" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

April 27, 2011


·  Tennessee SB 1935 Passes in Committee

·  Analysis of Opioid Prescription Practices Finds Areas of Concern

·  The Origin of Opioid Guidelines: Is it Science or Promotion of Opioids?

·  Webinar May 5 : Documentation Requirements Based on Carrier Policies

·  Opioid-Related Overdose Deaths Are a National Epidemic

·  Plan to Attend the 13th Annual ASIPP Meeting

·  Mark Your Calendars: August Board Review, Controlled Substance Management, and Coding, Compliance and Practice Management Courses

·  May 7 Webinar Topic: EMR: Who, What, When and How Much

·  Attorney General's Office Says Counties Can't Ban Pain-Management Clinics

·  Pain-Clinic Doctor Unfazed By Raids

·  Obama Deficit Plan Includes Inflexible Medicare Pay Board: IPAB Without Congressional Oversight

·  Supreme Court Denies Fast Track For Healthcare Reform Repeal Case

·  Over 5,100 Sites Join DEA Nationwide Effort

·  North Carolina Pain Management Physician Pleads Guilty to Healthcare Fraud

·  'Use Only as Directed' Isn't Easy

·  State Society News

·  Physicians Wanted

Tennessee SB 1935 Passes in Committee

Tennessee State Senate Bill 1935, a bill that establishes requirements for the supervision of nurses and physician assistants by qualified physicians when engaged in interventional pain management, has passed in the General Welfare, Health and Human Resource Committee. The bill must now go to the senate floor for full senate approval.

SB 1935, sponsored by Sen. Randy McNally, specifies that an advanced practice nurse and a physician assistant can only perform invasive procedures involving any portion of the spine, spinal cord, sympathetic nerves or block of major peripheral nerves under the supervision of a licensed physician who has been certified in certain medical specialties, including anesthesiology, neurological surgery, orthopedic surgery, or physical medicine and rehabilitation.

The bill has been referred to the Senate Calendar Committee to be scheduled for a vote. Tennessee members are encouraged to call and write to members of the Senate asking for their support. Click on the following link to access Dr. Manchikanti's April 20 testimony for talking points and to assist you in writing your senators.

Manchikanti Testimony: http://www.asipp.org/documents/GeneralWelfareSenateCommitteePresentation.pdf

SB 1935: http://www.asipp.org/documents/SB1935.pdf

Contact Information for TN Senate: http://www.capitol.tn.gov/senate/members/


Analysis of Opioid Prescription Practices Finds Areas of Concern

NIH report could lead to improved strategies for pain management

An analysis of national prescribing patterns shows that more than half of patients who received an opioid prescription in 2009 had filled another opioid prescription within the previous 30 days. This report also suggested potential opportunities for intervention aimed at reducing abuse of prescription opioids.

Researchers from the National Institute on Drug Abuse (NIDA), a component of the National Institutes of Health, will publish results of this analysis in this week's Journal of the American Medical Association (JAMA).

More research is needed to see if current practices are working, with a closer look at why so many patients are getting multiple prescriptions within a short period of time," said NIDA Director Nora D. Volkow, M.D. "As a nation, it is important that we all become better informed about effective pain management and the risks of abusing prescription painkillers."

National Institute on Drug Abuse

The Origin of Opioid Guidelines: Is it Science or Promotion of Opioids?

Research group receiving millions from pharmaceutical firms helped liberalize use of opioids

As an epidemic of narcotic painkiller abuse raged across America in 2006, researchers at the U.S. Centers for Disease Control and Prevention authored a critical study linking deaths from those drugs to an increase of up to 500% in the number of prescriptions written.

In that same medical journal, two researchers from the University of Wisconsin School of Medicine and Public Health took exception with those conclusions and warned against increasing regulation of the drugs. The article did not disclose that their UW Pain & Policy Studies Group already had pocketed most of the $2.5 million it would be paid over the years by the very companies that made the dangerous drugs - firms that stood to lose if prescribing rules were tightened, a Journal Sentinel investigation found.

Fueled by a continuous infusion of money from the manufacturers of drugs such as OxyContin over more than a decade, the UW research group has been a quiet force in the effort to liberalize the way those drugs are prescribed and viewed in the United States.

Journal-Sentinel Online

Webinar May 5 : Documentation Requirements Based on Carrier Policies

ASIPP is hosting a webinar on Documentation Requirements Based on Carrier Policies at 10 am EST May 5. Cost for the webinar is $145.

The webinar will show providers step-by-step, how to break down a policy and include it in your documentation. Carriers are using policies or coverage determination to review provider's records. Provider, coding and billing staff need to compare the documentation for procedures against carrier policies to see if the documentation supports the service provided. Medical necessity isn't just about an approved diagnosis. Attendees will learn how to pick the policies apart to understand what the carriers expect to see in the documentation. They will also learn what documentation will be needed if the record is called in for review. Audits by carriers are expanding and the documentation is critical in having a favorable review.

