
The Board of Trustees gather at OHFAMA headquarters for the first meeting of 2025.
The Board of Trustees gather at OHFAMA headquarters for the first meeting of 2025.
Martin Lesnak, DPM
Let me begin by wishing everyone a happy and healthy 2025. I would like to congratulate Dr. Thom Arnold for all his hard work and leadership as president this past year. I would also like to express my gratitude to the past members of the Board of Trustees, delegates, and officers in our academies. Your service, involvement, and mentorship have prepared me to serve as your president this year.
This upcoming year will be a busy one. In early January, our executive director, Luci Ridolfo, and I attended the ASAE Center for Association Leadership CEO Symposium. I networked with other state medical associations and returned with ideas to improve membership engagement. In March, the Ohio Delegation attended the APMA House of Delegates in Washington, DC. I also recently attended meetings for the Midwest and Mideast Academies and look forward to visiting every academy in the months ahead. Finally, I would also like to remind everyone of the CME opportunities offered by our association. Save the date for the Annual Scientific Seminar. Please join us virtually on April 26 and in-person on May 15-16. After that, mark your calendars for the Annual Wound Care Seminar and Annual Business Meeting on November 8, 2025. I hope to see you there!In my acceptance speech last November,
I mentioned the importance of service and membership. Getting involved, whether as an academy officer or on a task force, will be helpful and rewarding. This commitment can be challenging with our schedules, so I encourage everyone to start small by attending a meeting or signing up to assist with a project. I challenge you to step out of your comfort zone. I believe you will find it very rewarding. You may even end up making lifelong friends, just as I have.
Lastly, with the passing of the last election year, our OPPAC funds are once again very low. Please consider contributing, which can easily be done by visiting the OHFAMA website.
I look forward to serving as your president over the coming year!
Dr. Martin Lesnak, President
Martin Lesnak, DPM and Executive Director Luci Ridolfo connected with leadership from the Ohio Academy of Family Physicians and the Ohio Osteopathic Association at the ASAE Center for Association Leadership CEO Symposium.
Page 2........................... President’s Column
Page 3........... Executive Director’s Message
Page 3.......................................APMA News
Page 4............... Membership News & Notes
Page 4............. OHFAMA Calendar of Events
Page 5-6 ........... Board of Trustees Spotlight
Page 7..... OHFAMA Service Award Spotlight
Page 8............................. Member Spotlight
Page 9................................. Advocacy News
Page 10-11 ..... Coding & Compliance Corner
Page 12-13 .... Continuing Medical Education
Page 14-15 .........109th Annual Foot & Ankle Scientific Seminar Registration
Page 16 ............................. Member Benefits
Page 19 .................................. Classified Ads
Luci Ridolfo, CAE
We’re all in this together!
I would like to start my message by thanking every member for supporting the work that your association does to protect and promote this wonderful profession. Over the past 15 years, I have had the pleasure of meeting and assisting many amazing podiatric physicians and their staff.
As many of you know, I am always just a phone call or email away. And for those that don’t know this, now you do. If I can help you with something, I will. If I don’t know the answer, I will do my best to find it.
As a non-profit organization, it takes all of us to fight for progress and to protect your scope of practice. Some podiatrists are not members, and that doesn’t stop us from advocating for them as well. We’re in this together!
In a time where the world can seem divided, the community our members have built is unified and strong. OHFAMA’s incredible benefits – community connection, cutting-edge education, and statewide advocacy – advance the practice for all Ohio podiatrists and keep Ohioans on their feet.
The 2025 APMA HOD was held March 14 - 16, 2025. The House of Delegates (HOD) is the legislative and governing body of APMA and is composed of certified delegates and alternates from each component society and the American Podiatric Medical Student Association.
OHFAMA delegates proudly represented Ohio members at the APMA House of Delegates Meeting in Washington, DC. The weekend was packed with important new business, opportunities to connect with other podiatrists from across the country, and exciting updates about the future of the APMA and podiatric medicine.
New APMA Executive Director Meghan McClelland delivered her vision of the next two years of revitalization, with changes to staff and program initiatives. The budget for the upcoming year was approved and includes a marketing campaign to share podiatric medicine with the public and potential students. During the meeting, Acting President Dr. Brooke Bisbee was sworn in as the 99th APMA President.
Delegates introduced several propositions focused on the function and autonomy of the Council on Podiatric Medical Education (CPME), but they were withdrawn after discussions. Moving forward, CPME has committed to implementing changes to improve communication.
After a whirlwind weekend, our representatives returned home to Ohio. Thank you to our Ohio delegates for making our voice heard and steering the future direction of podiatric medicine.
After a successful 2024 Wound Care Seminar and APMA House of Delegates Meeting, we have much to look forward to! Mark your calendars for the 109th Annual Scientific Seminar at the Hilton at Easton May 15-16. Don’t forget to add on the virtual day of learning on April 26. In the fall, we’re excited to partner with KSUPCM students for a day of advocacy. Our local academies have plenty of education and fun planned, from cruising to golfing.
Our dual membership with APMA is looking bright. They have a renewed commitment to their mission with a new executive director. We look forward to our partnership growing in the future to ensure your practice is also protected at the national level.
I encourage you to take advantage of all the Ohio Foot and Medical Association offers and to invite others to join us. Connect with fellow podiatrists at our educational events or a local academy meeting. We are all in this together – when we’re united, we can accomplish anything.
The 2024 Annual Business Meeting took place November 14th in Columbus.
Women in Podiatry
Twinsburg Family Medicine and Foot & Ankle Center
Aarondeep Deol, DPM, and his wife, Nazmine Deol, DO owners of Twinsburg Family Medicine and Foot & Ankle Center, were recently featured on American Health Front, a national TV network that showcases various medical practices and specialties across the country. Dr. Deol, President of the Midwest Academy, was the first podiatrist featured on the show in 23 years. “Many of my patients were surprised to learn that I perform surgery, even though it’s advertised throughout my practice,” Dr. Deol shared. “It was a fantastic opportunity to further educate people about the full scope of our profession!”
Republicans will continue to rule the board of county commissioners in Wood County. With 69 percent of the votes counted, incumbent Ted Bowlus, DPM appears to have defeated Democrat Philip Chrysler, according to unofficial results from the Wood County Board of Elections on Tuesday. Dr. Bowlus, who is 75 and has practiced as a podiatrist in Perrysburg since 1988, will be serving his third term.
