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February 1, 2012, Issue #454
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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 QUESTIONS
Question: I had a Medicare patient come in with a prescription for custom diabetic shoes. I informed the patient about the Medicare Therapeutic Footwear Bill when the patient stated she is not diabetic anymore since her kidney-pancreas transplant. I informed the patient that the first qualification for the shoes/inserts is diabetes and that the shoes won't be covered (Correct?) Patient got really aggravated and had a fit about this and stated there is no way she would pay herself. Her logic was that there was a prescription stating the DX is diabetes with foot deformity and therefore she should qualify. After minutes of back and forth arguments I informed her that I would request a Statement from the Certifying Physician. This calmed her down for the moment.
I requested the Statement with another request to see a copy of the physicians medical documentation (even faxed the "Dear Physician" letter from CMS). The statement came back, signed by the physician and stating this patient has diabetes and a history of partial amputation of the foot. No copy of the medical documentation. I called the physician's office and talked to an Administrator. She informed me that the physician refuses to send me a copy. I informed her that providing this documentation would be in compliance with the HIPPA Privacy Rule. She again told me that I will not get a copy but then told me that the physician's dictation shows that the patient is not diabetic.
How would you proceed? Thank you!
- Cped 2006
Question: The picture for this link is of diabetic shoes and inserts that had been mailed to a patient after he had a visit from a supplier of Diabetic shoes. At the time of the visit, the patient stood on a piece of paper and his foot (left only!) was traced. He then picked a shoe from a catalog and 4 weeks later got the shoes and inserts in the mail.
I saw this because the patient came by the office to have the fit of the shoes checked and because of the too short shoe (his hallux was re-shaping the end of the toe box) had already caused him an ulcer (I took the patient to see a Podiatrist right after evaluation).
The "Custom inserts" consisted of a piece of bi-lam material that was cut out of a sheet and laid inside the shoes. What are your thoughts on a case like this?
- PNW Reader
st tPREVIOUS QUESTIONS WITH RESPONSES
Question: This question is for those independent footwear retailers, who have undergone an onsite survey and also are looking to maintain accreditation with the ABCOP. I would like to hear from those that have footwear retail as their primary source of business. While it's imperative we have guidelines we must maintain and follow, I think there are some expectations or rules that can be unreasonable for an independent retailer. At times it seems like even with all our ducks in a row the inspector ends up looking for the proverbial "Red Herring."
Example: Private Area solely dedicated for evaluations.
Disposal container for sharp objects.
Fire drills and escape plans.
State compensation laws postings.
Is it possible that their expectations or the rules in place can be a little unreasonable? I'm primarily asking this of independent retailers without the resources of a full scale lab or school on their site. I would like to hear if some of these rules have an adverse affect or demand on your business and time.
- Luis Altoro, C.Ped. and Proprietor
Response: Having been an ABC accredited facility until last year; all four of the issues posted seem to be points that do need to be followed. A HIPPA compliant area to see patients offers privacy for individuals with foot deformities or ulcers to be examined without retail customers seeing their conditions or hearing discussions about their care. If a store cannot provide this privacy, then it should not be in Medicare TSD business. Sharps containers are available from local office supply stores. Fire drills for staff and evacuation routes should be posted so a person using a cane or walker from a HIPPA compliant area can assess the shortest route to safety are again appropriate. Posting workers comp rules and regulations are required of all businesses with employees, not just Medicare suppliers.
So your ABC onsite surveyor was citing issues that are all valid and not unreasonable expectations of a pedorthic shoe store, particularly if it wants to be accredited and be a Medicare supplier. Having said that, we dropped our accrediation and costs of remaining accreditation when we voluntarily terminated our Medicare supplier number when the audits of PCP files became too high a risk to stay in that business. As our "patients" have searched all over town for the past year or have gone through the nightmare of getting the wrong size shoes from "suppliers" with no shoes on the shelf for accurate fitting and/or offering only one last of shoes from one "TSD" brand, these individuals are slowly returning to self pay for properly fit shoes and inserts from someone who can really protect their feet from complications. There was a reason that BCP required fitting inventory to be accredited, not fire drills. The fitting inventory was more important. But that was then.
- John Mishasek, BOCPD, C.Ped.
