I just happened to come across this speciality thread while reading the wound threads. My dream has always been to become an entrepreneur. My original thought was to branch out into independent wound consultuting; however, after reading more about foot care, I have decided to start with it. My plan is to go to Elon University in May, and then Washington state and train with Dr Overstreet in June. My business plan is already in the works. I can't find anyone (RN or LPN) in my state who does "nursing foot care". As a matter of fact, the BON doesn't even address it. So, of course, my plan is to reach out to them first and foremost. I do have a question......I worked in LTC for several years, and currently work in hospice. I know, from experience, our local podiatrist visits all the ALF/LTC facilities in the area to perform nail care. After carefully reviewing Medicare/Medicaid guidelines, I have determined he should not be cutting as many nails as he does. I remember as a nurse in LTC, we would write "Podiatry consult for thick, mycotic toenails". Well, I have since learned, a podiatrist cannot be compensated for debriding nails just because they are "thick, and mycotic", unless there are further issues r/t (which in these cases, there were not). IS this a common problem with everyone else too (Podiatrist seeing Pt's which he really shouldn't be seeing?) I guess I shouldn't be concerned, because my plan is to cater to those who are able to pay out of pocket, as in my state a RN cannot bill Medicaid/Medicare. And, I feel if I have no competition, I shouldn't have a problem getting those "cash" patients.
I am sooooo excited to have come across this particular speciality. I have ALWAYS loved wounds (am currently a WCC). Hopefully, my foot care business can branch off into wound care. Any tips/suggestions from those of you who are currently in the field and practicing would be soooooooo appreciated!!