The votes were 36,857, or 62 percent for Dr. Bowlus, and 22,398, or 38 percent for Mr. Chrysler. Dr. Bowlus said he is looking forward to representing the commissioners on the board of the Addiction Response Collaborative, which works with the Wood County prosecutor to combat the effects and consequences of opioid addiction.
Source: Debbie Rogers, The Blade, November 5, 2024
April 26, 2025
109th Ohio Annual Foot and Ankle
Scientific Seminar
Virtual
May 15 – 16, 2025
109th Ohio Annual Foot and Ankle
Scientific Seminar
Hilton at Easton
August 7, 2025
Board of Trustees Meeting
Budget and Finance Committee
OHFAMA Headquarters
August 14 – 16, 2025
GXMO Didactic & Clinical Course
Virtual
September 27, 2025
Holy Toledo Seminar and Golf Outing
Brandywine Country Club, Maumee, OH
October 2, 2025
Board of Trustees Meeting
Budget and Finance Committee
OHFAMA Headquarters
October 30 – November 1, 2025
GXMO Didactic & Clinical Course Virtual
November 7, 2025
Board of Trustees Meeting
Budget and Finance Committee
Embassy Suites – Columbus Airport
November 8, 2025
Wound Care Seminar
OHFAMA Annual Business Meeting
Embassy Suites – Columbus Airport
We are all in this together! The Ohio Foot and Ankle Medical Association is united in an unwavering commitment to protect your practice, offer the best CME, and bring together a community of podiatrists from across the state.
The Ohio Foot and Ankle Medical Association members elected a new leadership team at the association’s Annual Business Meeting on November 16. Read more about the trustees below.
Martin Lesnak, DPM, FACFAS
President & APMA Alternate Delegate
What do you like to do in your free time?
“I like to spend time doing driftwood artwork and attending my children’s academic and athletic events.”
Joy Rowland, DPM
1st Vice President & APMA Delegate
“I volunteer with OHFAMA as I believe we need to make a voice for our profession to be heard – to support our scope of practice and top of license care. I want every podiatrist in Ohio to have a voice whether they are in private practice, group, or hospital based. I want to represent the State with deep regard to her practicing podiatrists to APMA, to other health care professionals, to insurance companies, and to help bring beneficial information back to the local podiatrists.”
Amy Masowick, DPM 2nd Vice President
Why did you become a podiatrist?
“I always had an interest in medicine, particularly surgery. While a student at UD, I attended the OHFAMA Annual Seminar in Columbus and met a podiatrist who ended up taking me under his wing. He was the first doctor I shadowed who actively engaged me in his patient care when in his office. I was hooked!”
Adam Thomas, DPM
Treasurer & APMA Delegate
What is something people may not know about you?
“If I didn’t choose medicine, I probably would have been a history professor in another universe.”
Thom Arnold, DPM
Immediate Past President & APMA Delegate
What is something people may not know about you?
“My wife and I are high school sweethearts – no break ups – since 1992.”
A special thank you to Thom Arnold, DPM, who completed his term as president of OHFAMA at the Annual Business Meeting. Dr. Arnold will continue to serve on the Executive Committee as immediate past president.
Dr. Martin Lesnak, who was sworn in as the new OHFAMA president, presented Dr. Thom Arnold with the Thomas J. Meyer Award to recognize his dedicated service and outstanding leadership of the association.
Sarah Abshier, DPM APMA Delegate
How and why did you start volunteering with OHFAMA?
“I started going to the local chapter meetings because I wanted to understand more...once I understood what was going on at a local, state, and national level...I wanted to DO more and so began volunteering.”
Said Atway, DPM Central Academy Trustee
How and why did you start volunteering with OHFAMA?
“I began volunteering with OHFAMA in the past few years to give back to the profession and help be part of the group working together to solve some of the challenges we face as a profession, as opposed to just complaining about the issues.”
Leena Baig, Student Doctor OPMSA Trustee
What are you looking forward to most about being a DPM?
“What I’m looking forward to most about being a DPM is the opportunity to make a tangible difference in my patients’ quality of life. The specialized nature of podiatric medicine allows for a unique blend of diagnostic challenges, hands-on procedures, and long-term patient relationships. I’m excited to help people regain mobility, reduce pain, and improve their overall well-being – whether it’s an athlete returning to their sport, a diabetic patient avoiding complications, or someone simply walking comfortably again.”
Bruce Blank, DPM
Eastern Academy Trustee
You’ve been heavily involved with the association at all levels throughout your career. How has that helped you on a personal and professional level?
“One of the things I’ve enjoyed most is knowing so many people in the profession. There’s a lot of great people out there. If I would have just gone into practice only, I would have had my small group of friends, a small group of people I know. I’ve enjoyed being part of the group that was trying move things forward, and that’s always been important to me, not just to sit back.”
Kara Goettl, DPM
Young Member Trustee
What is something people may not know about you?
“Something people might not know about me is that I have a passion for collecting vintage Pyrex and mid-century modern antiques. I absolutely love the design aesthetic from that era – the bold colors, clean lines, and timeless quality of the pieces. My collection of vintage Pyrex bowls, mugs, and baking dishes has grown over the years, and I really enjoy hunting for unique finds at antique stores or flea markets. There’s something about the nostalgia and craftsmanship behind these items that I find fascinating, and it’s a great way for me to unwind and connect with history outside of my professional life.”
Marc Greenberg, DPM
Midwest Academy Trustee & APMA Delegate
What is something people may not know about you?
“In my spare time, I enjoy being a USSF certified youth soccer referee.”
R. Scott Johnston, DPM
Northwest Academy Trustee
What is something people may not know about you?
“I am an avid jazz and commercial trumpet player in northwest Ohio, playing in local big bands, musical pit orchestras, and studio recordings.”
Karen Kellogg, DPM
Midwest Academy Trustee & APMA Delegate
What is something people may not know about you?
“I love playing bass guitar. I was the bassist for Akron Big Band for years and I just love music from that era. I am also a devoted Phish fan for 30+ years and still plan all vacation time around Phish tours.”
Thomas McCabe, DPM
At Large Trustee
Tom McCabe, DPM, was elected to a three-year term as at-large trustee at the 2024 OHFAMA Annual Business Meeting on November 16. Dr. McCabe is a recipient of this year’s Service Award.
