nn
" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary
 

November 9, 2011

 

In this issue

·  CMS Releases FInal Rates

·  The Impact of Healthcare Reform on Interventional Pain Management

·  ASIPP Creates Doctor Finder

·  ASIPP Announces 2012 Meeting Schedule

·  CDC issues Report on Prescription Opioid Overdoses

·  HIPAA Audit: The 42 Questions HHS Might Ask

·  Important 2012 CPT Coding Changes to ASC Spine & Pain Management Procedures

·  CMS Final Rule Increases ASC Payment Rates by 1.6% in 2012, Establishes Quality Reporting Program

·  Nevada Tops in the Nation for Prescription Pain Medication Overdose Deaths

·  Why Small Medical Practices Lag in EMR Adoption

·  Hospital Emergency Department Visits Involving the Misuse of the Muscle Relaxant Drug Carisoprodol Have Doubled Over Five Years, Study Shows

·  DA Launches Website on Safe Disposal of Used Needles and Other "Sharps"

·  State Society News

·  Physicians Wanted


CMS Releases FInal Rates


CMS has released the final rates for Physician Payment, Ambulatory Surgery Centers and Hospital Outpatient Departments. These rates are current as of Nov. 1, 2011.

Click HERE for Final Physician Payment Rates.

Click HERE for final ASC Rates

Click HERE for final HOPD Rates


The Impact of Healthcare Reform on Interventional Pain Management


At the 18th Annual Ambulatory Surgery Centers Conference in Chicago on Oct. 28, Laxmaiah Manchikanti, MD, chairman of the board of the American Society of Interventional Pain Physicians, gave a presentation titled "Interventional Pain Management - What the Next Few Years Will Look Like."

." He discussed several major issues facing interventional pain physicians today, including healthcare reform legislation, Independent Payment Advisory Board, Patient-Centered Outcomes Research Institute and reimbursement to physicians. "PCORI is one of the biggest issues because it can draft a report saying a treatment doesn't work and insurance companies will stop paying for those procedures," he said. "Congress is working on introducing a bill for repealing PCORI now."

Additional issues Dr. Manchikanti covered were:

  • ICD-10 conversion
  • Single dose vials
  • Electronic medical records
  • Transition to government payor programs

Becker's Orthopedic and Spine


ASIPP Creates Doctor Finder


ASIPP is pleased to announce a new member benefit coming soon. We are creating a "Doctor Finder" page on the ASIPP Web site to assist patients and physicians to locate an IPM physician. In order to receive this benefit and have your name listed, you must be a physician member in good standing and give consent to ASIPP to post your name and information.

Click on the following link to submit your authorization form and also to define the information you would like shared. Consent Form

If you have any questions please contact the ASIPP office at 270-554-9412 or e-mail us at asipp@asipp.org


ASIPP Announces 2012 Meeting Schedule


The year 2012 will find ASIPP members attending meetings in all new locations. Cities on the calendar next year include Phoenix, AZ, San Francisco, CA, and Denver, CO.

FEB 24-26: PHOENIX, AZ

Comprehensive Review Course and Cadaver Workshop - Basic, Intermediate, and ABIPP Preparation Coding, Compliance and Practice Management Comprehensive Review Course (Feb 24-25) Competency Examination - (Feb 26) Controlled Substance Management Comprehensive Review Course - (Feb 24-25) Competency Examination - (Feb 26)

APR 13-15: MEMPHIS, TN

Spinal Cord Stimulation Course Comprehensive Review Course and Cadaver Workshop (Apr 13-14) Fluoroscopy and Radiation Safety - (Apr 13-14) Competency Examination - (Apr 15) ABIPP Part II Examination (Apr 14-15)

JUN 9-13: ARLINGTON, VA

ASIPP 14th Annual Meeting Legislative Session & Capitol Hill Visits

JUL 30 -AUG 5: SAN FRANCISCO, CA

ASIPP Board Review Course (Jul 30-Aug 3) Comprehensive Review Course in Controlled Substance Management (Jul 30- Jul 31) Competency Examination (Aug 1) Coding, Compliance and Practice Management Comprehensive Review Course (Aug 2-3) Competency Examination (Aug 4)

