Wound Care Is a Team Approach Q&A: Dr
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CURRENT PEDORTHICS July/August 2010 Volume 42, Issue 4 www.pedorthics.org Wound Care is a Team Approach Q&A: Dr. Gary Mazzanti Talks About the Fight Against Non-traumatic Amputation Physical Therapists and Pedorthists: Supporting Each Other Pedorthists Working Side by Side with O&P Professionals is a Win-Win Arrangement Pedorthic Footwear Association (PFA), 2025 M St., NW, Suite 800, Washington, DC 20036 With one of the largest and most extensive selections in orthopedic footwear, stepping in style has never been so easy! Our footwear stock includes Aetrex, Apex, Advanced, Brooks, Drew, Orthofeet, Pedors and Sebago. We also offer medicare approved custom diabetic inserts, toe fillers, prefab diabetic inserts, as well as any other products pertaining to foot and ankle management. We guarantee wholesale pricing, huge product selections, and a commitment to excellent service you have to experience. Call 800.662.7633 for a 2010 wholesale catalogue. www.mmarmedical.com CURRENT PEDORTHICS JGU U Ly / a U s t 2 0 1 0 , V o L U m e 4 2 , I s s U e 4 Pedorthists and Chiropractors Should have Each Others’ Backs – and Feet! page 26 FEATUres Departments 12 Wound Care is a Team Approach 5 PFA Corporate Sponsors Q&A: Dr. Gary Mazzanti Talks About the Fight Against 6 From the President Non-traumatic Amputation By Jay Zaffater, C.Ped. 8 From the Editor 10 Board Member Profile 18 Physical Therapists and Pedorthists: Supporting Each Other 30 Association News By Ken Stack, MS, PT, CSCS 35 Coding, Billing and Reimbursement 20 Pedorthist and Podiatrist Working Together? 37 Government Affairs A Match Made in Heaven 40 Advertiser Index By Kirk Woelffer, D.P.M. 41 Industry News 22 Pedorthists Working Side by Side with O&P 42 Pedorthic Industry Events Professionals is a Win-Win Arrangement By Robert Patai, C.Ped. 44 Pedorthic Marketplace 45 Product Reference Guide 26 Pedorthists and Chiropractors Should have Each Others’ Backs – and Feet! By Rob Sobel, C.Ped. 28 From Shoe Repair to Pedorthics – Expanding our Horizons Saved our Skills from Becoming Extinct By Liz Chiles, C.Ped., & Margaret Haga, C.Ped. Pedorthic Footwear Association • www.pedorthics.org 1 CURRENT PEDORTHICS p edorthic Footwear association Board of Directors Executive Committee Headquarters staff President: Dane LaFontsee, C.Ped. Vice President: Kristi Hayes, C.Ped. executive Director Treasurer: Liz Chiles, C.Ped. Secretary: Jamie Dick, C.Ped., PT Brian K. Lagana Directors membership services Coordinator Faith Ballard, C.Ped., CO Harlon Compton, C.Ped., CO Tristan Wood Tamara A. Daulton, C.Ped. Dean Mason, C.Ped., OST, BOCO education Director Ryan Nichols, C.Ped., OST Joyce Arawole Stuart L. Pressman, C.Ped., CO Arthur Smuckler, C.Ped. education associate Michael D. Veder, C.Ped., CO, BOCO Lauren Kemp Jay Zaffater, C.Ped. Pedorthic Educators Liaison: Robert Schwartz, C.Ped. meetings and Conventions Director Vendor/Manufacturer Liaison: Stephen O’Hare John Rubsamen Legal Counsel: Allan J. Weiner Medical Advisors exhibits and sponsorship Coordinator Allan B. Grossman, DPM, FACFAS Marlene Mirman Craig Young, MD marketing manager e ditorial staff Kara Dress Kristi Hayes, C.Ped . ..................................... Volunteer Executive Editor Dennis Coyle . .......................................................... Editor senior marketing Coordinator William Wargo. Art Director Kevin Hurley Steve Biernacki. Design/Production Government relations Director a dvertising & services William H. Applegate Tristan Wood . ......................................................Membership Tracey Aaron . ..................................................Current Pedorthics Marlene Mirman. PFA Symposium m arketing, Communications & editorial Committee Current Pedorthics (ISSN 1552-8111) is published bimonthly by the Pedorthic Footwear Association (PFA), 2025 M St., NW, Suite 800, Washington, DC 20036. Telephone: 202-367-1145 or Chair: Kristi Hayes 800-673-8447, Fax: 202-367-2145, website: www.pedorthics.org, E-mail: [email protected]. Co-Chair: Tammy Daulton Copyright© 2010, PFA. All rights reserved. No part of this publication may be reproduced in any manner without written permission. Letters to the Editor and other unsolicited material are Faith Ballard assumed intended for publication and are subject to editing. Liz Chiles Articles in CP do not necessarily reflect the opinion of PFA, its Board of Directors or its employees. Jamie Dick CP’s use of trademarked names is done in an editorial fashion intended to benefit the trademark Dean Mason owner, with no intention of trademark infringement. Ryan Nichols Subscriptions are available for $45 per year in the United States ($65 outside USA). Back copies, if available, may be purchased for $5 U.S. Stuart Pressman If you have any questions regarding display advertising or classified ads, please e-mail Tracey Aaron Rob Sobel at [email protected]. Jay Zafatter Please send all product- and industry-related press releases to [email protected]. 