
When I applied with Humana I was flatly rejected, not due to any shortcoming of ours but do to the fact that Humana has an "Exclusive agreement" with another supplier. When tax dollars are paying the premiums, I don't understand how they can lock out a properly credentialed and licensed provider from plying his trade. It is irritating in the extreme to turn patients away when I am perfectly capable and willing to supply the footwear and inserts at established reimbursement rates. I have several Humana patients that would rather deal with me due to the much larger selection of brands, styles, and sizes that we carry.
Is there anything that can be done? We have the patients bill of rights, how about a providers right to practice? Anyone else run into this problem?
- Russell Dotson, C. Ped., CFts
Response: I empathize with your frustration, Russell. I recently tried to obtain a PIN to bill DME through Blue Shield of California. BS of CA is actually one of the friendlier insurers and I am in their network under a separate provider category. Although their network is closed for DME at this time their provider relations department tried very hard to obtain a PIN for me to bill DME out-of-network.
I am unable to become an in-network provider for Blue Shield of California. They simply do not recognize Pedorthists as providers. They are not even aware what category of provider we are or our scope of practice. Apparently this is due to our profession not having a unique professional identity and taxonomy code as do all other health-care providers.
I have also found that several other insurers’ networks for DME are closed. Apparently they have “exclusive deals” with the larger DME entities (this includes State Medi-Cal) and the small business owners cannot become in-network providers for them. This affects patients’ rights to choose their provider, but insurers can and do cut these deals to maintain costs. Personally, I see it as an exclusionary practice which lowers the standard of care and quality of the equipment offered.
I feel that as Pedorthists we need to become more unified and informed as a group to promote a professional identity, a unique taxonomy code and to lobby for wider exposure to bid to be in these groups and provide our services. Orthotists and Prosthetists already enjoy this benefit; even Certified Shoe Fitters have a primary taxonomy code that identifies their services.
DME does not include just the TSB after all; I would imagine the majority also provide OTS and custom orthoses, orthopedic shoes and modifications and would like to obtain the ability to bill a patients’ insurance for their services when indicated and to compete in the marketplace.
- David G. Wedemeyer, D.C., C. Ped, BOC Pedorthist
For further information
click here
BECOMING A CERTIFIED PEDORTHIST
Join A Growing Service Profession: Pedorthics
Pedorthics is a professional field covering the design, manufacture, modification and/or fit of footwear. Pedorthics encompasses shoes, orthoses and foot devices that prevent or alleviate foot problems caused by disease, overuse, injury or congenital defect. Certified Pedorthists work with patients and their footwear to conform to a doctor's footwear prescription as part of the patient's treatment
To become a certified pedorthist, you must take a pre-determined number of
course hours in pedorthics and pass a certifying examination overseen by
either The American Board for Certification in Orthotics, Prosthetics &
Pedorthics® or Board for Orthotists/Prosthetists Certification, Int’l.
Both the ABC and BOC are independent certification bodies that set standards for
the profession and are recognized by the National Commission for Certifying
Agencies.
More information, including FAQ's
Board for Orthotist/Prosthetist Certification
For information on the Canadian certifying organization:
The Pedorthic Association of
Canada
UPCOMING COURSES AND EVENTS
BECOME A CERTIFIED PEDORTHIST
COURSES
The Robert M. Palmer M.D.,Institute Of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Click here to view a detailed calendar including dates and locations, information and pricing.
The Pedorthic Footwear Foundation has several scholarships and grants for 2007. Visit http://www.pedorthics.org/ and then click on the "Foundation" tab for more information.
Traveling Courses To Your Area sponsored by The Robert M. Palmer, M.D., Institute Of Biomechanics, Inc. a not-for-profit pedorthic school. Please contact us to discuss your needs at phone: 765-557-7216. Email: pam@pedorthicbiomechanics.org or visit our Web site at: http://www.pedorthicbiomechanics.org/.
CFS Allied Health Education: Pedorthic Certification:
Exam Review
This review is focused on supplying the student with the
skills and knowledge needed to pass the ABC Certified Pedorthic exam by
presenting exam-like questions, exploring possible answers, and discussing
rationales for correct and incorrect answers. Contact CFS Allied Health
Education at (918) 266-3678 or visit http://www.learnpedorthics.com/ for
more information.
*ABC and The American Board for Certification in Orthotics and Prosthetics are registered trademarks of the The American Board for Certification in Orthotics and Prosthetics, Inc., which is not affiliated with CFS Allied Health Education and does not endorse this review.
