" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

September 26, 2012


  1. New and Revised Content for November ASIPP meetings: What YOU Need to Know in Controlled Substance Management
  2. Comprehensive Board Review Videos Available
  3. Prescription Drug Abuse Contributes to Decreasing Life Expectancy Among Less Educated Whites in US
  4. Ky. Part of National Prescription Drug Initiatives
  5. Prescription pain pill epidemic plows path to street drugs
  6. Rx Drug Abuse Down Among Young Adults
  7. ASIPP Use of Antithrombotics in IPM Survey Deadline Oct 1
  8. Save Our Seniors by Delaying ObamaCare
  9. Massive job losses expected under Medicare sequester
  10. Patients have no constitutional rights to medical marijuana, state court rules
  11. HCA agrees to pay $16.5M to settle false claims allegations
  12. Cellphones Are Eating the Family Budget: creating economics and creating jobs or going bust with cell phones
  13. Is IT Innovation Driving Physicians Out The Door?


revisedNew and Revised Content for November ASIPP meetings: What YOU Need to Know in Controlled Substance Management


ASIPP is hosting three concurrent sessions November 2-4 in Denver, Co. A comprehensive reivew course and cadaver workshop, a controlled substance mangement course and the coding, comliance and practice management review.


The courses are designed to present interventional pain management

specialists and other health care providers in-depth reviews of multiple areas of

interventional pain management-the areas we were never taught, yet are crucial

for our survival. The course features many nationally recognized experts in pain

management billing and coding and practice management as well as controlled

substance management. In today's environment of regulations and litigations, you

can't afford not to broaden your knowledge and refresh your skills in these areas.



What You Need to Know in Controlled Substance Management.

Educational Objectives


* Review basic science and core concepts

* Discuss pharmacology

* Identify clinical use and effectiveness

* Identify substance abuse

* Discuss topics with documentation, regulatory issues,

legal issues, and ethical issues



Essentials in Practice Management in IPM

Educational Objectives :

* Discuss documentation

* Review practice management topics

* Discuss coding and billing

* Examine compliance issues






Register for coding:https://secure.jotformpro.com/form/12962502202

Register for CSM: https://secure.jotformpro.com/form/12971356214



Review Course:


During the 2½-day Comprehensive Review Course and Cadaver Workshop, you

can improve existing skills and/or learn new techniques. Whether you have been

practicing interventional pain management for many years or are new to the field with

basic skills, we are confident you will find this course and workshop to be beneficial

- as it is essential that we continue learning and exploring new procedures and

techniques in our specialty.



Brochure: http://www.asipp.org/documents/1112-cadaver_001.pdfTo Register:https://secure.jotformpro.com/form/12961252254



All Three course will be held at Renaissance Denver Hotel, 3801 Quebec Street, Denver, CO 80207 | Tel. 303-399-7500

Cadaver Workshop Location: Science Care, 19301 East 23rd Avenue Aurora, CO


* Special room rates until October 3, 2012


videosComprehensive Board Review Videos Available

This Review Course in IPM is designed to prepare physicians seeking board certification, re-certification, or an in-depth review of the specialty of interventional pain medicine. This review course will be based on the specifications of subspecialty in pain medicine examination of The American Board of Anesthesiology, Physical Medicine and Rehabilitation, and Neurology and Psychiatry. This review course will also meet 90% curriculum of ABIPP Part 1.

This comprehensive Review Course is intended as an overview of the anatomy, physiology, diagnosis, and treatment of a wide range of painful disorders, in order for participants to pass certification or re-certification and obtain in-depth review; and therefore be able to provide improved interventional management, controlled substance management, and practice management.


Order the online videos and receive 5 days of course video via the Internet. You can watch them on your computer or any computer with Internet access. You will be given a password to access the high quality streaming video of each day.

lifePrescription Drug Abuse Contributes to Decreasing Life Expectancy Among Less Educated Whites in US


For generations of Americans, it was a given that children would live longer than their parents. But there is now mounting evidence that this enduring trend has reversed itself for the country's least-educated whites, an increasingly troubled group whose life expectancy has fallen by four years since 1990.


