October 22, 2021

In Memorium – Steve Beito, DPM

On October 5, 2021, we lost a truly great man and highly respected member of the New Braunfels community. Dr. Steve Beito will be remembered as a son, a husband, a father, a friend, a mentor and a compassionate physician to thousands of patients. As a very dear friend of his said, “I realize that the degree of pain that we feel for the loss of Steve is merely a reflection of the greatness of the man that he was. …The only thing that I can think of that can counter losing Steve is the opportunity to get to know him.” 

Steve was born May 29, 1959 in Flint, MI to Lucille and Rodney Beito. At the age of 10 his father tragically passed, leaving Lu, as we have come to know her, to raise him and his older sister Terry. Three years later Lou married Harry Reisbich who became a central figure in young Steve’s life.  

Steve graduated from Hamady High School and went on to Alma College where he found his interest in podiatry with the onset of foot pain. With this new interest, he attended Ohio College of Podiatric Medicine. He then moved to Texas for residency at UT Health Science Center in San Antonio. This was followed by an internship in New Braunfels and when that practice became available for purchase in 1987, he made his next major move and bought it. A fellow resident, colleague and good friend to this day remembers training with him and often working side by side as they built their individual practices. She said that he, “enjoyed the mechanical nature of what we do. Whether it’s figuring out angles in surgery or getting to the bottom of a bio mechanical problem, he liked reasoning out the etiology and solution.” This passion not only allowed him to start building a very successful practice, but to see joy in his day to day successes with patients.

In that same year, good fortune struck again and he met his wife Colleen on a plane where she served as a flight attendant. They dated for two years and were married on October 7, 1989. Their daughter Allie was born in March of 1993 and their son Mitch was born in February of 1999. For 32 years they worked side by side to build their dreams.  They built a new office in 1995 and their dream house in 2004. During those years Steve continued mentoring several podiatric associates and in 2003 Dr. Jacob Ransom began working with NB Podiatry after completing his surgical residency in Boston at Cambridge Health Alliance.

Dr. Beito and Dr. Ransom worked together for 5 years after which time Steve offered Jake a full partnership. Jake jumped at the chance having learned much from Steve about building a patient base and the business side of a podiatric practice all while observing the consistent and exceptional care that Steve offered. Jake, like others, noted Steve’s true joy and sense of accomplishment in curing even the smallest of foot ailments to greatly improve a patient’s quality of life. Steve and Jake worked together for a total of 18 years having the utmost respect for one another’s strengths, innovations and the daily dedication to the discipline of podiatry and the patients they serve. Dr. Beito also leaves behind an incredibly dedicated office family that have unselfishly served NB Podiatry under Steve’s leadership and continue to strive to maintain the success of the practice in his absence.

His dedication and love for his family wasn’t lip service, it was true that they were his world. He learned unconditional love from his mother Lu and made sure that he demonstrated the same for his own family. Colleen will so miss this love and the simple joys like discovering a new restaurant together. One of his greatest legacies is his respect and love toward Colleen from which the kids could learn and on which they could always rely. 

Steve was beyond proud to walk his precious first born Allie down the aisle in October of 2020. He was the first to see her in to this world and the first to see her in her dress on her wedding day, spilling many tears while feeling the ultimate joy on both days. Her now husband, Stephen, was immediately included in the love Steve gave when he asked for Allie’s hand in marriage. These will remain some of Allie’s most cherished memories.  Allie also had the honor of working alongside her father for the last year as a member of the office staff, having a rare opportunity to see the 28 years of fatherly lessons in action. 

Mitch remembers their adventures together. Hiking Zion National Park, shooting his first buck, fishing, watching football games and the calm of eating a good steak on the ranch while Steve shared his passions and Mitch found his. One of Steve’s greatest thrills was seeing Mitch off to McGovern Medical School this fall. The lessons he learned from his Dad about how to treat others, to be true to your word and an unrivaled work ethic will carry him through school and on to whatever specialty he may choose.  

Steve had many qualities that will be so very missed. He was known to have the answer to every question and if he didn’t know, he would make sure to seek it out for you. The words that family, friends and patients used over and over again to describe Steve were: dedicated, hard-working, loyal, caring, loving, strong sense of conviction, reliable, wise, honest, leader and compassionate. Even the qualities that made him infuriating like his impatience, his need to find only the best and his questionable sense of time were the very things that made him successful. What stood out most about him though was his inquisitiveness about any and every topic. He loved the quote by Albert Einstein “The more I learn, the more I realize how much I don’t know.” The moment we learned of Steve’s passing is the moment we realized that we don’t know exactly how to go on without him.

