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" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary
 

June 1, 2011

 

 

·  Get Involved - You Will Learn: Stay for Capitol Hill Visits and Get Hotel Room Refund

·  ABIPP Application Deadlines Set

·  Health Care Spending Rises as Confidence in Ability to Pay Falls

·  ASIPP Lecture on YouTube

·  More States Expanding Their Move to Medicaid Managed Care

·  Two more webinars remain in Lunch and Learn Series

·  Industry-Supported CME Offers Potential for Bias, Study Says

·  Register Today to Attend August Board Review, Controlled Substance Management, and Coding, Compliance and Practice Management Courses

·  Can an Insurer Settle a Malpractice Suit Against Your Wishes?

·  Judge Hands Down 6-Year Sentence for Prescription Fraud Scheme

·  Vermont: Governor Signs Health Care Law

·  20 Percent of S.C. Physicians Now Sharing Electronic Records

·  When Children's Scribbles Hide a Prison Drug

·  Despite Bill's Death, Medicare Issue Very Much Alive

·  State Society News

·  Physicians Wanted


Get Involved - You Will Learn: Stay for Capitol Hill Visits and Get Hotel Room Refund

 


Once again this year ASIPP is incorporating a Legislative Session & Capitol Hill Visits into our Annual Meeting and we hope you will plan to attend. As an incentive for you to join us, ASIPP will reimburse your hotel for Monday and Tuesday nights if you attend this portion of the meeting.

On Monday at the Hyatt Regency Crystal City in Washington, DC, the legislative portion of the meeting kicks off with a lecture from Steve Selbst: CEO of Healthcents, LLC, "The Voyage into the New Health Care System - Navigating Through Insurance Contracting" followed by an interactive presentation given by grassroots advocacy trainer, Joseph C. Gagen.

After a special lunch presentation, we will begin preparing for our Capitol Hill visits on Tuesday. If you have never gone to Capitol Hill before, don't worry, this session will leave you feeling prepared and confident.

On Tuesday morning will we travel as a group to Capitol Hill where we will hear speeches from several senators and representatives in the historical Kennedy Caucus room. We currently have acceptances from Rep. Ed Whitfield, Rep. Frank Pallone, Sen. Sherrod Brown, Rep. Andy Harris, Sen. Ben Nelson, Rep. Ben Chandler and Sen. David Vitter. We are adding names to this already impressive list.

Click HERE to see the NEWLY REVISED meeting content. If you are not already registered, I encourage you to do so today and begin making plans to attend this extraordinary meeting.

Register Today!


ABIPP Application Deadlines Set


ABIPP will accept applications for ABIPP Part I examination until June 30, 2011. The examination will be held on August 6, 2011 in St. Louis, MO at the Chase Park Plaza Hotel.

Applications for those taking ABIPP Part II must be received no later than July 31, 2011. The Part II Practical examination will be held on September 9-10, 2011 in Memphis, TN at the Hilton Memphis and the Medical Education and Research Institute.

.Applications and additional information can be found on the abipp.org Web site. Questions can be directed to Melinda Martin at 270-448-4985 or mail to:abipp@abipp.org

ABIPP Application


Health Care Spending Rises as Confidence in Ability to Pay Falls


Practices are devoting more time to collections and helping patients understand their health insurance.

At the annual conference of the Illinois affiliate of the Medical Group Management Assn. in May, a speaker asked the audience about the size of the patient deductibles they were seeing. People in attendance yelled out numbers: "$1,000!" "$5,000!" Some even went as high as "$10,000!"

"A lot of times the patient has no choice in the plan that they are given by their employer," said Izzy Goodman, RN, administrator of business affairs with North Suburban Cardiology in Evanston, Ill., and secretary of ILMGMA. "Then when they find out they are responsible for $1,500 or more, they are shocked."

Two recent surveys bear out Goodman's observations. One shows the amount of health care spending by American families going up. The other shows people's confidence in paying for health care going down.

AMA news


ASIPP Lecture on YouTube


ASIPP's presence on YouTube continues to grow with the addition of ASIPP Chairman of the Board and CEO Laxmaiah Manchikanti MD's lecture titled "Introduction to ASIPP and Board Preparation Review."

Among the topics Dr. Manchikanti covers are the issues and challenges facing medical care in general and interventional pain management in particular; Medicare's future; the Patient Protection and Affordable Care Act; and many others.

