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" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary
 

May 22, 2013

 

  1. ASIPP 15th Annual Meeting - Don't Miss Out!
  2. ASIPP to Partner with Henry Schein GPO
  3. Tavenner Confirmed as Medicare Chief
  4. CMS: Do EHRs Lead to Upcoding?
  5. First ACA Physician Shield Becomes Law
  6. House Hearing Focuses on Quality's Role in SGR Reform

 

AnnualASIPP 15th Annual Meeting - Don't Miss Out!

 

\If you have not yet registered for the ASIPP 15th Annual Meeting, there is still time to do so. Not only is this the "can't miss" meeting of the year, will be the last year we will hold the Annual Meeting in Washington, DC. Join us on June 8-11 for this historic meeting.

  

The ASI PP 15th Annual Meeting titled "IPM: Strategies to Prevent Falling Over the Cliff," is geared to help both you and your staff prepare for all the changes coming with the Affordable Care Act (ObamaCare). The strategies and information you will receive at this meeting will be unparalleled to any other meeting.

 

Take advantage of this opportunity and "arm yourself for the future!"

 

Click HERE to register

Click HERE to view Brochure

 

 
GPOASIPP to Partner with Henry Schein GPO

    

After almost 2 years of struggles with single-dose vials cost issues, 3 solutions were recommended: reduce the price, use compounded drugs, or allow physicians to divide them into smaller vials in practices. While we disagree with the second option, we have been pursuing the first and third options. The third option we continue to on, however the first option has become a reality. Finally, we have achieved what we believe is the best solution for this issue and one that will provide significant reductions in price by joining a GPO.

 

ASIPP is pleased to announce that we have formed a partnership with Henry Schein and PedsPal, a national GPO that has a successful history of negotiating better prices on medical supplies and creating value added services for the independent physician. Working with MedAssets, PedsPal provides excellent pricing on products like contrast media that alleviate some of the financial pressures you experience today. While the cost of contrast media has skyrocketed due to the single dose vial issue, because we have partnered with Henry Schein, this could enable you to purchase Omnipaque 240mg/50 ml for slightly above $4.50.

 

It will be easy for ASIPP and SIPMS members in good standing. to enroll and begin to realize the savings this partnership can bring you. We will keep you updated on how to take advantage of this great savings opportunity. We will have more information on this in the upcoming weeks. Henry Schein will be on hand at the ASIPP Annual Meeting on June 8-11 to answer all your questions!

Tavenner Tavenner Confirmed as Medicare Chief

 

The Senate on Wednesday confirmed Marilyn Tavenner to head the Centers for Medicare and Medicaid Services (CMS), making her the first confirmed administrator of the agency in nearly 7 years.

 

Tavenner sailed through a vote late Wednesday afternoon, receiving 91 of 98 votes cast. Ophthalmologist-turned-senator Rand Paul, MD (R-Ky.), was one of seven senators to vote against her confirmation.

 

CMS hasn't had a confirmed head since Mark McClellan, MD, PhD, left the post in October 2006. McClellan was confirmed in March 2003.

 

MedPage Today 

CMSCMS: Do EHRs Lead to Upcoding? 

 

The accuracy of physician documentation has been scrutinized for years, but a relatively new focus of complaints involves how doctors use features of electronic health record systems to support their claims. Concerns that doctors are taking advantage of EHR automation to bill higher-level services - intentionally or not - are misplaced, physicians said during a May 3 forum at the Centers for Medicare & Medicaid Services headquarters.

Federal lawmakers and CMS officials have encouraged physicians and hospitals to adopt EHRs by offering financial incentives and threatening eventual cuts to Medicare payments. Health information technology can provide clinical support, allow sharing of records across care settings and offer other functions, such as drug formulary checks. EHRs are viewed as an asset in new care and payment models.

