Recently, a new coding forum entitled codinghelpline.com was launched enabling colleagues to send in coding questions. Not surprisingly, as happens at many conferences, one subscriber ...
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The Effectiveness of Custom Made Functional Foot Orthoses on Forefoot Pain
Richard Blake posted in Clinical pearls •Today I present you with only the abstract of this article. A systematic review was done of 9 papers encompassing almost 500 patients. The results confirmed wh...
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Protecting Your Practice from Consolidated Billing
Paul Kesselman posted in Compliance and reimbursement pearls •Recently, a client was asked by Noridian (DME MAC A) to repay a few hundred dollars for a DME claim submitted six years ago. The patient had been seen in the office while residing in a nurs...
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Changing walking and running stress to lessen Injuries
Richard Blake posted in Clinical pearls •I want to present a concept that is often used by sports medicine physicians for their running population (and definitely can be used in the walking population) to l...
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Your DME Claim Went to the Wrong DME MAC?
Paul Kesselman posted in Compliance and reimbursement pearls •Here’s a Five-Minute, Permanent Fix This is a very common issue. Take a deep breath—don’t panic.In most cases, this can be resolved by your biller and a one-time, five-mi...
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Can Changing Gait Help Reduce Pronation?
Richard Blake posted in Clinical pearls •When we are treating patients, we discover a huge percentage have signs of over pronation that we can link to the pain or instability or both that they present...
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A Case Study of a Plantar Arch Bump
Stefan Feldman posted in Practical Pearls •Mr MC is a 39 year old male who presents to the clinic with a chief complaint of a painful “bump” in the arch of his right foot. He first noticed the bump approximately six months prior...
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Patient with unknown ID 1
Paul Kesselman posted in Compliance and reimbursement pearls •Changed Medicare Beneficiary Identifier (MBI) I and now your office is hit with a new deductible. Can you solve this problem? Yes you can Win This!! A Medicare patient presents to your off...
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Deep Dive into Forefoot Varus
Richard Blake posted in Clinical pearls •This is a nice study out of Brazil highlighting the relationship of 3 weight bearing measurements: Tibial Calcaneal or Kevin’s Angle (here just called the Rear...
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A Case Study of a Baby Toe Bump
Stefan Feldman posted in Practical Pearls •Ms. SB is a 59 year old female who presents with a chief complaint of a painful enlargement on the outside of both feet with the right slightly worse than the left, which has been present for many ...
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Thru‑Hiker Footwear Survey — What It Means for Blisters, Swelling, and “Support”
Kevin Rosenbloom posted in Practical Pearls •Hat tip to Kathy Root (Merton Root’s daughter‑in‑law) for sharing this article with our team — that’s how I found it. Thank you, Kathy.Article:https://thetrek.co/a...
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Treating Chronic Low Back Pain with Orthotic Devices in Patients with Flat Feet
Richard Blake posted in Clinical pearls •This article, only in abstract form, makes the excellent correlation between chronic low back pain and pes planus.The treatment with foot orthotic devices show...
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Cuboid Syndrome, Observations and Comments
Mark Warford, DPM posted in Practical Pearls •Stefan, Shoes now frequently lack a lasting board or other shank equivalent, which are important providers of both sagital and frontal plane stability. The current popularity of marshma...
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Cuboid Syndrome, Observations and Comments
Stefan Feldman posted in Practical Pearls •Last week’s blog post presented a case study of Cuboid Subluxation secondary to plantar fascia rupture. Commonly present as associated with or secondary to other conditions, such as plantar f...
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Custom Functional Orthotics versus Custom Accommodative Orthotics
Stanley Beekman posted in Practical Pearls •There is a difference between a soft material and one that doesn't compress. Dick Schuster used Leather Rubber butter orthoses on his runners which was flexible and non compressible. Years ago I us...
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Deductible issues and HSA
Paul Kesselman posted in Compliance and reimbursement pearls •As you start the New Year, be aware that the annual deductibles for most plans reset and start January 1, 2026. Traditional Fee for Service Medicare deductible for 2026 is $283. Other plan de...
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How do we Distinguish between Plantar Fasciitis and Other Forms of Plantar Heel Pain?
Richard Blake posted in Clinical pearls •This is a good article attempting to counsel against diagnosing every patient with plantar heel pain as having plantar fasciitis. We all can order functional o...
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A Case Study of the Neglected Cuboid
Stefan Feldman posted in Practical Pearls •Mr KH is a 45 year old male, who works as a driver for a delivery service. He likes to play softball on weekends and golfs regularly. About one year ago he experienced a significant weight gain, an...
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Deep Dive into Inverted Orthotic Devices (to start the New Year 2026)
Richard Blake posted in Clinical pearls •I have had the pleasure and privilege of working with great minds in the attempt to understand why my Inverted Orthotic Technique works so well. I have also ha...





