July 31, 2013
doctors set their own pay: Our view
Some of the most important
players in setting the rates that Medicare and private insurers pay doctors are
- surprise - doctors themselves. And - no surprise - certain procedures end up
costing more than they should.
Here's how the system
works: A little-known committee run by the American Medical Association, the
trade association for doctors, analyzes thousands of procedures that doctors
perform and recommends "relative
values" to Medicare. More often than not, Medicare accepts the
AMA data for its own complex process of setting doctor reimbursement
Medicare gains from physicians' advice
The success of Medicare
depends on accurately assessing the impact of constant advances in science and
technology on patient care. There is simply no substitute for physicians'
clinical expertise when gauging how much work and resources go into one medical
service compared with another. No one knows more about what is involved in
providing services to Medicare patients than the physicians who care for
An AMA-convened committee
of independent physicians has taken the initiative to evaluate medical services
and recommend adjustments to Medicare that have decreased payments, freeing more
than $2.5 billion to be redistributed to other services. When the government did
not receive reliable data to identify potentially misvalued services, physicians
took on this important task. The committee recently reviewed about 1,300 such
services and recommended reductions to more than 500 that were previously
Open for October Cadaver, Controlled Substance and Practice Management
Make your plans today to
attend one of the three courses being offered October 4-5 in Denver,
The Cadaver Workshop
and Online Video Lectures (Basic, Intermediate, and
Pain Management Examination
Preparation Course) is October 5-6, 2013 | Denver,
Click HERE to view Cadaver
Click HERE to register for the
Also being offered
Click HERE to Register for
Controlled Substance Management
Essentials in Practice
Management for IPM
Click HERE to register for
Practice Management Course
Click HERE to view brochure of
Controlled Substance Management and Practice Management courses
The Westin Denver Downtown,
1672 Lawrence Street, Denver, CO 80202. (303) 572-9100
Reserve rooms early-all
unbooked rooms will be released on September 12, 2013.
Federal Panel Backs CT Scans for Lung Cancer
An influential federal
medical panel for the first time endorsed annual CT scans for high-risk current
and former smokers to detect lung cancer, with hopes to reduce the roughly
160,000 U.S. annual deaths from the disease.
The U.S. Preventive
Services Task Force, whose recommendations determine which therapies and tests
must be provided by insurers under the Obama administration's new health law,
concluded that about 20% of lung-cancer deaths might be avoided through early
detection and treatment.
The independent task force,
which consists of private physicians appointed by the U.S. Department of Health
and Human Services, examined available medical evidence and concluded that
low-dose computed tomography, or CT, imaging "reduced lung cancer mortality by
20% and all-cause mortality by nearly 7%." Its findings are being published
Tuesday in the Annals of Internal Medicine.
More Doctors Steer
Clear of Medicare
shown treating a patient in Marble Falls, Texas, is president of a group that
advocates private-pay medicine.
Fewer American doctors are
treating patients enrolled in the Medicare health program for seniors,
reflecting frustration with its payment rates and pushback against mounting
rules, according to health experts.
The number of doctors who
opted out of Medicare last year, while a small proportion of the nation's health
professionals, nearly tripled from three years earlier, according to the Centers
for Medicare and Medicaid Services, the government agency that administers the
program. Other doctors are limiting the number of Medicare patients they treat
even if they don't formally opt out of the system.
Executive of ArthroCare Corp. Pleads Guilty in $400 Million Securities Fraud
A former senior executive
of ArthroCare Corp., a publicly traded medical device company based in Austin,
Texas, pleaded guilty for his role in a scheme to defraud the company's
shareholders and members of the investing public by falsely inflating
ArthroCare's earnings, announced Acting Assistant Attorney Mythili Raman of the
Department of Justice's Criminal Division and U.S. Attorney Robert Pitman of the
Western District of Texas. The plea was taken under seal on June 24, 2013, and
unsealed late yesterday.
John Raffle, 45, of Austin,
pleaded guilty before U.S. Magistrate Judge Mark Lane in Austin to conspiracy to
commit securities, mail and wire fraud and two false statements violations.
Raffle was the senior vice president of Strategic Business Units at ArthroCare,
overseeing all sales and marketing staff at the company. Raffle admitted that he
and other co-conspirators falsely inflated ArthroCare's sales and revenue
through a series of end-of-quarter transactions involving ArthroCare's
distributors and that he and other co-conspirators caused ArthroCare to file a
Form 10-K for 2007 and Form 10-Q for the first quarter of 2008 with the U.S.
