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" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary
 

September 12, 2012

 

  1. CRNA Comment Period Comes to Close: Still Time to Write Congress
  2. Three Courses: ASIPP to Host November Board Review, Coding and Controlled Substance Courses in Denver
  3. Medicare Region C Recovery Auditor to Begin Audits
  4. Please Take Part in ASIPP Use of Antithrombotics in IPM Survey
  5. Will U.S. Physicians be Forced to 'Heel' by Executive Order?
  6. New FDA Device Helps ID Fake Drugs
  7. Health Care Industry Experiments with New Payment, Care Models
  8. Pain Pill Recall for Over-Potency Issue
  9. Health Care System Wastes $750 Billion a Year
  10. U.S. Revokes Drug Licenses for 2 Fla. CVS Pharmacies
  11. Doctors Shift Focus to Compliance as ICD-10 Deadline Set
  12. Detecting Deception: How to Handle a Malingering Patient
  13. Anatomy of an Epidemic: The Opioid Movie
  14. State Society News
  15. Physicians Wanted

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crnaCRNA Issue CAPWIZ Letters of Utmost Importance: Can't Afford to Delay!

 

On July 6, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule on the Physician Fee Schedule which includes new language on chronic pain management.
 

In other words, under the proposed rule a CRNA will be reimbursed for services related to chronic pain management as long as the CRNA is permitted to perform the service under the state scope of practice law. We ask that you join ASIPP in contacting CMS and Congress to express your concern. You must reference CMS-1590-P when commenting.

 

Frankly, the lack of action to date is shocking to us. Fortunately it is not too late to take action. While the time for a response to CMS has expired, we can still contact the Members of the Congress.

 

Use this link to access Capwiz: http://capwiz.com/asipp/issues/alert/?alertid=61589631

 

Here is a copy of the comment letter that ASIPP sent to CMS for your reference. It may be quite helpful to you as you reach out to your senators and representative. In addition, using the Capwiz link below, please continue to send daily Capwiz letters to Congress. It is also simple and imperative to get your patients involved. Customize the following letter to your state leaders, have your patients sign it before they leave the office, then have your staff enter it in Capwiz for the patient. Sample Patient Letter

 

If you think you are too busy to act on this now, don't worry, you will soon have more time on your hands if you do not, as there will be plenty of CRNAs willing to take on your patient load.

 

Please act immediately - before it is too late!

 

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auditsMedicare Region C Recovery Auditor to Begin Audits

 

CMS has alerted the AMA that it has approved the Medicare Region C Recovery Auditor(RAC) Connolly to begin conducting audits of coding for E&M services in physician offices, specifically CPT code 99215.

 

We have been informed that in the next several weeks, Connolly will begin complex medical review of CPT code 99215, and will be permitted to extrapolate their findings based on a statistical sample of such claims. Connolly is the Medicare FFS RAC contractor who conducts RAC audits in AL, AR, CO, FL, GA, LA, MS, NM, NC, OK, SC, TN, TX, VA, WV, Puerto Rico and the U.S. Virgin Islands. However, it has not yet been announced if all or only a subset of these states will be under review.

 

These reviews are expected to begin imminently in Region C and, according to CMS, are likely to be approved in other Medicare regions in the near future. The AMA has sent the attached letter to CMS Acting Administrator Marilyn Tavenner strongly objecting to these audits and urging CMS to rescind approval of RAC review of E&M codes. We also have alerted CMS staff that there will be significant opposition and questions about these audits among medicine and have requested that they provide briefings for state medical societies and specialty societies in the next few weeks to hear these concerns directly. We have yet to confirm these briefings but will inform you of their status once confirmed. As additional background for your information on this issue, the AMA and 101 state and specialty societies sent a letter to CMS in March 2009 strongly opposing RAC audits of E&M services.

 

 Recently, however, there has been increased pressure on CMS to review physicians' coding of E&M services. The HHS Office of Inspector General (OIG) issued a report in May on this topic that specifically urged CMS to encourage its contractors to conduct these reviews and "if CMS determines that inappropriate claims have been paid, it should take steps to recover those overpayments."

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surveyPlease Take Part in ASIPP Use of Antithrombotics in IPM Survey

 

The American Society of Interventional Pain Physicians (ASIPP) is conducting a survey on bleeding complications, specifically epidural hematomas. The goal of this survey is to gain a better understanding of current and future trends in managing patients on antithrombotics undergoing spinal and other interventional techniques. The results will eventually be utilized in the ASIPP guidelines.

 

All information will remain confidential, and only aggregate not individual responses will be published. As a participant, you will receive a copy of the survey results. This data will be extremely helpful for the future of our speciality. The survey should only take about 5 to 10 minutes to complete.

 

If you are willing to participate, click on the following link to download the survey form.

 Click the link below to take survey:

http://www.nasper.org/asippsurvey.htm

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heelWill U.S. Physicians be Forced to 'Heel' by Executive Order?
 

 

DANA POINT, CA, September 10, 2012- Under Article II, Section 1, Clause 1, President Obama could issue an order to bring physicians into line with his grand vision of universal health coverage in America.

 

"By the authority vested in me as President..." could be the words preceding perhaps the most massive change to the U.S. healthcare system in history-eclipsing in effective scope even the Obamacare law itself. In one of President Obama's first executive orders issued in the post-election days of November 2012, if he is re-elected on November 6th, this phrase would shoot like hot lead from the barrel of the Affordable Care Act into the lives of physicians and patients everywhere.

