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Abstract Submission for 2018 Annual Meeting is OPEN!
The American Society of Interventional Pain
Physicians will hold its 20th Annual Meeting March 15-17, 2018 in Orlando, Florida
at Marriott Orlando World Center
This year, we will be making significant
changes to the Abstract and Poster Sessions. Submissions will be in two
categories: Resident/Fellow and Physician. Selected posters will be on
display forall meeting participants during all breaks and meal times.
The Abstract Committee will select the top 25
for publication in Pain Physician and of those 10 will be selected for
Abstract presentation and judging during the Annual Meeting. The top 3
will receive cash prizes.
STATE SOCIETY MEETINGS
ASIPP® 2017 Washington Legislative Trip Podcast
episode is about ASIPP® trip to Washington. This annual pilgrimage was
to advocacy for our patients, and hopes for deregulation. We all know
what that means. This episode includes a number of familiar voices,
people, and exciting new additions such as our lobbyist, Jeff Mortier,
Congressman Whitfield, and Vanila Singh, MD, an
ASIPP® member now serving with Health and Human Services-now isn't that
cool? Deep dive into the listen, from the pre-visit briefing, to the
morning session, and post-visit commentary. Enjoy!
Click here to listen
ASIPP® and Dr. Hans Hansen Present Stars of IPM Podcast
Dr. Hans Hansen has taken the show on the road and produced one of ASIPP®'s best podcasts. He calls it ‘Stars of
ASIPP® and Interventional Pain Management’. Listen to some of the brightest and most
engaging physicians involved in ASIPP® and forming the future of
interventional pain. Their discussions emcompass their view of ASIPP®,
the digitizing of medicine, the opioid crisis, and more. All of it
informative and entertaining. Recorded after the ASIPP® 2017 Board
Meeting, several physicians were snared by Dr. Hansen to discuss the 5
to 10 year future of interventional pain. They addressed the viability
of the specialty in the future. They touched on Regenerative Medicine,
Opioid alternatives, and other IPM topics.
Included in the discussion
were Dr. Francis Riegler, ASIPP® President, Dr. Aaron Calodney, Past
ASIPP® President, Dr. Devi, ASIPP® Board member and Fox Medical
Contributor, Dr. Kaylea Boutwell, ASIPP® Board member and Pain &
Rehabilitation Specialist, Dr. Sheri Albers, ASIPP® Board member and
Radiologist, and maybe a few others. You’ll enjoy the lively discussion
and the perception of this diverse group.
Click here to listen
June 2017 ASIPP® Podcast Featuring Dr. Scott E. Glaser and his Approach to Treating Pain
Hans Hansen, Interventional Pain Physician, President-Elect of ASIPP® and pre-eminent Podcaster
has an impromptu discussion with Scott E. Glaser, MD, DABIPP at the
ASIPP® 2017 Annual Meeting. Dr. Glaser is a co-founder and President of
the Pain Specialists of Greater Chicago and has seen it grow into a
preeminent practice in Chicago. He is a regular faculty member for
ASIPP® meetings and is currently a Director at Large, ASIPP®. Dr. Glaser
discusses his passions for pain treatment and multiple procedures and
techniques. We are sure this open ended discussion will leave you
enriched as a patient or physician.
Click here for June 2017 Podcast >>>
May 2017 ASIPP® Podcast Featuring Dr. Andrea Trescot Encore Presentation
This is the first in a series of Podcasts produced by Dr. Hans Hansen, President-Elect of ASIPP®. His informative and
entertaining approach to podcasts are sure to be a favorite for
Interventional Pain Management practitioners. This podcast includes an
encore presentation by Dr. Andrea Trescot. Trescot has recently
completed a book on a topic that has been a passion of hers for many
years: Purple Nerves. Dr. Trescot is an internationally known author and
educator. Her insight into Peripheral Nerve Entrapments and other
topics are worth a listen. (24 minutes).
Click here for May 2017 Podcast >>>
Follow ASIPP® Podcast
ASIPP® is going to begin releasing more podcasts. You can get lively and informative information on ASIPP® and topices pertinent to Interventional Pain Management. Usually this will be an interview about the topic. Our host is Hans Hansen, MD, President-Elect, ASIPP®. His podcasts are always entertaining, yet educational. And don't forget to follow us. This is an added value of your membership.
