discovery procedures vary greatly state by state. I am familiar with malpractice laws in detail in only a couple of states. It is not possible to make general statements of what licensed professionals are allowed to do in every state. I understand that at least in one state, dental hygienists can fill cavities without dental supervision.
 
By the way, I have actually acted as a malpractice defense attorney in a few cases. 
 
W. David Herbert DPM, JD, Billings, MT
Gilljan719A

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B
From: John Moglia, DPM
 
With a CRN wife and a DPM/ RN degree for himself, I wonder if Dr. Busman would advise his children to pursue a DPM degree. It seems a CRN degree is a shorter career pathway with a wider scope of practice and a generous median income.
 
John Moglia, DPM, Berkeley Hts., NJ
RediH-thotics

RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Ed Cohen, DPM
 
I found the PM News survey interesting and also noted that 83% of the respondents only do one bunion surgery or less a week and that 20% don’t do any bunions. 
 
I have been in the Academy of Minimally Invasive Foot Surgery for 42 years and remember seeing many orthopedists come to our meetings from all around the world to learn MIS surgery. Dr. De Prado, an orthopedist, was fascinated by MIS surgery and also got a PhD in MIS foot surgery. He told us that before he learned MIS foot surgery, he was doing one or two bone surgeries a week and after he learned MIS at our LSU MIS foot surgery meetings and working with Dr. Isham, his bone surgeries increased to 20 surgeries a week.
 
Ed Cohen, DPM, Gulfport, MS
practiceehrnov1119

RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1B
From: Don Peacock, DPM, MS
 
These percentages seem relatively low compared to busy podiatric surgeons in NC. We do have some highly trained podiatrists who are not routinely doing bunion surgery because they are performing bigger reconstructive procedures. 
 
In rural areas, the need for bunion correction is much higher than the numbers reported here. I suggest that podiatric surgeons finishing their training consider a small town practice where your HAV surgical load will be considerably larger than these averages reported.
 
Don Peacock, DPM, MS, Whiteville, NC
stablenov419

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

What to wear when you do your laundry?

Source: Kobi Levi via Virtual Shoe Museum

apwhoct2119

MEETING NOTICES

ifafjun2419

APFMEDnov1819

acfasnov419B


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Choose any or ALL from 25+ CECH Category-1 articles posted


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
FELLOWSHIP IN LIMB PRESERVATION 
 
The University of California, San Francisco (UCSF) is currently accepting applications for 12-month Fellowship Program for Limb Preservation training that begins on August 1, 2020. The UCSF Limb Preservation Fellowship educates the podiatric physician as a clinically skilled podiatrist in a multidisciplinary approach to the diabetic and vascular complications of lower extremities, as well as generating new knowledge in the treatment, management, and prevention of lower extremity amputations. Please submit letters of interest to Matt Kuhn at matt.kuhn@ucsf.edu, along with your CV and three letters of recommendation. Interviews will be held in January 2020. Salary last year was approximately $62,000.
 
ASSOCIATE POSITION - NEW YORK 
 
Rapidly growing practice seeks associate for fast paced, fun, busy practice. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice.  Looking for a motivated individual to contribute to our growth through all aspects of podiatry. Office work, hospital call, and surgery. Please send CV to: docryanlee@gmail.com 
 
ASSOCIATE POSITION – LOS ANGELES, CA 
 
Established multispecialty private practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Expertise in complex and chronic wounds is needed but residency or wound care certification not required. Full-time and well compensated based on a private practice productivity model with salary and benefits guaranteed. Our experienced team provides beautiful, fully equipped offices with on-site ASCs. We provide trained office staff, marketing and expert revenue cycle management, ensuring doctors can focus on patient care. Excellent opportunity to build a great wound care and podiatry practice as part of a reputable and established company. TWCCJobs@gmail.com
 
ASSOCIATE POSITION – MANHATTAN 
 
Well established Park Avenue practice seeking surgically trained associate podiatrist for long-term, immediate hire, part-time. Partnership for the right individual. Please email healthyfeetny@gmail.com with short intro and CV with references. Full scope of podiatry with fluoroscopic and x-ray imaging and lasers.
 
ASSOCIATE POSITION – NAPLES, FL
 
Immediate and July 2020 associate positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Interpersonal skills and willingness to work as a team a must. Cloud EMR, Digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, Paid vacations etc. Our practice cadaver surgical labs to enhance everyone's skills as a group exclusively available. If you like FL sunshine, fishing, golfing, beaches and to live and work in paradise. Also 1 fellowship position: ACFAS-approved surgical fellowship open for 2020 yr. MIS, RRA Surgery, Practice Management w over 1,200 procedures/450 cases/yr.  Must have foot/RRA ABFAS qualified status by 8/2020.  DrLam@NaplesPodiatrist.com
 
ASSOCIATE POSITION - WESTERN PHILADELPHIA SUBURBS 
 
Is your ideal practice opportunity one with all aspects of podiatry included? We are a group practice with 6 offices looking for the right surgically trained board qualified/certified doctor to join our family. Forefoot and rearfoot surgery, as well as, wound care and limb salvage with privileges at 2 local hospitals are available. Partnership is certainly part of the long-term plan. We are looking for the right candidate. Send all inquiries and CVs to sgrulke2002@yahoo.com
 
ASSOCIATE POSITION - ROCKLAND/WESTCHESTER/SUBURBAN NYC
 
Well-established foot and ankle surgery/sports medicine practice looking to hire a Talented Team Player to add to our successful family. Must be surgically trained, willing to work hard, and grow with us. Highly competitive salary. Modern, advanced equipment, including PinPointe Laser. Terrific opportunity for the right doctor. Signing bonus. Partnership potential. Please send Cover Letter and CV to: linchpindpm@yahoo.com 
 
ASSOCIATE POSITION - SUFFOLK COUNTY, NY 
 
Multi-office podiatry practice in Suffolk County seeks full time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to newpodiatrist@optimum.net
 
ASSOCIATE POSITION - PODIATRY GROUP IN LOS ANGELES 
 
Join a multi-specialty group and teaching faculty. Must be well trained in limb preservation, trauma and reconstructive foot and ankle surgery. Starting salary guaranteed with incentives.  Send CV to podiatricri@yahoo.com attention Stan Mathis, DPM
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - NEW MEXICO- SANTA FE, NM 
 
Busy practice with great reputation in the community. Well rounded practice with 30+ years. Includes office building and all equipment. - High volume, high gross.  Live and work in one of the best cities in the country. Serious and highly qualified candidates only. Respond to:  aspen665@gmail.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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.
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Barry H. Block, DPM, JD
 
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