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" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary
 

September 21, 2011

 

Register for November Comprehensive Review Course and Cadaver Workshop
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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 review.

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 Examination qualifications.

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 participants.

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
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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 these changes.

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

 


September/October Pain Physician Now Available Online
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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 Recommendations
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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% in January.

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 beneficiaries.

Other recommendations 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 October.

 


AHIMA: ICD-10 Planning, Implementation Picking Up Speed
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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 abstract:

The International 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 United States.

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 practices.

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 Fallacies.

 


HHS Outlines Final Proposal to Ease Regulatory Burdens
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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 said.

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. 22 report.

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
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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. 17.

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
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Two powerful 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
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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 was."

 


TSA and Law Enforcement Officers in Nevada and Florida Charged in Prescription Drug Ring Narcotics Trafficking Network Results In 20 Arrests
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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 today.

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 DEA.

"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 organization."

 


State Society News
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KSIPP Plans Annual Meeting, Oct. 22


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 18-20

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

 


Physicians Wanted
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Visit the ASIPP Web site to find available positions for IPM physicians.

 


 

 


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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