Steve is survived by his mother Lucille Reisbich, his wife Colleen Trei Beito, son Mitch Beito, his daughter Allie Beito Tarver and her husband Stephen. He is also survived by his sister Terry Munro, his nephew Ryan Munro and wife Stephanie and their children Berkley and Harrison. Steve is preceded in death by his father Rodney Beito and his stepfather Harry Reisbich.

A Celebration of Life for Dr. Steve Beito will be held on Monday, October 11 at McAdoo’s on the back patio at 6:00 pm. and will continue until 8:00 pm. The family asks that you wear something that makes you want to celebrate. This is not a funeral, this is a party to celebrate a life well lived!  

https://www.legacy.com/amp/obituaries/batesville/200345455

Step Into Podiatry

October 22, 2021

We are asking all podiatrists to help to promote podiatry to the next generation.

To help facilitate this process, APMA has created a webpage, Step Into Podiatry, that provides excellent resources for high school and undergraduate students. Included on the website are flyers, videos and a customizable PowerPoint presentation for prospective students, which can be used when speaking with student groups or individuals.

APMA Health-Care Solutions: Small Group Enrollment Portal Opens July 1!

June 10, 2021

APMA is delighted to announce that the enrollment portal for its health insurance options for small groups (two or more participants) will open July 1.

APMA has partnered with The Ark Group, a national insurance brokerage with more than 100 years of experience, to provide plans for small groups. While Noveta will continue to support large-group offerings, The Ark Group will provide outstanding service and options for small groups.

APMA deeply appreciates your patience and the patience of its members over the course of the COVID-19 pandemic and other delays as we worked to launch health insurance solutions for small groups. APMA understands these delays may have caused frustration and inconvenience for some members. Rest assured that APMA will follow up directly with those small groups that had already expressed interest in small-group options to ensure they receive the highest level of service and support.

https://www.apma.org/Membership/healthcaresolutions.cfm

Important Information Regarding MIPS Eligible Clinicians Affected by Texas Severe Winter Storm

May 14, 2021

In response to the Federal Emergency Management Agency (FEMA) designation of the Texas Severe Winter Storm as a national disaster, CMS has determined that the automatic extreme and uncontrollable circumstances policy will apply to Merit-based Incentive Payment System (MIPS) eligible clinicians in FEMA-identified Texas areas.MIPS eligible clinicians in these areas will be automatically identified and receive a neutral payment adjustment for the 2023 MIPS payment year. During the data submission period for the 2021 performance period (January 3, 2022 to March 31, 2022), all four performance categories for these clinicians will be weighted at zero percent, resulting in a score equal to the performance threshold.

However, if MIPS eligible clinicians in these areas choose to submit data on two or more performance categories, they will be scored on those categories and receive a 2023 MIPS payment adjustment based on their 2021 MIPS final score.
The automatic extreme and uncontrollable circumstances policy will not apply to MIPS eligible clinicians participating in MIPS as a group, virtual group, or APM Entity.

For More Information

Please reference the Extreme and Uncontrollable Circumstances Overview section on the MIPS > About Exception Applications page and review the fact sheet.

Contact the Quality Payment Program at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov. Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

DPMs May Administer COVID-19 Vaccine

April 9, 2021

Under President Biden’s direction, the US Department of Health and Human Services (HHS) expanded the class of medical professionals and health-care students who may serve as vaccinators to include licensed doctors of podiatric medicine, recently retired podiatric physicians, and podiatric medical students. Read full article here, https://www.apma.org/News/NewsDetail.cfm?ItemNumber=44262

If you are interested in volunteering to administer the COVID-19 vaccine in Texas you can register with the DSHS here, https://www.texasdisastervolunteerregistry.org/index.php.

March 5, 2021

In Memoriam – Morris Prigoff, DPM

Dr. Morris Prigoff passed away on March 4, 2021, after a serious six year illness. He was lovingly cared for at home by his devoted wife Michela, whom he referred to as “my wife for life’”. They were blessed with 19 beautiful years of marriage.

