" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

July 13, 2011


·  CMS announces 2012 proposed fee schedule for Physicians, HOPDs & ASCs.

·  Comprehensive Pain Management/IPM Review Books Available for Pre-Order

·  Purchase a HIPAA CD and Join Us for Free Webinar August 30

·  Spinal Cord Stimulation Course set for September

·  Chronic pain costs U.S. $635 billion a year

·  Support Grows for ASC Bill

·  FDA Declines to Approve Remoxy, an Extended-release Oral Formulation of Oxycodone

·  ASIPP Board Review, Controlled Substance Management, and Coding, Compliance and Practice Management Courses In Three Weeks

·  Obama praises Washington substance-abuse sessions

·  ACR Blasts 'Significant and Unwarranted' Medicare Imaging Fee Cuts

·  CMS to conduct insurance rate reviews for 10 states beginning Sept. 1

·  State Society News

·  Physicians Wanted

CMS announces 2012 proposed fee schedule for Physicians, HOPDs & ASCs.

ASIPP is analyzing the impact of CMS's proposed fee schedules for physicians, hospital outpatient departments and ambulatory surgery centers. A more detailed analysis will be available soon. Below you will find a breakdown and link to each section.

Physician Payment rates: Under current law, providers would face steep across-the-board reduction in payment rates, based on a formula- the Sustainable Growth Rate (SGR) - that was adopted in the Balanced Budget Act of 1997. If it goes into effect, Medicare payment rates are projected to be reduced by 29.5 percent for services in 2012.

Link for IPM Codes: http://www.asipp.org/documents/Physcians2012Proposed.pdf

HOPD Payments: The proposed rule projects an outpatient department fee schedule increase factor - more commonly called the "market basket update" - for CY 2012 of 1.5 percent (2.8 percent, based on the projected hospital inpatient market basket percentage increase for inpatient services paid under the Inpatient Prospective Payment System (IPPS) minus an estimated 1.2 percentage points multifactor productivity adjustment minus a 0.1 percentage point adjustment).

Link for IPM Codes: http://www.asipp.org/documents/HOPD2012Proposed.pdf

ASC Payments: The proposed rule that would update payment policies and payment rates for services furnished to Medicare beneficiaries ambulatory surgical centers (ASCs) beginning Jan. 1, 2012.

Link for IPM Codes: http://www.asipp.org/documents/ASC2012Poposed.pdf

Comprehensive Pain Management/IPM Review Books Available for Pre-Order

This 3-volume project was undertaken, based on the curriculum for the ABMS pain medicine examination. The task was more difficult than writing a standard textbook. Order Today!

Purchase a HIPAA CD and Join Us for Free Webinar August 30

ASIPP is offering a free webinar Tuesday, August 30, with the purchase of the new HIPAA CD. The CD is available for purchase now and the webinar will be held at 11 am CST August 30.

The HIPAA security regulations were designed to protect patient protected health information that is stored and/or transmitted electronically. This includes any information that can link a patient to a medical condition, test, etc. The rules and regulations not only discuss how information is stored (e.g. in a password protected computer system) but also how the computer is stored (e.g. in a locked office with an alarm on it) and transmitted (e.g. encrypted).

Both the CD and webinar contain information on the hows and whys of HIPAA security along with sample policies and helpful worksheets. The goal is for an IPP to be able to walk through the HIPAA security requirements and implement a program that meets the rules but also fits his/her practice.

To register, click HERE

To order the CD, click HERE

HIPAA CD and Webinar

Spinal Cord Stimulation Course set for September

The American Society of Interventional Pain Physicians (ASIPP) is pleased to bring you the most focused and comprehensive review course in spinal cord stimulation. We invite you to attend this didactic and hands-on cadaver workshop on September 9-11, 2011 in Memphis, TN.

This in-depth review course and comprehensive spinal cord stimulation cadaver workshop will cover all the important aspects of these techniques and provide a comprehensive overview of the subject, with extensive case discussions, and interaction with the faculty. It is planned as a CME activity to prepare physicians seeking credentialing and as an in-depth review of spinal cord stimulation. During this three-day event, you can improve existing skills and learn new skills.

The seminar will be conducted at the Hilton Memphis and the world renowned Medical Education and Research Institute (MERI) in Memphis, TN. Make your plans early to attend. We look forward to seeing you in Memphis.

Chronic pain costs U.S. $635 billion a year

More than 116 million Americans struggle with chronic pain each year, and associated medical charges and lost productivity cost the nation as much as $635 billion annually.