Debra Thornton, DPM
Northeast Academy Trustee
What is something people may not know about you?
“I hold a 3rd degree brown belt in karate and still hope to achieve black belt status within the next 3 years.”
Elizabeth Wakefield, DPM
North Central Academy Trustee
Why did you become a podiatrist?
“I was interested in becoming a doctor and shadowed a family friend who was a podiatrist. The variety of patients, ability to perform office and hospital surgeries, and minimal number of overnight emergencies got me excited about podiatry. I also liked the idea of knowing my specialty when starting medical school, so I could focus and hone my craft during the 4 years of school before residency. I was accepted to podiatry school after undergrad and the rest is history!”
Zachary Washburn, DPM
Southern Academy Trustee
What is something people may not know about you?
“I love to play the ukulele.”
Jonathan White, DPM At Large Trustee & APMA Alternate Delegate
What is something people may not know about you?
“Over the past few years, I’ve developed a passion for running and now participate in multiple half marathons each year, including the Cap City Half Marathon in Columbus, Ohio. While it’s a great way to stay physically active, I often say I run more for my mental health than my physical health. It helps me reduce stress and maintain balance in my daily life.”
Kelly Whaley, DPM
APMA Delegate
Why did you become a podiatrist?
“I was a track athlete with a foot injury that landed me in a podiatrists office in my home state of California. Not only did he treat my stress fracture, but he mentored me into the profession by teaching me anatomy, basic foot mechanics and how podiatry is a great option for pre-med students.”
Leadership, volunteerism, and service are the key attributes that come to mind when we think of the 2025 winners of the Ohio Foot and Ankle Medical Association Service Award: Dr. John Stevenson and Dr. Thomas McCabe. Each year, the Service Award recognizes members who demonstrate dedicated leadership and service at the state and academy levels. Dr. Stevenson established his practice in 1990 and has been serving the people of Dayton ever since. He enjoys that podiatry is the opportunity to practice both surgical and non-surgical interventions. He appreciates that even simple treatments, such as those for calluses, can provide his patients with immediate relief.
Similarly, Dr. McCabe’s favorite aspect of podiatry is helping his patients. He feels fulfilled when someone enters his office in discomfort and leaves pain-free. Dr. McCabe was introduced to podiatry by his college senior advisor and has never looked back.
Dr. Stevenson was nominated by his peers for a lifetime of service at the academy level. He has served as President of the Midwest Academy almost every year since its inception, co-founding the annual Quickie Seminar. Looking back, the time planning and presenting at the Quickie Seminar – all eight hours of CME – with Dr. Greenberg were some of his favorite times spent serving the academy.
Dr. McCabe has given back to the podiatry community in many ways. He served as OHFAMA President in 2017, sits on the board of trustees, and has served as a representative with the APMA House of Delegates. With a passion for finance, he also served OHFAMA as treasurer. Dr. McCabe also enjoys volunteering a little closer to home, helping to plan the Holy Toledo Seminar, which combines the best of both worlds – CME and a nine-hole golf scramble. His favorite part is hearing new perspectives during presentations from residents.
Both winners agree that joining OHFAMA strengthens the entire podiatric community in Ohio. The awardees encouraged other podiatrists to get involved, whether at the local, state, or national level. Dr. McCabe emphasizes the in-person camaraderie at CMEs and meetings. “When you become a close family, you look out for one another. You understand what everyone’s going through,” he shares.
Doctors like Dr. McCabe and Dr. Stevenson know that helping Ohioans with foot and ankle health means keeping their patients moving, working, and spending quality time with family and friends. Those who know Dr. Stevenson and Dr. McCabe agree that for them, practicing podiatric medicine is not about accolades or awards. It is about serving their communities, giving back to their profession, and advancing the future of podiatric medicine in Ohio.
Join us in celebrating the contributions of these award winners at the upcoming 2025 Annual Scientific Seminar on May 15, 2025.
OHFAMA is celebrating ten years of service! The Service Award honors those who have made a lasting impact on OHFAMA by devotion to the association through dedicated leadership and volunteerism at the academy and state level.
Is there someone in your circle who has earned this distinction? Academies are invited to submit nominees by December 15 every year.
William Munsey, DPM - Central Academy
Angelo Petrolla, DPM - Eastern Academy
Marchelle Suppan, DPM - Mideast Academy
Kevin Schroeder, DPM - Midwest Academy
Daniel Duffy, DPM - North Central Academy
Carl Soskinski, DPM - Northeast Academy
Thomas Zoldowski, DPM - Northwest Academy
Brian Ash, DPM - Southern Academy
2016
Mark Gould, DPM - Northeast Academy
Henry Green, DPM - Northwest Academy
2017
James Dooley, DPM - Mideast Academy
Bruce Saferin, DPM - Northwest Academy
2018
Jerauld Ferritto, Jr, DPM - Central Academy
Bruce Blank, DPM - Eastern Academy 2019
Ron Kaplansky, DPM - Central Academy
David Zink, DPM - Southern Academy
2020
Jerauld Ferritto, Sr, DPM - Central Academy
David Hintz, DPM - North Central Academy 2021
Ed Cosentino, DPM - Eastern Academy
Corey Russell, DPM - Northwest Academy 2022
Karen Kellogg, DPM - Mideast Academy
Charles Marlowe, DPM - Northwest Academy 2023
Rich Kunig, DPM - Mideast Academy
Chris Bohach, DPM - North Central Academy 2024
Marc Greenberg, DPM - Midwestern Academy
Kelly Whaley, DPM - Northeastern Academy
OHFAMA President Martin Lesnak, DPM
Why did you choose a career in podiatry?
What led you to this career path?
I chose podiatry because of the lifestyle it allows me. I am able to help people with their foot ailments but at the same time I can enjoy my family.
How did you get involved in OHFAMA and the Mideast Academy?
When I first moved back to Ohio a colleague of mine (Dr. Kubitz) invited and drove me to my first academy meeting. I first became involved with OHFAMA as a delegate at the annual Ohio House of Delegates and soon thereafter became a trustee.
What led you to establish your practice?
I always wanted to live and practice in the same town. I was fortunate to open a private practice and live in the same town for over 20 years now. Who are some podiatrists who have influenced and inspired you?
