January 2, 2013
Medicare Doctor Pay Freeze Until 2014 - 26.5% Cut Averted; 2% Sequester
Postponed for 2 Months
After much drama ending a
climactic fiscal showdown in the final hours of the 112th Congress passed and
President signed legislation on fiscal cliff tax deal.
This measure averts the
26.5% cut in Medicare reimbursement mandated by the sustainable growth rate
(SGR) formula. Further, as part of the deal since all sequestered cuts have been
postponed for 2 months, which delays the proposed 2% cuts in reimbursements
until March 1.
By no means are we out of
the woods. We still face major issues. We believe that interventional pain
management is still in danger of falling over the real cliff. We are just hoping
to make into a slope.
Here is the link to 2013 Physician Payment rates :
ASIPP Asks CMS to
take Epidural Injections off NCD List
ASIPP Has learned that
facet joint injections have been dropped from the potential National Coverage
Decision (NCD) list. That is a great relief and certainly something to
celebrate. But the uphill battle to get epidural injections removed has begun.
On behalf of ASIPP, the
Executive Committee sent a letter to CMS on Monday, Dec. 17 asking them to
remove epidural injections from the list.
ASIPP is also working with
the North American Neuromodulation Society (NANS) to get neurostimulators off
the list as well. ASIPP continues to work aggressively through Congress and vows
to will continue to use our influences, relationships, and
everything within our power to avoid this potential disaster.
We want to thank all of the
members who have responded to our appeal for help. This is proof of just how
much we can accomplish when we all pitch in and unite as one. Let's keep the
momentum going into 2013!
February: ASIPP Offers Three Different Courses
ASIPP is pleased to
announce a new course curriculum for its Comprehensive Review Course and Cadaver
Workshop scheduled Feb. 16, 17 in Phoenix, AZ
The course will feature
three levels: basic, intermediate and comprehensive IPM exam prep with up to 21
AMA PRA Category 1 Credits.
Book now through Jan.
15 and enjoy ASIPP's special room rates at the Pointe Hilton
Tapatio Cliffs Resort .
This 1½-day workshop is
designed for interventional pain physicians, for a review, skills improvement,
or to assist in preparation for Comprehensive Interventional Pain Management
Examination qualifications. ASIPP offers the most in-depth, comprehensive, and
individualized programs available in interventional pain management, featuring
maximum hands-on training with cadavers in a state-of-the-art facility and
maximum ability to interact with other participants. Participants will
experience a comprehensive and intense learning opportunity, focusing on
interventional pain management techniques.
- Each cadaver station is
limited to a maximum of 7 participants.
- Participants can choose
the level of participation: basic, intermediate, or Comprehensive Interventional
Pain Management Examination Preparation Course.
- C-arms and
state-of-the-art equipment are utilized in this course. Participants are
requested to dress in casual attire or scrubs. Leaded aprons and thyroid shields
will be provided. However, participants are advised to bring their own
- Participants will be
provided with 7 video lectures relevant to the course material
Click HERE to
ASIPP is also offering two
other courses, Feb. 15-17, 2013 :
These two-day comprehensive
review courses are planned as a CME
activity to prepare for
competency certification or an in-depth review in
areas of What You Need to
Know in Controlled Substance Management
and Essentials in Practice
Management in IPM. This review course
is based on the American
Board of Interventional Pain Physicians'
competency certification examinations.
- * Review basic science and
- * Discuss
- * Identify clinical use
- * Identify substance
- * Discuss topics with
documentation, regulatory issues,
- legal issues, and ethical
- * Discuss
- * Review practice
- * Discuss coding and
- * Examine compliance
Click HERE for
Click HERE to register
for Essentials in Practice management course
Click HERE to register for
Controlled Substance Management
Training Series Jan. 17-18
We are pleased to
announce a new and personalized training opportunity. The first ASIPP Expert
Training Series will take place on January 17 &18, 2013. This is an
exceptional educational experience on a variety of interventional pain topics
that provides a unique opportunity for a group limited to 4 physicians that will
spend two full days training exclusively on one specific interventional
procedure. The course series provides a full day in the operating room observing
the expert instructor performing the particular interventional procedure on
several patients. The January 17 &18 course will cover neurostimulation with
IPM expert, Frank Falco, MD, in Elkton,
The course features a
dinner/didactics session on the first night and lunch/didactics on both days.
The second day is a full 8 hours of cadaveric training on the interventional
procedure with 2 attendees per cadaver side by side with the expert instructor.
Attendees will be able to interact with the expert instructor, staff, and
patients during the course. Attendees will receive at the end of the second day
a certificate of course attendance with 20 CME credits.
This course is limited to
only 4 physicians so act fast!