Response: As another independent retailer, we dropped out of the accreditation program in September 2009 due to extensive regulations. It was just not worth it to us, especially hearing about a colleague being shut down a day for auditing. Then the new regulations kick in where patients must have a follow up with their physician after receiving footwear and notes have to be in physician charts. That is out of our control. We've lost a little business and lots of headaches. My understanding is that more independents are finding it just not worth it. Is this what the O & P businesses wanted? Let them deal with these customers who are a lot of work for not much compensation.
- PNW Reader
Response: In reply to the question of accreditation standards, three of the four concerns listed take little time to complete. Purchasing a disposable container - minimal cost, state compensation posters are a requirement to have in your business if you have employees, and the fire drill and escape plans - took maybe an hour to design and draw up. We have a fire drill once a year and periodically ask employees where the extinguishers are and where the meeting place is in case of a fire. This is something that all businesses and home owners should do anyway!
The issue of having a private area for evaluations can be costly especially if you have to develop an area of the store with building it. Just think about the patient that may have an ulcer, amputation or serious injury - would they want everyone to view it and do you want to risk possible infection from other customers coming into the store? I know that if I was shopping for shoes in a comfort footwear store, that it would make me uncomfortable for the patient to have everything open to the public. It's kind of that whole privacy thing. It is worth the investment if you have the room to develop a separate place in your store. Thanks.
-Cobbler's Bench Foot Health Center
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HEALTH AND INDUSTRY
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Copper socks helped Chilean miners' foot fungusBy: Rachael Rettner The 33 Chilean miners who were trapped underground after their mine collapsed in August 2010 spurred an impromptu experiment, of sorts, into treatments for fungal foot infections.Socks containing copper particles treated the fungal infections the workers suffered better than anti-fungal creams, suggests a report published today in the journal Archives of Dermatology.Within two weeks of living in the hot and humid conditions, many of the miners began to experience skin problems in their feet. The socks, made by Cupron, Inc., were donated to the miners after antifungal cream failed to relieve their skin problems. Many of the miners reported their skin problems completely resolved within a week of trying on the socks, according to the report. Full TextSource: My Health News Fighting the five most common foot woesBy: Aracontent From eating better foods to getting an adequate amount of sleep and exercise, we're a very health-aware society. So why is it that many Americans routinely overlook one of the cornerstones of good health? While nearly 70 percent of Americans say they want to be healthier five years from now, just 51 percent recognize that foot health can be a key to achieving that goal, according to a survey from the American Podiatric Medical Association (APMA). "Nearly eight in 10 adults have experienced some type of foot ailment in their lives. Yet despite the pain, close to three in 10 do nothing about it, simply choosing to live with their pain," says Dr. Michael King, a podiatrist and president of APMA. "Meanwhile, more than half of those surveyed said they had endured foot pain at some point in their lives but have not sought treatment from a podiatrist." So what are the five most common types of foot problems and what causes them? Here are some tips from today's podiatrists. Full Text Source: Las Vegas Review Journal Feet provide insight to healthBy: Steve Wood A mere crunch of the foot and Kan Kong knows what the other person is thinking. This hurts. Though the pain may seem limited to the foot his fingers jab, it paints a big-picture pain map for the reflexologist, signaling deeper problems such as back pain, constipation or even inner-ear issues. "I use reflexology to give me a road map, a map to see where I need to pay attention," says Kong, owner and therapist at Effective Massage & Reflexology, in Cherry Hill, N.J.Kong extracts pain from people his own way, using a hybrid of massage and reflexology techniques to bring comfort, restore proper nerve flow and remove waste. Full TextSource: Greenbay Press Gazette
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DIABETES
| CDC: Diabetes amputations falling dramatically
Foot and leg amputations were once a fairly common fate for diabetics, but new government research shows a dramatic decline in limbs lost to the disease, probably due to better treatments. The rate has fallen by more than half since the mid-1990s, according to what is being called the most comprehensive study of the trend. For older diabetics, amputations dropped from more than 11 to about 4 per 1,000 people, the Centers for Disease Control and Prevention reported Tuesday. Other diabetes studies have shown declines in lost toes, feet and legs, but not as dramatic. Full Text
Source: Fox News
Diabetes drugs tied to pancreatic cancer risk