Dr. Berkowitz and Dr. Herbert when I was a student and Dr. Robinson when I was in residency in Kansas City, MO.
What do you love most about podiatry?
The thing I like most is that there is something I can do the day of the patient’s appointment to make them feel better. When they are making their follow up appointment and I hear them say, “wow my foot feels better already” is what I enjoy most.
What are some of the challenges and opportunities facing podiatry and the association?
Challenges that we all face as podiatrists are parity in reimbursement and protecting our scope of practice.
What are three little-known facts about you?
I have been active in my local Rotary Club for over 20 years. I am an associate clinical professor for Ohio University. I was my daughter’s softball coach for 5 years.
Professional Profile
Undergraduate Education: West Virginia University
Medical School: Kent State University College of Podiatric Medicine
Residency: Independence, Missouri
Association Involvement: Board of Trustee for 6 years before ascending to president currently Board Certifications:
American Board of Foot and Ankle Surgeons
Provided by Dinsmore and Shohl
Legislation signed by Ohio Governor Mike DeWine on December 20, 2024 will significantly expand mandatory reporting duties for health care professionals and facilities. These changes and others from Ohio Substitute Senate Bill 109 (“Sub. S.B. 109”) not only impose new obligations to report, including the reporting of facility investigations, but also attach new penalties for failing to do so which will impact Ohio physicians and podiatrists along with health care facilities, including hospitals and ambulatory surgery centers.
These changes come at a time of greater public scrutiny concerning the State Medical Board of Ohio’s (“Board”) handling of sexual misconduct cases, and reflect implemented changes after the Closing Report from Governor DeWine’s Working Group on Reviewing of the Medical Board’s Handling of the Investigation Involving Richard Strauss was issued.
Among other changes, the new law does the following:
1. Adds new obligation for facilities to report investigations of criminal conduct or sexual misconduct against Board licensees within 30 days of the beginning of the investigation;
2. Reduces facility disciplinary action reporting time under Ohio’s “miniHCQIA” from 60 to 30 days;
3. Adds new obligation for mandatory reporting to the Board by individual licensees when they know or have reasonable cause to suspect that a fellow licensee has engaged in criminal conduct or sexual misconduct;
4. Adds new 30 day individual licensee self-reporting duty to disclose criminal charges, including DUI-related offenses (previously only reportable upon license renewal); and
5. Attaches criminal penalties to facilities and licensees for failing to make such reports.
This mandatory facility reporting of investigations, and mandatory licensee
reporting as to criminal conduct or sexual misconduct, is new and different from existing law and reporting obligations. For facilities, including hospitals and ambulatory surgery centers, the change in this law is significant. In large part, the prior law mimicked the federal law’s reporting obligations to the National Practitioner Data Bank (“NPDB”) under the Healthcare Quality Improvement Act of 1986 (“HCQIA”). The new law from Sub. S.B. 109 makes the facility-reporting requirement in Ohio greater as they must now report investigations, even if no disciplinary action has been taken or whether the licensee is aware of the investigation. This is a significant difference from NPDB reporting under HCQIA where investigations themselves are not reportable. Moreover, the attachment of criminal penalties for failing to file a report further demonstrates that not only are the state law obligations greater, but so are the consequences of non-compliance.
As to licensee mandatory reporting obligations, while current and continuing law mandates the reporting of a “belief” of a violation of the Medical Practices Act (Ohio Revised Code Chapter 4731), the duty to report under Sub. S.B. 109 is more far reaching, as it includes conduct that is not presently reportable, and uses different terminology in detailing the standard to report that is broader than the current “belief” standard. In addition, for the first time, Ohio law imposes “self-reporting” within 30 days of certain charges made against a licensed physician, including DUI-related charges. Other aspects of the new law enhance the Board’s ability to impose pre-hearing summary and automatic suspensions, Board operations and other measures that impact Ohio physicians who have been subject to discipline.
For more information about the Board’s handling of sexual misconduct complaints and mandatory reporting duties, please visit the Board’s Sexual Misconduct Resource webpage.
https://www.dispatch.com/story/news/healthcare/2024/12/06/medical-board-didnt-discipline- doctornow-facing-multiple-accusations/76794131007/ https://www.dispatch.com/in-depth/news/healthcare/2023/02/02/dispatch-investigation-showsmedical-board-failed-on-sexual-misconduct/65474781007/ ii Available at: https://dam.assets.ohio.gov/image/upload/publicsafety.ohio.gov/Strauss_Investigation_ Closing_Report_of_Working_Group.pdf
Article contributed by PICA – authored by Andrew Alder, Esq, Parsons Behle & Latimer
UPDATE 2/10/25: The Feb. 12, 2025 date referenced in this article has been delayed to April 13, 2025 by all seven Part B Medicare Administrative Contractors (MACs).
The Centers for Medicare & Medicaid Services (CMS) recently finalized Local Coverage Determinations (LCDs) for skin substitute grafts and Cellular and Tissue-Based Products (CTPs). Released by all seven Part B Medicare Administrative Contractors (MACs) on November 14, 2024, these policies will govern the use of skin substitute grafts for Medicare Part B beneficiaries for services rendered on or after February 12, April 13 2025. The new policies set forth coverage requirements and limitations, including a list of covered and non-covered skin graft products, for the treatment of diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs).
Providers should review their MAC’s finalized LCD and take measures now to ensure compliance with the updated policies. The following is an overview.
Coverage Requirements
• Coverage will be available for chronic, non-infected DFUs that fail to achieve at least 50% ulcer area reduction after four weeks of standard care. Coverage will be available for VLUs that fail to respond after four weeks of standard care treatment.
• Standard of Care (SOC) includes:
• Comprehensive patient assessment (history, exam, vascular assessment) and diagnostic tests as indicated as part of the implemented treatment plan.
• For DFUs: assessment of Type 1 or Type 2 diabetes and management history with attention to comorbidities, review of current blood glucose levels/hemoglobin A1c (HbA1c), diet and nutritional status, activity level, physical exam that includes assessment of skin, ulcer, and vascular perfusion, and assessment of off-loading devices or use of appropriate footwear.