Researchers have long documented that the most educated Americans were making the biggest gains in life expectancy, but now they say mortality data show that life spans for some of the least educated Americans are actually contracting. Four studies in recent years identified modest declines, but a new one that looks separately at Americans lacking a high school diploma found disturbingly sharp drops in life expectancy for whites in this group. Experts not involved in the new research said its findings were persuasive.


The reasons for the decline remain unclear, but researchers offered possible explanations, including a spike in prescription drug overdoses among young whites, higher rates of smoking among less educated white women, rising obesity, and a steady increase in the number of the least educated Americans who lack health insurance.


NY Times

kyKy. Part of National Prescription Drug Initiatives


FRANKFORT, Ky.-Kentucky will join several states hard hit by prescription drug abuse to develop strategies to combat what is described as a still-growing problem, Gov. Steve Beshear said Friday.

Alabama, Arkansas, Colorado, New Mexico, Oregon and Virginia will also take part in the initiative sponsored by the National Governors Association.


"Prescription drug abuse continues to be the fastest growing drug-related issue facing our communities, and unfortunately, Kentucky is not alone in this plight," Beshear said in a statement. "As the problem persists and spreads, we recognize that we need comprehensive regional and national strategies to combat the abuse, while ensuring that the legitimate medical needs of our citizens are met."


Denver Post


epidemicPrescription pain pill epidemic plows path to street drugs


Amber Spivey tilts her head back and swigs the vial of methadone. "Oh," she moans, shaking her knees back and forth like engine pistons. Her face contorts in disgust. She chases the Kool-Aid-colored liquid with water. The taste, she says, is like a thousand pills dissolving on your tongue.


Methadone is helping Spivey, a 28-year-old freckled mother of three, reclaim her life after years of heroin addiction. She is among dozens who line up each morning at the New Hanover Metro Treatment Center, a white space of offices hidden off a highway heading downtown. Some wait inside to take their daily dose. Other patients pick up their "take-home" doses for the next days, weeks or month, a privilege earned by attending counseling and passing random drug tests.



Star News online


rxRx Drug Abuse Down Among Young Adults


WASHINGTON -- The number of young people using prescription drugs for non-medical purposes in the last month dropped 14% from previous year's data, the latest survey shows.


The number of people ages 18 to 25 who abused prescription drugs fell from 2 million in 2010 to 1.7 million in 2011, according to the National Survey on Drug Use and Health, released Monday.


"Today's findings prove yet again that we are not powerless against the problem of substance abuse in America," Gil Kerlikowske, director of the White House's National Drug Control Policy, said in a statement.



MedPage Today

surveyASIPP Use of Antithrombotics in IPM Survey Deadline Oct 1


The American Society of Interventional Pain Physicians (ASIPP) is conducting a survey on bleeding complications, specifically epidural hematomas. This is the final week to participate in the survey.\



The goal of this survey is to gain a better understanding of current and future trends in managing patients on antithrombotics undergoing spinal and other interventional techniques. The results will eventually be utilized in the ASIPP guidelines.


All information will remain confidential, and only aggregate not individual responses will be published. As a participant, you will receive a copy of the survey results. This data will be extremely helpful for the future of our speciality. The survey should only take about 5 to 10 minutes to complete.


Please forward this survey on to your colleagues for their input.

If you are willing to participate, click on the following link to download the survey form. Please complete the survey and email your completed form back to us at drm@asipp.org or fax to 270-554-5394.


Click the link below to take survey:


seniorsSave Our Seniors by Delaying ObamaCare


Regardless of whether they are supporters or opponents of the Affordable Care Act (ACA, or ObamaCare) members of Congress will have to revisit the legislation soon to correct some serious flaws. Here is a revenue neutral approach to begin the necessary corrections: Delay the scheduled cuts in Medicare spending by five years and pay for that expense by delaying the 2014 starting date of ObamaCare by two years, say John C. Goodman, president and CEO, and Devon Herrick, a senior fellow, at the National Center for Policy Analysis.