SEP 14-16: MEMPHIS, TN

Comprehensive Review Course and Cadaver Workshop - Basic, Intermediate, and ABIPP Preparation (Sep 14-16) Vertebroplasty Comprehensive Review Course and Cadaver Workshop (Sep 15-16)

NOV 2-4: DENVER, CO

Comprehensive Review Course and Cadaver Workshop - Basic, Intermediate, and ABIPP Preparation Coding, Compliance and Practice Management Comprehensive Review Course - (Nov 2-3) Competency Examination - (Nov 4) Controlled Substance Management Comprehensive Review Course - (Nov 2-3) Competency Examination - (Nov 4) ABIPP Part 1 Examination (Nov 3)

ASIPP 2012 Meetings


CDC issues Report on Prescription Opioid Overdoses


The Center for Disease Control and Prevention has issued a Morbidity and Mortality Weekly Report (MMWR) titled Vital Signs: Overdoses of Prescription Opioid Pain Relievers --- United States, 1999--2008

On November 1, 2011, this report was posted as an MMWR Early Release on the MMWR website.

Prescription Painkiller Overdoses in the US

Deaths from prescription painkillers* have reached epidemic levels in the past decade. The number of overdose deaths is now greater than those of deaths from heroin and cocaine combined. A big part of the problem is nonmedical use of prescription painkillers-using drugs without a prescription, or using drugs just for the "high" they cause. In 2010, about 12 million Americans (age 12 or older) reported nonmedical use of prescription painkillers in the past year. Enough prescription painkillers were prescribed in 2010 to medicate every American adult around-the-clock for a month. Although most of these pills were prescribed for a medical purpose, many ended up in the hands of people who misused or abused them.

.

Centers for Disease Control and Prevention


HIPAA Audit: The 42 Questions HHS Might Ask


In March, Atlanta's Piedmont Hospital became the first institution in the country to be audited for compliance with the security rules of the Health Insurance Portability and Accountability Act (HIPAA).

The audit was conducted by the office of the inspector general at the U.S. Department of Health and Human Service (HHS) and is being seen by some in the health care industry as a precursor

of similar audits to come at other institutions.

ASIPP HIPAA CD Can Help Your Practice Survive An Audit

The HIPAA security regulations were designed to protect patient protected health information that is stored and/or transmitted electronically. This includes any information that can link a patient to a medical condition, test, etc. The rules and regulations not only discuss how information is stored (e.g. in a password protected computer system) but also how the computer is stored (e.g. in a locked office with an alarm on it) and transmitted (e.g. encrypted).

The CD and webinar contain information on the hows and whys of HIPAA security along with sample policies and helpful worksheets. The goal is for an IPP to be able to walk through the HIPAA security requirements and implement a program that meets the rules but also fits his/her practice.

Your purchase of the CD allows you access to a free webinar to assist understanding and using the content of the HIPAA CD.

Computerworld


Important 2012 CPT Coding Changes to ASC Spine & Pain Management Procedures


CPT changes to spine procedure coding

Codes 22520, 22521 and 22522: These CPT codes were changed from a percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; thoracic or lumbar and add-on code for an additional level, to now include a bone biopsy, if one is performed as part of the percutaneous vertebroplasty procedure.

The AMA made a major change to the anterior cervical discectomy and fusion procedure coding in the CPT book in 2011. When anterior cervical fusions are performed, usually a discectomy is also performed. For dates of service in 2010 and before, two codes (63075 for the discectomy and 22554 for the fusion) were required. For 2011, CPT combined these two procedures into one code. Use code 22551 for the first level of cervical fusion and discectomy performed and add-on code 22552 for subsequent levels. Codes 63075 and 22554 are still valid for use in cases where only those individual procedures are performed.

Click HERE to see a list of IPM Coding changes.

Becker's ASC Review


CMS Final Rule Increases ASC Payment Rates by 1.6% in 2012, Establishes Quality Reporting Program


The Centers for Medicare & Medicaid Services issued a final rule with comment period today that will update payment policies and payment rates for services furnished to Medicare beneficiaries in hospital outpatient departments and surgery centers beginning Jan. 1, 2012, according to a CMS release.

