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ACFAOM
ACFAOM members should register for the next free, members-only Billing & Coding Webinar with Dr. Warshaw on April 6, 2017 at 7:00 pm EDT! To register for "What You Need to Know for 2017," go to ACFAOM's Members Corner. Then, login with your username and password. Once logged in, click on the link, ACFAOM Webinar Series by Dr. Michael Warshaw.
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ACFAOM
Dr. Michael Warshaw's 2017 Podiatry Manual, published by the American College of Foot & Ankle Orthopedics & Medicine, provides expert billing and coding answers every podiatric office needs. For 2017, there have been significant CPT changes and a number of ICD-10 changes. There are also certain issues that Medicare has moved to the top of the list to audit for inappropriate billing. See what’s new for 2017 that motivated Dr. Warshaw to add an additional 300+ pages of content.
Discover why so many podiatric offices across the country refer to this manual as their "Bible" when it comes to billing, coding, and documentation. ACFAOM members save $50 off the regular non-member price of $125. Learn more and purchase your 2017 edition.
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ACFAOM
Caroline E. Fife, MD will be the featured guests on tonight's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Bret Ribotsky, DPM, FACFAOM. Dr. Fife is a Professor of Geriatrics at Baylor College of Medicine in Houston, and the Medical Director of the CHI St. Luke's Wound Care Clinic in The Woodlands, Texas. She has been a Certified Wound Specialist since 1998. She is co-editor of the books Wound Care Practice, and Women and Pressure: Diving and Flying and is the Chief Medical Officer of "Intellicure, Inc" which provides electronic medical records to wound and hyperbaric centers. She is the Executive Director of the U.S. Wound Registry, a non-profit organization recognized by CMS as a qualified clinical data registry for the development of wound care specific quality measures, and which helps wound care practitioners meet the requirements of the new physician payment system called the Merit Based Incentive Payment System (MIPS). To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession's past and future, click here.
Podiatry Today
Patients with diabetes may be especially susceptible to cutaneous complications including acquired perforating dermatosis, bullous diabeticorum, yellow nails and calciphylaxis. This author provides a guide to diagnosis and treatment of common cutaneous manifestations.
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Podiatry Management
Paul Scherer, DPM writes:
"Clinicians can consider the differential diagnoses before making a pair of orthotics for plantar fasciitis or after the orthotic fails
to relieve the symptoms. Before is
always better and more efficient, but
everyone must accept the premise
that there are zebras when treating
this condition.
For several years, I attended at a
special problems clinic that allowed
podiatrists to send their patients for
consultation when their orthotics did
not work for pathologies that usually responded to custom orthotics.
The majority of these patients were
treated for heel pain and plantar fasciitis but did not improve."
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Journal of Foot and Ankle Research
Rheumatoid arthritis has a significant impact on foot-related morbidity, with associated physical pathology manifesting in the feet as deformity, callus and ulceration, and both vascular and neurological deficit. Pharmacological management of RA has additional consequences for foot health, with medications being associated with increased risk of infection. The sequelae of this spectrum of foot pathology are loss of function, reductions in mobility, quality of life and social participation and a potential negative impact on self- image.
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Podiatry Today
Richard Blake DPM writes:
"I recently got an email from a runner who was on a walking break during an easy run in November when she felt a 'crunch' in the ball of her right foot. It was followed by immediate pain. Her doctor said nothing looked off on the X-ray and she should return in four weeks if the pain was still present. The doctor did not mention anything about a boot at that time but told her to try to keep weight off the foot."
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Orthopedics Today
Results of a retrospective study of total ankle arthroplasty in 145 patients with primary or end-stage osteoarthritis showed a 16 percent rate of neurological injury.
This injury was associated with reduced patient satisfaction and poorer clinical outcomes using the American Orthopaedic Foot and Ankle Society score compared to patients who underwent total ankle arthroplasty but did not sustain such an injury, according to Min-Cheol Kim, M.D., of Gwangju, Republic of Korea.
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STAT
Burnout, depression and even thoughts of suicide can start early in physicians' careers. The seeds are often planted in medical school. A big contributor is the financial burden that many medical students take on, which gets compounded as they move into poorly paid residencies.
Over the last 30 years, tuition nearly tripled for private medical schools and quadrupled for public medical schools, increases that drastically outpace inflation. During that time, the average student debt at graduation increased from $25,000 to $166,750, while salaries for resident physicians have remained stagnant and physicians' salaries have been declining.
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Lower Extremity Review
There is no question that the game of basketball and the business of basketball have been revolutionized by the shoe industry. Over the last 30 years, basketball footwear has experienced a commercialization and technological advancement that hasn’t been seen in any other sport at any level. Although football cleats aren’t going to be worn to the club, a sweet pair of kicks from a collection endorsed by a basketball star are as much fashion staple as athletic equipment.
But the improvements in performance and function associated with basketball shoes have not led to any apparent decreases in injury rates among players, even at the professional level.
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By Scott E. Rupp
 If Teladoc's 2016 annual report is telling of telemedicine's overall health then we've got ourselves a mixed bag. While the organization saw significant gains in revenue and use, it also saw a huge addition of debt. The net loss followed the $125 million acquisition of HealthiestYou, a patient-engagement app maker with benefits lookups. With lots of positive headlines about the advent of telemedicine, the Teladoc figures may be a bellwether for the industry as a whole.
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| | PRACTICE MANAGEMENT PEARLS FROM THE INSTITUTE FOR PODIATRIC EXCELLENCE AND DEVELOPMENT (IPED) |
Physicians Practice
Due to an ever-increasing amount of regulations from various third parties, liability issues, and the time pressure associated with the practice of medicine, burnout has become a pressing issue for many healthcare practitioners. Work-related fatigue and its associated symptoms can have a serious impact on physicians' quality of life and may ultimately affect patient care. While eliminating stressors and breaking the burnout cycle is no easy task, small changes in the way physicians live and work can help restore their health and energy levels.
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| | CURRENT RESEARCH ARTICLE OF INTEREST |
The Journal of Physiology
In hypertensive adults, cardiovascular risk increases disproportionately during environmental cold exposure. Despite ample evidence of dysregulated sympathetic control of the peripheral vasculature in hypertension, no studies have examined integrated neurovascular function during cold stress in HTN. The findings of the present study show that whole-body cold stress elicits greater increases in sympathetic outflow directed to the cutaneous vasculature and, correspondingly, greater reductions in skin blood flow in HTN. In the context of thermoregulation and the maintenance of core temperature, sympathetically-mediated control of the cutaneous vasculature is not only preserved, but also exaggerated in hypertension. Given the increasing prevalence of hypertension, clarifying the mechanistic underpinnings of hypertension-induced alterations in neurovascular function during cold exposure is clinically relevant.
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.
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