UPCOMING MEETINGS & COURSES

OHSIPP KYSIPP 2022 Annual Meeting
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Midwest Societies of Interventional Pain Physicians Annual Meeting

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ASIPP PODCASTS

Here are some of the available ASIPP® Podcasts:

  • Dr. Amol Soin And The Business Side Of COVID-19
  • Dr. Kevin Pho of KevinMD.com Reveals Terrific Insight And Ideas On The “New Norm” After The COVID-19
  • Andrea Trescot, MD Takes On The Subject Of Controlled Substance Management
  • ASIPP® Pod August 2019 – Distinguished Pain Leaders Prunskis, Prunskis, and Helm Discuss Issues That Face IPM
  • Miles Day Of Texas Tech Discusses Multiple Pain Management Topics

[ SELECT MORE ASIPP® PODCASTS ]

ASIPP MEMBERSHIP

Join ASIPP. Your Voice For Interventional Pain Management

Louisiana House Bill 941 is Tabled after ASIPP and LSIPP’s Opposition

The American Society of Interventional Pain Physicians (ASIPP) and Louisiana Society of Interventional Pain Physicians (LSIPP) actively opposed Louisiana HB 941 which would restrict access to minimally invasive spine procedures performed by appropriately trained interventional pain management physicians.

The bill would restrict access to care, prevent new minimally invasive techniques from being accessed in LA which are currently readily available across the country, and ultimately harm patient care by forcing patients to have much larger and more invasive procedures completed by surgical specialists who only seek to protect their financial well-being by restricting access only to themselves to complete more invasive procedures. 

Read more…

ASIPP, IPM, and Patient Response to the Proposed CDC Guidelines

The 2016 CDC opioid guidelines were aimed at primary care providers, but many state boards mandated them by law, resulting in tremendous needless suffering and exacerbating the illicit opioid epidemic with causation of needless deaths. These guidelines not only restrict opioid prescriptions, but also have restricted almost all interventional techniques to reduce access and sending patients to the streets for illicit opioids. With the new guidelines, these unintended consequences, including overdoses, deaths, and access limitations will continue.

The guidelines should call for a multidisciplinary approach to chronic pain that includes multiple modalities incorporating the role of interventional pain management for diagnosis and treatment.

Good News! Telehealth Services Extended Through December 2023

Telehealth services, including telephone only services, were added as an emergency at the onset of COVID with multiple efforts from ASIPP and other organizations. However, CMS has now extended this through 2023.

Telephone CPT codes (99212 -95, 99213 -95, 99214 -95, 99441, 99442, 99443) have been eliminated from the 2022 fee schedule effective December 31, 2021. However, the public health emergency (PHD) was later extended with a new effective date through April 17, 2022.

CMS has issued a new notification that:

All telehealth services temporarily added to the telehealth services list during the PHE will remain on the list through December 31, 2023. These services include those that would have been removed as of December 31, 2021.

This is great news. Consequently, we do not have to worry about for 2 more years.

To read more about this Public Health Emergency Declaration, go to https://www.phe.gov/Preparedness/legal/Pages/phedeclaration.aspx

Thank you again for your interest in ASIPP. We will continue to update you as we obtain information on these crucial issues.

Updated Information on the Nationwide LCD Policy for Epidural Procedures for Pain Management

CGS has released its final policy for epidural steroid injections for pain management has been released. This will be effective 12/5/2021. Please check your individual MACs.  Read more…

 

Public Health Emergency Covering Telephone Only Services Extended through January 17, 2022

The public health emergency (PHE) was set to expire on October 18, 2021. Secretary Becerra has once again renewed this PHE for a period of 90 days, which will extend the coverage for telephone only services until at least January 17, 2022. Currently, it is expected that HHS will continue to renew it declaration of the PHE every 90 days through the end of 2021 and will provide 60 days’ notice prior to ending it.

Our letter campaign is also trying to prevent cuts of 9.75% for physician payment and 6% for facility payment. To participate in the letter campaign and to read more about this issue by visiting the ASIPP Advocacy site at. https://asipp.org/advocacy/

CALL TO ACTION!

In January 2022, physician practices face the following Medicare financial hits:

1. Physician Payment Cuts
• The expiration of the congressionally enacted 3.75% temporary increase to the Medicare physician fee schedule conversion factor, which was set into place to avoid payment cuts associated with budget neutrality adjustment tied to PFS policy changes.
• The expiration of the current reprieve from the repeatedly extended 2% sequester stemming from the Budget Control Act of 2011. It appears that while Congress originally scheduled this policy to sunset in 2021, it will now continue into 2030.
• The Imposition of a 4% statutory PAYGO sequester resulting from passage of the American Rescue Plan Act, presumably extending for at least another 10 years.

