September 21, 2011
|Register for November
Comprehensive Review Course and Cadaver Workshop
Register today to attend the Nov. 11-13
Comprehensive Review Course and Cadaver Workshop for Basic, Intermediate, and
Comprehensive Interventional Pain Management Examination Preparation course
This 2½-day review course and workshop is
designed for interventional pain physicians, for a review, skills improvement or
to assist in preparation for Comprehensive Interventional Pain Management
ASIPP offers the most
in-depth, comprehensive, and individualized programs available in interventional
pain management, featuring maximum hands-on training with cadavers in a
state-of-the-art facility and maximum ability to interact with other
Early Bird - On or before
October 18, 2011. The meeting will be held at the Hilton Memphis and the MERI
Center in Memphis, TN,
click HERE to view brochure
|ASIPP Requests CIGNA
Coverage of Interventional Techniques
ASIPP has drafted a
letter to CIGNA to first thank them for their recently published policy changes
and second to offer comments to CIGNA to help them explain the necessity of
CIGNA recently published the multiple updated
medical policies for minimally invasive treatment of back and neck pain.
However, these medical policies have elicited significant confusion and ASIPP
has received multiple requests to comment and provide the evidence and also
express the concern on the appropriateness of these policies and access to the
insured population by CIGNA.
The primary objectives of these comments are to
ensure that these procedures are appropriately provided and that patients
insured by CIGNA maintain access to care.
Read the complete letter HERE
Physician Now Available Online
The September/October issue of Pain
Physician journal is now available online.
Pain Physician is the
official publication of the American Society of Interventional Pain Physicians
(ASIPP). The bi-monthly journal recently received an impact factor of 7.793 from
Thomson Scientific. The journal presents the latest studies, research, and
information vital to those in the emerging specialty of interventional pain
management - and critical to the people they serve.
Click HERE for latest issue of the journal.
|MedPAC Discusses SGR Repeal
The Medicare Payment
Advisory Commission considered draft recommendations that call for Congress to
repeal the sustainable growth rate used to determine physician payments and
replace it with a 10-year path of legislated fee-schedule updates. Without
congressional action, Medicare payment rates for physicians will fall by 29.4%
The draft recommendations
call for freezing current payment levels for primary care and reducing annual
payments for all other services by 5.9% for three years followed by a freeze,
which would cost about $200 billion over 10 years. To offset the cost of its
draft SGR recommendation, MedPAC will offer Congress a list of proposals,
including past recommendations, that would cut payments to physicians, other
health professionals and providers in other sectors, and also affect
include directing the Secretary for Health and Human Services to collect data to
improve payment accuracy over the longer term and identifying overpriced
services. MedPAC may revise its draft recommendations before voting on them in
|AHIMA: ICD-10 Planning,
Implementation Picking Up Speed
CHICAGO - An August
2011 survey by the American Health Information Management Association (AHIMA)
shows that the number of organizations that have begun either planning or
implementation of the transition to ICD-10 has risen to 85 percent, a
significant uptick from the 62 percent reported one year ago.
While the survey shows a
significant increase in the number of health organizations that have at least
begun conducting impact analyses, there is still a lot of work to be done before
the Oct. 1, 2013 compliance date.
Click HERE to read entire article.
ICD-10 Facts and
Fallacies in this issue of Pain Physician
ASIPP executive committee
members, Dr. Laxmaiah Manchikanti , Dr. Frank JE Falco and Dr. Joshua A. Hirsch
take an indepth look at ICD-10 in this issue of Pain Physician. They favor
postponing the implementation of the ICD-10 until such time as its necessity is
proven and implications are understood.
Here is an excerpt from the
Classification of Diseases-10 (ICD-10 is a new system that is expected to be
implemented effective on October 1, 2013. This new system is a federally
mandated change affecting all payers and providers, and is expected to exceed
both the Health Insurance Portability and Accountability Act (HIPAA) and Y2K in
terms of costs and risks. However, the Administration is poised to implement
these changes at a rapid pace which could be problematic for health care in the
In 2003, HIPAA named
ICD-9 as the code set for supporting diagnoses and procedures in electronic
administrative transactions. However, on January 16, 2009, the Department of
Health and Human Services (HHS) published a regulation requiring the replacement
of ICD-9 with ICD-10 as of October 1, 2013. While ICD-9 and 10 have a similar
type of hierarchy in their structures, the ICD-10 is more complex and
incorporates numerous changes. Overall, ICD-10 contains over 141,000 codes, a
whopping 712% increase over the less than 20,000 codes in ICD-9, creating
enormous complexities, confusion, and expense. Multiple published statistics
illustrate that there are approximately 119 instances where a single ICD-9 code
can map to more than 100 distinct ICD-10 codes, whereas there are 255 instances
where a single ICD-9 code can map to more than 50 ICD-10 codes. To add to the
confusion, there are 3,684 instances in the mapping for diseases where a single
ICD-10 code can map to more than one ICD-9 code.