Oklahoma State University has uniquely designed courses to provide pedorthic education for the retail, clinical or biomechanical oriented individual. Your next course option is to begin by enrolling in our Level 1 Online Program! Then you are required to attend a Level Two: Hands-On program. Once you have successfully completed these courses, you may enroll in our Level 3 Online Program! Contact Information: Jerry Wilson 918-293-5330 or Andrea Autaubo 918-293-5330 or visit our website http://www.osu-okmulgee.edu/ Click here for course listings.
For more information on the Scholl College pedorthic pre-certification course: Contact the Special Programs Office at 847-578-8410, email Ellie.Wydeven@rosalindfranklin.edu or click on www.rosalindfranklin.edu/scpm/ce/.
The National Shoe Retailers Association is pleased to bring training and CEs directly to you, without the additional cost of travel, food, lodging, registration fees or lost work time. Our affordable WISER Sales Training DVD makes in-house training easy and there’s now an online exam for Continuing Education credits from ABC and BOC.
WISER Sales
Training provides quality training
for new sales associates and re-motivates experienced sales staff. The DVD
format makes it easy for employees to train at times convenient for them, and
for employers to offer quality training without hiring outside trainers or
taking the most experienced staff off the sales floor. ABC’s Category 1 CEUs for WISER Sales Training total 21.75 credits
(2.5 scientific, 19.25 business), good through year 2010. BOC’s credit total is 20.34 (6.42 CPE
Category 1, 13.92 Category 2).
Pricing for the program is as follows:
DVD, workbook and guide for trainers
Members: $295 (Non-Members $395)
Additional Handbooks: $10 each
Online Test Members: $100 (Non-Members: $200)
For more information or to order, click
http://www.nsra.org/wiser_intro.php?ad=pn
or call or email Kim Surasky at 1-800-673-8446, ext. 318, kims@nsra.org.
2008 FOOT SOLUTIONS C. Ped. TRAINING COURSE INFORMATION Foot Solutions
is an accredited facility that hold classes three times per year. The company's
course will offers the certificate needed in all three levels to sit for the
C.Ped Exam. The facility is located at2359 Windy Hill Road, Suite 400,
Marietta, GA 30067
July 25: 1-day cram session
October 31: 1-day cram
session
For application and fee information, contact:
Tracy Strickland 1-866-338-2597 EXT: 206 tstrickland@footsolutions.com
Betty Hubauer 1-866-338-2597 EXT: 201 betty@footsolutions.com
Dr. William Faddock 1-866-338-2597 EXT: 209 bfaddock@footsolutions.com
SEPTEMBER 2008
September 8-21, 2008. The International School of Pedorthics (ISP), instructed by Bill Meanwell, C. Ped., is offering a Pedorthic pre-certification course hosted at the Amfit corporate facility in Vancouver, Washington, U.S.A. This pre-certification course in Pedorthics has been approved by the Commission on Accreditation of Pedorthic Education (CAPE). You will study Anatomy, pedorthic terminology, biomechanics, gait, casting techniques for shoes and foot orthotics, shoe construction, fitting and modification, patient care and management, and more! Sign up today to become part of a growing Allied health profession, and be one step closer to becoming an ABC Board Certified Pedorthist. Sign up today by contacting Kathy at 702-449-0974 or kathymeanwell@yahoo.com.
OCTOBER 2008
Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science will offer their 3-level competency based training course for future pedorthists from October 14-30, 2008 for the classroom session. The pre-course online session is available prior and must be completed by October 6, 2008. The Pre-Certification Course in Pedorthics has been approved by the Commission on Accreditation of Pedorthic Education (CAPE). Podiatric Physicians and other medical professionals may be considered for advanced placement based on the podiatric/medical education and year of graduation.
For more information on the Scholl College pedorthic pre-certification course: Contact the Special Programs Office at 847-578-8410, email Ellie.Wydeven@rosalindfranklin.edu or click on http://www.rosalindfranklin.edu/ for a Scholl College Special Programs listing.
BECOME A THERAPEUTIC SHOE FITTER
For additional information on the Aetrex Worldwide Therapeutic Shoe Fitter Course, please contact the Aetrex Marketing Department at: marketing@aetrex.com.
SEPTEMBER 2008
Aetrex Worldwide Therapeutic Shoe Fitter Course: September 5 (Greenwood Village, CO), $195.
Aetrex Worldwide Therapeutic Shoe Fitter Course: September 14 (Pasadena, CA ), $195.
Aetrex Worldwide Therapeutic Shoe Fitter Course: September 16 (Portland, OR), $195.
Aetrex Worldwide Therapeutic Shoe Fitter Course: September 24 (Manchester, NH), $195.
OCTOBER 2008
Aetrex Worldwide Therapeutic Shoe Fitter Course: October 14 (Louisville, KY), $195.
