" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

February 6, 2013


  1. New HIPAA Requirements Complicate Compliance
  2. 2013 Final Fee Schedules and Coding Updates
  3. Obama Enlists Doctors for Gun Violence Prevention
  4. CMS Releases Sunshine Act Final Rule
  5. Physician Reimbursement Dropped Sharply
  6. Top Healthcare Gurus Uninterested in Filling IPAB Seats
  7. Lactated Ringers and 5 Percent Dextrose Injection, USP, 1000 ML, Flexible Containers: Recall - Due to Non-Sterility
  8. ASIPP Offers Pain Medicine and Anxiety Medicines Brochure to Members
  9. To Fight Addiction, FDA Advisers Endorse Limits On Vicodin
  10. TN Board of Medicine Votes to Accept ABIPP Certification
  11. State Society News
  12. Physician Wanted  

hipaaNew HIPAA 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 first implemented."


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 operations purposes."


Medical Economics



fee2013 Final 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

obamaObama Enlists Doctors for Gun Violence Prevention


President Obama's multifaceted plan to reduce gun violence calls on physicians to play an important role in decreasing shooting deaths and injuries in communities nationwide.


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 funding.



AMA news

cmsCMS Releases 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 Act.


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.



Healthcare Finance News

dropPhysician 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 continue, too.

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.


Physician's Money Digest


guruTop 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.

The 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.


Becker's ASC Review


alert sign ringerLactated 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 patients.


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 pharmacies.


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.


Healthcare professionals 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 1-800-FDA-0178




brochureASIPP 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 future.


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 brochure: 

  • 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 rlane@asipp.org for ordering information.

fightTo Fight Addiction, FDA Advisers Endorse Limits On Vicodin


A key federal panel Friday recommended placing new restrictions on Vicodin and similar prescription painkillers.


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 Schedule III



tnTN 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 bill:





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American Society of Interventional Pain Physicians ®
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Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org