" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

November 19, 2011


·  FDA Releases Draft of Opioid Continuing Education

·  Delegates Approve New Scope-Of-Practice Policies

·  Congress Will Not Act Unless We Act: Medicare 27.4% Doctor Pay Cut Set for 2012

·  ASIPP Announces 2012 Meeting Schedule

·  AMA Adopts Policy to Stop ICD-10 Implementation

·  Register Today for Coding Webinar Set for Dec. 7

·  ASIPP Creates Doctor Finder

·  Expert Panel Urges Cholesterol Tests for Every Child by Age 11 to Prevent Heart Disease Later

·  Monroe Physician to Settle Upcoding Charges Case

·  Cancer Doctors Score Low on Pain Management, Study Says

·  Rewiring the Brain to Ease Pain

·  Doctors See Surge In Newborns Hooked On Mothers' Pain Pills

·  State Society News

·  Physicians Wanted

FDA Releases Draft of Opioid Continuing Education

The FDA released a draft of guidelines for the continuing education of prescribers of long-acting and extended release opioid drugs, according to a Medscape report.

The blueprint, a basic outline and core message the FDA thinks should be conveyed to prescribers, is open to stakeholder comment. The final blueprint will be published to the FDA website for use by providers of continuing education in creating courses for the safe prescribing of opioids.


Delegates Approve New Scope-Of-Practice Policies

ASIPP alternate delegate Dr. Lee Snook, resident/fellow delegate Dr. Haroon Hameed, and alternate resident/fellow delegate Mariam Hameed attended the 2011 Interim House of Delegate Meeting (HOD) on Nov. 12-15 in New Orleans. They are pleased to report the passing a scope of practice policy that ASIPP and several other societies have been working on since the 2012 HOD Annual Meeting.

House testimony was overwhelmingly in support of a new AMA Board of Trustees report that addressed physician scope-of-practice issues regarding invasive procedures. Dr. Hameed, who was an original author of the text for the scope-of-practice policy, gave testimony before the House. Delegates then adopted policy calling for the AMA to advocate that interventional chronic pain management employing radiation, such as fluoroscopy, is within in the scope of practice of medicine and should be performed only by physicians.

The Association was instructed to create model legislation prohibiting non-physicians from performing fluoroscopy. Delegates also adopted policy calling on the AMA to convene a task force to develop guidelines for advocacy efforts regarding the appropriate level of supervision, education, training and provision of other invasive procedures employing radiologic imaging by non-physicians.

Thanks go to Dr. Snook and Drs. Hameed for representing ASIPP members at the meeting and through their voices and votes, assuring that this important resolution was passed.

Click HERE for more information on the 65th Interim Meeting.

Congress Will Not Act Unless We Act: Medicare 27.4% Doctor Pay Cut Set for 2012

The across-the-board Medicare physician pay reduction scheduled for 2012 shrank slightly from projections made earlier this year, but doctor organizations said the cut still would be catastrophically large. To combat these changes, ASIPP is issuing a letter to Congress regarding the physician pay cuts.

A 27.4% reduction to doctor pay starting Jan. 1 would have devastating consequences on all physicians and the millions of patients who rely on the insurance program for coverage, patient advocacy associations and organized medicine groups have warned. Beneficiaries would suffer from not being able to see the doctors of their choice, and physicians would weigh leaving the program and perhaps closing their doors.

Click HERE to access the ASIPP letter to Congress and do your part to let Congress know our stand on this issue.


ASIPP Announces 2012 Meeting Schedule

The year 2012 will find ASIPP members attending meetings in all new locations. Cities on the calendar next year include Phoenix, AZ, San Francisco, CA, and Denver, CO.