Click here for ASIPP® Podcasts >>>
Archived ASIPP Webinar
PART 2. LAST OPPORTUNITY! CMS Quality Payment Program Review
MACRA-MIPs Webinar Emphasizing Pain Management SCORING & QRUR
This Webinar educates physicians and
their managers on how to understand and potentially achieve high scores in the
new Quality Payment Program and avoid costly penalties in their Medicare Part B
claims. ASIPP members and attendees of Part 1 webinar in January receive a disount.
This webinar will explain and review:
QUALITY PAYMENT PROGRAM (QPP) and clarify
questions generated from ASIPP Members
- Scoring Components of
- QUALITY, ACI (Advancing Care Information), IA
(Improvement Activity), RU (Resource Use)
- Patient population and effects on
THE QUALITY RESOURCE USE REPORT, QRUR
- Obtaining an EIDM portal thru
- Overview of Reading a QRUR
Archived ASIPP Webinar
Part 1. Webinar On The New CMS Quality Payment Program MACRA-MIPs/APMs Emphasizing Pain Management 2017
The Final Rule of the CMS Merit-Based
Incentive Payment System, MIPS, and Alternative Payment Models, APMs, was
published on 10/14/16, and is 2,300 pages. This Webinar educates physicians and
their managers on how to understand and potentially achieve high scores in the
new Quality Payment Program and avoid costly penalties in their Medicare Part B
Medicare Overpayments webinar
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?
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.
March/April issue of Pain Physician
month in Pain Physician journal, we are featuring two articles on Health Care in the United
States - it's evolution and how the repeal and replace should be
and much more informative manuscripts are found in the March/April issue of Pain Physician.
Click below to view the two featured articles:
of US Health Care Reform
Laxmaiah Manchikanti, MD,
Standiford Helm II, MD, Ramsin M. Benyamin, MD, and
Joshua A. Hirsch, MD
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
View photo gallery of ASIPP's September meeting, Ultrasound for Regenerative Medicine Workshop and Hands-On Cadaver Workshop for IPM Techniques. Click to view.
ASIPP Photo Gallery of Past Meetings Available Here.
Order Your ICD-10-CM eBook
To make life easy and to promote seamless navigation with ICD-10-CM,
ASIPP® has developed a comprehensive, practical, ebook for
ICD-10-CM coding for interventional pain physicians. This ebook
goes beyond basic ICD-10-CM coding and helps to promote seamless
navigation through 2016 and beyond. The price is highly reasonable. You
can recover the cost of the book by avoiding mistakes in one single
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.
SELECT FROM BOOKS, EBOOKS, DVD VIDEOS, OR ONLINE VIDEOS
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
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
Click here to order DVD videos >>>
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 >>>
Click here to order online videos >>>
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.
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]
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 >>>
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...
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.
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 >>>
You can still avoid the 4% Medicare reimbursement
penalty from your CMS MACRA MIPS Reporting for 2017
It’s not too late to meet the 2017 requirements of the Centers for Medicare and Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS). ASIPP and the National Interventional Pain Management – Qualified Clinical Data Registry (NIPM-QCDR) have you covered.
To simply avoid the penalty:
1. Sign up to report via the NIPM-QCDR by December 15. Get started here.
2. Complete the sign up process, and log onto the web-based system
3. Report on one quality measure or clinical practice improvement activity.
Reporting via the NIPM-QCDR is an easy and cost-effective way to avoid the 4% penalty on your Medicare Part B billing.
Take one minute now to get started signing up, and set yourself up for success with CMS reporting this year. Click here to get started.
ASIPP Has Another Successful Legislative Trip to Washington, DC
has had a successful legislative trip in Washington D.C. this week. At
no other time in the history of the American Society of Interventional
Pain Physicians has it been more important to get involved in advocacy
efforts. We are finally seeing the potential for change. After
struggling with a deep regulatory tsunami for several years, there is a
light at the end of the tunnel for IPM.
reach our goals ASIPP has made it's presence known in Washington this
week with approximately 70 ASIPP delegates representing 25 states.
