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Michael Trepal, DPM will discuss the unique perioperative concerns which present when performing bunion surgery in the geriatric population and provide strategies and protocols for management.

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Updates to Medicare and CMS changes for 2021 New Changes to the E/M documentation and Coding for O/P services Review of changes regarding COVID-19 response Discuss Telemedicine services

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Marie Williams, DPM discusses the difference between tendinosis, tendonitis, and tendon tears, how to recognize the mechanism of injury leading to tendon pathologies, review the diagnosis and clinical findings of lower extremity tendon tears, as well as composing a treatment plan for tendon pathologies.v

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Overview of the diagnosis, clinical manifestions and treatment of peripheral arterial disease.

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An update about what is going on in the private sector world of insurance and healthcare reform

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This lecture will discuss utilizing a therapeutic diode laser using case studies of actual patient treatment results.

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Real cases that have relied on Cyclical Pressurized Topical Oxygen for wound healing

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Questions and Answers

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This presentation will review the essential steps in writing an effective prescription for custom foot orthoses and AFO braces to treat the common pathologies treated by the podiatric physician. Simple pearls for enhancing the design and components of the orthotic device specific to certain pathologies will be presented to improve outcomes of treatment.

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This presentation reviews the important surgical methods required to move the healing process from the inflammatory phase to early regeneration of tissue and repair. Important new technologies have enhanced mechanical debridement and the effect on the pathophysiology of chronic wounds. Another consideration is the position of this approach in comparison to the multitude of other possible wound treatments.

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This is the annual DME update. It includes an update on audit failure/success of podiatrists in post payment Cert and Carrier Audits, new guidelines for patients to have access to the Therapeutic Shoe Benefit, and the potential for significant effect of Competitive Bidding on the podiatric practice as well as many other DME related isssues.

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All muscles of the leg insert into the foot. What is their true function as well as the effect on foot function and deformity? What happens when you transfer a tendon, what are its antagonistic activity and what to expect? How much should we lengthen or shorten?

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Lawrence A DiDomenico, DPM discusses how to identify different types of ankle fractures. He also discusses how to understand when and when not to operate on them.

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Dr Christopher Barrett will describe the importance of initiating disposable negative pressure wound therapy sooner, rather than later, along with addressing the economic impact of healing wounds quickly.

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Learning how to successfully start and operate a successful private practice after completing a surgical residency - a closer look at the behind the scenes preparation necessary to succeed.

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This lecture will introduce a comprehensive approach to the choice of surgical procedures utilizing a composite biomechanical method, the KK Approach.

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This lecture will review various methods to image the lower extremity when presented with patients with flatfoot deformities.

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This lecture will help you understand the risks and benefits of corticosteroids and NSAIDS in a podiatric practice. Dr Bromley will discuss what alternatives do you have.

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Question-and-Answer Session

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Robert Frykberg, DPM, MPH discusses the basics for diabetic foot syndrome, its importance in the population, as well as the epidemiology. Dr Frykberg also describes the pathophysiology of diabetic foot complications and ways to treat it.

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Review the TPE program by CMS Review LCD and LCAs E/M Coding CERT documentation

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An estimated $50 billion dollars annually is spent on non-fatal fall injuries and $754 million on fatal falls amongst the geriatric population (age 65 years of older) of the United States. It is projected that by 2030, 49 million aging adults will suffer from a fall. How can podiatrists provide fall prevention and relief during this national crisis? This lecture will be geared towards the assessment, prevention, and treatment of falls within the geriatric population.

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RPM are a group of new E/M codes which best describe monitoring patients for a specific set of parameters while they are engaged in their ADL. For podiatric patients, measuring foot temperature and spotting trends enables you, the podiatric physician, to be able to predict foot ulcer formation prior to their inception. These new procedures can save patients and Medicare (or other third party payers) a great deal of money, while providing your practice with a new source of income. Everybody wins! Watch this presentation for a look into the future!