• For VLUs: assessment of clinical history (including prior ulcers, body mass index, history of pulmonary embolism or superficial/deep venous thrombosis, number of pregnancies, and physical inactivity), physical exam (edema, skin changes and vascular competence), evaluation of venous reflux, perforator incompetence, and venous thrombosis. The use of a firm strength compression garment (>20 mmHg) or multilayered compressive dressing is an essential component of SOC for venous stasis ulcers.
• Implementation of a treatment plan to be continued throughout the course of treatment, demonstrating all of the following:
• Debridement.
• Offloading for DFUs.
• Compression therapy for VLUs.
• Infection control.
• Exudate management.
• Documentation of smoking history, counseling on the effect of smoking on wound healing, and treatment for smoking cessation and outcome of counseling.
• Documentation of response to treatment, which must include the following:
• Measurements of the initial ulcer.
• Pre-SOC ulcer measurements.
• Weekly SOC ulcer measurements.
• Post-completion SOC ulcer measurements following at least four weeks of SOC treatment.
• Ulcer measurements at initial placement of the skin substitute graft/ CTP, and before each subsequent placement.
• Failure to heal or stalled response despite SOC measures must precede the application for a minimum of 4 weeks.
• Continuous SOC treatment for the course of therapy.
• Continuous compression therapy for VLUs for the episode of care.
• Documentation of failed interventions during prior ulcer evaluation and management.
• Documentation of updated medication history, review of pertinent medical problems diagnosed since the previous ulcer evaluation, and explanation of the planned skin replacement with the choice of skin substitute graft/CTP.
• Documentation that patient is under the care of a qualified provider managing the underlying systemic disease (e.g., venous insufficiency, diabetes, neuropathy).
• Maximum Applications: Up to 8 applications within a 12-16 week episode of care, with strict documentation requirements justifying more than 4 applications.
• Use of a KX-modifier is required to attest to medical necessity for exceeding 4 applications.
• Product Use: The skin graft must be used with the most appropriate size available. Excessive wastage not permitted, and the graft should be applied in a single layer without overlay of product or adjacent skin in compliance with the correct label application techniques for the product.
• Repeat applications are not reasonable and necessary when a previous application was unsuccessful, which is defined as increase in size or depth of an ulcer, no measurable change from baseline, and no sign of improvement or indication that improvement is likely (such as granulation, epithelialization, or progress towards closures).
• Application is not reasonable and necessary in patients with inadequate control of underlying conditions or exacerbating factors, or other contraindications (e.g., active infection, progressive necrosis, active Charcot arthropathy of the ulcer extremity, active vasculitis, or ischemia.)
The following 17 brand-name products are listed as “Covered Products” for DFUs:
• Affinity
• AmnioBand, guardian
• Apligraf
• DermACELL, awm, pourous
• Derma-Gide
• Dermagraft
• Epicord
• Epifix
• FlexHD or AllopatchHD
• Grafix stravix prime pl
• GraftJacket
• Integra or Omnigraft dermal regeneration template
• Kerecis Omega3/Kerecis omega3, MariGen shield
• NuShield
• Oasis wound matrix
• PriMatrix
• Theraskin
The following 5 brand-name products are listed as “Covered Products” for VLUs:
• AmnioBand, guardian
• Apligraf
• Dermagraft
• Epifix
• Oasis wound matrix
More than 100 brand-name products are listed as “Non-Covered Products,” underscoring the importance of verifying the inclusion of your product on the approved list.
These new policies significantly restrict the use of skin substitutes by: 1) limiting the products that are covered, and 2) imposing stringent documentation requirements. Providers must be well-versed in these policies to mitigate the risk of audits and ensure continued reimbursement. Additionally, providers are advised to avoid discount or rebate programs related to skin substitutes, which are under increasing scrutiny.
Providers who use skin grafts should review the new policies and make any necessary adjustments to their wound care treatment protocols, inventory, and documentation/billing practices to ensure compliance with the new requirements. Electronic versions of the finalized LCDs, which are nearly
identical across all Medicare Administrative Contractors (MACs), can be accessed here:
• National Government Services (NGS) – L39828
• Novitas – L35041
• Noridian – L39764
• First Coast – L36377
Links can be found at CMS.gov
• Palmetto GBA – L39806
• WPS – L39865
• CGS – L39756
By proactively updating practices and ensuring compliance, providers can continue delivering effective wound care to their patients while safeguarding their reimbursement under these new policies.
Dr. Brody, TLD Systems
The U.S. Department of Health and Human Services (HHS) has proposed significant updates to the Health Insurance Portability and Accountability Act (HIPAA) Security Rule to enhance the protection of electronic protected health information (ePHI) amid rising cyber threats. Link : HIPAA Security Rule Notice of Proposed Rulemaking to Strengthen Cybersecurity for Electronic Protected Health Information | HHS.gov
Key Proposed Changes:
• Elimination of “Required” and “Addressable” Specifications: The proposal removes the distinction between “required” and “addressable” implementation specifications, mandating that all safeguards be implemented as specified.
• Enhanced Business Associate Agreements: Covered entities would need to update agreements to require business associates to notify them upon activation of contingency plans within 24 hours and to provide annual written analyses and certifications of compliance with technical safeguards.
• Regular Policy Reviews: Entities must maintain written policies and procedures, conducting regular reviews, testing, and updates to ensure ongoing effectiveness.
• Alignment with Cybersecurity Best Practices: The rule aims to align with modern cybersecurity frameworks, such as the NIST Cybersecurity Framework, to address current and emerging threats.
How do these proposed changes impact your practice?
If you use the TLD Systems HIPAA Security Tool, the impact will be relatively low. We already collect information on all Required and Addressable specifications and provide you with recommendations to be compliant with all specifications.
We have just updated our Business Associate agreements to accommodate the new rules related to reproductive health, we will be updating these documents to include a clause for notification upon activation of contingency plans. You will receive alerts to execute updated Business Associate Agreements once we have implemented these upgrades.
We already reach out to you annually to have you review your policies and procedures. We will continue to support you in this manner.
Our tool is already aligned with Cybersecurity Best Practices. All of the technical items discussed in the proposed changes are already part of our HIPAA Risk Analysis tool and Risk Mitigation tool.
If you are not already utilizing TLD Systems to support your HIPAA compliance, now is the time to start. Get your practice on track to be prepared for a HIPAA audit today.