The following are the 4 major issues discussed in the congressional visits:
- Drastic cuts to ASC reimbursement
- Medicare Advantage or Disadvantage Non-coverage Policies
- Continued physician payment cuts for various interventional pain management procedures
- Making MIPS more friendly with the elimination of meaningless use and any penalties
had a planning meeting yesterday and today had speeches and meetings
with members of Congress. Scheduled speakers were Representative John
Shimkus (R-IL), Vanila Singh, MD and Chief Medical Officer, HHS,
Representative Cathy McMorris-Rodgers (R-WA), Senator Bill Cassidy, MD
(R-LA), and Representative Larry Buschon, MD (R-IN). ASIPP members very
surprised and excited to welcome Surgeon General Jerome Adams! And there
was a successful fundraiser for Chairman Kevin Brady, Ways and Means
Committee (taxes, health care, Social Security, Medicare, international
trade and welfare). He is a Republican U.S. Representative for the Texas
8th district. He has been a champion in helping put forth multiple issues related to interventional pain management.
Help the Victims of Hurricane Harvey With ASIPP® Relief Fund
Hurricane Harvey has devastated much of
Southeast Texas with severe flooding. The city of Houston got three
times as much rain in just 48 hours as was pumped out of New Orleans
during all of Hurricane Katrina. At least 38 people have
died in Southeast Texas from the storm, and more than 32,000 were
forced into shelters. The need for aid is monumental.
You can join the rebuilding efforts coming together across the
country and around the world to help the victims of this devastating
The ASIPP® Relief Fund is a non-profit 501 (c) (3) organization, tax
ID#61-1399555 and 100% of your donation will go to national
organizations leading the Hurricane Harvey relief operations.
ASIPP Member, Vanila Singh, MD, Named Chief Medical Officer for the Office of the Assistant Secretary for Health at HHS
are pleased to announce the appointment of Vanila M. Singh, M.D., MACM,
as Chief Medical Officer for the Office of the Assistant Secretary for
Health at the U.S. Department of Health and Human Services (HHS). The
Chief Medical Officer serves as the primary medical advisor to the
Assistant Secretary for Health on the development and implementation of
HHS-wide public health policy recommendations. The Office of the
Assistant Secretary for Health includes 11 core public health offices,
including the Office of the Surgeon General, 12 advisory committees, and
10 regional offices.
Laxmaiah Manchikanti, Chairman of the Board and CEO of ASIPP, stated
that "Dr. Singh has been a long-time member of ASIPP and is a great
asset to the field of interventional pain management." Additionally, Dr.
Singh has been active in national medical organizations, serving as the
Vice Chair of the National Physicians Council on Health Policy; an
editorial board member of the Pain Physician Journal for the American
Society of Interventional Pain Physicians; and a member of the
California Medical Association’s (CMA) House of Delegates. She also
served on the CMA’s Council on Ethical, Legal and Judicial Affairs, and
more recently, as a member of its Subcommittee on Health Information
We congratulate Dr. Singh on her appointment and wish her the best in her new service to the government and medical field.
(above) HHS Secretary, Thomas E. Price, MD, welcomed Dr. Singh to her new position with an August 25th Tweet.
BREAKING NEWS - August 17, 2017
Decision to Revise the LCD to include Intercostal Neuralgia
Once again, we are seeing what can be accomplished when action is taken at the grassroots level!
After we sent a letter from the ASIPP membership, as well as the state societies of
interventional pain physicians of Illinois, Minnesota, Wisconsin,
Connecticut, New York, Maine, Massachusetts, New Hampshire, Rhode
Island, and Vermont, CMS
has made the decision to revise the LCD to include intercostal neuralgia. Their decision came in a letter copied below:
Dear Dr. Manchikanti,
As requested, we will add ICD-10-CM code G54.8 which should
represent intercostal neuralgia to the referenced LCD. The revised LCD
will be published for October 1, 2017 due to coding changes related to
the annual ICD-10-CM code update. However, the
effective date for the aforementioned ICD-10-CM code will be
retroactive to the original effective date of the LCD (i.e., May 1,
2017) which will be noted in the "Revision History Explanation".
Thank you for your interest in the Medicare Program.
Valerie R. Krushinsky
Medical Policy Analyst
Medical Policy Unit
National Government Services, Inc.
So as you see once again, the efforts of ASIPP members and
interventional pain physicians across the country have made a major
difference and resulted in change that greatly impacts our specialty.
