FootZine

FootZine, Volume 63
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An Independent
Newsletter  for Podiatric Staff

from  Gayle S. Johnson

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I recently received a copy of a very helpful and timely poster from Mary Wasell, which she received from a local hospital.  When I called the hospital to inquire about it, they faxed me a copy of a brochure that I thought was worth sharing.  The subject is "Cover Your Cough", and it asks the public to cover coughs and sneezes, and says that if they are coughing or sneezing in your facility, they may be asked to wear a mask.  The brochure goes on to talk about handwashing and other infection control measures.  An internet search shows that almost every public health agency is using the same poster and brochure, which can be viewed at the CDC web site (below) among many others.  From that page you can download and print these for use in your own office. 
http://www.cdc.gov/flu/protect/covercough.htm

Thanks, Mary!

  ~ Gayle


*_*      Letters    *_*

From:  Stacy Davis
re:      "Footprint" Scrubs

Does anyone know where I can purchase a scrub top or jacket with feet on it?

Thanks,

S. Davis

*_*  Editor's Note  *_*

It's been a long time since I have seen the footprint design that used to be so available, but we were able to find some fun designs, including one called "Flip Flops" at this web site:
http://scrubskeywest.com/prints.html

  ~ Gayle

*_*    *_*    *_*

From:  Phillip Ward, DPM
re:      Cast Protector

Gayle:

Gotta tell your readers about the only cast protector I have found that actually works.  It is called xerosox and is available at www.xerosox.com. Doctors can order directly and resell in the office (that is what we do) or have patients order directly from the company.

Phill Ward

*_*    *_*    *_*

From:  Mary Wasell
re:      Honoring Doctor's Notes

Dear Gayle,

Recently my husband’s work denied honoring a doctor’s note.  When I asked the doctor I work for what recourse did my husband have or is there a law governing this, he replied that he was having an increasing amount of his doctor’s notes disregarded by employers and he would like to know the answer to this question also.  So… are there laws governing the compliance to doctor’s notes for time off work, work limitations, etc.?  If there are, what steps does an employee take to have the doctor’s note enforced?  Are there certain words to be included in the note such as  “must” rather than “needs” to be off work that make a difference to an employer?  Any light that your readers can shed on this increasing problem would be appreciated.

Thank you so much for your hard work on the “FootZine”.  Our office reads and saves every issue for future reference.

Mary Wasell
Dr Mark Kuzel
Edmonds, WA      

*_*    *_*    *_*

From: Lynn Homisak, PRT
Re:    New Free Assistant Teleconferences

The American Academy of Podiatric Practice Management is pleased to announce that our first ASSISTANT educational conference call will be held Wednesday night, February 11, 2004 from 9:00 pm to 10:30 pm EST.  The topics discussed will be Staff Efficiency and Keeping the Office on Time and we will have expert moderators on the calls to answer your questions and share some of their pearls of experience.  This free benefit is exclusively for AAPPM assistant members.  (Note: if any non-member assistants reading this announcement would like to participate in this and/or future calls, please go to the AAPPM website - www.aappm.com and download, complete and return a membership application.  It's only $99.00 to join.)  Once your application has been received, a registration form for the conference calls will be faxed to you.   If you are among the first 24 assistants to sign up for this month's calls, you will receive a confirmation and dialing instructions within a few days of signing up.  Our special thanks to Moore Medical, one of our Corporate Partners, for their generous sponsorship of this exciting interactive endeavor.

These new Teleconference Round Tables, modeled after our very successful meeting round tables, will be held on the second Wednesday of each month.  We will start promptly at 9:00 pm EST and wrap up at 10:30 pm.  Registrations will be accepted on a first come, first serve basis....so hurry....because we are filling up FAST!

This is a great opportunity for you to talk with other assistants and share and learn some of the most effective management skills in the country.  Some topics to be covered in the next several months include dealing with difficult patients and personalities, conserving time and materials, teamwork, office morale/job satisfaction, training staff, telephone etiquette and organizing your work space.

Don't miss out!  Please consider joining us!  If you have any questions, please feel free to email me at lhomisak@aappm.com.

