September 19, 2012
Health Care Issues Relating to IPM
Assessment of Infection Control
Practices for Interventional Techniques: A Best Evidence
Laxmaiah Manchikanti, MD, Frank JE Falco, MD,
Ramsin M. Benyamin, MD, Davild L. Caraway, MD, Standiford Helm II, MD, Bradley
W. Wargo, DO, Hans C. Hansen, MD, Allan T. Parr, MD, Vijay Singh, MD, and Joshua
A. Hirsch, MD
Proposed Physician Payment Schedule for
2013: Interventional Pain Management at Crossroads
Laxmaiah Manchikanti, MD, Vijay Singh, MD, David
L. Caraway, MD, Ramsin M. Benyamin, MD, Frank J.E. Falco, MD, and Joshua A.
Obamacare 2012: Prognosis Unclear for
Interventional Pain Management
Laxmaiah Manchikanti, MD and Joshua A. Hirsch,
CMS Proposal for Interventional Pain
Management by Nurse Anesthetists: Evidence by Proclamation
Laxmaiah Manchikanti, MD, David L. Caraway, MD,
Frank J.E. Falco, MD, Ramsin M. Benyamin, MD, Hans C. Hansen, MD, and Joshua A.
Click HERE to view
MedPAC Calls for
Mandatory ASC Cost Reporting
The Medicare Payment
Advisory Commission has responded to the proposed ASC payment rule by calling
for all ASCs to report their costs, according to an ASCA
Government Affairs Update.
MedPAC is an independent
congressional agency that advises Congress and HHS on Medicare payment policies,
patient access and quality of care. The Commission noted in a letter to CMS that
it agrees the CPI-U update factor is inappropriate for ASC payments and may not
reflect ASCs' cost structure. The letter went on to say that CMS should collect
new cost data from surgery centers and use the data to determine whether an
existing input price index is an appropriate update factor for ASC payments, or
whether CMS should develop an ASC-specific market basket.
to oppose cost reporting due to the additional burden that may be experienced by
surgery centers, as well as the unreliable nature of previously collected data.
ASCA noted in comments on the proposed ASC payment rule that, "The delta between
the ASC and HOPD conversion factor should be consistent from year to year,
meaning that both systems are updated using a single inflation factor." ASCA
believes that an ASC-specific market basket would not help to align payment
systems with that of HOPDs.
More Docs Hope to
Call D.C. Home
Depending on how the votes add up this November, the number of physicians
roaming the halls of Congress could grow by half -- from 20 to 30.
A total of 28 physicians
have their names on the ballot. That includes 17 incumbents and 11
Of the 20 physician members of Congress, 17 are in the
House and three in the Senate. All of the physician House members, except for
Rep. Ron Paul, MD, (R-Texas), who made an unsuccessful bid for the White House,
are running for reelection. Two senators -- Rand Paul, MD, (R-Ken.) and Tom
Coburn, MD, (R-Okla.) -- are not up for reelection.
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
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.
attorney general has launched a broad investigation into whether growing
consolidation among hospitals and doctor groups is pushing up the price of
medical care, reflecting increasing scrutiny by antitrust regulators of
The office of the attorney
general, Kamala D. Harris, has sent subpoenas, known as civil investigative
demands, to several big hospital operators in the state, including San
Francisco-based Dignity Health and San Diego's Scripps Health and Sharp
HealthCare. Northern California's 24-hospital Sutter Health system has also
received one, as has Santa Barbara-based Cottage Health System, according to
people with knowledge of the matter. Subpoenas have also gone to major
California health insurers, those people said.
provider settles HIPAA case for $1.5 million
Massachusetts Eye and Ear
Infirmary and Massachusetts Eye and Ear Associates Inc. (collectively referred
to as "MEEI") has agreed to pay the U.S. Department of Health and Human Services
(HHS) $1.5 million to settle potential violations of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA) Security Rule. MEEI also
agreed to take corrective action to improve policies and procedures to safeguard
the privacy and security of its patients' protected health
The investigation by the
HHS Office for Civil Rights (OCR) followed a breach report submitted by MEEI, as
required by the Health Information Technology for Economic and Clinical Health
Act (HITECH) Breach Notification Rule, reporting the theft of an unencrypted
personal laptop containing the electronic protected health information (ePHI) of
MEEI patients and research subjects. The information contained on the laptop
included patient prescriptions and clinical information.
investigation indicated that MEEI failed to take necessary steps to comply with
certain requirements of the Security Rule, such as conducting a thorough
analysis of the risk to the confidentiality of ePHI maintained on portable
devices, implementing security measures sufficient to ensure the confidentiality
of ePHI that MEEI created, maintained, and transmitted using portable devices,
adopting and implementing policies and procedures to restrict access to ePHI to
authorized users of portable devices, and adopting and implementing policies and
procedures to address security incident identification, reporting, and response.