ASIPP® Chairman and CEO Was Honored At India Conference
Dr. Laxmaiah Manchikanti, ASIPP® Chairman and CEO, recently lectured and led a special one-day preconference workshop at the International Conference on Recent Advances in Pain (ICRA) 2017 PUNE held in Pune, the cultural capital of Maharashtra, India. Pune is located 170 km south of Mumbai. The ICRA-PAIN 2017 international conference on recent advances in pain was focused on ‘From Tears To Cheers’. Dr Manchikanti was honored in Maharashtran tradition, only bestowed upon high level dignitaries, after a stimulating presentation. Dr Manchikanti presented Raj oration on innovations in IPM. CONGRATULATIONS
Fall Deadlines Approaching: Meet Your Quality Reporting Requirements with the ASIPP NIPM-QCDR
The National Interventional Pain Management – Qualified Clinical Data Registry (NIPM-QCDR), a new resource from ASIPP®, is specifically tailored for interventional pain physicians. Your practice can use the NIPM-QCDR to fulfill the 2017 requirements of the Centers for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS). Specifically, you can meet MIPS mandates for Qualityand Improvement Activities, and receive credit toward Advancing Care Information.
The NIPM-QCDR combines rich CMS reporting capabilities with the first-ever set of measures specifically designed for interventional pain medicine. Participating in the NIPM-QCDR will make quality reporting more meaningful to your everyday practice, and help you improve care and optimize results.
Full reporting: Sign up before November 3 to avoid a downward payment adjustment (penalty), and potentially earn a neutral or positive payment adjustment (bonus), by submitting a partial year or a full year of data.
Minimal reporting: Sign up before December 15 to avoid a downward payment adjustment (penalty) by submitting the minimum amount of data (one measure).
To learn more and get started, visit NIPMQCDR.org/sign-up.
Register to view the free archived June 15 NIPM-QCDR webinar
Interventional Pain Management Reports (IPM Reports)
is an electronic publication of The American Society of Interventional Pain Physicians and a Clinical Companion Journal to Pain Physician
IPM Reports is
a peer-reviewed, multi-disciplinary journal written by and directed to
an audience of interventional pain physicians, clinicians and basic
scientists with an interest in interventional
pain management and pain medicine.
IPM Reports presents
the latest studies, research, and information vital to those in the
emerging specialty of interventional pain management - and critical to
the people they serve.
Access the current issue at: ipmreportsjournal.com
Current issue highlights: (July 2017, Volume 1, Issue 3)
- Opioid-induced Hyperalgesia: Myth or Burgeoning Public Health Crisis?
Kenneth D. Candido, MD.
- Pharmacologic Pain Treatment for Adiposis Dolorosa: A Case Report
Ankur A. Patel, BS, Arpit A. Patel, DO, and Devang M. Padalia, MD.
- Safety and Efficacy of an Outpatient Intrathecal Catheter Trialing Method for Targeted Drug Delivery
Vipul Mangal, MD, Maged Hamza, MD, and Michael Harned, MD.
- Retrograde Ejaculation Following Lumbopelvic Sympathetic Neurolysis – A Case Series
Ajax Yang, MD, Ryan R. Ramsook, MD, and Corey W. Hunter, MD.
- Perioperative Ketamine Infusion is Effective in Reversing Opioid-Induced Hyperalgesia
Xiaomin Liang, MD, Kenneth D. Candido, MD, and Nebojsa Nick Knezevic, MD, PhD.
Important News About ASC Reimbursement Cuts
As ASIPP members, we think you should know about a grave
consequence of draconian cuts of 16.3% for epidurals, 25% for facet
joint injections, 25% for adhesiolysis, and 16% for sacroiliac joint
injections at ambulatory surgery centers starting January 1, 2017.
Many of the ASIPP members are also the owners of surgery
centers or are involved in surgery center practices. Please let us know
if you own a surgery center, or are significantly involved, because this
will affect you financially. Please send your information or
the information of any others you are aware of with ownership in surgery
centers to Savannah Gold at email@example.com. Be sure to include the name of the contact person, name of the surgery center, and any other contact information
We should consider this as a departing gift from the Obama
Administration to interventional pain physicians. However, with a new
Administration now taking office, we have a possibility of reversing
these cuts retroactively and the probability of reinstating the previous
reimbursement or improving the reimbursement for 2018.
ASIPP will be assisting in this endeavor; however, the main
impetus will be from the Society of Interventional Pain Management
Surgery Centers (SIPMS). ASIPP will provide some revenues, as well as
personnel support, but not all the revenues. This has to be raised from
surgery center society members.
