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| PM News | |
The Voice of Podiatrists
Serving Over 17,257 Subscribers Daily
November 04, 2015 #5,515  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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In the past year, how has your use of generic vs. proprietary drugs changed? |
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| PODIATRISTS AND SPORTS MEDICINE | |
IA Podiatrist's Diagnosis and Referral Lead to Athlete's Gold Medal
It was four weeks to competition day. Cory Sonner of Huxley, then 33, had been lifting mammoth objects, pulling vehicles using muscle alone, flipping huge tires over and over again, and doing other strength-defying acts. He was preparing for his fifth Iowa Games Strongman competition. He felt a pop in his left calf. "I just stopped," he says. He thought there was no chance he'd be able to do similar feats in just 29 days. But Sonner, whose mother is a nurse, promptly sought professional expertise. He consulted with Linda Bratkiewicz, DPM, a podiatrist with The Iowa Clinic, and learned that he had a partially torn left calf muscle.
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Dr. Linda Bratkiewicz |
Dr. Bratkiewicz referred him to The Iowa Clinic's physical therapy team for treatment. The day before the Strongman competition, Bratkiewicz also wrapped Sonner's calf and fitted him with a compression sleeve for the competition. Sonner "flew through" the event repeatedly flipping a 630-pound tractor tire, running a relay race carrying 150-pound bean bags, and pulling a National Guard bullet-proof Hummer 100 feet – and he did it all faster than anyone else in his division. That earned him the gold medal.
Source: BJ Towe, The Des Moines Register [11/1/15]
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| PODIATRISTS IN THE COMMUNITY | |
TN Podiatrist Joins Tennova Healthcare
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Dr. R. Brent Harbin |
Dr. R. Brent Harbin has joined Tennova, and his practice in Maryville has been renamed Tennova Foot and Ankle-Harbin Podiatry. He will perform podiatric surgery at Turkey Creek Medical Center.
Source: Knoxville News-Sentinel [11/2/15]
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| MEDICARE NEWS | |
Congress Passes Budget Bill That Cuts Medicare Pay in 2025
Congress has passed a 2-year budget deal that solves a laundry list of fiscal problems, but creates one for physicians by cutting their Medicare reimbursement in 2025. The House passed the bipartisan measure on October 28, and the Senate followed suit early this morning. President Barack Obama has promised to add his signature.
The measure funds the government for 2 more years, averting a shutdown, and raises the debt ceiling through March 2017, averting a default. It allows military and domestic spending to exceed previously set budget limits called sequestration by $80 billion, some of which could make its way to such vital agencies as the National Institutes of Health and the Centers for Disease Control and Prevention. Medicare beneficiaries are spared a dramatic spike in their monthly Part B premiums.
Source: Robert Lowes, Medscape News [10/30/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
Nine Ways to Reward Your Medical Practice Staff - Part 7
"Depending on how energetic your employees are, a staff sports day could become an annual event. It's a great way to bring out the competitiveness streak in your staff, as well as bringing them and their familieis together." - Julie Bishop
Source: JoAnna Haugen, Physicans Practice [9/17/15]
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| QUERIES (MEDICAL-LEGAL) | |
Query: Meaningful Use Audit
Four years after completing meaningful use stage 1 and receiving the monetary incentive, I am being audited. It has been over 30 days since submitting requested records and I haven't heard from the auditor. What should I expect to happen next? I would appreciate comments from anyone who has either passed or failed.
Name Withheld
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| CODINGLINE CORNER | |
Query: NGS: ICD-10 Claim Denial
I Billed 1) L84 2) L603 3) E11.51
CPT 11056-Q8 [linked to 1,3 above]
CPT 11719-Q8 [linked to 2,3 above]
I was denied on both CPT codes as not medically necessary. I included the MD's name and NPI number as well as last date seen on the claim. Do I have the diagnoses out of order? What is it that I am doing wrong?
Sheldon Miller, DPM, Rockaway Park, NY
Response: E11.59 is not in the NGS LCD. I recommend that you use E11.59 (Type 2 diabetes mellitus with other circulatory complications).
Mitchell Breidbart, DPM, Whitestone, NY
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Paul Hershey, DPM
From: Elliot Udell, DPM
I was saddened to get word of the passing of Dr. Paul Hershey. Dr. Hershey was the first director of podiatry at Long Island Jewish hospital as well as other institutions. His commitment to podiatric medical education, medial ethics, as well as his commitment to his peers was a model for all of us. I vividly remember that at Nassau County monthly meetings, he always brought in x-rays of complex cases for discussion and everyone learned from him. He will be missed by all who knew him
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Rich Hofacker, DPM
I recently treated the very same type of condition on a 73 year old male. Although our etiologies are quite different (his problem was the result of an ill-fitting shoe), I tried everything I could think of for two months, and there was virtually no change in the size of the lesion. Finally, I combined Regranex daily dressings with Pletal 100 mg b.i.d., and the ulceration closed in about 6 weeks.