Because of file size and time limits required by YouTube, the lecture is broken up into 4 parts; each is approximately 12 minutes. Part 1 can be accessed at http://www.youtube.com/user/asipp1998#p/a/u/0/q-FjWaheJ7s

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Youtube link


More States Expanding Their Move to Medicaid Managed Care


As states continue to move Medicaid programs away from unrestricted fee-for-service payment toward various types of capitated care, the concept of Medicaid managed care is drawing more scrutiny. At issue is whether such changes can produce program savings without unduly restricting beneficiary access to care.

Many states have hybrid Medicaid systems that mix capitated HMOs, primary care case management and prepaid plans that cover certain health services, such as hospital or mental health care. Some states offer HMOs and PCCM plans to all enrollees, while others restrict HMOs to urban residents. A few states, such as North Carolina, do not contract with HMOs. Instead, the state provides medical homes and coordinated care through physician-driven, regional enhanced primary care networks

Medicaid programs have used some form of managed care for decades. About 70% of Medicaid enrollees in 2008 received at least some services through managed care plans, according to a February 2010 report by the Kaiser Family Foundation. But as state health care budgets explode and officials increasing look to provide better value for their health spending, pressure has been building for greater expansion of these programs, said Neva Kaye, managing director for health system performance at the National Academy for State Health Policy.

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AMA news


Two more webinars remain in Lunch and Learn Series


Join us for ASIPP's Lunch and Learn webinar series to assist in learning the NCCI rules and regulations you need.

June 8- Edits: $125 Regular | $300 Bundle 11:00am-12:30pm CST Series 2 will review the three types of edits (Column I & II, Mutually Exclusive and Medically Unlikely) and what information is provided in each of these three edits. Understand if it is appropriate to unbundle the edits for separate payment and what does a terminated edit mean to the practice. Learn how to use each of the edits with practical coding examples

.June 15- Modifiers: $125 Regular | $300 Bundle 11:00am-12:30pm CST Series 3 will review the appropriate modifiers which allow unbundling of edits Understanding when it is appropriate and necessary to append modifiers could keep the practice from an unwanted review. Appropriate modifier usage can also make sure that the practice receives the payment that it is entitled to receive. Debbie Farmer will walk the coders through examples based on the information learned throughout the three segments.

Register now!


Industry-Supported CME Offers Potential for Bias, Study Says


Most physicians believe continuing medical education courses funded by pharmaceutical or medical device companies are likely to be biased, but few want to see such commercial support eliminated, a study says.

Nearly 90% of 770 physicians and other health professionals surveyed said commercial support for CME introduces the potential for bias, but 42% were willing to pay higher registration fees to decrease or eliminate such funding. Only 15% said they would do away with commercially supported CME, according to the study in the May 9 issue of Archives of Internal Medicine.

AMA news


Register Today to Attend August Board Review, Controlled Substance Management, and Coding, Compliance and Practice Management Courses


Make your plans today to attend the ASIPP Board Review, Controlled Substance Management, and Coding, Compliance and Practice Management Courses scheduled during the week of August 1-6 in St. Louis, Mo.

August 1-5, 2011 ASIPP Board Review Course Register Brochure

August 6, 2011 ABIPP Part I Examination (ABIPP application must be submitted prior to the exam for approval)

August 1-3, 2011 Comprehensive Review Course in Controlled Substance Management (August 1 -August 2) and Competency Examination (August 3) Register

August 4-6, 2011 Comprehensive Review Course in Coding, Compliance and Practice Management (August 4-5) and Competency Examination (August 6) Register

Register today


Can an Insurer Settle a Malpractice Suit Against Your Wishes?


A recent state court ruling in favor of a malpractice insurance company highlighted the need for physicians to examine their liability coverage to see if insurers are allowed to settle cases against a physician's wishes, according to a report in American Medical News.

In the Rhode Island Supreme Court decision, Mohan Papudesu, MD v. Medical Malpractice Joint Underwriting Assn. of Rhode Island, the high court ruled that an insurance carrier had the right to settle a wrongful death suit, despite the objections of the physician defendant.

"Essentially, it's the doctor's reputation against the insurer's caution," said Charles Wick, attorney for obstetrician-gynecologist Mohan Papudesu, MD, told American Medical News. "An insurance company is going to make a decision based on its own business reasons."

Physician's Money Digest


Judge Hands Down 6-Year Sentence for Prescription Fraud Scheme


BIRMINGHAM, AL - A leader of a prescription fraud scheme has been sentenced to six years in prison for healthcare fraud, HIPAA violations and aggravated identity theft.

Judge C. Lynwood Smith Jr. of the United States Attorney's office of the Northern District of Alabama sentenced Isaac Earl Smith, 38, on May 25. Smith, who had pled guilty to the charges in November 2009, will also serve three years of supervised release after completing his prison term.

