" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary



New! Click here for the September ASIPP® Podcast













bullet Medicare Overpayments webinar

When Medicare discovers an overpayment of $25 or more, the Medicare Administrative Contractor (MAC) initiates the overpayment recovery process by sending an initial demand letter requesting repayment. An Intent to Refer Letter (IRL) is mailed 60 days after the initial demand letter. Now what?


bullet PQRS webinar

CMS issued the 2016 Physician Fee Schedule Final Rule on October 30, 2015. The rule changes several of the quality reporting initiatives associated with PFS payments, including the Physician Quality Reporting System (PQRS)

bullet Drug Testing Compliance for 2016 Webinar

Just when you finally get your 2015 coding and billing straightened out for drug testing, 2016 brings new changes! Are you confused about how you should bill for the urine drug screen testing in your Interventional Pain Management Practice? Get the facts straight during the Drug Testing Compliance Webinar.


bullet 2016 Coding & Billing Webinar

You will have access to the archived webinar from anywhere, at anytime. Get up to speed with the coding changes that are coming in 2016 for Interventional Pain Management practices. You are responsible for reporting the services correctly so you don't risk delays, denials, or incorrect payments for your coding and billing. Learn to navigate coding, billing and compliance changes for 2016 in this 90-minute webinar with coding expert Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO.

Click here to order the archived webinar >>>



bullet Denials and Appeals Archived Webinar

Getting paid for services provided is essential to the financial success of your practice.  Key to getting paid is an understanding of the payor coverage policies that set forth the medical necessity, utilization and quality of care criteria as well as the coding requirements for provider services.  Failure to follow the mandates in these policies can lead to denial of payment and payor audits.

Click here for Denials and Appeals Archived Webinar >>>


bullet Order Archived ASIPP Webinars!

You can register to view past ASIPP Webinars or order CDs by clicking here.

Your purchase of the archived recorded webinar or CD allows you to view the webinar at anytime, from anywhere, at your convenience. You will still receive presentation handouts and credit hours.




bullet Just Released! September ASIPP® Podcast

On the September ASIPP Podcast we’ll talk to Ashley Brenton, PhD of Proove Biosciences about genetic tests that can help you decide a patient’s treatment plan; in the news segment we’ll learn about a common NSAID that could be important in the fight against cancer, giving codeine to children, pain perception in patients with Alzheimer disease and more; and we’ll end with a story about an elaborate cheating scheme during medical school exams.

Click here for the just released September Podcast >>>



Find an ASIPP Physician Member

Search by name or location.


If you are an ASIPP Member Physician in good standing and would like to make your customized information available on the ASIPP Dr.Finder, click here.  If you have multiple practice locations, each location must be submitted separately.

By providing this listing, ASIPP is not recommending or endorsing these physicians



bullet View photo gallery of ASIPP's September meeting, Ultrasound for Regenerative Medicine Workshop and Hands-On Cadaver Workshop for IPM Techniques. Click to view.

bullet ASIPP Photo Gallery of Past Meetings Available Here.



bullet Publications


bullet New Book. Sales Proceeds Go To ASIPP. 

Understanding Pain: What You Need to Know to Take Control presents insights that will be useful to anyone who wants to be more knowledgeable about recognizing pain conditions through symptoms and telltale signs, and needs to be fully informed about the various treatment options available. Providing information that is at once cutting-edge, comprehensive, and easy-to-understand, the chapters also provide the resources needed to obtain further information about the topic.

Click here to buy the book.

bullet Pain-Wise is a patient and Medical Professional's guide to simplifying the confusing and often overwhelming process of finding the appropriate treatment for chronic pain. Written by three ASIPP Member doctors with years of experience in pain management, Pain-Wise teaches the basics of how pain works, explains different interventional pain therapies in layman's terms, and helps a patient communicate with their doctor. Doctors have found Pain-Wise to be a strong tool in creating a meaningful dialogue with their patients.

Click here to buy cases.

Click here to buy single copies

bullet Interventional Techniques in Chronic Spinal Pain

With detailed descriptions of practical techniques in interventional pain management this is a must have publication for all interventional pain physicians.

Click to order [ Member ] [Non-member]

All book proceeds go to the American Society of Interventional Pain Physicians.

bullet Interventional Techniques in Chronic Non-Spinal Pain is the premier manual ideal for guiding the interventionalist with detailed descriptions of practical techniques in interventional pain management. A CD version is included. Over 400 pages, 300 illustrations, and 30 contributing authors.