OCR's investigation indicated that these failures continued over an extended
period of time, demonstrating a long-term, organizational disregard for the
requirements of the Security Rule.
AMA Releases 2013
CPT Code Set
The American Medical Association (AMA) today announced the
culmination of medicine's annual effort to capture and describe the latest
scientific advances in medical, surgical and diagnostic services with the recent
public release of the 2013 Current Procedural Terminology (CPT) code set. The
new code set should be used for claims filed as of Jan. 1, 2013.
"Medical knowledge is constantly
advancing and as steward of CPT, the AMA invests extensive resources each year
to keep the code set current with contemporary medical science and technology so
it can fulfill its vital role as the health system's universal language for
reporting medical procedures," said AMA President Jeremy A. Lazarus, M.D.
One of the largest recent
expansions to the CPT code set was the result of significant advancements in
understanding and testing for the molecular basis of disease, including the
Human Genome Project. In response to the incredible potential offered by this
scientific progress, new CPT codes for molecular pathology tests first appeared
in 2012 and the evolving process has resulted in the creation of 116 molecular
pathology codes available in the 2013 CPT code set. The new codes will enhance
the reporting of innovative diagnostic tools now available to advance medicine's
overarching goal of reducing disease burdens, improving health outcomes and
reducing long-term care costs. Additional CPT enhancements for 2013 reflect
physician practice changes and technology improvements in cardiology, neurologic
testing and psychiatry.
Supreme Court Upholds Controversial Drug Law
The Florida Supreme Court
recently upheld a law that eliminates one half of the prosecution's burden of
proof in a criminal trial.
September 14, 2012
/24-7PressRelease/ -- The Florida Supreme Court recently reaffirmed the
constitutionality of a provision in the state's Drug Abuse Prevention and
Control Act that has been steeped in controversy. The state Supreme Court's
decision allows the court system to continue to unfairly discriminate against
defendants. The court's ruling will likely be challenged in federal
The Florida Supreme Court's
In a 5-2 decision, the
state Supreme Court upheld a provision of Florida's drug laws that specifies an
accused's knowledge that he or she possessed illicit
drugs is not a factor in his or her guilt. In other words, the
prosecution does not have to prove mens rea, or that the defendant had a guilty
mind and intended to commit a criminal act, in order to convict.
Palm Beach Post
violated federal law by campaigning for Obama
Health and Human Services
Secretary Kathleen Sebelius violated federal law when she campaigned this winter
for President Obama, federal investigators announced Wednesday.
Sebelius broke the law by
making "extemporaneous partisan remarks" during a speech in February at a Human
Rights Campaign Event in Charlotte, N.C., according to the Office of Special
Counsel (OSC). She made the comments in the city that would later host the
Democratic National Convention.
"One of the imperatives is
to make sure that we not only come together here in Charlotte to present the
nomination to the president, but we make sure that in November, he continues to
be president for another four years," Sebelius said, according to the agency and
reported first by The Hill newspaper.
Controlled doses sold for cash on the streets
By 19, after suffering two
injuries for which he was prescribed narcotic painkillers such as Lortab and
Oxycontin, Hermantown High School graduate Daniel Stanius was addicted to
"I started graduating to
stronger ones," he said. "By 23, I was a real heavy user."
By 26, Stanius was serving
a nine-month sentence at the Northeast Regional Corrections Center for illegally
possessing methadone, which, he told the News Tribune, had become "my drug of
Impact of the Medicare Fee-for-Service and Medicare Advantage Payment
In July, the Congressional
Budget Office (CBO) released an analysis of the Medicare payment reductions as a
result of the Affordable Care Act (ACA). The cuts are estimated to be $716
billion between 2013 and 2022, say Robert Book, senior research director at HSI
Network, and Michael Ramlet, director of health policy at the American Action
Forum.There are several changes to payment rates and payment
- The ACA
decreases annual updates to Medicare's payment rates in the Medicare
Fee-for-Service program by $415 billion.
Furthermore, the ACA reduces payment in the Medicare Advantage
program by $156 billion.
- Additionally, the ACA
reduces disproportionate share hospital payments by $31 billion and $25 billion
from the Medicare program.
the ACA reduces Medicare spending through provisions such as the Independent
Payment Advisory Board by $114 billion.
Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394