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January 4, 2012, Issue #450
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DISCUSSION
| Send your comments, questions, responses, articles or case studies to Pedorthic Newswire at editor@pedorthicnewswire.com
Your emails will be reviewed by pedorthists and the editors of Pedorthic Newswire, and selected submissions will be posted in an upcoming issue for feedback from other readers. We reserve the right to edit submissions and responses. Please note:the deadline for all submissions and responses is 12 noon Eastern Standard Time on Tuesday for that week's issue.
NEW QUESTION
Question: I am a 30 year old runner who started running in my early 20's. Either due to genetics or improper footwear for the past 10 years, I have noticed that my left bunion gets worse every year. As the bunion is getting more pronounced, I have noticed that I will have dull pain at the end of the day or at the end of a run in my second toe. Is there something I should be doing to help relieve the bunion/second toe pain? Thank you.
- PNW Reader
PREVIOUS QUESTIONS WITH RESPONSES
Question: A 56 y/o female presents with post surgical pressure under distal phalanx of 1st and 2nd toes as a result of fusion of 2nd toe and bunion surgery of right foot. Her left foot still has bunion and overlapping 2nd toe and pronates during propulsive phase of gait. She is very active and wants to go back to dancing, running and aerobics. The Rx calls for semi-rigid orthoses, medial arch support. We are making a full length device with cut outs under 1st and 2nd toes on right. The left will include medial posting and met pad. Rx did not address her footwear needs. She is currently wearing roomy shoes with double insoles in each to relieve her pain in her forefeet. The prescriber is open to our ideas. What are some additional ideas to help this patient?
- Robert S. Schwartz, C. Ped.
Response: You could recommend a mild rocker for the fusion. Disperse pressure to her other met heads and arch when you create the off load. Check to see if the toes are aligned, because you can cause more pressure on the fusion site with the off load. Every joint that is fused effects the next, including the ankle and knee during gait. Healthy and
Happy New Years.
- Teresa
Response: In reply to Mr. Schwartz, I have a diabetic patient with the same issues. She has a severe enough deformity and we put her in custom molded shoes. Because of past surgeries her 2nd and 3rd digits, bilateral, have calluses under the 1st IP joint. The orthotics made with her shoes are deep enough to create pockets on the bottom to add poron for cushion. She comes in monthly for re-checks and because of this she has kept her feet. She understands the importance of a good Pedorthist! Not to pat myself on the back, but we do help keep the feet attached to the legs! We know all the special little tricks to help relieve their pain.
- Reggie Swickard
Question: In regards to the salvage claim, does anyone know what modifier(s) need to be used? Thank you!
- PNW Reader
Response: As long as the item you are billing to Medicare is a covered service you must bill the item out as you normally would using your modifiers KX (required documentation on file), LT and/or RT (left or right side or both if the items involved both feet) and under the narrative note section of your claim lines you must add the words SALVAGE CLAIM to each custom item that was refused after it was made (the refusal date would be your date of service) or if you were informed that the patient has passed the patient's date of death would be your date of service under the narrative note section of your claim.
Again, I cannot stress the importance of a well documented file. Make sure you have documented each attempt to deliver the item (schedules appointments, no shows for those appointments, etc...) and when you learned of the patient's refusal to take delivery or when you learned of the patient's passing and the patient's date of death.
- Billing Plus
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HEALTH AND INDUSTRY
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Don't let feet show age: Give them a face-liftAlthough your baby boomer feet may have lost their blush of youth, there's still hope. With some TLC and foot care know-how, you can turn back the clock and put the spring back in your step. According to the International Council on Active Aging, adults are at higher risk for foot problems, with an estimated 87 percent reporting at least one foot-related problem. Dry skin and callused heels are by far the most common foot complaints. These conditions not only make feet look older and less attractive, but they can pose a significant health risk. Full TextSource: Local10.comGluten free goes mainstreamBy: Cari Price Recently, eating gluten-free has grown significantly in awareness and practice in the United States. Ten years ago most of us didn't know what the diet encompassed let alone name the genetic digestive disorder behind it - celiac disease. Although awareness has grown rather quickly, the occurrence of American's with celiac disease has only doubled every 15 years since 1974, according to a recent USA Today article. Full TextSource: Fast Casual The Rise of Gilt Groupe: The Great Recession Fuels the Perfect Storm [Part 1]By: Matthew Carroll The Rise of Gilt Groupe is a three part series on the evolution of the New York-based fashion startup, Gilt Groupe, who dramatically reshaped the online retail market for fashion by building a community of high value consumers around limited-time, members-only "privates sales" for designer apparel at steeply discounted prices. Part 1, The Rise of Gilt Groupe: The Great Recession Fuels the Perfect Storm, describes the the unprecedented challenges that confronted the business environment for consumer-fashion brands in the wake of the Great Recession (GR) & the near collapse of US retail. Full TextSource: Forbes.com
