A THEORY
Perhaps the basis upon which CMS has proposed reducing payments for E and M services to podiatrists is that they read PM News.
Do not dismiss this theory out of hand. Consider:
Podiatrists (foot doctors, or doctors of the foot) write into PM News with inquiries which would be considered embarrassing in medicine (MD, DO, NP, PA).
To wit :
“I have a patient who gets a red rash and has trouble breathing every time they take penicillin. Has anyone else had this experience? What could this be?
Is it possible the penicillin is causing immunosuppressant and the patient has a fungus infection? Should I use an antifungal with the penicillin? Which antifungal should I use?
Should I culture the skin before using the antifungal? Are there different brands of penicillin? If there are which brand should I use? Maybe I should give a higher dose of the penicillin?
I sold the patient Neuremedy, a pair of balance braces, Dani-Pro nail polish, but the same thing happens, also a DeHeer equinus splint but the same thing still happens every time I give her penicillin.
I scheduled her for orthotics but right now she’s in the ICU. Can I still laser her toenails with that oxygen tube in her nose? What is the correct coding for this problem” ?
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