February 6, 2013
Requirements Complicate Compliance
The U.S. Department of
Health and Human Services (HHS) has released what one department official
describes as "the most sweeping changes to the [Health Insurance Portability and
Accountability Act of 1996 (HIPAA)] Privacy and Security Rules since they were
The rules, according to
HHS, are designed to strengthen the privacy and security protections for health
information established under HIPAA, but Susan L. Turney, MD, MS, FACMPE, FACP,
president and chief executive officer of Medical Group Management
Association-American College of Medical Practice Executives, expressed concern
that medical practices will not be able to implement the changes.
"We are strongly supportive
of comprehensive privacy and security standards aimed at avoiding unauthorized
use or disclosure of patient health information. However, it is critical that
the safeguards mandated by the government be practical, flexible and affordable
for the broad spectrum of medical practices," she said. "We are concerned about
the ability of practices to implement the changes associated with this final
rule, including the requirement to modify and reissue notices of privacy
practices and modify business associate agreements-within the short time frames
allotted. We will continue to monitor our member practices to ensure that
administrative burdens imposed by the government do not hinder the necessary
flow of health information for patient treatment, payment and healthcare
Fee Schedules and Coding Updates
Are you up-to-date on the
2013 changes that affect coding and billing for Interventional Pain Management?
In case you missed last week's webinar, Coding Changes in 2013: Making
Sense of the Complex World of Coding and Billing, provided by Marvel
Hammer, RN, CPC of MJH Consulting, it is not too late to view the recorded
version of the webinar. To purchase click on the following link:http://asipp.peachnewmedia.com/store/seminar/seminar.php?seminar=16049
Click on the following link
for a brief overview of the 2013 coding changes:
To view the 2013 final Fee
Schedules for IPM procedures (physician, ASC, and HOPD) go to: http://www.asipp.org/feeschedules.html
Doctors for Gun Violence Prevention
multifaceted plan to reduce gun violence calls on physicians to play an
important role in decreasing shooting deaths and injuries in communities
The initiative, which was
unveiled Jan. 16, one month after 20 first-graders and six adults were massacred
at a Connecticut school, encourages doctors to talk to patients about gun safety
and warn law enforcement about threats of violence.
Obama clarified that the
Affordable Care Act does not prohibit doctors from discussing gun safety. He
assured physicians that they can report credible threats of violence without
fear of penalties from the Health Insurance Portability and Accountability Act
Privacy Rule. He also authorized the Centers for Disease Control and Prevention
to research the causes and prevention of gun violence, work that was suspended
in 1996 after a National Rifle Assn.-backed push to block the study's
Sunshine Act Final Rule
NEW GLOUCESTER, ME - It's
been a long time coming, but late Friday, the Centers for Medicare &
Medicaid Services released the final rule for the Physician Payments Sunshine
Guidance on the Sunshine
Act - an Affordable Care Act regulation requiring drug, device and biological
companies, medical supply manufacturers and group purchasing organizations to
publicly disclose their financial relationships with doctors and teaching
hospitals - was originally supposed to be released in the fall of 2011 but it
wasn't released until December of 2011, ruffling a lot of feathers within the
communities most impacted by the rule.
Reimbursement Dropped Sharply
In a continued effort to
reduce health care costs in the U.S., payers drastically reduced the
reimbursements physicians received for existing patient visits, according to a
study by UBM Medica/Physician's Practice.
Since 2001, pay rates to
physicians have declined or remained flat for almost every year; however, the
cuts in 2012 were particularly steep as a third of payers cut pay for services
and began to experiment with value-based pay models. The trend will likely
According to 80% of respondents, all of their revenue came
from contracts that were fee-for-service in 2012. However, only 76% expect that
will remain true for 2013.
For the lowest-complexity diagnostic code for
an existing patient, the average reimbursement dropped by a third to $20 from
$30 the year before.
Healthcare Gurus Uninterested in Filling IPAB Seats
The healthcare law's
Independent Payment Advisory Board has been under fire from many on all sides of
the political spectrum since it was proposed, and filling its 15 seats with
qualified healthcare experts may be its greatest challenge yet, according to a report by the Washington Post.
The IPAB is charged with making binding decisions for Medicare payment
cuts should the cost of the program grow more than 1 percent faster than the
rest of the economy. That's not likely to make the IPAB's members very popular,
especially among their likely former colleagues in the healthcare industry.