 

As of today, physicians do not have to see patients with an Obamacare plan, and, by all polls, many physicians are not fans of the new law in the first place. This is keeping the President's advisors up at night.

 

Washington Times

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fakeNew FDA Device Helps ID Fake Drugs

 

WASHINGTON -- The FDA is using simple technology it designed to help nab counterfeit products, but the agency's development of such innovations may face trouble in the future, agency commissioner Margaret Hamburg, MD, said Monday.

 

The agency displayed its Counterfeit Detection Device No. 3 -- CD3 for short -- at an FDA symposium.

 

The device sprays 10 different wavelengths of visible and invisible light on products the FDA is inspecting. When they aim it over tablets, boxes, and accompanying documents, inspectors are able to spot counterfeit products and documents because they appear a different color or shade.

 

 

MedPage Today

 

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industryHealth Care Industry Experiments with New Payment, Care Models

 

A recent bundled payment contract hatched among three major players within Connecticut's health care industry could provide a sneak preview into the future of health care.

 

The Connecticut Joint Replacement Institute at St. Francis Hospital signed a contract with Farmington health insurer ConnectiCare, in which the medical providers will receive one, preset payment to provide a defined set of services for hip and knee replacement surgery.

 

The hospital, surgeons and anesthesiologists will be responsible for coordinating the entire episode of care for the patient from the time they walk into the hospital, have their surgery and get discharged. They will also monitor outcomes and other quality measures, and receive a set payment as reimbursement.

 

 

Hartford Business

 

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recallPain Pill Recall for Over-Potency Issue

 

Qualitest, a subsidiary of Endo Health Solutions (Nasdaq: ENDP), today issued a voluntary, nationwide retail level recall for one lot of Hydrocodone Bitartrate and Acetaminophen Tablets, USP 10 mg/500 mg.

 

The recall includes the following product lot:

  • Hydrocodone Bitartrate and Acetaminophen Tablets, USP 10 mg/500 mg, NDC 0603-3888-21, 100 count, Lot Number C1440512A, expiry date 12/13. 

Heath, Medical, and Science updates

 

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wasteHealth Care System Wastes $750 Billion a Year

 

The U.S. health care system squanders $750 billion a year, roughly 30 cents of every medical dollar, through unneeded care, byzantine paperwork, fraud and other waste according to a report by the Institute of Medicine, says CBS News.

 

The report highlights inefficiencies in the current health care system and the need to quickly address them.

  •    $210 billion goes toward unnecessary services
  •    $130 billion goes toward inefficient delivery of care.
  •    $190 billion goes toward excessive administrative costs.
  •    $105 billion goes toward inflated prices.
  •    Prevention failures make up $55 billion.
  •    And finally, fraud accounts for $75 billion

 To put this in perspective, eliminating the $750 billion in inefficiencies is equivalent to more than 10 years of Medicare cuts in Obama's health care law.

 

Both presidential candidates agree that something needs to be done about the rising health care costs. Obama's plan would rely on a board to cut payments to service providers. In addition, he would reward payments to doctors based on results and not volume. Romney, on the other hand, would limit the amount of money future retirees can get from the government medical insurance, allowing the private market to find efficient solutions.

 

 

NCPA

 

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revokeU.S. Revokes Drug Licenses for 2 Fla. CVS Pharmacies

 

Two Central Florida CVS pharmacies have lost their licenses to dispense controlled substances after the U.S. Drug Enforcement Administration accused them of ignoring the state's prescription drug abuse epidemic by dispensing excessive amounts of oxycodone, USA TODAY's Donna Leinwand Leger reports.

 

USA Today

 

 

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shiftDoctors Shift Focus to Compliance as ICD-10 Deadline Set

 

Washington Now that organized medicine has secured a one-year delay in the deadline for moving to the ICD-10 diagnostic coding system, physicians and hospitals turn their attention to the work of transitioning from ICD-9. The American Medical Association and other physician organizations said the delay did not go far enough to alleviate concerns about the substantial costs and other burdens associated with the upgrade.

 

On Aug. 24, the Centers for Medicare & Medicaid Services issued a final rule that effectively changed the date for complying with the new ICD-10 medical data code sets to Oct. 1, 2014.

 

 

AMA news

 

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detectDetecting Deception: How to Handle a Malingering Patient

 

Ronald Schouten, MD, knew immediately that something was strange about the patient who lurched oddly into his exam room and collapsed into a chair. The man, who complained of a head injury, appeared to understand Dr. Schouten's words, but the patient's voice was garbled and his mannerisms were overdramatic.

 

"His speech deficit didn't make any sense," said Dr. Schouten, an associate professor of psychiatry at Harvard Medical School and director of the Law & Psychiatry Service at Massachusetts General Hospital. "His hands were shaking violently, and he asked for water. Miraculously, he didn't spill a drop."

 

 

AMA news

 

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movieAnatomy of an Epidemic: The Opioid Movie

 

Driving home from a hunting trip in 2008, Johnny Sullivan called his wife to say he was having trouble staying awake.

 

It was early afternoon, but Mary Lou Sullivan wasn't surprised. Her husband was a long-time user of the narcotic painkiller OxyContin (oxycodone) and frequently dozed off as a side effect,sometimes in the middle of chewing his food.

 

About 10 years earlier, Sullivan and six other chronic pain sufferers had been featured in a Purdue Pharma promotional video for the drug, which Purdue makes. In the video, Sullivan stood at a construction site and talked about how the powerful narcotic eased his back pain and enabled him to run his company again.

 

MedPage Today

 

 

 


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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