Debbie Farmer, CPC, ASC-AN, is webinar presenter. Ms. Farmer has more than 25 years in the medical field; with reimbursement, billing and coding experience in the hospital, ambulatory surgery center, anesthesia and pain management fields. As part of her reimbursement experience she has specialized in Medicare and Medicaid policy.

The Institute for Medical Studies designates this educational activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Click HERE to register.

Register Now!

Opioid-Related Overdose Deaths Are a National Epidemic

A report on the increase in unintentional drug overdoses emphasizes the role of nonmedical opioid abuse, but also says physicians share some blame.

A recently released report authored by experts from the CDC, the University of North Carolina at Chapel Hill School of Medicine, and Duke University Medical Center shows that in 40% of US states, unintentional drug overdoses kill more people than motor vehicle accidents and suicides.

Calling this trend a "national epidemic," the authors of the report, published on the website of the Journal of Clinical Psychiatry, wrote that one potential contributor to the dramatic increase in unintentional overdose deaths in the US in the last two decades is that "psychiatrists and many primary care physicians might not be familiar with existing evidence-based guidelines for opioid prescribing or with programs designed to reduce the abuse of prescription drugs such as state prescription drug monitoring programs."

A University of North Carolina at Chapel Hill School of Medicine news release accompanying the publication of the report noted that prescription opioid pain medications "are driving this overdose epidemic," with data showing that in 2007 "unintentional deaths due to prescription opioid pain killers were involved in more overdose deaths than heroin and cocaine combined."

HCP Live

Plan to Attend the 13th Annual ASIPP Meeting

Mark you calendar to attend the 13th Annual Meeting, Legislative Session, and Capitol Hill Visits June 25-29 in Washington, DC.

This year in an effort to meet the needs of interventional pain physicians and other providers as well, we have created an educational program of the highest caliber with a focus on three very important topics for physicians, staff, and other healthcare providers all under the primary theme "A Vision For IPM In A New Decade e"; Evidence-Based Medicine, as well as Comparative Effectiveness in Interventional Pain Management and the Essentials of Practice Management.

The faculty is made up of experts in the field of IPM, practice management, and governmental affairs. We are honored to have Joseph T. Rannazzisi, DEA Deputy Assistant Administrator for the Office of Diversion Control will address the agencies' role in controlling substance abuse. Dr. James Rathmell speaks on Evidence-Based Medicine: An Academic Perspective from Harvard. From the U.K., speaker Dr Sanjeeva Gupta gives us a sneak peek of IPM in the U.K. and Europe.

On Sunday evening, a special Business Meeting and Presidential Dinner and Dance is scheduled for 7 pm. This is the time ASIPP's newly elected officers will be introduced and then we will celebrate with food and dance.

Click HERE to view brochure.

Submit your Abstract Proposal

Selected Abstracts and accompanying posters will be presented at the annual meeting. o be considered for a presentation at the meeting, abstracts must be submitted and completed by the submission deadline of 5:00pm Central Standard Time (CST) Friday, May 6, 2011. Abstract submission must be completed through ASIPP's interactive online form.

Click HERE to access Abstract proposal submission form

Register Today!

Mark Your Calendars: 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

May 7 Webinar Topic: EMR: Who, What, When and How Much

ASIPP is hosting a webinar titled EMR: Who, What, When and How Much at 10 am EST May 9. Cost for the webinar is $175.

In Healthcare, the single most important issue confronting providers is to improve patient quality of life and outcomes. A new tool to obtain these goals is the emerging benefits of Electronic Medical Records.

This webinar will include information on: Technology, Terminology, Privacy & Security, Care Transformation, Integration, Finance/Funding, selection of a system, and more. Among one of the most important issues facing Interventional Pain Practices is the deployment of an EMR/EHR system that can improve the clinicians effectiveness. Incentive money is available to assist this transition, which is mandated by CMS to occur by 2015, or be penalized by diminished revenue.

Considerations that will covered include:

  • Internet or local installation (ASP or client-server)
  • The right type of system for your type of practice
  • Improved information access to diagnostic images and patient notes, e-prescribing, and workflow enhancement
  • Integration of other medical information that may come from specialists or other healthcare providers- and how to do it without violating HIPPA laws
  • Avoiding adoption disasters
  • Coding and compliance- what does this mean to us. Are we better off?
  • Engaging the staff and clinicians, making this a positive experience. Everybody is unsure about change- will I lose my job? Can I do this?

The webinar will be presented by Dr. Hans Hansen. Dr. Hansen was recently selected as one of the "70 Best Pain Physicians in America" by Beckers ASCReview. He has been the Vice President of Strategic Planning for ASIPP and is currently a Board Member At Large. He is an ASIPP Faculty Member and teaches subjects such as Opioids, Coding, Compliance, practice management,and instructs Cadaver Workshops and the Coding, Compliance and Practice Management Board Review Course, as well as the pain management board review courses.