Members would serve a six-year term, during which they would work full
time and be prohibited from "any other business, vocation or employment,"
according to the report. IPAB member salaries will be $165,300.
greatest talent may pass on opportunities to serve on the board, but most agree
that the seats will be filled, according to the report. Just in case, the law
permits the HHS secretary to take on the IPAB's responsibility if the board
cannot or does not produce a plan.
Medicare's recent growth has slowed to
match the economy at large for the past three years, so if the IPAB had existed,
no changes would have been necessary.
| Lactated Ringers
and 5 Percent Dextrose Injection, USP, 1000 ML, Flexible Containers: Recall -
Due to Non-Sterility
Hospira, Inc. is
initiating a voluntary nationwide user-level recall of one lot of Lactated
Ringers and 5% Dextrose Injection, USP, 1000 mL, Flexible Container, NDC
0409-7929-09. This action is due to one confirmed customer report where a
spore-like structured particulate, consistent with mold, was noted in the
solution. Hospira has not received reports of any adverse events associated with
this issue for this lot, and has not identified any quality issues with
retention samples for this lot. If contaminated solution is used on a patient,
this may cause thrombosis, phlebitis, bacteremia, sepsis, septic shock and/or
endocarditis, or result in a fatal infection in a broad array of
The product is used as a
source of water, electrolytes and calories or as an alkalizing agent and is
packaged in a 1000 mL flexible container, lot number 05-019-JT, with an
expiration date of May 1, 2013. The affected lot was distributed nationwide
between June 2011 and January 2012 to wholesalers/distributors, hospitals and
Anyone with an existing
inventory should stop use and distribution, quarantine the product immediately,
and call Stericycle at 1-888-965-5798 between the hours of 8am to 5pm EST,
Monday through Friday, to arrange for the return of the product. Replacement
product from other lots is available. For medical inquiries, please contact
Hospira Medical Communications at 1-800-615-0187.
and patients are encouraged to report adverse events or side effects related to
the use of these products to the FDA's MedWatch Safety Information and Adverse
Event Reporting Program:
- Complete and submit the report Online: www.fda.gov/MedWatch/report.htm1
- Download form
or call 1-800-332-1088 to request a reporting form, then complete and return to
the address on the pre-addressed form, or submit by fax to
ASIPP Offers Pain
Medicine and Anxiety Medicines Brochure to Members
ASIPP Marketing Services will
be releasing a series of Interventional Pain brochures for purchase in the near
At this time ASIPP is offering a
Pain Medicine and Anxiety Medicines brochure that you can tailor to your
practice and make available to your patients and referring physicians.
There are two ways to receive the
- Have ASIPP print the brochures with your practice information, then mailed
to you or
- Have the brochure materials sent to your printer and they can print and
deliver them to you.
Either option offers an expensive
and effective way to ommunicate Medication Information to your patients and
promote your practice.
Contact Ray Lane via email at
firstname.lastname@example.org for ordering information.
Addiction, FDA Advisers Endorse Limits On Vicodin
A key federal panel Friday
recommended placing new restrictions on Vicodin and similar prescription
At the conclusion of an
emotional two-day hearing, the Food and Drug Adminstration advisory committee
voted 19-10 to recommend the agency change how drugs that contain the opioid
hydrocodone are classified as controlled sustances.
If the agency goes along
with the panel's recommendation, which is typical but not required, the drugs
would be more stringently regulated, moved to so-called Schedule II from
TN Board of
Medicine Votes to Accept ABIPP Certification
The TN Board of Medicine
voted to include ABIPP certification as acceptable credentials for the practice
of interventional pain medicine in Tennessee.
Last year the
Interventional Pain Bill was passed to limit the scope of interventional pain
medicine to those with proper credentials. In addition to recognizing Board
Certification in Anesthesiology, PM&R, Neurology, Orthopedic Surgery,
Neurosurgery or the completion of a 1-year fellowship in Pain Medicine, the law
was written to allow the Board of Medicine to extend this recognition to
individuals demonstrating excellent qualifications.
By recognizing ABIPP, the
Board provides an alternate pathway to physicians who are currently practicing
pain medicine who would otherwise be forced to close their practices for 1-year
in order to complete fellowships.
Thanks to TNSIPP board
member Dr. Damon Dozier, who spoke articulately about the rigorous nature of
ABIPP certification. Thanks also to those who participated in the ASIPP Memphis
Review Course last September which was observed by TN board of Medicine member
Dr. Dennis Higdon. Dr. Higdon was reportedly very impressed by the
professionalism of the course.
Here is a link to the
Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394