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DIABETES
| HU research maps warnings for Type 2 diabetes
By: Judy Siegel-Litzkovich
Hebrew University researchers have found the first proof of molecular risk factors for Type 2 diabetes that indicate susceptibility to the disease. This could provide an "early warning" sign and eventually lead to new treatment approaches, the researchers said, as well as mapping susceptibility at an early stage to other diseases as well. Type 2 diabetes, which has been diagnosed in 500,000 Israelis, and not yet diagnosed in an equal number at a preliminary stage called pre-diabetes - generally results from being overweight and a lack of exercise. Full Text
Source: Jerusalem Post
Exercise doesn't prevent pregnancy-related diabetes
By: Amy Norton
Researchers in Norway found that when they randomly assigned 855 pregnant women to either exercise three times a week or to stick with regular prenatal care alone, the exercisers were no less likely to develop gestational diabetes. By the third trimester, seven percent of the exercise group had been diagnosed with gestational diabetes, versus six percent of the comparison group. The findings were surprising, according to lead researcher Signe N. Stafne of the Norwegian University of Science and Technology in Trondheim. Full Text
Source: Reuters
New Equation Accurately Predicts Body Fat Percentage
A new prediction equation estimates body fat percentage (BF%) in adults with a low error rate and acceptable accuracy and may be a good first-screening tool for identifying patients at cardiovascular and type 2 diabetes risk, according to research published online Dec. 16 in Diabetes Care. Full Text
Source: Health Day News
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SPORTS AND FITNESS
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Zumba, Yoga and Outdoor Activities Among 2012 Fitness Trend PredictionsAccording to an annual survey conducted by the American College of Sports Medicine, Educated, certified and experienced fitness professionals; strength training; and fitness programs for older adults were the top three fitness trends predicted for 2012. Other activities making the top-20 list included Zumba and other dance workouts, yoga, boot camp, outdoor activities and spinning. Falling off the list this year were Pilates and the use of the stability ball and balance training. Full TextSource: Sports One Source Media Running worked wonders for grieving momBy: Stephanie O'Connell Marissa Finn started running a few weeks following the stillbirth of her son in 2008. At first, Finn, 34, was working out because she didn't want to look like she'd just had a baby when she didn't have a baby at home. But after logging mile after mile, Finn noticed something changing besides her figure. Running helped her clear her head and, in time, deal with the loss of her son in a healthy and therapeutic way. Finn is preparing to lace up her running shoes once again in the Disney World half marathon, Jan. 7, in Florida. Full TextSource: My Record Journal
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BECOMING CERTIFIED IN 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 earn certification in Pedorthics, 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 Certification/Accreditation, Int'l. Both the ABC and BOC are independent certification bodies that set standards for the profession and offer certifications that are recognized by the National Commission for Certifying Agencies.
More information, including FAQ's
The American Board for Certification in Orthotics, Prosthetics & Pedorthics information on the step-by-step process of becoming a certified pedorthist
Board of Certification/Accreditation International information on becoming a BOC Pedorthist.
For information on the Canadian certifying organization visit The Pedorthic Association of Canada.
ONGOING COURSES AND EDUCATIONAL OPPORTUNITIES FOR BECOMING CERTIFIED IN PEDORTHICS
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.
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.
ENESLOW PEDORTHIC INSTITUTE 1-on-1 or Group Tutoring Available; Eneslow Training & Tutoring Program, Individual and Small Group Program
Eneslow Pedorthic Pre-Certification Training Course August 6, 2012 - August 19, 2012
In cooperation with ABC requirements, Eneslow Pedorthic Institute (EPI) is offering the three-level competency training course for aspiring CPEDS. To provide maximum benefit in a minimum of time, a portion of the level one curriculum will be administered through a distance learning program that includes required readings, interactive CD's and testing of all mandatory topics. Upon passing the level one test, students will attend the remainder of the pedorthic pre-certification course at Eneslow Pedorthic Institute for 2 weeks from August 6th to August 19th, 2012. This class completes required education prerequisite to sit for national certification exam. It does not satisfy the requirement of 1000 documented hours of field experience. Please contact Sarah Goldberg at epi@eneslow.com or 212-477-2300 x211 for more information.
To purchase materials for the course, please click here.
BECOME AN ABC THERAPEUTIC SHOE FITTER
For information on Aetrex Worldwide Therapeutic Shoe Fitter Courses, please contact the Aetrex Marketing Department at: marketing@aetrex.com.
Aetrex Worldwide Therapeutic Shoe Fitter Courses
Information on 2012 Aetrex Worldwide Therapeutic Shoe Fitter Courses will be coming soon.