Contact TLD Systems at https://www.tldsystems.com info@tldsystems.com (631) 403 6687
Save the Date: The 109th Annual Foot and Ankle Scientific Seminar
April 26, 2025 – 8 Hours Virtual CE
May 15 – 16, 2025 – 17 Hours In-Person CE
Level up your podiatric practice! Register today for the can’t-miss 109th Annual Foot and Ankle Scientific Seminar.
Choose the learning experience that works best for you: join us virtually on April 26 for eight hours of CME or connect with colleagues at the beautiful Hilton at Easton in person on May 15-16 for up to seventeen CME credits. Save with our discounted full seminar package for up to 25 CMEs.
Stay at the forefront of podiatric medicine. From the latest in diabetes patient management to innovative reconstruction options, you’ll walk away with the newest advances you can use when you return to your office on Monday. With networking and special exhibit hall discounts from over 80 exhibitors, there’s a reason attendees return year after year.
Our popular assistant track offers important updates for your entire team, including refreshers for medical assistants, specialized coding tracks, and essential HIPAA compliance information.
Join the community of physicians who make this seminar a cornerstone of their professional development.
Learn from key leaders in the podiatric community. Save your seat today!
Virtual April 26, 2025 and in-Person May 15 – 16, 2025 • Register at www.ohfama.org
Saturday, April 26, 2025 – Virtual
7:30 – 9:30 AM MIS Bunion Surgery Revisited
9:30 – 9:45 AM Break
9:45 – 11:30 AM Diabetes: When to Salvage or When and Where to Amputate
11:30 – 12:45 PM PICA Risk Management Lecture: Legal Perspectives on Augmented Intelligence
12:45 – 1:00 PM Break
1:00 – 4:00 PM Break – Service Award Presentation
3:30 – 5:30 PM Fractures, Soft Tissue Injuries and Revisions: Case Presentations
Thursday, May 15, 2025 – In-Person
7:00 – 9:30 AM Diabetic and Charcot Patient Management
9:30 – 10:00 AM Break
10:00 – 11:30 AM Innovative Techniques and Reconstruction Options
10:00 – 11:30 AM Breakout Workshop: New Evidenced-Based Wound Care Treatment Options to Add to Your Arsenal
11:30 – 1:00 PM Lunch and Learn – Choose from 3 Presentations
1:00 – 3:00 PM Scientific Paper and Poster Competitions: Presentations from Podiatric Physician Residents
1:00 – 3:00 PM Breakout Workshop: Master Class –Nail Unit and Skin Biopsy Techniques
3:00 – 3:30 PM Break – Service Award Presentation
3:30 – 5:30 PM Anything but Diabetes and Infections
Friday, May 16, 2025 – In-Person
7:30 – 9:00 AM What’s New and Different?
7:30 – 9:30 AM Breakout Session: APMA Presents –2025 Coding and Documentation
9:00 – 10:00 AM Break – Based on session attending 9:30 – 11:30 AM Foot and Ankle Medical Management
10:00 – 11:30 AM Breakout Session: APMA Presents –2025 Coding and Documentation continued
11:30 – 1:00 PM Exhibitor’s Marketplace Luncheon
1:00 – 2:30 PM The Limited English Proficiency Rule
1:00 – 2:30 PM Breakout Workshop: Kerecis Omega3 Fish Skin Speaker Demonstration
2:30 – 3:00 PM Break
3:00 – 5:30 PM Evolution of Practice: Nothing Stays the Same
3:00 – 5:00 PM Breakout Session: What’s New in HIPAA
Assistants may register for Thursday and/or Friday
Thursday, May 15, 2025
7:30 – 8:30 AM Foot and Ankle Anatomy Meets Common Associated Problems
8:30 – 9:00 AM Prescriptions – What you need to know!
9:00 – 9:30 AM Injectables – Interactive Hands-On Workshop Part 1
9:30 – 10:00 AM Break
10:00 – 10:30 AM Office Management
10:30 – 11:30 AM Dressing Applications – Interactive Hands-On Workshop Part 2
11:30 – 12:30 PM Lunch (on your own)
12:30 – 1:00 PM The Importance of Podiatric Dermatology and the Dermatological Exam
1:00 – 1:30 PM Definitive Diagnosis – Appropriate Sampling and Diagnostic Methods
1:30 – 2:00 PM Scheduling
2:00 – 3:00 PM DME – Interactive Hands-On Workshop Part 3
3:00 – 3:30 PM Break
3:30 – 4:15 PM Podiatry Jeopardy
4:15 – 5:20 PM Expert Panel Discussion and Staff Appreciation Reception
Friday, May 16, 2025
7:30 – 9:30 AM APMA Presents – Coding and Documentation
9:30 – 10:00 AM Break
10:00 – 11:30 AM APMA Presents – Coding and Documentation Continued
11:30 – 1:00 PM Exhibitor Marketplace Luncheon – Easton Ballroom
1:00 – 2:30 PM The Limited English Proficiency Rule
2:30 – 3:00 PM Break
3:00 – 5:00 PM What’s New in HIPAA
2025 Faculty: Sarah Abshier, DPM – Seminar Chair; Lawrence DiDomenico, DPM –Seminar Chair; Christopher Hyer, DPM – Seminar Chair; Robert Mendicino, DPM – Seminar Chair; Thom Arnold, DPM; Robert Brandao, DPM; Eric Baskin, DPM; Robert Brarens, DPM; Michael Brody, DPM; Patrick Bull, DO; Patrick Burns, DPM; Nicholas Butler, DPM; Aaron Chokan, DPM; David DeLuccia, LPO; Jaqueline Donovan, DPM; Stephen Frania, DPM; Marc Greenberg, DPM; Elizabeth Hewitt, DPM; Zachary Hill, DPM; Mark Hofbauer, DPM; Byron Hutchinson, DPM; Andrew Kapsalis, DPM; Mary Kavanaugh, DPM; Sarah Kittle, MA, RD, LD, CLT; Bradley Lamm, DPM; Jeffrey Lehrman, DPM; Deana Lewis, DPM; Daniel Logan, DPM; Jeffrey Loveland, DPM; Lahari Madulapally, DPM; Bryan Markinson, DPM; Suhail Masadeh, DPM; Amy Masowick, DPM; Al Anthony Mercado, Esq; Cameron Meyer, DPM; Kristina Minniti, DPM; Gina Palazzi, DPM; Richard Park, DPM; Nathaniel Preston, DPM; Laurence Rubin, DPM; William Scherer, DPM; Jeffrey Strakowski, MD; Deepak Sudheendra, MD, HCI, RPVI, FSIR; Randall Thomas, DPM; Glenn Weinraub, DPM
SATURDAY
April 26, 2025
8 CME Hours Virtual
THURSDAY AND FRIDAY
May 15 - 16, 2025
17 CME Hours In Person at the Columbus Hilton at Easton
Saturday, April 26, 2025 — 7:30 AM - 4:00 PM Virtual via GoToWebinar
PICA Lecture — 11:30 AM - 12:45 PM
Thursday, May 15, 2025 (Check ALL that apply)
Thursday Early Morning — 7:30 AM - 9:30 AM
The 2025 Annual Seminar will feature a one-day virtual seminar on Saturday, April 26 , and a two-day in person seminar on May 15-16 at the Columbus Hilton at Easton. Attendees may register for the virtual seminar (8 CME Hours), two day in person seminar (17 CME Hours), or both events (25 CME Hours) at a special price. 7:00