2 CURRENT PEDORTHICS • July/August 2010 • Volume 42, Issue 4 Corporate sponsors PFA offers its thanks to these Corporate Sponsors whose support allows PFA to serve members and the greater pedorthic community. platinum sponsors silver sponsor Bronze sponsors Pedorthic Footwear Association • www.pedorthics.org 5 From tHe presIDent Pedorthic Certification and Education Must Evolve Dear Colleagues: What this all amounts to is an impending surge in demand for pedorthic services without the number I frequently hear from members asking about of practitioners needed to support the increase in pedorthic pre-certification education and its future. patients, leading to a severe access issue. How can pedorthists gain the same professional This presents the pedorthic profession with a respect as orthotists and prosthetists if our tremendous opportunity to increase the ranks educational standards remain the same? How can of practitioners, increase our practices via the we remain competitive if we cannot fully exploit expansion of health care coverage for millions our scope of practice? How can we respond to of additional people, fully exercise our scope of concerns from the federal and state regulators that practice and increase the status of the profession pedorthic pre-certification education is not where through enhanced educational standards. The the regulators would like it to be? What can PFA new educational standards that PFA is pushing do to help enhance pre-certification education? aren’t just window dressing. We won’t be able to In response to these concerns, PFA’s volunteer achieve professional growth without them. Instead, leadership met more than a year ago to strategically pedorthists will be shut out of this revolution in look at the situation. At the end of the process, health care. the consensus was that significantly enhancing the pre-certification education that pedorthists receive It is imperative that pedorthic pre-certification would have the following benefits: education take the same route to improvement and growth that orthotic and prosthetic education took • Ensure the survivability and growth of the not that long ago. PFA’s position is that pedorthic pedorthic profession; pre-certification educational standards should be • Enhance the image of pedorthics with the general increased to an AA degree program by 2015 with a public, patients/clients, third-party payers, pedorthic residency incorporated into the program potential students, regulators and other decision- to provide the equivalent of the current American makers; and Board for Certification in Orthotics, Prosthetics and • Increase quality patient care. Pedorthics (ABC) 1,000 hour pre-exam experience requirement. This route will insure not only better, Other external drivers also helped to convince us more qualified practitioners, but practitioners who that the need for increased pre-certification will be better qualified when they obtain their standards was real, including: certificate and begin practicing, not after additional • Nearly two years ago, the Centers for Medicare and education and training to fill experiential gaps in Medicaid Services (CMS) clearly indicated to PFA existing pre-certification education. that the reason it rescinded the facility accreditation and surety bond exemptions for pedorthists Change is never easy or without cost. However, was due to the educational differential between PFA’s leadership and a significant portion of pedorthists and orthotists and prosthetists. the educators firmly believe that educational • The Patient Protection and Affordable Care Act improvement is critical to the future survivability of (PPACA) will expand the number of insureds pedorthics and the evolution of patient/client care. by at least 30 million people. Given the new constraints that the legislation places on insurance PFA will keep you updated as the recent process companies, they will be looking to partner with initiated by the pedorthic education stakeholders physicians, providers and suppliers of the highest to review and make recommendations on the caliber to ensure quality delivery of health care to future of pedorthic pre-certification education their beneficiaries while maintaining the integrity moves forward. And, as always, we welcome your of their benefit programs. questions, comments and suggestions. • More states are introducing legislation Sincerely, requiring private health insurance companies to cover orthotics and prosthetics and/or pedorthic Dane LaFontsee, C.Ped. modalities. PFA President 6 CURRENT PEDORTHICS