Securities and Exchange Commission that materially misrepresented ArthroCare's
quarterly and annual sales, revenues, expenses and earnings. As part of his
plea, Raffle agreed that his conduct and the conduct of his co-conspirators
caused more than $400 million in losses to shareholders.
US Dept. of
|Surgeons Eyed Over
Deals With Medical-Device Makers
Ten months after an
Afghan-born surgeon named Aria Sabit arrived in Ventura, Calif., local hospital
staffers noticed he suddenly developed a preference for an obscure brand of
spinal implants for many of his surgeries. Soon his volume of operations
increased, with sometimes-tragic results.
Dr. Aria Sabit, a spinal
surgeon, testifying in a deposition last year.
By the time he moved on
less than a year later in late 2010, he had become embroiled in investigations
by the California medical board and the Food and Drug Administration and more
than two dozen medical malpractice lawsuits, including 12 involving surgeries he
did with the new implants.
poll finds more Americans than ever want Obamacare repealed
(CBS News) A new CBS News
poll finds more Americans than ever want the Affordable Care
According to the poll, 36
percent of Americans want Congress to expand or keep the health care law while
39 percent want Congress to repeal it - the highest percentage seen in CBS News
polls. The poll also found a majority of Americans - 54 percent - disapprove of
the health care law, 36 percent of Americans approve of it and 10 percent said
they don't know about it.
The health care law is a
chronic issue for the White House, CBS News political director John Dickerson
said on "CBS This Morning." "There's an operational part to this, which is that
the White House has got to get people to sign up for these health exchanges,
particularly younger, healthier Americans, and so they are tactically running a
campaign much like the presidential campaign, reaching out, using the techniques
of that campaign to get younger people to sign up for these health
Health-Care Law's Success Rests on the Young
Ore.-The success of the new health-care law rides in large measure
on whether young, healthy people like Gabe Meiffren, a cook at a Korean-Hawaiian
food cart, decide to give up a chunk of disposable income to pay for insurance.
After getting a peek at
rates being offered for fall, the 25-year-old man said he would have to peel
back "expenses that aren't life or death, like records and concert tickets," or
whiskey sours at the Horse Brass Pub down the street.
sleep disorders can wake up your bottom line
Approximately 20 million
American adults are thought to experience symptoms of sleep disorder, primarily
obstructive sleep apnea (OSA). That prevalence of sleep problems, combined with
a growing array of user-friendly devices for conducting home sleep tests,
represents an opportunity for primary care physicians (PCPs) to add a new income
stream and improve the quality of life for many of their patients.
At the same time, experts
and physicians with experience in the field warn that it's important to be aware
of the pitfalls surrounding sleep testing and treatment. For example, training
and licensing requirements for reading the results of sleep tests differ from
state to state, and the coding and billing for sleep testing services can be
tricky. And as with any ancillary service, you need to be sure you have a
sufficiently large patient base to make it profitable.
Marketing Services Offers Brochures For Interventional Pain
ASIPP Marketing Services has
produced a series of informative and illustrative brochures and are making them
available to you. These print-ready brochures can be customized for your
practice. Brochures include the following topics:
Medicine and Anxiety Medicines
Your and Your
Intrathecal Drug Delivery Systems (coming
Facet Joint Pain
Vertebroplasty And Kyphoplasty (coming soon)
brochures include descriptions of pain conditions and procedures, along with
accompanying illustrations. The brochures are designed specifically for the
interventional pain physician. They can be used to communicate with patients and
referral sources in personal settings or via direct mail.
are supplied in a pdf format. All you have to do is have your printer place your
logo and practice information in the designated area. It is a quick and easy way
to have the brochures you need in develop patient and referral relations.
Order Form link:
Order Your Copies
of Pain Wise Today
Pain-Wise is a patient and Medical Professional's guide to
simplifying the confusing and often overwhelming process of finding the
appropriate treatment for chronic pain.
Written by three
ASIPP Member doctors with years of experience in pain management,
Pain-Wise teaches the basics of how pain works,
explains different interventional pain therapies in layman's terms, and helps a
patient communicate with their doctor.
Doctors have found
Pain-Wise to be a strong tool in creating a meaningful
dialogue with their patients.
Click here to buy
Click here to buy single
Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394