Streamlining Podiatry Care With ModMed & Patient Workflow Tools

Hey guys down here. Welcome to Podiatry Practice Mastery. I'm going to go over the $1,000,000 minute, the things that helped me get to the practice to the $1,000,000 mark and beyond. So we are starting week four of our medical record, trans, trans, translocation, moving from Athena to mod Med.

A couple of the snafus are which I think are going to be good in the end like billing for Q Tenza. So there's a is something in there, but there's not the code for the actual doctor doing it code. There's the code for the the buy and bill, but sometimes they're doing it through a third party like Walgreens or something like that. Also things that are kind of

messing me up a little bit are like in office dispensing. It's not a great way of doing in office dispensing and communicating to the staff or something like in house purchases. So we have to make those up for what things patients buy. The Shockwave is going well and it puts in the cash pay as well. Swift is going well, but we're

still kind of working on it. I really do like Clara, though. Clara is the way of communicating with patients, but as well communicating with patients before their appointments and after their appointments and asking for online reviews and also for scheduling the appointments.

So it's kind of making it much more available. So we're excited about that. I was talking to my, my virtual assistant that's working on a new web page, like a urgent care web page she's working on. And on there we're going to have this link so patients can see who's available that day. And then making a make an appointment. We're not going to have like an actual walk in. That's not really going to be feasible for us because otherwise they'd just be waiting a long time.

I don't think that's going to be possible. But I, I think the, the making the same day appointments is going to work well. OK so today I'm recording this is for Thursday and first patient was a 61 year old

female. She had a nail sample. She had failed Lamisil and Diflucan and I did a nail sample for her but these were like a lot of years ago that she did that. So I took a new nail sample. Next was a 71 year old male with an orthotic follow up. Doing much better with the orthotics. No follow up for him. 68 year old female had lesion destruction nails debrided and I did a nail sample. So they're going to come back in three weeks to go over that nail

sample. Next was a 71 year old male with an orthotic follow up doing well, the goods and the bads of

doing orthotics. There's a lot of orthotic follow up appointments. Usually they're pretty normal, but they're tend to be lower level visits. I've always, I've almost thought of doing my orthotics kind of like my paranoia follow-ups, doing them in a 10 minute slot and then double booking them with other ones because they're kind of quick. Next is a 55 year old #2 out of 6 for a sesmoid fracture. He's not really seen much

improvement yet. I usually tell patients they tend to start seeing improvements about week 5 or 6. Next was a 47 year old male for right bunion. He wanted to schedule surgery so that was scheduled for him. Next was a 34 year old male for swift #2 out of four seeing a little bit of improvement. Next was a 55 year old female for a lamb missile booster. Next was a 68 year old female that had mid foot injection. She had a second met cuneiform joint pain and we also scanned her for orthotics.

Next was a 55 year old female that had bilateral Aquinas. Did a injection foam rolling for this patient and they're going to come back as needed if the pain comes back, most likely doing shockwave. Next was a 88 year old female, had callus care and nail care. Just as somehow they got it on my schedule for nail care but I think it was a new patient. New new patients can kind of find their way in. Next was the 66 year old female that had a right medial 5th

digit toe exostectomy. So I did that in the office. That's one of my favorite little procedures to do where I take a little blade and then I take a rasp and rasp it down in the office. Next was a 67 year old female

that had arthritis on the on the 2nd digit and I'm not sure what I did. I can't really I can't read my handwriting. I'm I'm not used to this new tracking system here. My other one had when I printed it out my daily sheet I could see what they were here for but this new one I can't do that. So I figured out a different way and I can't read my handwriting. Next was a 31 year old female with an Ind for bilateral big toenails.

Next was a 68 year old male for nail care, 37 year old patient that was on Sporanox and it was getting better.

So etraconazole getting better and so I'm going to keep him on it for a little bit longer. Next was a 18 year old bilateral matrixectomy. Then there's a one of my last patients was a 77 year old had a dislocated 5th toe. I don't really see this but I guess he dropped like a file cap and he said on his fifth toe and it dislocated.

So I used a toe fracture code, this fracture dislocation. And so I got that and then I just had them tape it together, but I didn't really want to pin it in place because it didn't look all that bad. It was just swollen. And then the next was a second met fracture and this one I did AI couldn't really tell. Actually, no, this was the one that was a bad 1 and I actually thought he needed surgery, but he was like a one of these hard working men. He dropped something on his foot.

It was a fracture. I told, if you're listening, I told it a while ago, but it was almost like dorsally dislocated and it kind of peaked dorsally and there's almost like sticking up in the skin. But it did, it formed a huge callus formation around it and it's starting to heal. So it's just amazing. No matter how bad these fractures are, most of them heal pretty well. So this is a lot of callus formation around. It's doing well. And so that was kind of the day.

So it was a busy day. I was able to get out of the office by 5:00. So that is a big win.

And then today was that I'm recording, this is on a Friday. So I had a morning without Marjorie. Marjorie had her birthday with my nail tech. And so I had a couple of patients. I did a nail sample callous care. She had a rash on her foot, so I did a clobetasol. Another patient did AB is I'm starting to reorder the AB is

I'm not quite there yet. What I what I usually do is if they haven't done in a year, I can put it in the, the medical record to do an ABI and a, a diabetic foot exam with the ABI. The nice thing about a mod Med is it has this, this designation of why they need it and it has it like over the age of 50 with diabetes or over the age of 65. And that's usually what I'm

doing it for yearly. And so it's in there. I also did a swift today woman with bilateral ulcers in her toes and then a patient that wanted Lunula, but I kind of talked her into doing Trabefen because that's just kind of what I do. I think Lunula gets them in the office because they search for us online. But then I don't do that much of it because I don't think it works that great in, in my experience. So that was the, the day things are, are going well.

I'm, I feel more confident with Mod Med Murali, my scribe is getting the hang of it. So it's giving me a little bit more time to work on work on other things and kind of focus on perfecting the notes. And within mod Med, there's a lot of these stickies, they call it. So these are written verbiage that you can change and save. So we have we're trying to kind of fix those Morali my scribe can't do that. I have to fix them, but then he can he can use them in the future.

So that's what it is. So I hope you guys have a good rest of the week and thanks for listening. Have a good one.