Rich Hofacker, DPM, Akron, OH
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Bret Ribotsky, DPM
I suggest evaluation for equinus and possibly use of a rocker-sole shoe. The EHL tendon might need to be attached to the 1st metatarsal proximal to the fused MPJ to remove its force on the IPJ. On occasion, I have used neurotoxins (Botox) to temporally paralyze a muscle so that another area could heal.
Bret Ribotsky, DPM, Boca Raton, FL
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) | |
From: Neil Goldberg, DPM
An LCD (local coverage determinant) #L35013 issued 10/1/15 for 12 states covered by the Medicare administrator, Novitas, has dictated a series of provisions regarding mycotic nail care which are challenging to understand and implement. I guarantee that this LCD will be adopted by all other carriers shortly, so none of us are immune. It is clearly an opportunity by them to restrict such care.
There are numerous components with which I have difficulty:
1-Who mandated that...
Editor's note: Dr. Goldberg's extended-length letter can be read here
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WEBINARS
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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A true "arch"itectural shoe? |
This is part of a collection which is centered around the idea that each shoe is a sculptural-architectural structured form.
Source: Tea-Petrovic via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $195
(Only $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, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - NEW JERSEY
Seeking energetic podiatrist. Must speak Spanish. You must be trained in all aspects of Podiatric Surgery including forefoot and rearfoot surgery. Be willing to follow and learn proven systems for practice success. Competitive remuneration package. Position available for Summer 2016. If you meet all these qualifications, please apply with CV attached. njpod2013-1@yahoo.com
IMMEDIATE PART TIME ASSOCIATE OPPORTUNITY - CHICAGO
Multi-location group - Opening for ABFAS Board Certified associate for Chicago. Large surgical/ortho patient load. Must hit the door running! EMR, digital x-ray, laser, ultrasound, surgery center & amazing support staff. Benefits available, Full-time available for the right doc. Send CV to chicagopodwork@gmail.com
IMMEDIATE ASSOCIATE POSITION - INDIANAPOLIS, INDIANA
Available in busy three office practice Leading to Partnership. Position available for graduate in 2016. Two locations in Indianapolis and 1 location outside of Metro area Competitive salary and benefit package including 401, profit sharing, Health insurance. Surgery Center Ownership Available If interested forward letter and resume to Imalament1@comcast.net
ASSOCIATE POSITION - SOUTHERN MICHIGAN
Associate wanted for rapidly growing 5 physician practice. Salary plus incentive. Great opportunity and partnership potential for right person. Have an opportunity in controlling your own destiny….which you will not have working for a hospital or multi-specialty group. Send CV and contact information to: PaulaPMAC@me.com
ASSOCIATE POSITION – LONG ISLAND, NY
Seeking Full Time Podiatrist for two upscale practices located at the Americana Manhasset and Huntington. Excellent work environment with digital x-ray, laser, EHR, Ultrasound, the latest apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Email phendizadeh@gmail.com.
ASSOCIATE POSITION - CHICAGO AND SUBURBS - HOUSECALLS 3 DAYS A WEEK
We provide logistical support, malpractice, and mileage allowance; another half day at the office is possible if interested; physician will make $140-150k; salary plus bonus structure ; benefits are available. Schedule can be tailored to your need. If you are interested to fill out your schedule, contact chipod12@yahoo.com
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY
Available immediately in a busy high visibility office with digital x-ray, diabetic shoe store, and 5 years experience in EMR. Good patient volume and potential for partnership or purchase. Contact samuel10530@yahoo.com.