Click HERE to register

Register Today.

Attorney General's Office Says Counties Can't Ban Pain-Management Clinics

County governments don't have the right to ban pain-management clinics, according to a state attorney general's opinion.

Because such local ordinances infringe on the state's right to regulate medical practices, counties cannot ban legal medical practices within their lines, Assistant Attorney General James Herrick wrote in an opinion issued Thursday. The opinion was written in response to Johnson County officials seeking advice on a local grass-roots petition to ban clinics that prescribe high amounts of addictive painkillers.

The issue could end up in court if counties decide to enact such bans anyway.

Lexington Herald-Leader

Pain-Clinic Doctor Unfazed By Raids

Investigation is state retaliation for suing over bills, he says

The door to his medical office has gold, stick-on letters like those on mailboxes. His examination room is stacked with storage boxes. His computer monitor is a refugee from the 1990s.

He has an exam table and just two pieces of medical equipment: a stethoscope and a $500 gauge to measure the strength of patients' grip.

Yes, Dr. James Edgar Lundeen Sr., 57, is an unusual doctor.

The Columbus Dispatch

Obama Deficit Plan Includes Inflexible Medicare Pay Board: IPAB Without Congressional Oversight

Washington -- President Obama on April 13 rebutted a House Republican plan to trim $4 trillion worth of federal deficits over a decade with his own proposal that he said would protect guaranteed benefits in Medicare and Medicaid.

Obama also proposed that the Medicare Independent Payment Advisory Board be directed to enact even deeper reductions than outlined. The 15-member board was created by the health system reform law to improve Medicare quality and cut costs when the program's per capita growth rate exceeds specific targets. The IPAB, which is set to begin its work Jan. 15, 2014, could call for pay cuts to physicians and others that could be overridden only by substantial majorities in both houses.

AMA news

Supreme Court Denies Fast Track For Healthcare Reform Repeal Case


WASHINGTON - The U.S. Supreme Court will not take up Virginia's lawsuit on the constitutionality of the Affordable Care Act until the case has gone through all the lower courts.

Virginia Attorney General Ken Cuccinelli had asked the Supreme Court in February to expedite the state's lawsuit against the federal healthcare law and its mandate to require individuals to buy health insurance.

Following Monday's high court ruling, Cuccinelli said he was not surprised. "The Supreme Court rarely expedites cases under its Rule 11," he said in a statement.

Healthcare Finance News

Over 5,100 Sites Join DEA Nationwide Effort

The Drug Enforcement Administration's (DEA's) second National Prescription Drug Take-Back Day is this Saturday, April 30th. More than 5,100 sites nationwide have joined the effort that seeks to prevent pill abuse and theft. This is hundreds more sites than were established for the event last fall. The free event will be held from 10 a.m. to 2 p.m. local time.

Government, community, public health and law enforcement partners at these sites will be working together to collect expired, unused, and unwanted prescription drugs that are potentially dangerous if left in the family's medicine cabinet.


North Carolina Pain Management Physician Pleads Guilty to Healthcare Fraud

A New Bern, N.C., pain management physician has pled guilty to healthcare fraud and been sentenced to pay nearly $300,000 in restitution, according to a Sun Journal report.

Michael K. Nunn, MD, practiced under Community Wellness Center in New Bern, which was fined $700,000 along with Dr. Nunn's restitution fees.

From 2003 to 2004, CWC falsely billed Medicare for a number of procedures, including ultrasound services not provided and other services, such as electrical stimulation, performed by unqualified staff.

Becker's ASC

'Use Only as Directed' Isn't Easy

A new push is under way to make prescription drug information clearer and stem the rise in emergency room visits and hospitalizations resulting from patients incorrectly taking their medicine.

As many as three in four Americans say they don't take prescription medicine as directed, according to the National Community Pharmacists Association.

The Food and Drug Administration is planning to test single-page consumer information sheets that would replace the multi-page package inserts and medication guides widely used in retail pharmacies. And the U.S. Pharmacopeial Convention, which sets quality standards enforced by the FDA for the quality, strength and purity of medicines, is developing a new national standard for prescription labels, which can vary widely from pharmacy to pharmacy and befuddle consumers. The standards, if adopted, would require clear instructions on dose and timing and state in simple terms the purpose of the drug-such as "for high blood pressure"-unless the patient prefers that it not appear.

Wall Street Journal

State Society News

FSIPP Annual Meeting 2011 set for May 13-15, 2011

Be sure to save the dates of May 13 - 15, 2011, for FSIPP's Annual Meeting, Conference & Tradeshow, to be held again at The Gaylord Palms, Kissimee (Orlando). The event will kick off Friday evening, May 13, with a Welcome Reception and a presentation on The Health Benefits of Wine!

Continuing education lectures will go on all day Saturday and Sunday morning, as has been our format for the last couple of years.

Please watch http://flsipp.org/ for developing program and registration details, or call 904-221-9171.

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

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