FootZine

FootZine, Volume 82
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An Independent
Newsletter  for Podiatric Staff

from  Gayle S. Johnson

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
Some months ago FootZine Advisory Board member Ray Posa sent me a link to subscribe to a daily electronic publication called "Today's Tidbits from DBC".  Compiled by Dan Puleio of Doctors Billing Clerk, it a free service provided by that billing company.  Mr. Puleio says their goal is "to provide our Clients and friends with one, perhaps two, useful news items of the day (usually about the business side of health care)."  The Tidbits of the day range from news about healthcare legislation to insurance to practice management issues.  The June 23, 2004, Tidbit opened with this headline:  "Hate staying late? Do scut work throughout the day" from the June 28, 2004, issue of amednews.com, the electronic version of the AMA's newspaper, American Medical News.  Writer Mike Norbut of the AMNews staff goes on to write about how practices fall behind schedule during the day, and offers input from a practice management consultant and an on-time physician about how to stay on track. 

"Round-table" discussions with podiatric assistants frequently turn to how to keep the office on time, so I was sure this article would be of great interest to my peers.  Below I am including the link to the article, at the amednews.com web site, and below that, the link to Doctors Billing Clerk's web page with the opportunity to subscribe to "Today's Tidbits" for yourself.

amednews.com: http://www.ama-assn.org/amednews/2004/06/28/bica0628.htm

Today's Tidbits: http://www.doctorsbillingclerk.com/todays_tidbits.html

Thanks to Ray Posa for bringing this resource to my attention, and to Dan Puleio for rounding up such good material!

  ~ Gayle


*_*    Letters    *_*

From:  Larry Aronberg, DPM
re:      Shoe Sizes Different  (Volume 80)

I found this organization before the internet. Now that they're on the web, it should be even easier.
 
http://www.oddshoe.org/
Larry Aronberg, DPM
Lake Worth, Fl

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From:  Patricia A. Chapman, DPM
re:      Shoe Sizes Different  (Volumes 80 and 81)

I read how Dr. Kesselman said "Dr. Comfort [Shoes] will sell two different sized shoes for same cost."  I was told the same information at a sales meeting.  When I called and tired to order shoes this way, (two shoes two different sizes)  I was told they could not afford to do this.  If any one is getting this service of two different sized shoes as one pair, I would like to know so I could challenge this with the company.  I have been with Dr. Comfort for years and like their product. But I feel they did not live up to their oral contract.  They told me no sales personnel would have ever said this and that I could not do this under any circumstances.  Would appreciate any help you can give me in this matter.

Patricia A Chapman DPM
 

*_*    Networking    *_*

Position Available: Seeking a special front office assistant who is especially intelligent, experienced, self-starter, bilingual in Spanish/English, with excellent phone & people skills for podiatric practice in Sherman Oaks, CA.  Front office and marketing duties with some billing.  Solo private practice.  Medical building is hospital-adjacent. Current front office assistant, leaving for nursing school after 7 years, will help train. 

Fax resume to Dr. Neil Hecht 818-990-2147 or e-mail DrHechtstaff@sbcglobal.net


Notices of positions wanted or positions available, as well as other "classified" information, are welcome. They are posted at the FootZine web site's Networking page. Have a look at http://www.footzine.com/FZ_6.htm


*_*    Gems of Practice Management    *_*
by Hal Ornstein DPM, FACFAS and Lynn Homisak, PRT

Orthotic Pearls

This is another in the series of “Mini-Gems”, taken from the extensive DME and IOD writings by the late Rich Levin, DPM. Thanks to Dr. Ornstein for making them available for us to share with you.

Orthotics and HMOs:
Many practitioners become dismayed that some HMOs will cover orthotics if they are made by local orthotists who are under contract to the HMO to provide these services. The HMO will not reimburse the podiatric physician to provide these services. In these cases I have tried to obtain a “carve out” contract to provide orthotic services to these HMO patients.

When I write an orthotic prescription for a patient to take to their contracted orthotist, I specify the casting technique I want utilized (I always write for plaster casting with neutral suspension casting technique), I specify the orthotic I want fabricated (Lab and model i.e. JSB Eliminator II) the exact top cover material I want and any accommodations or modifications. Invariably when the patient returns from the orthotist’s office with their new devices, they are not what I prescribed. This triggers an immediate call to the orthotist, questioning why they did not follow my prescription. They usually give a song and dance why they cannot fill it and they substituted their orthotic for the one I prescribed. We would never stand for a pharmacist acting like this, why should we stand for an orthotist to do this? I then call provider relations at the HMO and voice my concerns that their contracted orthotists are not filling my prescriptions accurately and are putting my treatment plans for my patients at risk. I also have the patients call their customer service representatives and complain. This usually will produce a phone call from some one at the HMO trying to resolve the issue.

This is where I make my pitch to provide orthotic services to my patients, enrolled in their HMO, in my office. I explain to the representative that this will accomplish three things; 1) Reduce the inconvenience to the patient, as they do not have to travel all over town to get the services they require (2) Assure that my medical treatment plan is followed accurately (3) Assure that the patent receives high quality orthotic devices made from custom casting performed by me. I then inform them of our office policy of “100% money back guarantee”.  I then inquire what fee they are paying the orthotist for these services, and if they are comparable to my fee structure in the office, I tell them I would accept this fee as an addendum to my contract. I have been able to obtain “carve out” orthotic contracts from several HMOs over the past few years.


Previous "Gems" can be found on their own pages of the FootZine.com web site, at
http://www.footzine.com/FZ_90.htm


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I have written here before about The Walk at the SAS Ranch that is held every fall.  SAS is not a company that likes to boast about its good works, but I have learned that some of the people at SAS participate in another walk, too.  Bill Armwood, who is well known to the podiatry community from his participation at seminars around the country, is also involved with the March of Dimes in San Antonio.  For the March of Dimes Walk America event on May 15, 2004, at San Antonio's Brackenridge Park, there were over 200 SAS employees among the 4000+ participants.  Bill and his Marketing co-worker, Carrie Medina, had a personal challenge to see who could raise the most dimes.  Bill collected $892.00 in dimes, but Carrie prevailed with 10,530 dimes ($1053) - that's a LOT of dimes!  Good work, y'all!

  ~ Gayle

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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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Gayle S. Johnson

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