By: Genevra Pittman
A new study links the diabetes drug metformin to fewer cases of pancreatic cancer, at least in women, but finds other diabetes medications are associated with a higher risk of the disease. The differences in medication history among people who did or didn't get pancreatic cancer were small, researchers said, and it's unclear why the drugs might affect cancer risks in men and women differently. Still, the new finding is in line with previous research suggesting that metformin may decrease the risk of multiple cancers, said Dr. Peter Butler, a diabetes researcher at the University of California, Los Angeles David Geffen School of Medicine, who wasn't involved in the new study. Full Text
Source: Reuters
Market Research Projects Diabetes Devices Market at $20 Billion by 2014
MarketResearch.com has announced the addition of the new report "Global Diabetes Devices Market 2010-2014," to their collection of Medical Devices market reports. The report forecast the Global Diabetes Devices market to reach US$20.5 billion in 2014. One of the key factors contributing to this market growth is the global increase in the diabetic population. The Global Diabetes Devices market has also been witnessing the latest insulin delivery systems. However, the process of registration of medical devices could be a challenge to the growth of this market. Full Text
Source: Marketwire
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SPORTS AND FITNESS
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Take Charge for Major Success Includes Healthy Living
Author, speaker and educator, Yvonne Corppetts, PhD is passionate about motivating others to change their lives to be the best they can be. "Living your best life not only means using your talent, working at what you love to do, and good relationsips, but also taking care of your physical, mental, emotional and spiritual needs," says Dr. Corppetts. She states this includes eating right to maintain your health.
Dr. Corppetts recently visited Irmo Elementary School in Irmo, South Carolina to witness the opening of a new program. Ed Brogdon, founder of Back~To~Eden, LLC and Joan Mobley, program manager of Gordon's Garden sponsored by the Auntie Karen Foundation in Columbia, South Carolina are working with students to teach healthier living through gardening. "The program is phenomenal and will help children learn at an early age to be their best starting with their health and eating habits," says Dr. Corppetts. Full Text
Source: PR Web
Healthier living can add up to healthy savings on your wallet
By: Dr. Ted Norman
This week, we'll look at the impact patient choices have on medical costs. You might initially think this barely impacts the total amount and isn't worth worrying about - but while your copayments may be a relatively small portion of the total bill, your insurance company pays much more (provided, of course, that you even have health insurance). When what insurers pay goes up, they start passing on the increases to your employer, who could choose to increase the amount you pay or even stop offering insurance. It means that the higher the total cost of the care you receive - the higher your risk of not having health coverage at all. Full Text
Source: Coloradoan.com
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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
2012 FOOT SOLUTIONS PEDORTHIC PRE-CERTIFICATION COURSE SCHEDULE & INFORMATION Foot Solutions is an accredited facility that holds classes four times per year. The course will offer the certificate needed in all three levels so that you qualify to sit for the C. Ped. Exam. The facility is located at 2359 Windy Hill Road, Suite 400, Marietta, GA 30067 February 13 - February 24 May 11 - 1 Day Cram Session (free with attendance of pre-cert class) May 14 - May 25 August 3 - 1 Day Cram Session (free with attendance of pre-cert class) August 6 - August 17 October 8 - October 19 November 9 - 1 Day Cram Session (free with attendance of pre-cert class) 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 |
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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
National Pedorthic Services, Milwaukee WI.
Hands-on Custom Foot Orthosis Fabrication Course - 18.25 CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
May 18-20, 2012
National Pedorthic Services, Milwaukee, WI
A Hands-on Approach to Footwear Modifications - 19.25 CEPU's
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
August 24-26, 2012
National Pedorthic Services, Milwaukee WI
A Hands-on Approach to Footwear Modifications - 19.25 CEPU's
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
September 21-23, 2012
National Pedorthis Services, Milwaukee, WI
Hands-on Custom Foot Orthosis Fabrication Course - 18.25 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: NEW! Coastal Healthcare Solutions is a Florida based Diabetic Supply company which also specializes in diabetic shoes. We are interested in having contact with fitters in all 50 states to perform in-home diabetic foot evaluations, shoe fittings and deliveries. We have immediate openings in the following states: Hammond Indiana, Dale Texas, Demoines Iowa and Athens Illinois. Call Dan at 321-431-7349, with questions, or send resumes to dkenna@healthsafedme.com Ongoing
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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