Aetrex Worldwide Therapeutic Shoe Fitter Course: October 21(Rochester, NY), $195.
Aetrex Worldwide Therapeutic Shoe Fitter Course: October 27 (Atlanta, GA), $195.
DECEMBER 2008
Aetrex Worldwide Therapeutic Shoe Fitter Course: December 5 (Orlando, FL), $195.
For additional information on the Aetrex Worldwide Therapeutic Shoe Fitter Course, please contact the Aetrex marketing department at (800) 526-2739 or marketing@aetrex.com.
FEBRUARY 2009
ADDITIONAL COURSES
Oklahoma State University is offering various courses ranging from instruction in shoe fitting to biomechanics and pathomechanics of the foot. To view a complete listing of 2007 courses and dates, please click here.
CFS Allied Health Education is pleased to announce their new ABC Approved Therapeutic Shoe Educational Course. An ABC certified fitter of Therapeutic shoes is an individual trained and qualified in the provision of non-custom therapeutic shoes and non-custom diabetic multi-density inserts. This two-day course fulfills the educational requirements needed to apply for the ABC Certified Fitter of Therapeutic Shoes credential. To learn more, please visit CFS Allied Health Education's website at http://www.learnpedorthics.com/ for course dates or call (918) 266-3678.
ENESLOW PEDORTHIC INSTITUTE 1-on-1 or Group Tutoring Available; Eneslow Training & Tutoring Program, Individual and Small Group Program
WHO SHOULD COME:
Those who wish to improve their pedorthic,
sales, retailing, biomechanics and business skills.
Those who need a
refresher course; prepare for the Certified Fitter of Therapeutic Shoes or
the
Pedorthic Pre-Certification Course and Exam.
SUBJECTS:
PEDORTHICS - SALES -RETAIL MANAGEMENT
Pedorthic Assessment - Pedorthic Shoe
Fitting - Pedorthic Solutions Footwear - Foot Orthotics
Foot Products -
Ready-made - Custom Shoe Constructions and Designs
Shoe Modifications -
Casting and Evaluation Techniques for Custom Shoes & Orthotics - Business
and Practice Management Finance & Administration
Forecasting &
Budgeting - Buying & Inventory Control Marketing & Advertising
Professional Responsibility - Safety - Human Resources Biomechanics
Pediatrics
Pathology of Diseases and Malalignments
HANDS-ON
1-ON-1 INSTRUCTION
$150/ hour for individual training
GROUP
TRAINING
$125/hour per person for two or more participants in the same
program at the same time
$100/hour per person for five or more participants
in the same program at the same time
Fee: Two hour minimum
HANDS-ON 1-ON-1 TRAINING WITH ROBERT S. SCHWARTZ, CPED, OR DR.
JUSTIN WERNICK, DPM, CPED
$250/hour for individual training
&
$200/hour per person for group training
Added Value: An insider’s
look into the retail, pedorthic, sales, store operations, and business
management of Eneslow.
ABC and BOC points may be applied for.
ENESLOW PEDORTHIC INSTITUTE, 470 Park Avenue South at 32nd Street,
New York, NY 10016
Call for more info (212) 477-2300 (Ask for Sarah
Goldberg, CPED) (212) 353-2876 Fax
email: epi@eneslow.com or visit http://eneslow.com/epi
INTERNSHIPS
Internship Course with The Robert M. Palmer, M.D., Institute Of
Biomechanics:
Pedorthic Clinical or Manufacturing Internships Available.
Daily, Weekly or Extended Internship Courses Available. Experience clinical
settings in Orthopaedic, Podiatric, Chiropractic and Physical Therapy Clinics as
well as experience in a BAPFOL approved functional foot orthosis laboratory. We
specialize in diabetic wound care as well as pediatric and adult biomechanics.
Your internship hours can earn you an Associates Degree In Pedorthic
Biomechanics or be used as continuing medical education hours. Please contact
Pam Haig at 765-557-7216 or pam@pedorthicbiomechanics.org.
Comfort Shoe Specialists, state of the art retail pedorthic facility, offers internships for on the job training requirements in beautiful St. Louis. Room is available as an option. Call Edith James, Certified Pedorthist, at 314-822-3300 -- or email Edith@ComfortShoe.com
SEPTEMBER 2008
September 8-21, 2008. The International School of Pedorthics (ISP), instructed by Bill Meanwell, C. Ped., is offering a Pedorthic pre-certification course hosted at the Amfit corporate facility in Vancouver, Washington, U.S.A. This pre-certification course in Pedorthics has been approved by the Commission on Accreditation of Pedorthic Education (CAPE). You will study Anatomy, pedorthic terminology, biomechanics, gait, casting techniques for shoes and foot orthotics, shoe construction, fitting and modification, patient care and management, and more! Sign up today to become part of a growing Allied health profession, and be one step closer to becoming an ABC Board Certified Pedorthist. Sign up today by contacting Kathy at 702-449-0974 or kathymeanwell@yahoo.com.