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage . Excellent opportunity for a promising future. To apply, go to www.yourcareerinpodiatry.com
ASSOCIATE WANTED – WESTERN PA
Seeking an associate with partnership availability. Must be highly motivated and have good patient skills and personality. Established practice with all aspects of foot and ankle surgery, wound care and medicine. Competitive salary, benefits/incentives, bonus structure and partnership. Please send CV/resume to papodiatry@outlook.com
PODIATRIST WANTED - NORTHERN NEW JERSEY
Looking for a podiatrist who is either in the process of or is Board certified by ABPS. Must participate with all Blue Cross Blue Shield plans including Horizon NJ health. Amerigroup, Americhoice, Wellcare and Republic a plus. Must be energetic and able to handle large volume. Spanish speaking a plus but not required. Excellent forefoot and rearfoot training. Salary negotiable. Retirement, health and malpractice. laoshih5@gmail.com
POSITIONS AVAILABLE - FULL TIME/ PART TIME IN MISSOURI AND OKLAHOMA
Opportunities are available to serve residents of long-term care facilities in central Missouri and in Oklahoma. High earning potential with competitive benefits as part of a 40 year old ethical company for the right candidates. Contact ckestner@preferredpodiatry for additional information
ASSOCIATE POSITION – NEW YORK CITY
Highly ethical and motivated practitioner sought. Experienced, assertive, podiatric surgeon wanted. All aspects of forefoot, rearfoot, and ankle surgery. Board qualified or certified.please send C.V. to bunioncenter135@yahoo.com
ASSOCIATE POSITION WANTED IN PHIILADELPHIA AREA PRACTICE
Well-trained, highly motivated podiatrist, completed a diversified PSR-36 program plus APMA recognized wound care fellowship and current clinical research fellow. I am ethical, hard-working and have great people skills. Full or Part-time. Please contact me at BEK221@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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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| CLASSIFIED ADS PART 1- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - CENTRAL FLORIDA
Satellite office for sale. Originally was four days a week full time. Has been reduced to two very busy days per week due to health reasons. Only podiatrist located in a small town with small town charm. Great area to raise a family. About an hour to an hour and a half to the beaches, forty five minutes to Tampa, Orlando and the attractions. Great fishing, hunting, affordable golf and loads of lakes for skiing or recreation. Great potential for the right person. If interested please respond to 286cme@gmail.com
PRACTICE FOR SALE - SOUTHEAST FLORIDA
Busy well established successful turn-key Podiatry practice for sale. Active adult community. Professionally designed and decorated. Office is immaculate. Good yearly gross with many new patients. Medicare and cash patients. No managed care. Owner willing to stay for transition. Excellent well trained staff. Click on this link to view website.
PRACTICE FOR SALE – CENTRAL NEW JERSEY
Perfect opportunity to purchase a practice in an ideal location. Office is located in a busy town center shopping and dining complex. Modern and fully equipped office in a building with other medical professionals. Easily accessible to major roadways and highways with visible signage at busy intersection. Excellent potential for increased revenue in a great town to own a practice. Owner financing may be available to qualified buyer. Serious inquiries only to healthnet708@gmail.com
PRACTICE FOR SALE - NEW JERSEY
Eestablished practice in Mercer County. Average volume 130 patients / week with room for growth. Annual gross revenue of practice approaches $500K. Well trained staff. Current doctor willing to stay to ensure smooth transition. footfixer17@gmail.com.
PRACTICE FOR SALE – BONITA SPRINGS, FLORIDA
15 year old well established satellite podiatry practice for sale immediately. Well-equipped treatment rooms, digital x-ray. Located in busy multispecialty medical building with very busy Urgent Care Clinic, Outpatient Surgical Center, pharmacy, CT and MRI imaging center. Email bonitaspringspodiatry4sale@gmail.com
PRACTICE FOR SALE - BRITISH COLUMBIA, CANADA
Have you ever dreamed of owning a practice where you can see 0-50 patients daily, average 100 new patients monthly, have zero accounts receivable, gross $440K per year, live in a beautiful community with skiing, hiking, fishing and boating on your doorstep? Contact pistone@telus.net or call 250-754-4192.
EQUIPMENT FOR SALE – 30 WATT DIODE LASER
30 Watt Class IV Diode Laser. This laser is for not only pain and physical therapy but also for the treatment of fungal nails, ulcers and wounds. Second hand piece for warts and for the excision of skin lesions. Only used 6 months. Contact: Podiodoc@gmail.com
EQUIPMENT FOR SALE - PADNET SYSTEM
Padnet System for Sale: $7,500. Complete system. The computer has been erased and it’s software updated by Padnet. I will include the rolling stand as well if the purchaser wants to pay the shipping or pick it up on the west coast of Florida. Contact: venicefootclinic@comcast.net
PRACTICES WANTED - GEORGIA, TENNESSEE & OTHER SOUTHEASTERN STATES
If you are serious about selling or merging your practice into our model, the EHI Equity Based Supergroup Model, then we are interested in a conversation. We are looking mainly in Georgia and the Atlanta area but we will be ready for scaling in early 2016. Our practice top 3 criteria are; successful, must have a high volume of patients and Physicians who stay must be willing to utilize EHI's in-house ancillaries. If you meet these criteria, send us an e-mail to dhelfman@extremityhealthcare.com and tbrzezicki@extremityhealthcare.com.
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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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| 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.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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