Thursday Late Morning — 10:00 AM - 11:30 AM
Innovative Techniques and Reconstruction Options
Breakout Workshop: New Evidenced-Based Wound Care Treatment Options to Add to Your Arsenal
Thursday Lunch and Learn — 11:30 AM - 1:00 PM
Thursday Early Afternoon — 1:00 PM - 3:00 PM
Resident Scientific Paper and Poster Competitions Breakout Session: Biopsy Workshop
Thursday Late Afternoon — 3:30 PM - 5:30 PM
Friday, May 16, 2025 (Check ALL that apply)
Friday Early Morning
What’s New and Different? — 7:30 AM - 9:00 AM
Friday Early Morning
APMA Breakout Session: 2025 Coding— 7:30 AM - 9:30 AM
Foot and Ankle Medical Management— 9:30 AM - 11:30 AM Breakout Session: 2025 Coding— 10:00 AM - 11:30 AM
Yes, I’m attending Friday’s Exhibitor’s Marketplace for lunch (entry by name tag only at no additional cost). — 11:30 AM - 1:00 PM
Friday Early Afternoon — 1:00 PM - 2:30 PM
Friday Late Afternoon
Evolution of Practice: Nothing Stays the Same— 3:00 PM - 5:30 PM Breakout Session: What’s New in HIPAA— 3:00 PM - 5:00 PM
Virtual Only April 26, 2025 In Person Only May 15-16, 2025 Both Events Virtual and In Person April 26 and May 15-16, 2025
Thursday May 15, 2025
Friday May 16, 2025
Required items: Please help us ensure proper food quantity and classroom space. Complete all fields that apply to your attendance.
**Registration closes on May 8. After May 8, you must register on-site and add an additional $50 on-site registration fee.
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At Equitable Mortgage Company, we know homeownership isn’t just about having a place to live – it’s about building the life you want, with financial flexibility to match. That’s why we’re rolling out exclusive loan specials just for members of the Ohio Foot and Ankle Medical Association (OHFAMA).
My name is Adam Bracken, and whether you’re buying your first home, leveling up to a dream property, or starting from scratch with a custom build, Equitable Mortgage has financing options make it easier (and more affordable) to get there – with low down payments that keep more cash in your pocket.
Let’s talk perks. One of the biggest advantages of being an OHFAMA member is that you can purchase a home with just 5% down on loan amounts up to $2 million. High-value homes usually require hefty down payments, which can drain your savings faster than you can say “escrow.” But with this special offer, you can secure that dream home while keeping your money where it matters – whether that’s investments, business growth, or a well-deserved vacation. Why wait years to save up a huge down payment when you can lock in a great rate and move forward now?
Looking for a second home? We’ve got you covered. Our 10% down financing option makes it easier than ever to snag that vacation retreat or rental property. Typically, lenders require a 20% down payment for second homes, but OHFAMA members get a serious advantage. That means you can finally invest in that lakeside escape or rental property
you’ve been eyeing – without tying up all your cash. More financial freedom, less stress, and a new home base? Sounds like a win to us.
If you’re dreaming of building a custom home from the ground up, we have another game-changer: our 5% down construction loan. Building your dream home should be exciting, not overwhelming. But let’s be real – construction loans usually come with sky-high down payments. Not here. With this offer, you can break ground with a low upfront investment while enjoying a loan structure that covers both the building phase and permanent financing. That means you can create the perfect space without the financial headache.
At Equitable Mortgage Company, we specialize in working with medical professionals like you. We get it – your career comes with unique financial challenges, and that’s exactly why we offer competitive rates, low down payment options, and an easy approval process. Our goal is to make homeownership, investing, and construction as smooth as possible.
Spring buying season is approaching, so call today. If you’ve been thinking about buying, investing, or building, now is the time to act. I’m ready to guide you through the process and help you secure the best financing for your goals.
Let’s make it happen. Call or text me, Adam Bracken, at 330-466-4140 or visit https://www.equitablemortgage.com/adamb/ today to learn more, get pre-approved, and take the next step toward making your real estate dreams a reality.
Clinical Diagnosis and Laboratory Testing of Abnormal Appearing Toenails: A Retrospective Assessment of Confirmatory Testing for Onychomycosis in the United States, 2022–2023.
Onychomycosis is an under-recognized healthcare burden. Despite the risk of misdiagnosis, confirmatory laboratory testing s under-utilized. Our results support the use of confirmatory laboratory testing when there s a clinical diagnosis of onychomycosis.
SCAN HERE: to access one of the largest studies on laboratory testing for onychomycosis, published in the February 2024 issue of the Journal of Fungi.
The OHFAMA Journal is published four times per year. The advertising deadline is mid-month preceding publication. Portions may be used with permission of the publisher.
President:
Martin Lesnak, DPM
Published By :
Luci Ridolfo, CAE, Executive Director lridolfo@ohfama.org
Contact Information:
1960 Bethel Rd., Ste. 140 | Columbus, Ohio 43220 Phone: 614.457.6269 | Fax: 614.457.3375 www.ohfama.org
Editorial Disclaimer
The OHFAMA Journal is provided to Association members and Industry Affiliates of the profession as a part of our communications to inform/ update our members on podiatric issues and events. The contents of OHFAMA Journal are intended for general information purposes only and should not be read as specific legal, financial, or business advice regarding specific issues or factual events. We urge you to consult your legal, financial, and professional advisors with any specific questions you may have.