Comprehensive Review Course and Cadaver Workshop - Basic, Intermediate, and ABIPP Preparation Coding, Compliance and Practice Management Comprehensive Review Course (Feb 24-25) Competency Examination - (Feb 26) Controlled Substance Management Comprehensive Review Course - (Feb 24-25) Competency Examination - (Feb 26)


Spinal Cord Stimulation Course Comprehensive Review Course and Cadaver Workshop (Apr 13-14) Fluoroscopy and Radiation Safety - (Apr 13-14) Competency Examination - (Apr 15) ABIPP Part II Examination (Apr 14-15)


ASIPP 14th Annual Meeting Legislative Session & Capitol Hill Visits


ASIPP Board Review Course (Jul 30-Aug 3) Comprehensive Review Course in Controlled Substance Management (Jul 30- Jul 31) Competency Examination (Aug 1) Coding, Compliance and Practice Management Comprehensive Review Course (Aug 2-3) Competency Examination (Aug 4)


Comprehensive Review Course and Cadaver Workshop - Basic, Intermediate, and ABIPP Preparation (Sep 14-16) Vertebroplasty Comprehensive Review Course and Cadaver Workshop (Sep 15-16)


Comprehensive Review Course and Cadaver Workshop - Basic, Intermediate, and ABIPP Preparation Coding, Compliance and Practice Management Comprehensive Review Course - (Nov 2-3) Competency Examination - (Nov 4) Controlled Substance Management Comprehensive Review Course - (Nov 2-3) Competency Examination - (Nov 4) ABIPP Part 1 Examination (Nov 3)

ASIPP 2012 Meetings

AMA Adopts Policy to Stop ICD-10 Implementation

During the 65th House of Delegate Interim Meeting, delegates adopted policy to work to stop implementation of the new diagnosis coding set ICD-10, which would be used in place of the current ICD-9 standard for billing medical services. The Centers for Medicare & Medicaid Services will require all health professionals and facilities to transition to ICD-10 by October 2013.

This national transition to a new diagnosis coding set would cause administrative and other problems for physician practices attempting to meet mandates forced upon them by federal health agencies, delegates said. The change would force practices to learn 69,000 new codes for billing purposes. ICD-10 is viewed as being more nuanced and providing a greater level of detail for what had led to an injury or illness. ICD-9 has 14,000 codes.

Alabama and Mississippi delegations, the American Assn. of Clinical Urologists and the American Urological Assn. introduced the resolution to stop ICD-10 implementation.

"The implementation of ICD-10 will create significant burdens on the practice of medicine with no direct benefit to individual patients' care," said AMA President Peter W. Carmel, MD. "At a time when we are working to get the best value possible for our health care dollar, this massive and expensive undertaking will add administrative expense and create unnecessary workflow disruptions. The timing could not be worse, as many physicians are working to implement electronic health records into their practices. We will continue working to help physicians keep their focus where it should be -- on their patients."

ASIPP has been working extensively on this issue and we will have an update for our members later this week.

Register Today for Coding Webinar Set for Dec. 7

Coding expert Marvel Hammer, RN, CPC will present a webinar on Coding: Planting Seeds for Success in 2012 from 11 am to 12:30 pm Dec. 7.

Cost for the 90-minute webinar is $175. Hammer has more than 25 years in a variety of specialities including Pain Management, Physical Medicine & Rehabilitation, Neurology and Occupational Medicine.

The webinar will bring you information on the RVU changes in the 2012 Medicare Physician Fee Schedule. The AMA/Specialty Society RVS Update Committee (RUC) continues to review codes that are commonly reported together, i.e. more than 75 percent of the time. For 2012, the AMA RUC Relativity Assessment Workgroup identified CPT codes 62367-62368 and 95900-95991 as part of this "Codes Reported Together 75 percent or More" screen. Consequently, practices that include implanted infusion pumps for chronic pain management will find not only code changes but also new CPT codes that they will need to incorporate into their billing.

Registration and other information can be found at http://asipp.peachnewmedia.com/store/seminar/seminar.php?seminar=10064#blank


Register Today!

ASIPP Creates Doctor Finder

ASIPP is pleased to announce a new member benefit coming soon. We are creating a "Doctor Finder" page on the ASIPP Web site to assist patients and physicians to locate an IPM physician. In order to receive this benefit and have your name listed, you must be a physician member in good standing and give consent to ASIPP to post your name and information.