2012 COURSES
GEORGIA - Foot Solutions Pedorthic Pre-Certification Course: Class Dates: February 13 - 24, 2012 May 14 - 25, 2012 August 6 - 17, 2012 November 5-16, 2012 Additional Classes to be Announced Foot Solutions is an accredited facility that holds classes four times per year. The training course will offer the pre-certification in Pedorthics certificate needed in all three levels to sit for the Certified Pedorthist Exam. Upon completing our course and successfully passing the competency tests and fulfilling the 1,000 hour "Clinical practice Requirement" students are eligible to sit for the ABC or BOC exam to earn their Pedorthic Certification (CPED Pedorthist). GEORGIA - Foot Solutions 1-Day C.Ped Pre- Exam Review Session. February 10, 2012 May 11, 2012 August 3, 2012 November 9, 2012 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 bhubauer@footsolutions.com Dr. William Faddock - 1-866-338-2597 Ext: 209 bfaddock@footsolutions.com The Foot Solutions Pedorthic Training Center facility is located at: 2359 Windy Hill Road, Suite 400, Marietta, GA 30067. |
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MONTHLY AND ONGOING
Riecken's Orthotic Labs - 800-331-8040; SAFIO Class, Second Friday of every month, at 5115 Oak Grove Rd., Evansville, IN. Four casting stands provided, limited to 8 students. Contact Darlene at the above number 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/.
The Robert M. Palmer, M.D., Institute Of Biomechanics, Inc. a not-for-profit pedorthic school: Advanced Manufacturing - 50 Hour Course - Approved For 49.5 CME's for Pedorthists by the ABC. This course is designed to teach BAPFOL standards in manufacturing functional feet orthoses and provide an introduction to advanced biomechanical posting. Class size is limited to two students. For more information or to customize a course to meet your manufacturing educational needs, please email pam@rmpi.org or phone 765-557-7216. Tuition cost: $2K - includes housing and transportation to and from the airport and school.
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 Veanne Lupia at 1-800-673-8446, ext. 7006, veannel@nsra.org.
Aetrex Worldwide Solutions for Foot Pathologies Seminars
Attendees will learn the importance of visual and digital analysis: pressure points, foot type, foot size and gait. Understanding activities and pathologies such as age, medical conditions and injuries (sports, diabetes, arthritis) will be discussed. Common foot pathologies will be reviewed, including methods of treatment utilizing state of the art technology. A hands-on workshop is also included. ABC - 7.75 Scientific Credits; BOC - 8.25
For information on Aetrex Worldwide Solutions for Foot Pathologies Seminars, please contact the Aetrex Marketing Department at: marketing@aetrex.com.
Information on 2012 Aetrex Worldwide Solutions for Foot Pathologies Seminars will be coming soon.
2012 COURSES
NATIONAL PEDORTHIC SERVICES - EDUCATIONAL COURSE
April 27-29, 2012 & September 21-23, 2012
National Pedorthic Services, Milwaukee WI.
Hands-on Custom Foot Orthosis Fabrication Course -18.25 ABC - CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
May 18-20, 2012 & August 24-26, 2012
National Pedorthic Services, Milwaukee WI.
A Hands-On Approach to Footwear Modifications - 19.25 ABC - CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
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CLASSIFIEDS
| Seeking to Hire: Wellness Life Systems, a leading national diabetic shoe provider, is seeking highly motivated Certified Pedorthists with excellent communication skills to join our team. We have positions available in many regions across the country. ACHC accredited, inserts created in our own orthotic lab. This unique opportunity allows the right individuals to: Get back to patient care! Perform in-home diabetic foot evaluations, shoe fittings, and deliveries in your local area; Manage your own territory and set your own schedule. Call Frank, 816-268-6857, with questions, or send resumes to jobs@wellnesslifesystems.com Ongoing
Seeking to Hire: Midwest Medical Services, a national provider of DME products, is seeking to hire Certified Pedorthists. We currently have multiple opportunities in all regions across the United States. Position would entail performing in-home evaluation and fittings, sale of diabetic supplies and pain management DME, managing your territory, and providing excellent patient care. Must be ambitious, well organized, and dependable. At Midwest Medical Services, we strive to provide the best patient care possible and support those who provide great care in our name. Call Kim, (816) 718-6946, with questions and/or email resumes to hr@midwestmedservices.com. We look forward to hearing from you. Ongoing
Seeking to Hire: Since our company's founding in 1923, Yale Surgical Company has been dedicated to meeting the Orthotic, Prosthetic and Pedorthic needs of Connecticut. We are beginning a new family generation of practitioners and are eager to meet the continuing need in our area. We currently have multiple opportunities for C. Ped., CO, CP, CPO and Orthotic/Prosthetic Techs in our New Haven office. We would love to speak with you to discuss your goals and future plans. Please feel free to look at our website, http://www.yalesurgical.com/ and email your resume to info@yalesurgical.com at your earliest convenience. Comp. salary, 401k etc. - Edward N. Kaufman Ongoing
Classifieds will run for 90 days unless we are informed that the position has been filled. Thank you! To place a classified ad, please email editor@pedorthicnewswire.com |
STAFF
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Editorial/Design/Layout: Aetrex Marketing Department |
ADVISORY BOARD
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Robert Schwartz, C. Ped. | |
John Mishasek, BOC Pedorthist, C. Ped. | | Erick Janisse,C.O., C.Ped. | | Jerome S. Klein, C.O., C. Ped. | | Edith James | | Rick E. Sevier BS Ed., C. Ped., BOC Ped. |
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ADDITIONAL COMMENTS
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