Click to order [ Member ] [Non-member]











The Medicare Access and CHIP Reauthorization Act (MACRA) /Merit-based Incentive Payment System (MIPS) final rule has been released unexpectedly this morning.
Now we can call it meaningful changes instead of meaningless use.
The Centers for Medicare and Medicaid Services (CMS) has made substantial changes. We are extremely pleased that they have accepted at least part of our recommendation in reference to a 90-day period reporting rather than full year.
We would like to thank all the ASIPP members who signed on the letter with 4,534 signatures and members of Congress who attempted to introduce the bill to obtain these changes, the Doc Caucus who sent the letter requesting a 90-day period, the group of pain organizations who worked together addressing various issues, and numerous other organizations working on this issue.
However, the 90-day period was ASIPP's idea. It really helped us to go to Washington and advocate for our positions.
Here is the summary of MIPS as we read it. We are very optimistic, but again, we are cautiously optimistic.
More good news is in the works for interventional pain physicians on MIPS registries, etc. We will keep you posted.
CMS will create a 90-day reporting period for clinicians reporting in MIPS, the final rule states. The agency is reducing the number of measures to be reported from 11 to five. Providers will have the option of reporting all the dropped measures.
Reporting to public health or clinical data registries will result in a bonus. CMS is also exploring whether to count managing referrals and consults as part of the MIPS reporting.
The final rule also outlines CMS's "pick-your-pace" route to MIPS reporting. Given the wide diversity of clinical practices, the initial development period of the Quality Payment Program implementation would allow physicians to pick their pace of participation for the first performance period that begins January 1, 2017.
(1) Clinicians can choose to report to MIPS for a full 90-day period or, ideally, the full year, and maximize the MIPS eligible clinician's chances to qualify for a positive adjustment. In addition, MIPS eligible clinicians who are exceptional performers in MIPS, as shown by the practice information that they submit, are eligible for an additional positive adjustment for each year of the first 6 years of the program.
(2) Clinicians can choose to report to MIPS for a period of time less than the full year performance period 2017 but for a full 90-day period at a minimum and report more than one quality measure, more than one improvement activity, or more than the required measures in the advancing care information performance category in order to avoid a negative MIPS payment adjustment and to possibly receive a positive MIPS payment adjustment.
(3) Clinicians can choose to report one measure in the quality performance category; one activity in the improvement activities performance category; or report the required measures of the advancing care information performance category and avoid a negative MIPS payment adjustment. Alternatively, if MIPS eligible clinicians choose to not report even one measure or activity, they will receive the full negative 4 percent adjustment.
(4) MIPS eligible clinicians can participate in Advanced Alternative Payment Models ( APMs), and if they receive a sufficient portion of their Medicare payments or see a sufficient portion of their Medicare patients through the Advanced APM, they will qualify for a 5 percent bonus incentive payment in 2019.
(5) Other provisions:
-        Financial and technical assistance (100 million) to small and rural practices
-        Teases that more advanced APMs will be available by January 2017
-        Finalizes most of the APM portions of the proposed rule
-        New estimate is 200 million distributed under MIPS, down from 833 million




bullet ASIPP Has Great Legislative Session in Washington, DC


Approximately 50 members of ASIPP attended a great legislative session in Washington, DC. Members and staff had great visits with many senators and members of the House, including multiple committee chairs. It appears that we are making substantial progress in making changes for MIPS. Following is the proposed language for MIPS. We also have other language for Medicare Advantage Plans. MIPS language is as follows:


  1. Delay the implementation of merit-based incentive payment system (MIPS) by one-year, to January 1, 2018, reporting year, retaining 2019 as penalty/bonus year (performance year), and change participation of MIPS for 3 months per year, with 2017 serving as a training year to meet criteria for meaningful use, physician quality reporting system, and value-based payment.


 2.   CMS and Medicare to provide appropriate local coverage determinations (LCDs), based on the integrity manual, utilizing proper evidence.


  •      LCDs must be issued in addition to validated wide-spread problem identified for potentially high dollar or high volume services and requested by providers for coverage issues to be added, to assure beneficiary access to care, or when frequent denials are issued or anticipated.
  •      LCDs must be prepared with input from specific specialty Carrier Advisory Committee (CAC) membership and other CAC resources 
  •      Noncoverage policies must be only issued by CMS with appropriate review process and evidence synthesis with public comment for procedures usually performed with available evidence.
  •      Medicare Advantage Plans must offer a "benefit package" that is at least equal to Medicare's and coverage everything Medicare covers, with or without LCDs.