  •   Over the next 10 years, more than half the cost of ObamaCare ($716 billion) is to be paid for by reduced Medicare spending.
  •  The Obama administration had hoped to achieve these reductions by increased efficiency, based on the results of pilot projects and demonstration programs.
  • The problem: The Congressional Budget Office (CBO) has said in three consecutive reports that these projects are not working as planned and are unlikely to save money.



jobMassive job losses expected under Medicare sequester


Washington Mandatory, across-the-board spending cuts to Medicare in 2013 will lead to large job losses at physician offices and throughout the rest of the health care system, according to an analysis on the impact of the scheduled federal budget sequester on the entitlement program.


The study by the Pittsburgh-based research firm Tripp Umbach examined the likely economic fallout of the 2% cut to the Medicare program over the next eight years, the result of a failure of Congress and the White House to agree on alternative spending reductions that meet the parameters set by the Budget Control Act of 2011. The automatic budget reductions amount to between $10.7 billion and $16.4 billion in annual cuts to Medicare, and will lead to 496,000 jobs being eliminated in 2013 and a loss of 766,000 jobs by 2021, the analysis said.


AMA news


marijPatients have no constitutional rights to medical marijuana, state court rules


State restrictions on medical marijuana access and sales do not violate patients' rights to pursue health care under the state constitution, the Montana Supreme Court has ruled. The decision overturns a lower court opinion that had blocked new regulations on the state's voter-approved medical marijuana law.


The restrictions limit medical marijuana dispensers to three patients each and prevent them from making a profit. The limitations essentially gut the original law and make it difficult for patients to obtain medical cannabis, said Elizabeth Pincolini, a board member of the Montana Cannabis Industry Assn., a plaintiff in the lawsuit.



AMA news


hcaHCA agrees to pay $16.5M to settle false claims allegations


Hospital Corporation of America (HCA) Inc., the parent company of Parkridge Medical Center in Chattanooga, Tenn., and Nashville, Tenn.-based HCA Physician Services, has agreed to pay the U.S. Department of Justice $16.5 million to settle claims that it violated the False Claims Act and the Stark Statute in 2007.


As announced last week by the DOJ, the two organizations allegedly provided financial benefits to the Diagnostic Associates of Chattanooga to encourage its doctors to refer patients to the HCA facilties.



Healthcare Finance News


cellphoneCellphones Are Eating the Family Budget: creating economics and creating jobs or going bust with cell phones


More than half of all U.S. cellphone owners carry a device like the iPhone, a shift that has unsettled household budgets across the country. Government data show people have spent more on phone bills over the past four years, even as they have dialed back on dining out, clothes and entertainment-cutbacks that have been keenly felt in the restaurant, apparel and film industries.


The tug of war is only going to get more intense. Wireless carriers are betting they can pull bills even higher by offering faster speeds on expensive new networks and new usage-based data plans. The effort will test the limits of consumer spending as the draw of new technology competes with cellphone owners' more rudimentary needs and desires.


 Wall Street Journal


itIs IT Innovation Driving Physicians Out The Door?


Rather than face the perfect storm of decreasing reimbursement, increasing costs, legislative mandates, and penalties around technology adoption, information exchange, and Meaningful Use, an alarming number of physicians are making the decision to "go quietly into the night" and retire early from practice.


Some are leaving the profession as many as 10 years earlier than they had anticipated. Rather than consider change, physicians are placing a DNR on their practices, saying no to investing in tools necessary to efficiently manage their businesses. For some physicians, the hospital's own IT transformation activities are the tipping point driving them to retire. We need to do something about this problem before it's too late.


Physicians are trained to make decisions, not ask questions--except of patients. The noble personality that gives them the confidence to heal also causes them to feel they have to be all-knowing and all-seeing on all topics. Many physicians are not comfortable publicly sharing their questions about technology selection, adoption, or optimization--fearing it will expose ignorance about topics on which they believe their peers have all the answers. Yet with so little time just to keep up with clinical research in their own specialties, when do physicians have time to become IT experts as well?


Information Week




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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