December 11, 2013
Interventional Pain Management - Act Now or Never!
Payment Rule for Interventional Pain Physicians may Put 40% of Pain Physicians
Out of Practice Reduce Access to Many Americans, and Increase Medicare Expenses
by $187 Million Per Year by Moving the Patients Into Most Expensive
As a Thanksgiving gift on
November 27, 2013, the Centers for Medicare and Medicaid Services (CMS) posted
the 2014 final rules for physician payments, hospital outpatient (HOPD) and
ambulatory surgical centers (ASC). New rates will be effective January 1,
2014 Final Fee
Usually around this time we
panic about sustainable growth rate (SGR) cuts which are scheduled to be 20% pay
cut again unless congress fixes it temporarily or permanently. However, we have
a much bigger problem this time. It is all about universal health care and
administration attempts to go to single payor system with consolidation of
hospital industry with elimination of physician practices.
- This may put 40% of pain physicians out of practice.
- Reduce access to patient care
- Increase Medicare expenses by $187 million.
It is an understatement to
say that the cuts are draconian and it will be devastating. Unless we act upon
the issue this may be the end of interventional pain management practice for
almost 40% of the physicians who base majority of their practices out of office
setting. Read more...
In response, ASIPP
has set up Capwiz letters for physicians and patients. You should
customize and describe your own situation in physician letters. Make sure each
and every physician writes a letter. Even physicians who are not interventional
pain physicians may write them
Capwiz Letter for Physicians
Capwiz Letter for
You should customize and
describe your own situation in physician letters. Make sure each and every
physician writes a letter. Even physicians who are not interventional pain
physicians may write them.
This should be followed by
all your staff members, their relatives and friends.
Finally, the most important
aspect is the access to care, so we have to get our patients involved as our
partners in this survival journey. It is not just the patients, but their family
members and their friends.
Click here for
information on how to implement a letter-writing campaign and for Word versions
of the letters.
Also please consider
contributing to the SAVE IPM
Non-Coverage Decision on Cervical Epidurals
We are pleased to bring you
a bit of good news for a change.
In September Blue Cross
Blue Shield of Tennessee announced they would begin denying cervical epidurals (read the policy announcement
in the BlueAlert publication). In response, the Tennessee
Society of Interventional Pain Physicians (TNSIPP) and ASIPP submitted an
extensive evidence-based rebuttal (read rebuttal letter). Additionally TNSIPP Executive Director and President, Graf
Hilgenhurst, MD met with Medical Director, Dr. Andrea Willis, to present
the evidence in person.
We have just learned that
they have backed down from the non-coverage decision. Obviously this can be
considered as at least a temporary win.
Working together we can
achieve at least a few things. We thank everyone involved in brining about this
victory. This is a great example of what can be accomplished when we work
together to make change.
ASIPP 16th Annual
Meeting Registration Now Open!
| BROCHURE | ONLINE REGISTRATION | HOTEL
We are pleased to invite you,
your staff, and family to join us for the ASIPP 16th Annual Meeting: IPM:
Not a Luxury nor Experimental, but Effective and Necessary.
Because we are feeling the
squeeze from the Affordable (Obama) Care, the current regulatory environment,
and decreasing reimbursements, this annual meeting is designed to provide
practical and evidence-based education to help preserve your practice into the
future. We believe you will find that this conference is quite different from
the majority of other conferences.
The Survival of IPM Physicians
under Affordable Care (ObamaCare) featuring, Peter Staats, MD (Chairperson), the
Honorable Ben Sass, PhD, Stephen Ward, MB, and Laxmaiah Manchikanti, MD
Afternoon Session Topics:
Controversies of Epidural
Emerging Concepts in IPM
Legal and Ethical
Lectures featuring Joshua Hirsch, MD (Chairperson), Devi E. Nampiaparampil, MD
(Dr. Devi), Debra Beaulieu, James H. Diaz, MD, MPH, and Christopher J. Gilligan,
Afternoon Session Topics:
Emerging Evidence for Established
Emerging Aspects of IPM
Practice Management: Fraud and
Abuse-Sleeping with the Enemy
Business Meeting and Dinner
Advocacy in IPM: All Politics are
Local Co-Chaired by Sudhir Diwan, MD and Peter Staats, MD
In addition to this stellar
itinerary, we offer exhibitor interactions, a presidential dinner with
congressional speakers, and New Orleans style entertainment.