2. Facility Payment Cuts
• Under the present status, it appears that ambulatory surgery centers and other facilities will be suffering with 2% cut from sequester extension and a 4% reduction with imposition of a 4% statutory PAYGO sequester resulting from passage of the Budget Control Act of 2011

3. Telephone Only Services
• CMS has eliminated coverage for telephone only services (CPT 99441-99443), effective December 20, 2021. 

Link to submit patient letters through VoterVoice: https://www.votervoice.net/ASIPP/campaigns/88591/respond

Link to submit physicians and staff letters through VoterVoice: https://www.votervoice.net/ASIPP/campaigns/88596/respond

[ Click here for more information and sample letters]

A proposed LCD on Epidural Procedures for Pain Management services was announced on June 10, 2021. This nationwide policy contains many onerous changes that will detrimentally affect patient access to care. ASIPP has written comment letters with detailed explanations of the issues and needed changes to each Medicare Contractor. Click to read more.

The Good, the Bad, and the Ugly of HOPD and ASC Proposed Rule for 2022

GOOD
Telehealth services are preserved through 2023 and evaluation management services are expanded.

BAD
Expiration of the congressionally enacted 3.75% temporary increase in Medicare physician fee schedule conversion factor, reducing the conversion factor by 3.75%.

UGLY
Addition of 6% cuts, 2% from 2011 of Obama era, and 4% from American Rescue Plan Act of 2021, totaling 6%.

UGLIER
It could get even uglier if Congress passes infrastructure bills as one unit or 2 units, which may add additional 4% or more to the cuts.

See Comment Letter on Proposed HOPD/ASC 2022 Fee Schedule

CMS Releases Proposed 2022 Physician Fee Schedule: The Good, the Bad, and the Ugly

GOOD
Telehealth services are preserved through 2023 and evaluation management services are expanded.

BAD
Expiration of the congressionally enacted 3.75% temporary increase in Medicare physician fee schedule conversion factor, reducing the conversion factor by 3.75%.

UGLY
Addition of 6% cuts, 2% from 2011 of Obama era, and 4% from American Rescue Plan Act of 2021, totaling 6%.

See Comment Letter to CMS on Proposed Physician Fee Schedule

Read more…

From the beginning of the Covid-19 pandemic to all the variants, keep up to date here on all the issues related to your practice. 

Click here to access ASIPP’s COVID-19 Resources. Here is a list of some of the articles found there:
1.
ASIPP Draft Guidance Document on COVID-19 Vaccine and Steroids

2. Good News About Telehealth and Payroll Protection Program

Audits of Medicare Payments for Spinal Pain Management Services

Medicare Part B covers various spinal pain management services including facet joint injections, facet joint denervation sessions, lumbar epidural injections, and trigger point injections. Medicare Part B also covers sedation administered during these pain management services. We will audit whether Medicare payments for spinal pain management services billed by physicians complied with Federal requirements. Expected Issue Date (FY) 2022

Click here for more information and related articles.

ASIPP UPDATES

ASIPP is pleased to announce the publication of the Comprehensive Evidence-Based Guidelines for Epidural Interventions in the Management of Chronic Spinal Pain. In preparation of the guidelines, an extensive literature review was performed. The 210-page guidelines contains 33 figures, 48 tables, 1,345 references and has 60 authors.

In addition to the review of multiple manuscripts in reference to utilization, expenditures, anatomical and pathophysiological considerations, pharmacological and harmful effects of drugs and procedures, for evidence synthesis, we have included 47 systematic reviews and 43 RCTs covering all epidural.

[ READ MORE ]

ANNOUNCEMENTS

2022 FEE SCHEDULES

2022 Fee Schedules

Doctor Finder allows you to search for an ASIPP® Member Interventional Pain Physician anywhere in America by name or by location. It’s quick and easy.

PainExam is proud to announce that it now offers preparation for the ABIPP Pain Management Board Exam! In addition, PainExam has now collaborated with ASIPP to offer Virtual Learning programs.

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PainCast, the pain management network, has collected years worth of information on the history and processes of the pain management specialization and transformed it into a virtual library of videos, journals, articles, podcasts, and more – all at your fingertips.

Essentials of Regenerative Medicine in Interventional Pain Management is a book to bring concise, collective, and comprehensive information to interventional pain physicians practicing regenerative medicine with its applications in managing chronic pain.

[ READ MORE ]

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.

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The American Society of Interventional Pain Physicians (ASIPP) is pleased to announce a partnership with Willow Risk Advisors to create an exclusive policy available to ASIPP members. In an effort to further increase value to its physician members, the American Society of Interventional Pain Physicians (ASIPP) has endorsed Willow Risk Advisors as their professional liability insurance broker.

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ASIPP is now offering our members the benefit of a unique revenue cycle management/billing service. We have received a tremendous amount of interest in the ASIPP billing and coding program.

[ READ MORE ]

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