Click here for a complete copy of the bill we proposed.
At the same time ASIPP was in the halls of the Congress, CMS announced that they will be providing multiple options for implementation of MIPS including an option of delay; however, this does not include all our issues. Consequently, we continue to fight on this issue.
Here are links to the statement from CMS and the Congressional letter:

Another Big Development:
CMS has issued its revised decision on coverage of Percutaneous Image-guided Lumbar Decompression (PILD) procedure which does not remove all the restrictions; however, it expands the coverage. They are asking to perform another cohort CMS approved study. This is some progress, success, and good news, but not the greatest news in the world. Obviously the struggle continues for coverage of this procedure.
Here is a link to the proposed decision memo.

(left) Dr. Manchikanti presents the Lifetime Achievement Award to Ed Whitfield in his last hours of congressional membership in a heartfelt and almost tearful setting. (right) ASIPP hosted a fundraiser for New Jersey Chairman Rodney Frelinghuysen.



bullet ASIPP Announces Patient Education Program

The American Society of Interventional Pain Physicians (ASIPP), a not-for-profit national organization  representing interventional pain physicians, and Medical Media, Inc., dedicated to medical marketing, announced today they have entered into a collaborati on agreement to form Interventional Pain Management  Network, a new patient education program. Dr. Laxmaiah Manchikanti, ASIPP Chairman of the Board, said,

“Interventional Pain Management Network consists of interactive videos for waiting rooms as an innovative way to provide awareness and understanding of evidence-based and clinically relevant information to the

patient at a time when the patient is in need and receptive to health issues.

Read complete media release >>>


bullet A Seamless Navigation to ICD-10-CM for Interventional Pain Physicians: Is a Rude Awakening Avoidable?
Since October 1, 2015, the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) was integrated into U.S. medical practices. This monumental transition seemingly occurred rather unceremoniously, despite significant opposition and reservations having been expressed by the provider community. In prior publications, we have described various survival strategies for interventional pain physicians.
The regulators and beneficiaries of system - CMS, consultants, and health information technology industry are congratulating themselves for a job well done. Nonetheless, this transition comes at an immeasurable financial and psychological drain on providers. However, a rude awakening may be making its way with expiration of initial concessions from government and private payers.
This manuscript provides a template for interventional pain management professionals with multiple steps for seamless navigation, including descriptions of the most commonly used codes, navigation through ICD-10-CM manual, steps for correct coding, and finally, detailed coding descriptions for various interventional techniques.


bullet Group Purchasing Organization – Join Today

ASIPP has formed a partnership with Henry Schein and PedsPal, a national GPO that has a successful history of negotiating better prices on medical supplies and creating value added services for the independent physician. Working with MedAssets, PedsPal provides excellent pricing on products like contrast media that alleviate some of the financial pressures you experience today. While the cost of contrast media has skyrocketed due to the single dose vial issue, because we have partnered with Henry Schein, this could enable you to purchase Omnipaque 240mg/50 ml for slightly above $4.50.


It will be easy for ASIPP members in good standing to enroll today and begin to realize the savings this partnership can bring. Members can join or see sample prices by going to http://pedspal.org/asipp/default.html  

Click on “view our discounted supplier prices” ( Username:ASIPPmember and Password: Save ) or click on the words "join for free now" and begin saving today!


bullet Update on PQRS Implementation


Among multiple regulations, we are also faced with documentation for the physician quality reporting system. Now the bonuses have ended and penalties are being imposed on non-participation starting last year. If you did not complete them for 2014, you will see a 2% reduction in Medicare fee-for-service amounts for services furnished during 2016. The same is true for 2015; if you did not complete documentation for 2015, you will face a penalty in 2017 and 2016 will result in a penalty in 2018. After 2018, the PQRS payment adjustment will be transitioned to a merit-based incentive payment system, or MIPS, as required by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.
We have attempted to make it palatable for interventional pain physicians to meet the criteria. Recently, we published a manuscript on Physician Quality Reporting System (PQRS) for Interventional Pain Management Practices: Challenges and Opportunities (click here for manuscript).
Essentially, PQRS is one of the easiest to implement among all the regulations. Enclosed, please find the recommended measures for IPM providers. There are 9 measures included and 3 optional measures. The included measures are utilized by the undersigned (click here for table in Word).



bullet Final Voyage of FDA and MPW Epidural Saga: Victory for Practicing Interventional Pain Physicians


The FDA has now determined that they will not amend the drug safety communication; however, they will not adopt the 17 recommendations made by the MPW (See Letter). This ruling by the FDA is a major victory for practicing interventional pain physicians that avoids micromanagement (FDA citizen’s petition) and the additional bureaucracy created by the MPW. The FDA also published an article in the New England Journal of Medicine which essentially alludes to the same facts as described, and in no uncertain terms, they emphasize the fact that they are not withdrawing the issued warning, but they also were not endorsing the standards from MPW, even though they facilitated the discussion.