According to investigators, between September 2008 and April 2009, Smith engaged in a criminal conspiracy to commit healthcare fraud that resulted in HIPAA violations and aggravated identity theft.

During that time, according to court records, Smith and others accessed the personal information of individuals who had flexible spending accounts administered by United Healthcare and were also covered by a prescription drug plan sponsored by the Federal Employees Health Benefit Plan.

Healthcare Finance News


Vermont: Governor Signs Health Care Law


Gov. Peter Shumlin signed a bill on Thursday that sets Vermont on a path to creating the nation's first publicly financed health care system. The law calls for something close to a single-payer system, with doctors and hospitals billing one entity, the state government, for their services. All 620,000 of the state's residents would be eligible for coverage under the system, which proponents say would be cheaper than the current patchwork of insurers. A board appointed by the governor will determine payment rates for doctors, benefits and other details.

Under the plan, all residents in the state would be eligible for Green Mountain Care, as the program has been dubbed, and all providers would bill one payor, the state, for their services, according to the report.

If the health plan is fully established, Vermont would be the first state to have a publicly funded health system.

New York Times


20 Percent of S.C. Physicians Now Sharing Electronic Records


The effort to convert to electronic health records in private practices throughout the state has hit the initial goal of 1,000 primary care providers, according to the group coordinating the change.

That means about 20 percent of the physicians in the state have begun to tap into a system that should help them provide better, safer and more efficient care to patients. It also puts South Carolina among the leaders in the effort.

South Carolina is the second state - Massachusetts was the first - to sign up enough private practices to reach the goal set up in a federal reimbursement program through the Department of Health and Human Services. That DHHS program is one of several designed to encourage physicians to convert to electronic health records.

The State


When Children's Scribbles Hide a Prison Drug


WINDHAM, Me. - Mike Barrett, a corrections officer, ripped open an envelope in the mail room at the Maine Correctional Center here and eyed something suspicious: a Father's Day card, sent a month early. He carefully felt the card and slit it open, looking for a substance that has made mail call here a different experience of late.

WINDHAM, Me. - Mike Barrett, a corrections officer, ripped open an envelope in the mail room at the Maine Correctional Center here and eyed something suspicious: a Father's Day card, sent a month early. He carefully felt the card and slit it open, looking for a substance that has made mail call here a different experience of late.

Mr. Barrett and other prison officials nationwide are searching their facilities, mail and visitors for Suboxone, a drug used as a treatment for opiate addiction that has become coveted as contraband. Innovative smugglers have turned crushed Suboxone pills into a paste and spread it under stamps or over children's artwork, including pages from a princess coloring book found in a New Jersey jail.

NY Times


Despite Bill's Death, Medicare Issue Very Much Alive


The bill that aimed to change Medicare is now dead. But the debate over Medicare won't be.

It's not just because Democrats have promised, come election time, to remind voters of how lawmakers sided on the House-passed fiscal 2012 budget proposal drafted by Republican Rep. Paul Ryan, which after failing the Senate on a 40-57 vote, will not become law. It's also because lawmakers on both sides know they have to do something about Medicare, soon.

Las Vegas Sun


State Society News


GSIPP Annual Meeting 2011Set for Aug. 5

The GSIPP 7th Annual Pain Summit will be held Friday, August 5th thru Sunday August 7th at the Ritz Carlton Lodge on Reynolds Plantation.

For more information email info@gsipp.com


CASIPP Second Annual Meeting set for June 3-5, 2011 in Santa Barbara

The California Society of Interventional Pain Physicians (CASIPP) is proud to present the Second Annual Meeting June 3-5 2011 in Santa Barbara. As with last year's successful event, CASIPP will welcome leading experts to lecture on clinical techniques, political issues and state programs relevant to the Pain Management physician and staff.

Earn eight CME credits while enjoying the luxurious grounds of the Four Seasons Biltmore Resort. To sweeten the deal, the Biltmore has offered discounted rooms to those who register early for the meeting!

Registration is easy online at https://www.casipp.com/register.html.


New Jersey Society of Interventional Pain Physicians

Will hold a meeting on June 9, 2011 from 6:30 pm - 10:30 pm at Pines Manor in Edison, NJ. For more information call Lisa Hansen at 732-297-2600 or e-mail: njsipp_lisah@yahoo.com


Arizona Society of Interventional Pain Physicians Newsletter Available

The Arizona Society of International Pain Physicians has released its quarterly newsletter. Click HERE to read.


Physicians Wanted


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

Physicians Wanted

 

 

 


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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