Proponents of the new
ICD-10 system argue that the granularity should lead to improvements in the
quality of health care, since more precise coding that more accurately reflects
actual patient conditions will permit smarter and more effective disease
management in pay-for-performance programs. This, in essence, encapsulates the
benefits that supporters of this new system believe will be realized, even
though many of these experts may not be involved in actual day-to-day medical
Detractors of the system
see the same granularity as burdensome. The estimated cost per physician is
projected to range from $25,000 to $50,000. Further, they argue that the ICD-10
classification is extremely complicated, and expensive. Concerns exist that it
is being implemented without establishing either the necessity or thinking
through the unintended consequences. Opponents also argue that beyond financial
expense, it is also costly in terms of human toll, hardware and software
expenses and has the potential to delay reimbursement. There is also concern
that an unintended consequence of granularity would be the potential for
enhanced and unnecessary fraud and abuse investigations.
Click HERE to read teh entire article, Necessity and Implications of ICD-10: Facts and
|HHS Outlines Final Proposal
to Ease Regulatory Burdens
Washington -- Revisions
to federal rules governing the health care industry are expected to save the
system $3 billion over five years, the Dept. of Health and Human Services
HHS issued its final
regulatory relief plan as part of the Obama administration's effort to reduce
regulatory burdens across the federal government. Changes to health care
regulations, which are expected to save those subject to the rules $600 million
annually, will be detailed in a proposed rule in September, HHS said in an Aug.
This year, President Obama
directed departments to review regulations that could be eliminated or changed
so rules are more effective and streamlined. Individual agencies under HHS
followed the lead by taking inventory of regulations for an ongoing
retrospective review process -- identifying regulations that easily could be
modified, as well as other rules for further review.
|Proposed rule requires
insurers to explain costs and benefits
Washington -- Health
plans will be required to provide consumers with a standardized, six-page form
explaining the plans' costs and benefits as early as March 2012, according to a
proposed rule released by the Dept. of Health and Human Services on Aug.
The proposed Summary of
Benefits and Coverage form would include apples-to-apples information on
out-of-pocket spending, additional costs for visiting non-network physicians and
hospitals, and coverage limits. Consumers also would receive a glossary of
health insurance terms to help them understand the form.
|Mayo, Cleveland clinics
seek affiliations with doctors nationwide
competitors are declaring their intentions to affiliate with outside physician
practices: Mayo Clinic and Cleveland Clinic.
They and other large,
brand-name health systems have affiliated with local hospitals in recent years
as one way to expand their reach and names. Despite their prominence, Mayo and
Cleveland separately are seeking physician practices because they don't want to
be left behind as hospitals and physicians furiously ally as health system
reform rolls out.
|Latest census figures show
49.9M lack health insurance
WASHINGTON - The
nation's uninsured population grew to 49.9 million people in 2010 according to
US Census figures, an increase of more than 900,000 from 2009.
Despite the increase, some
industry watchers seemed upbeat that the increase was not larger given the state
of the economy and the sluggish economic growth of the past year.
"We didn't know exactly
what to expect with this report because of the recession and slow recovery,"
said Devon Herrick, senior fellow with the National Center for Policy Analysis.
"There was a feeling, however, that the increase would be much worse than it
|TSA and Law Enforcement
Officers in Nevada and Florida Charged in Prescription Drug Ring Narcotics
Trafficking Network Results In 20 Arrests
SEP 13 - STAMFORD,
CONN. - DEA Special Agent in Charge Steven W. Derr of the New England Field
Division and other law enforcement officials today announced that 20 individuals
have been arrested on charges related to their alleged involvement in a
conspiracy to distribute oxycodone, a potent and highly-addictive prescription
narcotic. Among those arrested are three Transportation Security Administration
officers based at airports in Florida and New York, and two law enforcement
officers. Sixteen of the 20 defendants were arrested yesterday and earlier
David B. Fein, United
States Attorney for the District of Connecticut, Gregory K. Null, Special Agent
in Charge of the Department of Homeland Security, Office of Inspector General,
and Stamford Police Chief Robert Nivakoff also made the announcement with
"This investigation not
only uncovered the trafficking of diverted pain medications but also exposed the
alleged corrupt activities of two law enforcement officers and employees of the
Transportation Safety Administration," stated DEA Special Agent in Charge Derr.
"Prescription pain medication abuse is rampant in New England and this
trafficking group allegedly preyed upon the addictions of individuals to line
their pockets, while the law enforcement officers are alleged to have sold their
badges and abused their authority to further the illegal activities of the
KSIPP Plans Annual Meeting, Oct.
KSIPP is hosting its annual meeting from 10
am to 5 pm Oct. 22 at the Sloan Convention Center, Bowling Green,KY. Click HERE to view brochure.
The meeting is open to Kentucky and Indiana
members. Cost is $75 for active members, $100 for non members, $50 for associate
members or non-physician, non-members; and no cost for fellows. Click HERE to register.
Participants can earn up to 5 CME credit hours.
Discussions will include an introduction to KASPER and a presentation by the
Drug Enforcement Agency. A meeting of the Kentucky Society of Interventional
Pain Physicians Board of Directors will follow the review course sessions. Lunch
will be provided, but participants must reserve their seat and let organizers
know which entrée they prefer: sautéed chicken or grilled vegetables. For more
information, call Connie Smith at 270-781-2212.
FSIPP Annual Meeting Dates May
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
Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394