In addition to establishing payment rates for calendar year 2012, the final rule expands the measures to be reported under the Hospital Outpatient Quality Reporting Program, creates a new quality reporting program for surgery centers and strengthens the Hospital Value-based Purchasing program that will affect inpatient payments starting Oct. 1, 2012.

CMS projects that payments to approximately 5,000 Medicare-participating ASCs under the ASC Payment System will be approximately $3.5 billion for CY 2012. Payments to more than 4,000 hospitals paid under the Outpatient Prospective Payment System in CY 2012 will total around $41.1 billion.

Becker's ASC


Nevada Tops in the Nation for Prescription Pain Medication Overdose Deaths


Results from a decades-long study that ranks Nevada tops in the nation for prescription pain medication overdose deaths gives further emphasis to the issue and the need for public awareness, Reno police and anti-drug advocates say.

Earlier this week the U.S. Centers for Disease Control and Prevention announced the results of a study between 1998 and 2008 that showed Nevada (19.6 percent) was third in the country for these specific deaths, trailing behind New Mexico (27 percent) and West Virginia (25.8 percent).

RJG.com


Why Small Medical Practices Lag in EMR Adoption


Although a growing percentage of physician practices are adopting electronic medical records, a large gap persists in adoption rates between the smallest and largest practices.

Small practices are not averse to adopting technology, analysts said. But the cost of systems, confusion about federal incentives for using them and the practice disruption they might cause are holding back their EMR adoption rates.

AMA news


Hospital Emergency Department Visits Involving the Misuse of the Muscle Relaxant Drug Carisoprodol Have Doubled Over Five Years, Study Shows


Emergency department visits involving the misuse of the muscle relaxant carisoprodol have doubled from 15,830 visits in 2004 to 31,763 visits in 2009 (the latest year for which figures are available), according to a new report from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Although carisoprodol is a useful medication for short-term treatment of acute muscle pain including pain from severe injuries, it can be dangerous when misused - especially in combination with other prescription drugs, illicit drugs, and/or with alcohol. Carisoprodol is sold under various brand names including Soma, Soprodal, and Vanadom.

Among the report's findings:

  • Visits involving carisoprodol misuse increased for all age groups, with visits involving patients aged 50 or older tripling between 2004 and 2009.
  • The majority of emergency department visits involving the misuse of the drug also involved other pharmaceuticals (77 percent); the most common combinations involved narcotic pain relievers (55 percent), followed by benzodiazepines (47 percent ). Alcohol was involved in 12 percent of carisoprodol-related visits.
  • Overall more than one-third of emergency department visits related to carisoprodol misuse (35 percent) required follow-up hospitalization

SAMHSA


DA Launches Website on Safe Disposal of Used Needles and Other "Sharps"


The U.S. Food and Drug Administration today launched a new website1 for patients and caregivers on the safe disposal of needles and other so-called "sharps" that are used at home, at work and while traveling.

The website will help people understand the public health risks created by improperly disposing of used sharps and how users should safely dispose of them.

Sharps is a term for medical devices with sharp points or edges that can puncture or cut the skin. Such medical devices include hypodermic needles and syringes used to administer medication; lancets or fingerstick devices to collect blood for testing; needle and tubing systems for infusing intravenous and subcutaneous medicines; and connection needles used for home hemodialysis.

FDA


State Society News


FSIPP Annual Meeting Dates May 18-20, 2012


The Florida Society of Interventional Pain Physicians has set the date for their next annual meeting for May 18-20, 2012 at the Gaylord Palms, Orlando, FL.

Read more about the meeting and other activities going on in the state of Florida in their newsletter. Click HERE to read latest issue.

For a complete look at the May meeting schedule and CME information, click HERE


CASIPP Annual Meeting Dates Nov. 9-11, 2012


The annual meeting of the California chapter of the American Society of Interventional Pain Physicians will be Nov. 9 -11, 2012 at the Pelican Hill Resort in Newport Beach, CA.

Go to www.casipp.com for more information.


Physicians Wanted


Visit the ASIPP Web site to find available positions for IPM physicians.

Physicians Wanted


 

 

 

 


All contents Copyright © 2008
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