Lynn Homisak, PRT
AAPPM Trustee


*_*     Crystal-Clear Coding Q & A   *_*
by Phillip E. Ward, DPM

The Question:  (see Volume 62)

I'm needing some help on getting a CPT code for a surgery? Do you know
anyone who can help on my search for: Evans Calcaneal navicular bar!!
Please Help or help me in the right direction.
Thank you for your help in my search :-)

Krissy
Hillsboro, OR

The Answer:

Evans-calcaneal bar is a diagnosis.   It is describing a tarsal coalition (755.67).

The surgical procedure to repair this would be resection of tarsal coalition 28116 (ostectomy, resection of tarsal coalition  -  RVU 17.66).  If an additional osteotomy were performed it would be coded as 28300 (osteotomy calcaneous  -  RVU 25.89); 28302 (osteotomy talus  - RVU 23.18); 28304 (osteotomy tarsal bone  -  RVU 20.47); or 28305 (osteotomy tarsal bone with autograft  -  RVU 25.81), whichever code is most specific for what was actually performed.

Crystal-Clear Coding tips by Dr. Ward are posted on the FootZine web site on this page:
http://www.footzine.com/FZ_C.htm


*_*     Calendar     *_*

CALENDAR OF MEETINGS AMERICAN ACADEMY OF PODIATRIC PRACTICE MANAGEMENT (AAPPM) 2004

February 27-29, 2004

Midwinter Practice Management Workshop; and Optional Friday Morning DME/Dispensing and Coding Seminars. DPMs, podiatric assistants and office staff invited. Featuring nationally known practice management speakers Neil Baum, MD and John Guiliana, DPM, MS.

Wyndham Pittsburgh Airport Hotel. Call 800-328-9297 or 412-788-8800 x6663 for hotel reservations.  Contact AAPPM at 978-686-6185; e-mail info@aappm.com; or visit www.aappm.com.


May 14-16, 2004

Spring Practice Management Workshop  “DME From A to Z”, the most comprehensive meeting on DME/AFOs and In-office Dispensing we have ever offered.  DPMs, podiatric assistants and office staff invited.
* Hands-On Workshops including:
* Casting for AFOs
* Diagnostic Ultrasound
* Digital X-rays
* Use of Technology in Your Office
* Therapeutic Shoe Fitting and Measuring…the Tricks of the Trade to Reduce Errors

Adams Mark Hotel, St. Louis, MO.  Call 800-444-2326 for hotel reservations.  Contact AAPPM at 978-686-6185; e-mail info@aappm.com; or visit www.aappm.com.


October 22-24, 2004

Fall Practice Management Workshop; and Optional Friday Morning DME/Dispensing and Coding Seminars.  A great practice management workshop at a great Florida beach resort!  Featuring podiatry’s leading practice management experts and the Academy’s unique, highly interactive small group roundtables and workshop formats; and some time off to enjoy the beach and Ft. Lauderdale too!  DPMs, podiatric assistants and office staff invited. 

Lago Mar Beach Resort, Ft. Lauderdale, FL. Call 800-524-6627 for hotel reservations.  Contact AAPPM at 978-686-6185; e-mail info@aappm.com or visit www.aappm.com.


*_*     *_*     *_*

Mary's letter brought to mind another recent discussion about employers.  When we are telling employers of the need for limited or restricted activity, how much are they entitled to know about the employee's condition?   Does that vary with the nature and cause of the condition (work-related or some other etiology)?   If the health care provider has already addressed limitations and anticipated duration, at what point does the questioning of a person about their illness/injury go from "need to know" to prying?

I suppose that there may be some differences from one state to the next, and wonder if federal or state employers follow different rules than private employers.   It's a good thing we have so many great minds to draw on!  Please do write!


  ~ Gayle

*_*    *_*   *_*

Copyright 2004 Gayle S. Johnson.  All Rights Reserved.
DISCLAIMER: Acceptance and publication of any letter, article, news item or advertisement does not necessarily constitute or imply approval or endorsement by myself of the product, idea, or content therein. I reserve the right to edit or to not publish any material received. Any letters published are the property of FootZine. Any health- or legal- and financial- related information is for educational purposes only and should not be construed as medical, legal or financial advice, or a substitute for the advice of a healthcare professional, attorney, financial advisor or any other consultant or professional. Information pertaining to legal matters should not perceived as legal advice, nor should discussion about such issues as Medicare, coding, and billing be considered as definitive. All content is presented as being only the opinions of the contributors and is for educational purposes only.

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