Consequently, the epidural saga continues even though this may be the final chapter.





bullet Who is your IPM CAC Representative?

In March 2005, the Centers for Medicare and Medicaid mandated that Interventional Pain Management become the 34th medical specialty represented on state Carrier Advisory Committees (CAC), which make local decisions about Medicare coverage. It spite of the great efforts it took to secure this position, many states are still without representation.

It is critical that IPM have representation in every state. Do you know who your representative is? More Information on CACs.

bullet Change Your Specialty Designation
Use the CMS Form to Change your Specialty Designation to 09 - Interventional Pain Management

We are faced with the need to increase our 09 Interventional Pain Management specialty designation. Currently CMS claims there are too few IPM physicians, which negatively affects our reimbursement. Interventional Pain Physicians can now change their specialty code designation to 09 utilizing the CMS form CMS855I - see page 8, section D.

bullet Find Your Elected Officials
Stay on top of the issues affecting interventional pain management, know your elected and appointed officials and contact the media in your area. You can make a difference by getting involved! Find out who represents you on Capitol Hill, go to Capwiz: http://www.asipp.org/Alert.htm





bullet ASIPP Launches ASIPP®/PainPhysician Job Board

The ASIPP/Pain Physician Job Board is where talented and qualified interventional pain management physicians connect with great organizations and some of the best jobs available.

Candidates can browse current vacancies, post an anonymous resume and create new job alerts. Employers can post a job or browse the resume bank to find the right candidate.

Click here to access the Job Board...




bullet Order Your ICD-10-CM Pocket Book

ICD-10-CM has been one of the most onerous issues for interventional pain management in recent years; however, now it is here and we do not have any other choice other than to follow. There are multiple reports already with substantial denials despite so-called protection from Centers for Medicare and Medicaid Services (CMS). We have written multiple manuscripts on ICD-10-CM and also tireless worked for seamless navigation. To make life easy and promote seamless navigation, we have developed a comprehensive, practical, pocket guide for ICD-10-CM coding for interventional pain physicians.

To make life easy and promote seamless navigation with ICD-10-CM, ASIPP® has developed a comprehensive, practical, pocket guide for ICD-10-CM coding for interventional pain physicians. Designed for interventional pain physicians and their staff, this pocket guide goes beyond basic ICD-10-CM coding and helps to promote seamless navigation through 2016 and beyond.

This book clearly provides direction for clinical coding with assessment and provides guidance on specific coding for each procedure showing the intricacies and steps to avoid rejections.

The book is a 5"x8" size which can be placed in your jacket or any carrying case. The price is highly reasonable. You can recover the cost of the book by avoiding mistakes in one single case. Order with bundled print and electronic versions at $400, or individual print or electronic versions at $250.

Click here to order >>>




Order these IPM Board Review materials which are designed to prepare physicians seeking board certificatin, re-certification, or an in-depth review of the specialty of interventional pain medicine.




Comprehensive and Timely Books

This three-volume set from ASIPP Publishing was created to give clinicians a complete study course to prepare for pain medicine board certification exams, based upon the curriculum of the American Board of Medical Specialties pain medicine examinations. These books take clinicians on a journey through the specialty of pain medicine and interventional pain management, from their origins and history, to the science and research behind methods and techniques, to pharmacology, types of pain, complementary therapies, and interventional and surgical techniques, and much, much more. Culminating with a comprehensive resource of 1,500 sample board exam questions, complete with thorough explanations of the answers, these books will not only help prepare clinicians for their board examination, they will become valuable resources that will be consulted for years to come.

Click here to order books >>>


Comprehensive and Convenient eBooks

The three-volume set from ASIPP Publishing created to give clinicians a complete study course to prepare for pain medicine board certification exams, based upon the curriculum of the American Board of Medical Specialties pain medicine examinations is now available in ebooks. Now you will be able to download the ebook version of these books to hand held devices for easy accessiblity for the mobile world we work in. These books take clinicians on a journey through the specialty of pain medicine and interventional pain management, from their origins and history, to the science and research behind methods and techniques, to pharmacology, types of pain, complementary therapies, and interventional and surgical techniques, and much, much more. Culminating with a comprehensive resource of 1,500 sample board exam questions, complete with thorough explanations of the answers, these books will not only help prepare clinicians for their board examination, they will become valuable resources that will be consulted for years to come.