These are the findings of "Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education and Research," a July report by an Institute of Medicine panel that calls for an aggressive national strategy to combat the problem. Click HERE to see report.

"That's a conservative estimate of the overall economic impact because it excludes children, members of the military and individuals in nursing homes or chronic care facilities," said Philip A. Pizzo, MD, chair of the IOM panel. "We are looking at a broad demography of pain."

AMA news

Support Grows for ASC Bill

A bill, supported by ASIPP, and one of our key issues for Capitol Hill visits this year, is receiving continued wide-spread report.

The Ambulatory Surgery Center Quality and Access Act of 2011 (H.R. 2108, S. 1173), if enacted, would increase patient access to ASCs and improve quality of care, reduce burdensome regulation of facilities, reduce costs, and ultimately serve as a cost-control measure for the Medicare system.

ASIPP believes this bi-partisan legislation is a necessary measure to end a payment system that has been spiraling out of control for years. While attending We ask that you support and pass H.R. 2108 and S. 1173, the Ambulatory Surgical Center Quality and Access Act of 2011.

This week, the bill is again in the news because it has received endorsement from the American Society for Gastrointestinal Endoscopy and the Outpatient Ophthalmic Surgery Society, according to a report from the ASC Association in its ASCA Government Affairs Update.

The bill has also added four new members of Congress as cosponsors, bringing the total number of cosponsors in the House to 11.

For more on this bill, click HERE to view the ASIPP fact sheet

Becker's ASC Review

FDA Declines to Approve Remoxy, an Extended-release Oral Formulation of Oxycodone

The FDA denied approval for the drug, being co-developed by Pfizer and Pain Therapeutics, Inc, based on concerns over "inconsistent release performance" during testing, among other problems cites in the
complete response letter it sent to the companies.

An article published on website of the Austin American-Statesman (Pain Therapeutics is based in Austin, TX) noted that it is not clear yet whether the inconsistencies flagged by the FDA were the result of problems with the manufacturing process or with the tests themselves. It is not known at this point how long this latest setback will delay approval of Remoxy.

HCP Live

ASIPP Board Review, Controlled Substance Management, and Coding, Compliance and Practice Management Courses In Three Weeks

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 1-5 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 for approval prior to the exam)

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!

Obama praises Washington substance-abuse sessions

A brief counseling session on substance abuse offered to trauma patients in emergency rooms has proved so successful in Washington state that it was cited as a model in President Obama's 2011 National Drug Control Strategy

The 108-page strategy report, released Monday, focuses on prescription-medication abuse among high-risk groups such as military personnel, veterans, women and college students.

.The Washington program cited as one of the models for the new national strategy began at Harborview Medical Center in the early 1990s with the work of Dr. Larry Gentilello, then Harborview's associate director of trauma intensive care.

Seattle Times

ACR Blasts 'Significant and Unwarranted' Medicare Imaging Fee Cuts

Significant and unwarranted" medical imaging cuts in the
Proposed Medicare Fee Schedule Rule for 2012, on top of "extreme" cuts to imaging services over the last five years, will drive many imaging providers from practice, restrict access to care, even for procedures not specifically affected by the cuts, and may actually increase Medicare costs for many of these services, the American College of Radiology said Tuesday. The organization called for their removal from the final rule.

In its proposed rule for 2012, the Centers for Medicare and Medicaid Services called for a multiple procedure payment reduction (MPPR) of 50 percent to the "professional component" of CT, MRI and ultrasound services administered to the same patient, on the same day, in the same setting. This step, which the ACR called "unprecedented," would slash the reimbursement for physician interpretation and diagnosis. Cuts have previously been applied only to the "technical component," or overhead costs of providing exams, the ACR says.

The proposed rule also would further expand the number of physician services at risk for bundling of payment, the ACR says.

Diagnostic Imaging

CMS to conduct insurance rate reviews for 10 states beginning Sept. 1

WASHINGTON - The Centers for Medicare & Medicaid Services released a report this week showing that 10 states lack sufficient authority under current law to review and reject excessive health insurance rate increases as required under the Affordable Care Act. Beginning Sept. 1 CMS will begin review of all rate hikes in excess of 10 percent for these states.

The Department of Health and Human Services announced the new regulation - which covers only individual and small group policies - in May and set the threshold for review at 10 percent and will be in effect for one year. In 2012 states will be expected to set their own rate increase thresholds as they see fit based on market conditions in each state.

Healthcare Finance News


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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