But the technology can be a double-edged sword. CMS lately has become concerned about the unintended consequences of EHR adoption. Auditors and lawmakers have suggested that recent increases in the rates at which doctors bill costlier, higher-level services could be attributable to the enhanced billing capabilities provided by EHRs.

 

amednews.com

  

ACA First ACA Physician Shield Becomes Law 

 

Republican Governor Nathan Deal signed into law on May 6 what Bloomberg BNA reports is the nation's first "provider shield" statute. The measure aims to protect doctors from malpractice suits based on payment-policy standards established by the 2010 federal health-care reform law, known as the Affordable Care Act (ACA). What's truly amazing about this development is that both physicians and trial lawyers supported the law.

  

The ACA establishes a complicated array of new federal standards for doctors' fees and reimbursement. The Georgia statute says physicians in that state cannot be sued under Georgia law for failing to follow the new standards.

 

Bloomberg Businessweek

 

house House Hearing Focuses on Quality's Role in SGR Reform 

 

Legislation that modernizes the Medicare payment system will need to support physicians who are adapting to pay models based more on quality and efficiency, doctor organizations told lawmakers at a recent congressional hearing.

 

House Republicans have drafted a framework for repealing the sustainable growth rate formula used to calculate Medicare payments and control program spending. The SGR is broken and must be repealed, said Rep. Kevin Brady (R, Texas), chair of the House Ways and Means health subcommittee. The formula is projected to cut payments by 24.4% in 2014 unless Congress intervenes.

 

"Physicians, we know, are understandably frustrated," Brady said. "In our communities, we're witnessing firsthand how the current broken system is forcing doctors to rethink their future with Medicare, consider closing their private practices or joining up with a hospital. And who can blame them?"

 

amednews.com

DSM5 DSM-5 is Here: What the Controversial New Changes Mean for Mental Health Care
 

The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) has arrived, and the latest changes have caused divisions among those in the psychiatric community.  

 

Often touted as the psychiatrist's "Bible," the DSM is published by the American Psychiatric Association and establishes the almost universal standard by which doctors classify, diagnose and ultimately treat mental disorders - making it an essential part of the psychiatric profession.  The DSM is utilized not only by clinicians, but researchers and health insurance companies as well. Even government officials take interest in the DSM's criteria in order to determine grant funding, insurance coverage and new health care policies.

 

The latest version is the DSM's fifth edition, and it is the manual's first major revision in nearly 20 years since the publication of the DSM-IV in 1994.  The DSM-5's release brings some radical new changes, which have been met with both praise and disgust from mental health professionals. Some of the most highly debated changes include the elimination of Asperger's disorder and the addition of a few new controversial conditions such as cannabis withdrawal, gambling addiction and the highly contested disruptive mood dysregulation disorder (DMD).

 

 

Foxnews.com

employers Employers Eye Bare-Bones Health Plans Under New Law
 

Employers are increasingly recognizing they may be able to avoid certain penalties under the federal health law by offering very limited plans that can lack key benefits such as hospital coverage.

 

Benefits advisers and insurance brokers-bucking a commonly held expectation that the law would broadly enrich benefits-are pitching these low-benefit plans around the country. They cover minimal requirements such as preventive services, but often little more. Some of the plans wouldn't cover surgery, X-rays or prenatal care at all. Others will be paired with limited packages to cover additional services, for instance, $100 a day for a hospital visit.

 

 

The Wall Street Journal  

loopholes Loophole in Health Care Law Could Stick Doctors with Tab

 

A loophole in California's upcoming health care overhaul could be exploited by families gaming the system or responding to hardship in a way that doctors say could leave a pile of unpaid bills.

 

A chain of events would create a two-month period during which a family has medical coverage but no insurer must pay its claims. Nonpayment of premiums for subsidized policies would trigger the oddity: Federal law provides a three-month grace period before cancellation - but insurers are responsible only for the first month.

 

The Sacramento Bee

 

 

 

 

 


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American Society of Interventional Pain Physicians ®
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Phone 270.554.9412, Fax 270.554.5394
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