Click here to order ebooks >>>

Videos on DVD 

Order the Videos and receive 5 days of course video on a set of five DVDs. You can watch them on your computer, save them to your computer, or transport them with you to view somewhere else. And you will be able to load this on your iPad for viewing or just to listen to when you're driving.

Click here to order DVD videos >>>


Videos Online 

Order the online videos and receive 5 days of course video via the Internet. You can watch them on your computer or any computer with Internet access. You will be given a password to access the high quality streaming video of each day.
Click here for sample of video >>> http://vimeo.com/28213117 

Click here to order online videos >>>



bullet IPM Practice Guidelines

"The guidelines are expected to increase patient compliance, dispel miscommunications among providers and patients, manage patient expectations reasonably, and form the basis of a therapeutic partnership between the patient, the provider and payers, " said Laxmaiah Manchikanti, MD, ASIPP, CEO and Chairman of the Board.


Click on the headline for our articles on evidence-based practice guidelines for interventional techniques in the management of chronic pain. Or go to National Guidelines Clearinghouse for ASIPP's 2009 Interventional Techniques: Evidence-based Practice Guidelines in the Management of Chronic Spinal Pain.

Guidelines By Year: 2009 | 2007 | 2006 | 2005 | 2003 | 2001 | 2000




bullet Order Interventional Techniques Brochures for your Practice.

ASIPP Marketing Services has produced a series of informative and illustrative brochures and are making them available to you.

View the brochures before ordering.

These customizable brochures include descriptions of pain conditions and procedures, along with accompanying illustrations. The brochures are designed specifically for the interventional pain physician. They can be used to communicate with patients and referral sources in personal settings or via direct mail.

The brochures are supplied in a pdf format. All you have to do is have your printer place your logo and practice information in the designated area. It is a quick and easy way to have the brochures you need in develop patient and referral relations.

Click here for more information and ordering >>>




bullet Essentials of Practice Management: Billing Coding, and Compliance In Interventional Pain Management


Essentials of Practice Management: Billing, Coding, and Compliance in Interventional Pain Management is the premier manual published to guide the interventionalist through all the new coding and billing changes that have been made over the past few years.

The book contains up-to-date  CPT codes, the latest HIPPA regulations, tips on Practice Management and so much more. Proceeds go to the American Society of Interventional Pain Physicians, a not-for-profit organization dedicated to educating and informing those in the pain management profession. This book, edited by Dr. Laxmaiah Manchikanti and Dr. Frank JE Falco, features everything you need to know to make your office compliant.

The book contains:

  • The latest CPT codes
  • Bundling tips
  • Office policies and procedures
  • Hiring and termination policies
  • Documentation for interventional techniques
  • Documentation for evaluation and management services
  • HIPAA regulations
  • And more


Click to order [ Member ] [Non-member]


bullet 2013 ASIPP Spinal Interventional Techniques Guidelines



Exclusive opportunity to own your own print copy of  the Spinal Interventional Techniques Guidelines Issue.

- An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain. Part I: Introduction and General Considerations
- An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain: Part II: Guidance and Recommendations
- And Abstracts of 10 Systematic Reviews.

l Over 90,000 words l Over 2400 references l 50 Tables l 20 Figures l 300 Formatted Pages

Click here to order >>>


bullet ASIPP Opioid Guidelines Now Available

Evidence-based clinical practice guidelines for responsible opioid prescribing in non-cancer pain are statements developed to improve the quality of care, patient access, treatment outcomes, appropriateness of care, deficiency and effectiveness, and achieve cost containment by improving the costbenefit ratio. The objectives of these guidelines are to provide clear and concise guidelines to physicians to improve patient access and to avoid diversion and abuse. Part 1 of these guidelines describes evidence assessment (1), whereas Part 2 of these guidelines describes guidance for responsible opioid prescribing.

The objectives of opioid guidelines as issued by the American Society of Interventional Pain Physicians (ASIPP) are to provide guidance for the use of opioids for the treatment of chronic non-cancer pain, to produce consistency in the application of an opioid philosophy among the many diverse groups involved, to improve the treatment of chronic non-cancer pain, and to reduce the incidence of abuse and drug diversion. The focus of these guidelines is to curtail the abuse of opioids without jeopardizing non-cancer pain management with opioids.

Click here to access the online version of the ASIPP Opioid Guidelines >>>




All contents Copyright © 2009
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org