Volume 15 - Issue 2 - February 2002

Feature »

A Clear View Of The Intricacies Of Coding

Billie C. Bradford, MBA | 14049 reads | 1 comments

On the surface, it seems fairly simple. Incorrect codes will result in delayed payment or outright rejection of claims by carriers. Using codes appropriately helps ensure proper payment from third-party carriers and patients.
Appropriate coding also enhances your practice’s relationship with patients. When your office codes claims accurately, patients who file their own claims will have fewer problems obtaining payment from their insurance companies. Yet many major carriers identify the first five areas listed below as the most common coding errors causing delays or inaccurate payments for

Diabetes Watch »

Understanding The Dangers Of PVD And PAD

By Khurram Khan | 9220 reads | 0 comments

Unfortunately, all too often, we shy away from valuable history and background information regarding the overall health of the patient. Many of us ask about diseases such as diabetes and some will routinely inquire about alcohol and smoking history. However, few of us spend the necessary time to truly evaluate and integrate historical data such as lipid profiles, etc.
For example, peripheral vascular disease (PVD) is one finding in which we must consider all the historical information that is available in order to conduct a proper evaluation of the patient. Intermittent claudication is one se

Editor's Perspective »

What Does Constitute A Full Biomechanical Exam?

By Jeff Hall | 7902 reads | 0 comments

A rather interesting lawsuit is taking place in Canada right now. A podiatry association is suing two of its members, charging them with incompetence and pursuing revocation of their licenses to practice. Those in the know say the doctors allegedly prescribed functional orthoses for 25 patients that either should have been given accommodative orthotics or did not need orthotics at all. Additionally, there is an allegation that the doctors in question were not doing a full biomechanical exam when prescribing orthotics.
This lawsuit raises a number of questions, but perhaps the most intriguing

Forum »

Why It Pays To Do Good Deeds

By John H. McCord, DPM | 1965 reads | 0 comments

I stepped out the back door of my home on a cold December morning and noticed a new pile of firewood sitting at the edge of my driveway. I knew it must have been delivered by a guy named Eddy. Eddy is an unemployed carpenter who visited my office a month ago with a fractured third metatarsal. He ran out of unemployment benefits and was getting along by gathering and selling firewood. He injured his foot with a splitting mallet.
Eddy told me he would pay cash but said he had less than $100 left and asked if I could do just the bare minimum to heal his foot. I assured him I wouldn’t go over t

Letters »

Doing Bunion Surgery: Is It Worth The Hassle?

21308 reads | 0 comments

This communication is in response to the Forum column by John McCord, DPM (see “Dispensing Orthotics: Is It Worth The Hassle?,” November 2001, pg. 75). I had a very similar frustrating experience with my bunion surgery and solved the problem almost the same way Dr. McCord did.
Here’s what used to happen. I would see a patient with severe bunions. I would do a thorough work-up and X-rays. I would present my patient with, granted, the more expensive option of surgery. Classically, I like to do Silver Bunionectomies on all my patients regardless of their type or severity of their deformity

News and Trends »

Fifteen Percent Of Diabetics Will Develop Foot Ulcers

5945 reads | 0 comments

How prevalent are foot ulcers among patients with diabetes? About 2.4 million diabetes patients, representing 15 percent of the estimated 16 million Americans afflicted with the disease, will develop serious foot ulcers during their lifetimes. In fact, ulcers and other foot complications cause 20 percent of the nearly 3 million hospitalizations related to diabetes every year.
John Giurini, DPM, an Associate Professor of Surgery at Harvard University Medical School, reported on these alarming statistics at the recent ACFAS Diabetic Foot Symposium.
“Unfortunately, many of these patients eve

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