Please let us know your interest in pursuing such an action.
Because of the required extensive and prolonged advocacy efforts at the
highest levels of Congress and the Administration, our efforts will
involve raising significant amounts of revenue.
If you are interested in participating in any activity,
please let us know. If you are a surgery center owner, or have
significant interest, please complete the enclosed membership dues form
. and also ASIPP-PAC form
as we do not have a separate PAC for SIPMS.
Please respond as soon as you can.
If you have any questions, please feel free to contact us
Group Purchasing Organization – Join
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
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!
CMS Publishes Final Rule for Hospital Outpatient Department and ASC Final
As you see below, the news is not good for interventional pain
management. Overall both ASCs and hospital outpatient departments are facing
significant cuts as high as 11.5% for most commonly performed interventional
techniques compared to the proposed rule and 2017 payment rates.
Most importantly it is disheartening to see that they plan to
reimburse same amount for surgery centers or HOPDs for epidural injections with
or without imaging guidance. There is a significant difference between hospital
rates. Hospitals are reimbursed more than 85% higher than ASCs. Please click here
to see analysis of interventional pain management for
ASCs. Please click here
for HOPD. To see the entire group please click here
GREAT NEWS! ASIPP SCORES A MAJOR VICTORY AND CONCESSIONS FOR MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) WITH 90-DAY REPORTING
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.
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
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) 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
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
- 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.
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
- 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.
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
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
(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.
Remembering a Legend and a Beloved Friend
Dr. Prithvi Raj
Sept. 13, 1931 to Feb. 27, 2016
(Photograph taken after ASIPP distinguished lecture
at 2015 Annual Meeting in Florida. Joshua A. Hirsch (moderator), Gabor
B. Racz, Devi E. Nampiaparampil, Prithvi Raj, and Laxmaiah Manchikanti.)
It has been a year since we said goodbye not only to a great physician and the Founding Father of Interventional Pain Management, but also to a dear dear friend. Though no longer in our midst, the impact Dr. Prithvi Raj had on the specialty, and in many of our lives, is still deeply felt.
Phulchand Prithvi Raj Borundia, known to most as “Raj” was born in Rajasthan, India. His dreams of medicine led him to Mysore Medical College for medical school, and from there to England, to take a starting position as a house officer in the surgery department in Manchester, England. It was during this time that he met his future bride, Susan Martin, who was training as a nurse, in Darlington.
After finishing his training as an orthopedic surgeon, the young couple decided to move their lives to the United States. Dr. Raj began an anesthesiology residency at Parkland Memorial Hospital in Dallas under Dr. Pepper Jenkins, who became a great friend and mentor to the young physician. It was at this time an assassin’s bullet took the life of John F. Kennedy in Dallas, which also had a big impact on Dr. Raj.
His ensuing career took him around the world, as he advanced to become a world-renowned anesthesiologist, and pioneer and innovator in the field of regional anesthesia and pain medicine.
His legacy is of great magnitude, leaving behind significant research, articles, books, lectures and demonstrations on regional anesthesia and pain management. His service and dedication not only to patients, but also to fellow physicians earned him a cache of awards and honors, including the first Lifetime Achievement Award of ASIPP.
In his honor, ASIPP, has added the Raj Excellence Award to our annual meeting awards. This year’s award will be presented by Susan Raj and the recipient of this year’s award is Peter Staats. ASIPP will continue to honor Dr. Raj with this award and our commitment to the Raj/Racz Distinguished Lecture Series for as long as ASIPP continues to exist as an organization.
The loss of our friend, “Raj” with his great wisdom, integrity and kindness, will long be felt.
Click here to view photos showcasing Dr. Raj.
Click here to visit Dr. Raj's web site
Click here to read Dr. Laxmaiah Manchikanti's tribute article published in Pain Physician
Wikipedia: Phulchand Prithvi Raj Borundia
In Memoriam: P. Prithvi Raj, MD, FIPP 1931–2016
ASRA Mourns the Passing of Dr. P. Prithvi Raj, Founding Father
Dr. Raj CV
Nair L, Gieseck A. P. Prithvi Raj, MD, FFARCS: Regional anesthesia pioneer. Bull Anesth Hist. 2010 Apr; 28(1):7-11.
Phulchand Prithvi Raj, MD, Pioneer in Pain Management, Dies at 84
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 >>>
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.
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.
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.
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
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