We encourage you to register
today and begin making plans to attend. We hope you will come early or stay over
to enjoy all the New Orleans has to offer.
Click HERE to
Fix Could be Added to Budget Deal
A three-month patch to prevent the
impending cut in physician payments could be added to the budget deal reached
Tuesday evening. The bill, which funds a 0.5 percent increase to physicians, was
posted to the House Rules Committee very early this morning as a pending
amendment to the budget legislation.
It includes some extenders.
The patch is funded by a long-term extension of cuts in Medicaid DSH payments
and in patient services in long-term care hospitals. The bill also delays the
implementation of the new 'two midnight' rule for hospitals. In a nod to the
ongoing permanent repeal effort, its called the 'Pathway for SGR Reform Act of
Don's Miss This:
Coding Webinar Set for next Wednesday
Don't risk denied payments
by being out of the loop on upcoming changes in 2014! Get the updates you need
to compliantly report your services in the New Year! By attending this session,
you will be brought up-to-date on issues that affect coding and billing for
Interventional Pain Management services.
The webinar is from 11 am
to 12:30 pm CDT. Cost for the webinar is $175.
Marvel J. Hammer RN BS CPC
CCS-P ASC-PM CHCO, is a registered nurse with over twenty-five years experience
in a multitude of specialties. Her field of specialties includes
Pain Management, Physical Medicine & Rehabilitation, Neurology, and
Occupational Medicine. She is a coding and compliance consultant and principal
of MJH Consulting based in Denver, Colorado.
Click HERE to register
Register Now for
ASIPP Cadaver Workshop, Imaging, Fluroscopy and Radiation Safety Course Set in
Phoenix Jan 31- Feb. 2
ASIPP Is pleased to announce a Cadaver Workshop (Basic,
Intermediate, and ABIPP Preparation), February 1-2, 2014 and the Imaging,
Fluoroscopy, and Radiation Safety course on January 31, 2014, both in Phoenix,
The 1-day review course
includes didactics on the topic of fluoroscopy. Participants experience a
comprehensive and intense learning opportunity, focusing on interventional pain
The intensive review course
in fluoroscopy is planned as a CME activity for interventional pain
physicians-for review, skills improvement or to fullfil state board requirements
for CME hours in fluoroscopic interpretation and radiation safety.
After this course,
participants should be able to:
- Describe the delivery of
multiple aspects of interventional pain management.
- Review multiple areas of
interventional pain management including fluoroscopic interpretation and
- Demonstrate skills
through interactive review of images
Click HERE to register
Click HERE to view
Click HERE for hotel
Meeting Call for Abstracts
Abstract submission is now
open to enter your abstract proposal into the American Society of
Interventional Pain Physicians abstract and poster presentation at the 16th
Annual Meeting set for April 4-6, 2014 in New Orleans, Louisiana.
The top 20 abstracts will
be published in Pain Physician journal. The top 20 will be selected for Poster
presentation during the annual meeting on April 5. The top 5 will be presenting
their abstracts during the regular session of all members on Saturday. That
evening at the Presidential Awards Banquet, the top three abstract presenters
will receive cash prizes.
A final abstract submission
deadline is at 5pm Monday, February 17, 2014. Those selected will be notified by
March 4, 2014 and will receive free registration to the annual
Click HERE or a complete set of
Click HERE to submit your
|Killing Pain: AGs
Want FDA to Review Zohydro Approval
Attorneys general from 28
states have asked the U.S. Food and Drug Administration to reconsider its
approval of the powerful narcotic painkiller known as Zohydro (hydrocodone bitartrate).
In October, the FDA went
against the recommendation of its own advisory committee and approved the drug,
which will be the first hydrocodone-only drug in America. Hydrocodone is the
opioid in drugs such as Vicodin which also include over-the-counter pain
relievers such as acetaminophen or ibuprofen.