Click on the following link to submit your authorization form and also to define the information you would like shared. Consent Form

If you have any questions please contact the ASIPP office at 270-554-9412 or e-mail us at asipp@asipp.org

Expert Panel Urges Cholesterol Tests for Every Child by Age 11 to Prevent Heart Disease Later

CHICAGO - Every child should be tested for high cholesterol as early as age 9 - surprising new advice from a government panel that suggests screening kids in grade school for a problem more common in middle age.

The idea will come as a shock to most parents. And it's certain to stir debate.

The doctors on the expert panel that announced the new guidelines Friday concede there is little proof that testing now will prevent heart attacks decades later. But many doctors say waiting might be too late for children who have hidden risks.

Washington Post

Monroe Physician to Settle Upcoding Charges Case

MONROE PHYSICIAN TO PAY $950,000 TO SETTLE GOVERNMENT CIVIL FRAUD ALLEGATIONS Millicent Francis-Lane, M.D. has agreed to pay $950,000 to the North Carolina Medicaid Program to resolve False Claims Act allegations, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina and North Carolina Attorney General Roy Cooper. Dr. Francis-Lane owns Union County Women's Care, which has offices in Monroe, N.C.

The settlement was reached following a multi-year investigation by state agents and investigators into the Union County gynecologist's billing practices. Investigators found that Dr. Francis-Lane knowingly billed Medicaid for more extensive services than she actually provided, a practice known as "upcoding." By upcoding, Dr. Francis-Lane was reimbursed for significantly more than she would otherwise have received for her services. Government investigators found that Dr. Francis-Lane also regularly billed Medicaid for unnecessary tests. The billings at issue were submitted over a seven-year period from 2003-2009 inclusive.

Department of Justice

Cancer Doctors Score Low on Pain Management, Study Says

Many U.S. cancer doctors say they are good at managing their patients' pain, but most failed to choose the right treatment options in a test and say that figuring out the level of pain patients have is still a major barrier to care, a survey said.

The findings, published in the Journal of Clinical Oncology, came from a follow-up to a survey that found a lack of good pain management among U.S. oncologists in 1990 and show that more work needs to be done to educate doctors about pain, researchers said.

Fox News

Rewiring the Brain to Ease Pain

Brain Scans Fuel Efforts to Teach Patients How to Short-Circuit Hurtful Signals

How you think about pain can have a major impact on how it feels.

That's the intriguing conclusion neuroscientists are reaching as scanning technologies let them see how the brain processes pain. That's also the principle behind many mind-body approaches to chronic pain that are proving surprisingly effective in clinical trials.

Wall Street Journal

Doctors See Surge In Newborns Hooked On Mothers' Pain Pills

Medical authorities are witnessing explosive growth in the number of newborn babies hooked on prescription painkillers, innocent victims of their mothers' addictions.

The trend reflects how deeply rooted abuse of powerful narcotics, such as OxyContin and Vicodin, has become. Prescription drug abuse is the nation's fastest-growing drug problem, classified as an epidemic by the Centers for Disease Control and Prevention.

"I'm scared to death this will become the crack-baby epidemic," says Florida Attorney General Pam Bondi. Last month, she asked the state Legislature to establish a task force to compile data on drug-exposed babies and develop prevention strategies.

USA Today

State Society News

FSIPP Annual Meeting Dates May 18-20, 2012

The Florida Society of Interventional Pain Physicians has set the date for their next annual meeting for May 18-20, 2012 at the Gaylord Palms, Orlando, FL.

Read more about the meeting and other activities going on in the state of Florida in their newsletter. Click HERE to read latest issue.

For a complete look at the May meeting schedule and CME information, click HERE

CASIPP Annual Meeting Dates Nov. 9-11, 2012

The annual meeting of the California chapter of the American Society of Interventional Pain Physicians will be Nov. 9 -11, 2012 at the Pelican Hill Resort in Newport Beach, CA.

Go to www.casipp.com for more information.

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