Dr. Prigoff grew up in Syracuse, New York, and was a graduate of the University of Syracuse and the Ohio College of Podiatric Medicine. He was a proud member of the Texas Podiatric Medical Association and a sponsor of the March of Dimes and American Heart Association. A podiatrist of 45 years in Oak Cliff and North Dallas, Dr. Prigoff was loved by his patients for his wonderful care and generous, fun-loving spirit.

At 6 feet, 2 inches tall, Morris had a bigger-than-life personality and a gentle, generous nature. Also known as “Moe”, he gained fame on the show Storage Wars Texas. He loved travelling, teaching, swimming and basketball, gardening, collecting art and his wife’s excellent cooking. He was the owner of River Regency, a mid-century modern furniture and antique store. He had a knack for buying and recreating special pieces and a great love of art and collectibles.

Morris will also be lovingly remembered by his daughter Gina Leonard, son-in-law Paul, grandsons Gavin and Zachary, sisters Rosella Heumann and Suzanne Achleitner, step-son Chase, and many loving nieces and nephews. He will be remembered as well by fans all over the country, and by his many devoted patients.

Funeral arrangements will be completed by Sparkman-Hillcrest in North Dallas. A memorial service will be held later this year as we gather in person to remember and celebrate Morris’ life. In lieu of flowers, contributions in his memory may be made to Congregation Beth Shalom in Arlington Texas.

https://www.dignitymemorial.com/obituaries/dallas-tx/morris-prigoff-10089659

APMA Advocacy Leads to -59 Modifier Change

January 15, 2021

As a result of APMA’s advocacy efforts, the National Correct Coding Initiative (NCCI) updated Chapter I of the NCCI Policy Manual for Medicare Services in Section E.1.d.(3), Example #2, to reflect a prior determination by CMS specifying that use of Modifier 59 or X[ESPU] is acceptable if the procedures described by CPT® 11720 and 11055 are conducted on lesions that are anatomically separate from one another—even if on the same digit.

Effective January 1, 2021, the NCCI Policy Manual Chapter I now includes an example that reads as follows:

Example 2: The Column One/Column Two code edit with Column One CPT code 11055 (Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion) and Column Two CPT code 11720 (Debridement of nail(s) by any method(s); one to five) should not be reported together for services performed on skin distal to and including the skin overlying the distal interphalangeal joint of the same toe. Modifiers 59 or –X{EPSU} should not be used if a nail is debrided on the same toe on which a hyperkeratotic lesion of the skin on or distal to the distal interphalangeal joint is pared. Modifiers 59 or –XS may be reported with code 11720 if 1 to 5 nails are debrided and a hyperkeratotic lesion is pared on a toe other than 1 with a debrided toenail or the hyperkeratotic lesion is proximal to the skin overlying the distal interphalangeal joint of a toe on which a nail is debrided.

This victory ensures the NCCI Policy Manual language is consistent throughout and accurately reflects CMS policy.

APMA’s 59 Modifier Workgroup was formed last year to address this discrepancy and develop a Routine Foot Care and -59 modifier toolkit. The toolkit includes educational materials and resources to help members when Medicare Advantage plans, Medicaid Managed Care Organizations, or other commercial plans deny covered nail care (CPT® 11720/11721) when callus care (CPT 11055-11057) is provided on the same date.

The workgroup is pleased with this victory and will now work toward the coverage of nail debridement without any restrictions related to callus paring or cutting.

For more information visit www.apma.org/59toolkit.

January 7, 2021

December 7, 2020

Major Changes Coming in 2021 for Office/Outpatient E/M Codes

November 19, 2020

Effective January 1, 2021, CMS will be changing the way providers bill for office/outpatient E/M codes. The changes begin with reducing the documentation requirements for the history and exam components, placing the emphasis on the level of medical decision making (MDM) and total time spent in caring for the patient. See below for informational resources.

Texas Podiatric Medicine magazine article

Office / Other Outpatient Evaluation and Management Changes for 2021 training webinar: https://register.gotowebinar.com/recording/720310261709592588

Getting Ready: Documentation for E/M Coding in 2021 training webinar: https://www.apma.org/Events/CalendarEventDetail.cfm?EventID=121159

Overview of the changes: https://www.apma.org/em2021

APMA will do another webinar on December 17, 2020, to show examples on how the new E/M rules should be applied. More information on this webinar will be coming soon.