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" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary
 

October 30, 2013

 

 

 

 

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vegasFew Spots Remain: Register Today for Vegas Cadaver Workshop and Online Video Lectures

 

  Make plans today to join us in Las Vegas November 16 and 17th.

 

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 6 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 will be provided with multiple video lectures relevant to the course material

 

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 Brochure

 

Online registration

 

Accomodations are at the Westin Las Vegas

 

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webinarRegister Now for Tuesday's E/M Modifiers Webinar

 

Right-click here to download pictures. To help protect your privacy, Outlook prevented automatic download of this picture from the Internet.  The 60-minute webinar will be from 1100 am to noon CST Tuesday, November 5. Marvel J. Hammer, RN, CPC, of MJH Consulting in Denver will present information on Best Practices: E/M Modifiers for IPM. Cost for the webinar is $125.

 

Some of the questions answered will be:

 

  • Modifier 25: Are you using it correctly or just trying to unbundle the E/Mservices?
  • Can I use modifier 25 when a patient has been scheduled for a procedure?
  • What does "separately identifiable and significant" really mean?
  • What are the time frames associated with modifier 25 and modifier 57?

 

Click HERE to register

 

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fdaFDA Recommends New Limits on Pain Drugs

 

  The Food and Drug Administration Thursday recommended imposing far more severe restrictions on the prescribing of the most commonly used narcotic painkilling drugs in the U.S., an effort to combat their widespread abuse.

The move will fundamentally change the use of medicines taken by millions of Americans to alleviate acute pain, such as broken bones or following dental surgery.

 

The decision by the federal agency follows a recommendation given to it by an advisory committee earlier this year, which voted 19-10 to limit the amount of such medicines that can be prescribed without a new prescription. The move covers pills containing hydrocodone.

 

Wall Street Journal

 

Access to this article may be limited.

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mitigatingMitigating the Financial Risks of ICD-10

 

 ICD-10 creates a lot of anxiety when it comes to how it will impact providers financially. The Centers for Medicare and Medicaid Services estimate that ICD-10 will initially result in a decrease in cash flow and loss of revenue. These financial impacts pose serious risks for unprepared parties. The latest infographic in our ICD-10 series outlines the financial areas that will be impacted and the actions required to mitigate the risks of those impacts.

 

Phoenix Health

 

 

To address potential cash flow reductions based on changing reimbursement models, claims processing and re-processing, staff learning curve and the long-term financial effects of ICD-10, CMS recommends getting a line of credit to cover cash flow disruptions.

 

 

http://www.cms.gov/Medicare/Coding/ICD10/downloads/ICD10LargePractices508.pdf

 

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antiFDA OKs Drug Without Anti-Abuse Protection

 

When the FDA approved the powerful painkiller Zohydro last week, it did so without requiring the drug to have any built-in biochemical mechanisms aimed at curbing abuse.

 

That "omission" makes Zohydro very different from extended-release opioids currently on the market, including OxyContin and Opana, both of which have abuse-deterrent formulations.

 

Additionally, the FDA has been taking steps over the past year to make sure all opioid drugs brought to the market in the future would incorporate such technologies.

 

 

MedPage Today

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payPay and Practice: Obama's ACA Promise Panned

 

WASHINGTON -- Was President Obama being less than completely truthful when he said, "if you like your healthcare plan, you'll be able to keep it" when he was selling the then-proposed health reform law in 2009?

 

The statement has been thrown in the faces of Affordable Care Act (ACA) supporters as a broken promise of the law and of Obama. And it has received renewed attention this week as news reports have documented health plans sending termination notices to people who have previously purchased coverage on the individual market.

 

Reports say "hundreds of thousands" of individuals in plans such as Kaiser Permanente in California and others in Blue Cross Blue Shield plans in Florida and Philadelphia have received word their health coverage is going away.

 

 

MedPage Today

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commitmentThe Commitment to Fix Obamacare's Computer Systems By December 1--Because It Can Be Done By Then or Because It Has To Be Done By Then?

 

The good news is that it appears the adults are finally in charge of healthcare.gov.

This week, the administration put a seasoned and trusted manager in charge of getting the Obamacare computer system working--Jeff Zients.

He quickly announced a methodical approach to the problem and that he had appointed one contractor to coordinate the daily work. Zients also appeared to be pretty open and honest about what's really going on.

All things that should have happened in the first place.

 

Health Policy and Market

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blogBlog: A lawyer provides pain management tips for doctors

 

have represented a number of physicians who have been accused of "overprescribing." Some of these were criminal investigations by local law enforcement authorities, such as a county sheriff's office. Some were investigations by the Drug Enforcement Administration (DEA). Some were investigations by the state licensing agency (in this case, the Florida Department of Health).

 

In almost every one of these cases, either the DEA, the Department of Health or the local law enforcement authority used undercover agents posing as patients to make appointments with the physician, agents usually wore a wire device, and gave the physician false information.