American Orthotic & Prosthetic Association (AOPA) National Assembly. We're taking the National Assembly to New Heights! Don't miss the county's oldest & largest meeting for the orthotic, prosthetic & pedorthic profession, Sept. 10-14 at The Hyatt Regency Chicago. Earn over 40 CE credits at this five day event. Visit www.AOPAnet.org or contact Tina Moran at tmoran@aopanet.org for more info.
The Robert M. Palmer
M.D.,
OCTOBER 2008
The Robert M. Palmer
M.D.,
Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science: Pre-Certification Course in Pedorthics - will be held October 14-30, 2008. For more information on the Scholl College pedorthic pre-certification course, contact the Special Programs Office at 847-578-8410, email Ellie.Wydeven@rosalindfranklin.edu or click on www.rosalindfranklin.edu for a Scholl College Special Programs listing.
NOVEMBER 2008
The Robert M. Palmer
M.D.,
DECEMBER 2008
AOPAversity- Mastering Medicare: Advanced Coding and Billing Techniques. December 1-2, Orlando, Fla. Contact Erin Kennedy at (571) 431-0834 or e-mail ekennedy@AOPAnet.org for more information.
The Robert M. Palmer
M.D.,
2009 COURSES AND EVENTS
Editor: Faye Rapoport DesPres, M.S.
| Robert Schwartz, C. Ped. | John Mishasek, BOC Pedorthist, C. Ped. | |
| Stephen F. Albert, D.P.M., C. Ped. | Jerome S. Klein, C.O., C. Ped. | |
| Edith James, C. Ped. | Erick Janisse, C. Ped. |
Our goal at Pedorthic Newswire is to generate an active online exchange of ideas among those interested in pedorthics. Please send articles, questions, responses and courses listings to editor@pedorthicnewswire.com.
E-mail addresses used to send out the Pedorthic Newswire are obtained when individuals subscribe directly to the editor, or sign up on the professional pages of Foot.com. For information about your email address subscription, contact editor@pedorthicnewswire.com. You can also contact the Pedorthic Newswire at 800-526-2739, or at the following mailing address: Foot.com, 414 Alfred Avenue, Teaneck, NJ 07666.
TO SUBSCRIBE: Send a subscription request to editor@pedorthicnewswire.com with your name and email address. We will not sell or share your email address. Note: if you are already receiving this newsletter directly, you do not have to subscribe.
TO UNSUBSCRIBE: Send a message with UNSUBSCRIBE, PEDORTHIC NEWSWIRE in the subjectline to: editor@pedorthicnewswire.com.
DISCLAIMER
General Disclaimer. Acceptance and publication by this newsletter of questions, comments, news stories, or case studies does not imply endorsement or approval by Aetrex Worldwide, Inc. or Foot.com of the company, product, content, or ideas expressed in this newsletter, which are the sole responsibility of the respective authors. Neither Aetrex Worldwide, Inc. nor Foot.com, nor any of its subsidiaries or affiliate entities, agents, employees, or subcontractors shall be liable for any direct, indirect, special, incidental, consequential, punitive, or exemplary damages, including lost profits (even if we are advised of the possibility) arising in any way from the information contained in this newsletter.
Disclaimer of Endorsement. Reference to any products, services, hypertext link to the third parties, or other information by trade name, trademark, supplier, or otherwise does not constitute or imply its endorsement, sponsorship, or recommendation by Aetrex Worldwide, Inc. or Foot.com, or its employees.
No Individual Treatment Information. All information published by Aetrex Worldwide, Inc. or Foot.com is provided solely for general information and shall not be construed as an attempt to practice medicine or provide specific medical advice and should not be used to make a diagnosis or to replace or overrule a qualified health care provider's judgment. We strongly encourage users to consult with a qualified health care professional for answers to personal health questions.
No Legal Advice. The content of this site is provided solely for general information purposes and is not intended as, and does not constitute, legal advice. The information contained herein should not be relied upon or used as a substitute for consultation with legal, accounting, tax,career and/or other professional advisors.
Notes should be original and may not be submitted to other publications without our express written permission and are limited to 300 words.
Pedorthic Newswire is a free service of Foot.com.
COPYRIGHT 2003-2008 - No
part of Pedorthic Newswire can be reproduced without the express written
permission of Foot.com.