Don Pelto, DPM - Podiatry Practice Mastery

Why I Use Non-Operative Fracture Management


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Should you be billing non-operative fracture management — or just sticking with office visits + X-rays? And what’s the real story when switching EMRs like Athena to ModMed?


In this episode of Podiatry Practice Mastery, Dr. Don Pelto shares:

  • ​ Why his practice delayed using the non-operative fracture management code (and the pros/cons once they adopted it)
  • ​ Practical insights on handling the 90-day global period, patient complaints, and profitability
  • ​ Tips for surviving an EMR transition (Athena → ModMed) — including training, templates, and billing features
  • ​ Clinical pearls from real patients: pediatric ankle pain, plantar fasciitis, Achilles tendonitis, ingrown toenails, warts, fractures, and wound care
  • ​ Practice growth strategies: how to identify your most valuable patient (MVP), capture hidden revenue with devices, and track lifetime value (LTV) + cost of acquisition (CAC)


👉 For podiatrists serious about scaling to the million-dollar mark in personal production, this episode blends billing, operations, and clinical wisdom.


Keywords: podiatry fracture management, podiatry EMR switch, ModMed podiatry tips, podiatry practice growth, podiatry billing codes



📝 Show Notes with Timestamps (~18 min episode)

  • ​ [00:00] Intro – Questions from colleagues on billing and EMR transitions
  • ​ [01:15] Non-operative fracture management: why we delayed using it
  • ​ [03:10] Pros + cons of fracture management (profitability vs 90-day global)
  • ​ [05:30] How ModMed helps with global tracking vs Athena
  • ​ [07:10] EMR switch tips: training, templates, and billing support
  • ​ [09:30] Most valuable patient case: 15-year-old swimmer with chronic ankle pain
  • ​ [11:40] Shockwave, plantar fascia, bunion + hammertoe pearls
  • ​ [13:20] Using DME + cam boots to capture hidden revenue
  • ​ [14:40] Wart treatment sheets and why I pre-book multiple visits
  • ​ [16:00] Tracking LTV + CAC: new spreadsheet tools for practice growth
  • ​ [17:30] Closing thoughts + invitation to the 6-month challenge
...more
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Don Pelto, DPM - Podiatry Practice MasteryBy Don Pelto, DPM

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