The information published herein has been prepared for educational and informational purposes only. This information is not intended as legal, podiatry or practice management advice or an opinion on same. Circumstances change from day-to-day and one situation may differ from the next; the authors and publisher cannot assume responsibility for any actions taken based on the information contained herein. This information is not a substitute for expert advice specific to your situation.
More specifically, legal or regulatory advice must be tailored to the specific circumstances of each case, and laws are constantly changing. Nothing provided herein should be used as a substitute for the advice of competent counsel. Federal law requires that the authors and publisher let you know that nothing published herein is intended or written to be used, and cannot be used for the purpose of avoiding any penalties under the law.
The publication of the information herein is not intended to create, and receipt does not constitute a professional or contractual relationship between the author and the publisher and you. While the publisher tries to provide accurate and helpful information, they do not make any claims, promises or guarantees about the accuracy, completeness, helpfulness or adequacy of the information contained herein. No warranties are made for the information published to be accurate and no other warranties express or implied are made. The information here is presented “as is.”
i https://www.dispatch.com/story/news/healthcare/2024/12/06/ medical-board-didnt-discipline-doctor-now-facing-multipleaccusations/76794131007/ https://www.dispatch.com/in-depth/news/healthcare/2023/02/02/ dispatch-investigation-shows-medical-board-failed-on-sexualmisconduct/65474781007/
ii Available at: https://dam.assets.ohio.gov/image/upload/publicsafety. ohio.gov/Strauss_Investigation_Closing_Report_of_Working_ Group.pdf
• Scheduling, Billing, and EMR all in one system
• Over 100 Podiatrists in Ohio as reference
• On-line system that link s you live with us
• Full Credentialing Ser vices free to all clients
• Coding reviews to assure maximum insurance reimbursement
• Accounts Receivable Management
• Full Prac tice Repor ting and Real Time Eligibilit y
1 - 88 8 - 4 5 2 - 0 1 2 4
Central Academy
Sarah Abshier, DPM
Said Atway, DPM
Roberto Brandao, DPM
Eric Cwynar, DPM
Christopher Hyer, DPM
Donnalyn Moeller, DPM
Carly Robbins, DPM
Richard Schilling, DPM
Mark Stanos, DPM
Adam Thomas, DPM
Jennifer Trinidad, DPM
Ron Verrilla, DPM
Eastern Academy
Bruce Blank, DPM
Mitchell Dalvin, DPM
Thomas Pokabla, DPM
Please consider financial support of our state legislative efforts by contributing to the Ohio Podiatric Political Action Committee (OPPAC).
Mideast Academy
Thomas Arnold, DPM
Richard Hofacker, DPM
Karen Kellogg, DPM
Richard Kunig, DPM
Kenneth Nixon, DPM
Eric Paul, DPM
Lee Sayner, DPM
Midwest Academy
Darrell Ballinger, DPM
Marc Greenberg, DPM
Don LeMelle, DPM
Elizabeth Nicely, DPM
Gerald Perelman, DPM
John Stevenson, DPM
Kevin Sunshein, DPM
Jonathan White, DPM
North Central Academy
Christopher Bohach, DPM
Jessica Brent, DPM
David Dull, DPM
Martin Lesnak, DPM
Elizabeth Wakefield, DPM
Brian Zimmerman, DPM
Northeast Academy
Allan Boike, DPM
Michael LeCastre, DPM
Joy Rowland, DPM
Debra Thornton, DPM
Howard Waxman, DPM
Kelly Whaley, DPM
Northwest Academy
Molly Judge, DPM
Thomas McCabe, DPM
Corey Russell, DPM
Pamela Sheridan, DPM
Southern Academy
Brian Ash, DPM
Nathan Clark, DPM
Allison Hamad, DPM
Tatyana Hamilton, DPM
Todd Loftus, DPM
Amy Masowick, DPM
Kimberly Seaver, DPM
Zachary Washburn, DPM
Additional Contributors
Michael Brody, DPM
Alan Kidon, DPM
Dan Leite
Luci Ridolfo, CAE
We are looking for a Podiatrist to diagnose and treat minor or serious injuries and diseases of the feet, ankles and the lower part of legs. Podiatrist responsibilities include conducting foot and ankle surgeries, prescribing orthotics and applying therapeutic treatments for issues like arthritis, fractures and feet corn and calluses. To be considered for this role, you should have a doctoral degree in Podiatric Medicine and practical experience in a clinic or hospital. Ultimately, you will give our patients the best treatment based on their condition and help them recover as soon as possible.
We have multiple locations in the Dayton and Springfield area as we continue to grow our practice. For more information, please email Colleen at associatesinpodiatry@yahoo.com
The complete job posting can be found on www.ohfama.org under the Resources – Classifieds webpage.
• Podiatric physician who is fellowship trained, holds FF and RRA certifications, with nearly 15 years of experience, looking to move back to the Cincinnati area. Would like to join a hospital-based practice or private practice with track to partnership. If interested, please contact charcotfootdpm@yahoo.com.
• Fellowship trained Ohio Podiatric physician with 25 plus years of practice experience and excellent clinic skills looking for a part-time non-surgical position in Northeast, Northwest, North Central, Central, Mideast, or Midwest Ohio. If interested, please contact redhawk909090@aol.com.
• Complete Digital X-ray system. X-Cel x-ray unit $3500, All-Pro Imaging ScanX digital processor with 3 cassettes and imaging plates, $3500. Entire system $6000. Located in Cleveland Area. If interested, email JHolfinger@swgeneral.com or call the office at 440-816-2735.
• FREE working power Ritter table/chair. Old, but built like a tank. The back is currently locked in position as a chair. This will work great as a casting chair, etc. Must pick up in Middleburg Heights. First call gets it. Please call the office at (440) 816-2735.
Are you seeking employment or looking to hire? Do you have a practice or equipment for sale? Do you have office space available?
Post your advertisement in The OHFAMA Journal and on the OHFAMA website to reach over 600 practicing podiatry physicians and surgeons in Ohio. Rates start at just $10/month for website advertisements and $10/issue of The OHFAMA Journal
Please contact Luci Ridolfo with any questions at (614) 457-6269 or lridolfo@ohfama.org.