To Register and for more
Needles Put Tens of Thousands at Risk in USA
When seven people arrived
at a Delaware hospital in March with drug-resistant MRSA infections, the
similarities were alarming.
All of the patients had the
same strain of MRSA, all had the infections in joints, and all had gotten
injections in those joints at the same orthopedic clinic in a three-day span.
State health officials found that the clinic had injected multiple patients with
medication from a vial that was meant to be used only once, spreading the MRSA
bacteria to a new patient with each shot.
A month later, three
patients in Arizona were hospitalized with MRSA infections, also following shots
at a pain clinic. Again, state and county health officials tied the cases to the
injection of multiple patients from a single-dose vial. A fourth shot recipient
died; investigators noted that MRSA "could not be ruled out" as a
In July, more than 8,000
patients of an oral surgeon in Colorado were advised to get tested for HIV, the
virus that causes AIDS, and hepatitis after state health investigators found
that his office reused syringes to inject medication through patients' IV lines.
Six patients have tested positive for one of the diseases.
Indicates CMS Facing Roadblocks in EHR Oversight
The Department of Health
and Human Services Office of Inspector General released a report last week that
found that CMS is facing significant obstacles in its oversight of the Medicare
Electronic Health Records (EHR) incentive program. The report, titled Early
Assessment Finds that CMS Faces Obstacles in Overseeing the Medicare EHR
incentive program, highlights the program's vulnerability to "paying incentives
to professionals and hospitals that do not fully meet the meaningful use
recommendations, the Inspector General's report suggested that CMS take extra
steps in collecting "documentation from selected professionals and hospitals
prior to payment to verify the accuracy of their self-reported information and
issue guidance with specific examples of documentation that professionals and
hospitals should maintain to support their compliance."
CMS is expected to provide
physicians and other providers nearly $6.6 billion in payments between FY 2011
and FY 2016 to adopt electronic health records that meet the goals of the
program. To qualify for incentive payments, providers must demonstrate that the
systems lead to better patient care or "meaningful use."
Click HERE to read Full
Demand Rises for
CME Linked to Physician Quality Improvement
physicians face increasing pressure to demonstrate performance improvement, more
are utilizing a model of continuing medical education that gives them tools to
assess the care they provide patients, and make measurable
The concept of Performance Improvement Continuing
Medical Education was introduced in the early 2000s, and the model has expanded
significantly since then. In 2011, 44,275 physicians and 7,492 nonphysician
health professionals participated in 502 PI CME activities offered in the U.S.,
according to the Accrediting Council for Continuing Medical Education. That's a
steep increase from the 744 physicians and 175 nonphysician health professionals
who participated in 22 PI CME activities offered just six years
Chiropracter Pain Surgery Center
A proposal for a
chiropractor owned pain surgery center was rejected by the Tennessee CON Board,
after hearing arguments from Tennessee physicians. TNSIPP President Graf
Hilgenhurst and members Damon Dozier and Joe Browder forcefully made the case
against the chiropractor owned facility, voicing concerns about a non-physician
employing doctors to perform procedures that he would not be qualified to
Further concern was raised
because of this clinic's long history of using mid-level providers and family
practitioners to perform injections in the past.
The CON board was unanimous
in it's decision, strengthening the position of interventional pain physicians
in Tennessee. This victory underscores the cooperative effort between TNSIPP,
the Tennessee Medical Society, and the Tennessee Society of
Mill' Crackdown Sets Off a Rush Into Georgia
TUCKER, Ga.-After his
Florida used-car dealership failed two summers ago, Jeffrey Gonzalez decided to
switch careers. So he moved to Georgia and opened a clinic prescribing opioid
He picked this Atlanta
suburb because while Florida law stipulates that only doctors can own such
facilities, Georgia imposes no such restrictions. Within a few months, Mr.
Gonzalez was open for business. To staff up, he hired two physicians through a
Craigslist ad. His lead doctor wasn't a pain specialist, but a
"The laws are minimal at
best," said Mr. Gonzalez, 46 years old. "We had a green light from every agency
that we spoke to."
Recall of More
Dec. 26, 2012 -- More lots
of the combination painkiller hydrocodone-acetaminophen are being recalled by Mylan
Institutional. The new alert follows a nationwide recall of 101 lots of the
drugs issued by Qualitest Pharmaceuticals that occurred earlier this
The FDA says the newly
recalled lots were manufactured by Qualitest Pharmaceuticals and were repackaged
and distributed by Mylan Institutional. The three lots include:
The recalled bottles are
supposed to contain tablets made up of 10 milligrams of hydrocodone and 500
milligrams of acetaminophen. But they are being recalled because the tablets may
contain higher amounts of acetaminophen or hydrocodone than indicated on the
Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394