" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

April 6, 2011


·  Noridian Medicare: CRNAs Cannot Independently Practice Chronic Pain

·  Bill Would Post Every Physician's Medicare Billing Data on Internet

·  Congress Approves Repeal of Tax Reporting Provision in Health Reform Law

·  Plan to Attend the 13th Annual ASIPP Meeting

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

·  Republicans' 2012 Budget Plan Alters Medicare, Medicaid

·  Office-Based Doctors Support 4 Million Jobs

·  Opinion: A Market Solution for Malpractice

·  Poverty Linked to Anxiety, Mood Disorders, Substance Abuse

·  State Society News

·  Physicians Wanted

Noridian Medicare: CRNAs Cannot Independently Practice Chronic Pain

Noridian Medicare, the MAC for most of the Western United States, issued an opinion on March 17, 2011, that leads to the conclusion that CRNAs cannot independently practice chronic pain.

Noridian determined that since CRNAs are not trained in a curricula which teaches assessment skills for chronic pain therapies, they do not possess the skills to assess and evaluate chronic pain. Noridian states that if a CRNA is an Advanced Registered Nurse Practitioner, the CRNA can be employed by a chronic pain physician, perform epidurals, and bill incident to the chronic pain physician, but evaluating chronic pain is not within their skill set.

Read the Determination https://www.noridianmedicare.com/cgi-bin/coranto/viewnews.cgi?id=EFppuyypEVZUNyYiFL&tmpl=part_b_viewnews&style=part_ab_viewnews

Noridian Determination

Bill Would Post Every Physician's Medicare Billing Data on Internet

Washington -- A Senate bill aimed at curtailing Medicare fraud would publish physician billing data online, letting viewers determine how much individual doctors earn annually from the program.

The release of the data has been prohibited by a court ruling for more than 30 years. But some lawmakers recently stepped up their efforts to lift the ban and bring Medicare billing data to light to prevent fraud.


Congress Approves Repeal of Tax Reporting Provision in Health Reform Law

Washington -- By a vote of 87-12, the Senate on April 5 approved a House-passed bill that would amend the national health system reform law for the first time, repealing a provision that requires physician practices and other small businesses to disclose any vendor on which they spend $600 or more in a year. The passage sends the legislation to President Obama's desk.

"We have to avoid imposing any tough regulations on our small-business owners," said Sen. Olympia Snowe (R, Maine), who voted for the bill. The House had adopted the legislation on March 3.

The so-called 1099 provision would increase projected tax collections from vendors by about $20 billion by requiring businesses that buy their goods and services on or after Jan. 1, 2012, to start reporting the transactions. Obama supports repealing the provision, which initially was included in the health reform law to help offset insurance coverage expansions.


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.

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

Republicans' 2012 Budget Plan Alters Medicare, Medicaid

Republican budget proposal for 2012, to be presented to Congress this week, seeks to save more than $4 trillion over the next 10 years and would dramatically alter how the government funds both Medicare and Medicaid.

The plan, prepared by House Budget Chairman Rep. Paul Ryan (R-Wis.), calls for Medicare to be funded by premium vouchers that would help defer the costs of people buying private insurance. It would also provide block grants for state Medicaid funding. Click HERE for summary.

"Medicare and Medicaid spending will go up every single year under our budget. They don't just go up as much as they're going right now, because they're growing at unsustainable rates," Ryan said during an appearance Sunday on Fox News.

Healthcare Finance News

Office-Based Doctors Support 4 Million Jobs

An AMA report measures the economic impact of practices -- on jobs both inside and outside medical office walls.

Jobs are hard to find in Franklin County, Ill., which has declined with the coal industry and has had double-digit unemployment for all but two months since July 2008.

But one place that has been hiring is Logan Primary Care Services in West Frankfort, Ill. During the past decade, family physician Dennon Davis, MD, has added physician assistants and advanced practice nurses and grown the practice to about 25 staff members.

The West Frankfort office building, owned by Dr. Davis and his six physician partners, has added an occupational and physical therapy tenant. A local hospital has rented space for an x-ray lab and an office for specialists.


Opinion: A Market Solution for Malpractice

IT'S been a year since health care reform was signed into law, and since then both Republicans and Democrats have been trying to address one item it left out: medical malpractice reform. In last month's budget proposal, the Obama administration offered a solution: a plan to encourage evidence-based medicine by limiting the malpractice liability of doctors who follow clinical practice guidelines - in effect, granting them immunity.

Doctors love this proposal, and patients should too: When doctors follow good guidelines they are less likely to order too many or too few tests or to prescribe the wrong treatment.

Unfortunately, the proposal will not achieve the noble goal of providing quality care at a reasonable cost because the current guidelines, written by nonprofit medical groups and for-profit insurance companies, are not good enough.

Ronen Avraham is a professor at the University of Texas School of Law.

New York Times

Poverty Linked to Anxiety, Mood Disorders, Substance Abuse

People with low incomes are more likely to suffer mental illness, a new study suggests. It also found that a decrease in income is associated with increased risk of anxiety, substance abuse and mood disorders.

Researchers analyzed data from nearly 35,000 adults aged 20 and older who took part in the U.S. National Epidemiologic Survey of Alcohol and Related Conditions. The participants were interviewed twice, three years apart.

"Participants with household income of less than $20,000 per year were at increased risk of incident mood disorders during the three-year follow-up period in comparison with those with income of $70,000 or more per year," wrote Dr. Jitender Sareen, a professor of psychiatry at the University of Manitoba in Canada, and colleagues.

US News & World Reports

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



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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