Zohydro ER will come in
doses packing five to 10 times more heroin-like narcotic than traditional
hydrocodone products. In addition, because it is designed to be released slowly
over 12 hours, pleasure-seekers will be able to crush it, chew it, or mix it
with alcohol to unleash its full punch at once because the drug does not have an
Force: Ban Drug Reps From 'Ivory Towers'
Drug sales reps should be
banned from academic medical centers, but mingling between faculty and pharma
researchers is not a problem, according to a conflict-of-interest task
representatives should not be allowed access to any faculty, students, or
trainees in academic medical centers or affiliated entities," the task force,
convened by the Pew Charitable Trusts, wrote in a 30-page report released Tuesday. "However,
faculty may invite pharmaceutical scientists for specific educational or
scientific discussions that do not involve marketing of a specific
|Gov't Health IT
Report Expected in Early 2014
HARBOR, Md. -- A strategy for promoting innovation in
health information technology -- due from three federal agencies -- should come
out early next year, a government official said Monday.
The FDA, Office of National
Coordinator of Health IT (ONC), and the Federal Communications Commission have
been working on a report outlining strategies and recommendations on the issue
as mandated by the FDA Safety and Innovation Act,
which Congress passed last summer, explained Jodi Daniel,
JD, MPH, director of ONC's Office of Policy and Planning. Daniel was
speaking at the mHealth Summit here, hosted by the
Healthcare Information and Management Systems Society (HIMSS).
sends unqualified people to Medicaid
The federal health care
exchange is incorrectly determining that some people are eligible for Medicaid
when they clearly are not, leaving them with little chance to get the subsidized
insurance they are entitled to as the Dec. 23 deadline for enrollment
State and industry
officials haven't quantified the problem yet, but the National Association of
State Medicaid Directors may release information next week after following up on
reports from around the country, says Executive Director Matt Salo.
for CT Scans Improves Reimbursement
- A structured physician order form for trauma CT imaging can increase the rate
of clinical history provided to the radiologist, new research shows. And because
the clinical history specifies billing codes, initial reimbursement denials are
The physician order entry
form includes drop-down lists of clinical signs, symptoms, and mechanism of
injury. "We created these lists working with the emergency department docs in
our institutions," explained Jeremy Wortman, MD, a resident at Brigham and
Women's Hospital in Boston.
explanation for why not all of his staff is going on 'Obamacare'
Our colleagues at
Factcheck.org have already explored one
issue that had interested us: Why House Speaker John Boehner's
insurance premiums increased dramatically. The main reason is that in the
federal employee health plan, premiums are not affected by age; the young and
old pay the same rate, depending on family status. But on the exchanges, older
workers can pay as much as three times as much as younger workers. That's an
improvement for individual plans in the pre-ACA world system - where the "age
band" could be five or more times greater - but there is premium-shock if
someone, such as Boehner, is 64 and moving from a community-rated
The other contentious issue
is that some congressional staff members are able to stay in the federal health
plan. Boehner (R-Ohio), House Speaker Nancy Pelosi (D-Calif.) and Republican
Leader Mitch McConnell (R-Ky.) have all designated all of their their staffs to
join the exchanges. So did many other leaders in the Senate and the House. But
Reid kept his leadership staff on the federal plan, explaining that he was
following the law. Does that mean the others are not following the
Let's explore. Reid's
explanation is certainly newsworthy.
Pain Wise: Now
Pain-Wise is a patient and Medical
Professional'sguide 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,
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.
includes expert advice on:
- Identifying various parts of the body that can cause pain, using a
simple anatomy guide
- How to choose a pain specialist who is right for you
- Getting the most out of your doctor's visits
- Basic explanations of common interventional pain management techniques
- Information on minimally invasive surgery techniques
- Explanation of implantable therapies for the treatment of severe
This valuable patient
resource is sold in cases of 24 books. Buy 1-3 cases for just $10 per book. Buy
4 cases or more and pay just $7.50 per book. The regular retail price of the
book is $15.
Click HERE to order
Plans January Meeting
The Wisconsin chapter of
the American Socieity of Interventional Pain Physicians will be Friday, January
24th, 2014, at Andrew's Bar & Restaurant in Delafield. More details and registration information will be
Sets Date for Annual Meeting
The California Society of
Interventional Pain Physicians will hold its 2014 annual meeting September 12-14
at the Terranea Resort (www.terranea.com) in Rancho Palos Verdes,
For more information, go to www.casipp.com
* Please send in your
State Society meeting news to:
Holly Long at firstname.lastname@example.org
If you are
interested in advertising on the Physicians Wanted page, please contact Holly Long for pricing information
554-9412 ext. 230
Fax: (270) 554-5394
Click HERE to view Classified
Physicians Wanted Ads listed on the ASIPP website.
Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394