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
*_* *_*
*_*
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
*_*
*_* *_*
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
Copyright 2004 Gayle S. Johnson. All Rights Reserved. DISCLAIMER: Acceptance and publication of any letter, article,
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Gayle S. Johnson
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