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Robert Frykberg, DPM, MPH discusses the increasing frequency of diabetes worldwide. He also discusses the risk factors for diabetic foot ulcers as well as the key components of diabetic foot prevention programs.

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Ultrasound findings of peripheral arterial disease

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This presentation shall review the science behind oxygen therapy for chronic wounds and, specifically, that pertaining to topical oxygen therapy. Accordingly, we discuss the evidence supporting topical wound oxygen therapy in diabetic foot and venous leg ulcers supplemented by case examples.

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Will attend live Q&A session

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We have spent over a year preparing for the E/M changes. However, other coding changes pertinent to podiatrists took effect in 2021. This presentation will cover ICD-10, CPT, and HCPCS changes you need to know for 2021. These changes include, among others, ICD10 codes pertinent to COVID-19, CPT codes for services provided by podiatrists, and codes related prolonged E/M services.

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In this lecture, we will go over the benefits of using webinars, how to set them up easily in your practice, and some personal marketing pearls about how to use webinars to help with patient engagement and increasing profits.

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Audits are a way of life. If you bill insurance companies for payment, you can be audited. This lecture will help you survive those audits

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In this lecture, Dr Dylan Bach will We will review when and how to obtain samples from chronic wound for testing, the pros and cons of trsditional culture testing in wound care, and the pros and cons of PCR testing in wound care.

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Join Dr Garoufalis as he shares his application tips and tricks, along with a case study treating a patient with a venous leg ulcer utilizing a two-layer compression system.

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Nicholas J Bevilacqua, DPM discusses the pathogenesis of Charcot foot, diagnostic clinical findings, imaging, and treatment of active and inactive Charcot foot.

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Dane Wukich, MD discusses the basics of Charcot neuroarthropathy including epidemiology, prevalence and the pathophysiology. Dr Wukich also highlights the impact of Charcot on Health Related Quality of Life as well as available treatment options.

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Buying and selling a practice can be an emotional experience in which the negotiation process can become contentious. This typically occurs when there is disagreement as to a practice’s value. The end result is that the seller or potential buyer walk away from the deal. There is an objective process whereby the fair market value of a practice can be determined. This process eliminates the emotion and enables negotiations to focus on the key drivers of value. The goal is to reach agreement on a price that both parties consider to be fair. This presentation will focus on the drivers of value for a private practice and the valuation process employed to determine its value.

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Marlena Jbara, MD discusses the physics of X-ray imaging and how X-rays are made. Dr Jbara also reviews how to minimize the radiation dose to the patient and practitioner as well as review biologic effects of radiation.

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The Same and Similar Rules have hindered, and in some cases completely stopped, many doctors from continuing to utilize AFOs in their practice, which is exactly what Medicare was aiming for. Over the course of the last six months, we have developed several techniques and protocols that have been effective at getting paid despite Same & Similar conditions. In this presentation, Dr Moore will lay out a proven strategy for overcoming denials from S&S.

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Diabetic foot ulcerations (DFU) of the great toe are fairly common complications in patients with neuropathy. Frequently they are associated with restricted motion of the 1st metatarsal-phalangeal (MTP) joint and can be recalcitrant to conservative care with recurrences also common. We herein present the results of our experience with the Keller (1st MTP) arthroplasty to treat such conditions in our clinicpopulation. We present our data from our retrospective study where we evaluated patients undergoing first MTP arthroplasty procedures, all of which were performed as a curative measure for plantar ulcers of the hallux. We have shown a high degree of success when performing the Keller arthroplasty for recalcitrant hallux ulcers, although complications are common. Though many of our patients experienced post –operative wound dehiscences, all eventually healed and no amputations were necessary. Complications can be anticipated in neuropathic patients, but the long term successful outcomes seem to justify this corrective procedure.

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Review of the “Covered Routine Foot Care” coverage

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Q&A Session