Forgive me (in case this is an ignorant question) but if DPMs are reimbursed the same as MD/DOs, does that mean that Podiatrists and Foot and Ankle Orthos have roughly the same salary? Or do F&A Orthos different procedures than Podiatrists? Just curious!
Some states do not have parity laws (same work = same pay regardless of trade). So this can lead to DPMs being reimbursed differently for the same procedure.
Podiatry and foot and ankle ortho, ortho trauma, general ortho all bill the same ICD-9 (diagnosis codes) and CPT (procedure codes) for procedures or office visits. What the insurance reimburses is based on what each practice has worked out with the insurance company. Some larger practices regardless of degrees (MD or DPM) have negotiated for higher reimbursements.
F&A orthos generally make more than pods for many reasons...
1. some take general ortho call and still see general ortho cases for their practice so they are not exclusively F&A.
2. the ones that are exclusively F&A are part of a large F&A practice that runs like a well oiled machine with lots of support staff so the doc can see 70-80 patients a day (assembly line medicine)
3. some are exclusively F&A and part of a small practice... they also employ lots of support staff to keep the patient encounters high
The orthopedic community understands the need for support staff and delegating work that the doc does not need to do. The doc should decide the treatment plan, but not all treatments need to be performed by the doc (like casting, setting up for procedures, drawing injectables...)
I think the more successful podiatry practices also follow this model of lots of support staff. you have to spend money to make money.