 

In several cases the investigation began when the patient died of a drug overdose (in several of these cases it was unclear whether it was a suicide by the patient or an accidental overdose). In each of these cases, there was an angry, upset family member who blamed the physicians for the patient's death. In each case, the physician I represented had no idea what the patient was going to do and did not know the patient was receiving drugs from another physician.

 

MedPage Today

 

 

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noonanNoonan: ObamaCare Is Taking On Water

 

We should not lose The Headline in the day-to-day headlines. This is big history, not small. The ObamaCare rollout is a disaster for the White House, not a problem or a challenge or an embarrassment, not a gaffe or a bad few weeks. It is a political disaster, and the only question is whether it is partially recoverable, meaning the system can be made to work in a generally satisfactory way in the next few weeks. But-it has to be repeated-they had 3½ years after passage of the Affordable Care Act to make the program into something the American people could register for and feel they were benefiting from. Three and a half years! They had a long-declared start date: It would all go live Oct. 1, 2013, and everyone in the government, every contractor and consultant, knew it.

 

The president put the meaning of his presidency into the program-it informally carries his name, it is his brand. It was unveiled with great fanfare, and it didn't work. For almost anybody. Crashed systems, frozen screens, phone registration that prompted you back to the site that sent you to the 800 number, like a high-tech Möbius strip.

 

All this from the world's greatest, most technologically sophisticated nation, the one that invented the computer and the Internet. And from a government that is able to demand and channel a great deal of the people's wealth.

 

 

Wall Street journal

 

 

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SGRSustainable Growth Rate (SGR) Reform-Improved Outlook for Congressional Action This Year?

 

What is the SGR?

 

The Sustainable Growth Rate (SGR) formula was enacted in 1992 as a statutory means of controlling Medicare spending by calculating annual updates to the Medicare physician fee schedule. The fee schedule established a fixed minimum payment for over 7,000 defined services that is updated by the Centers for Medicare & Medicaid Services (CMS) each year to reflect current total per capita spending for physician services versus gross domestic product (GDP).1

 

When per capita GDP grew more than Part B expenditures, as it did for 1997 through 2000, payments were relatively stable. However, as the economy began to slow down after 2000 and health care costs began to outpace GDP growth, application of the SGR formula produced decreases, not increases, in physician fees from year to year.

 

To avoid a cut in physician reimbursement that has grown from a moderate percentage reduction to an almost staggering 25% cut in payment, Congress has acted to "patch" the SGR, either by increasing physician payment rates, notwithstanding the SGR requirements, or freezing the rates to prevent decreases.2 So while physicians were made whole or were even given moderate increases in payment, the overall cut as mandated by the SGR was pushed off by Congress to deal with in the future through one of two possible outcomes: 1) eliminate the SGR formula, or 2) allow the cut to be implemented, reducing physician payment. Unless Congress acts by the end of this year, physicians treating Medicare beneficiaries will be faced with an estimated 24.4% reduction in reimbursement.3

 

 

National Law Review

 

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strasselStrassel: Democrats Run for ObamaCare Cover

 

Jeanne Shaheen doesn't sound like a Democrat who just won a government-shutdown "victory." Ms. Shaheen sounds like a Democrat who thinks she's going to lose her job.

 

The New Hampshire senator fundamentally altered the health-care fight on Tuesday with a letter to the White House demanding it both extend the ObamaCare enrollment deadline and waive tax penalties for those unable to enroll. Within nanoseconds, Arkansas Sen. Mark Pryor had endorsed her "common-sense idea." By Wednesday night, five Senate Democrats were on board, pushing for . . . what's that dirty GOP word? Oh, right. "Delay."

 

After 16 long days of vowing to Republicans that they would not cave in any way, shape or form on ObamaCare, Democrats spent their first post-shutdown week caving in every way, shape and form. With the GOP's antics now over, the only story now is the unrivaled disaster that is the president's health-care law.

 

 

Wall Street Journal

 

 Access to this article may be limited.

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studyStudy: Surgery Rate Higher When Implants Purchased From Doctors

 

A government study provided ammunition Thursday to critics who argue that allowing surgeons to profit from implants they insert in patients leads to higher rates of surgery.

 

The rate of spinal surgery at hospitals that purchased implants from physician-owned distributorships, or PODs, grew more than three times as fast as it did at hospitals overall, the Office of Inspector General of the Department of Health and Human Services said in a report to Congress. The agency also found hospitals that purchased implants from PODs performed 28% more spinal surgeries than hospitals that didn't.

 

The agency, which is responsible for oversight of the Medicare and Medicaid programs, also found that the implants sold by PODs cost the same as or more than devices sold by companies not owned by physicians, rebutting the main argument surgeons involved in PODs have used to defend them.

 

 

Wall Street Journal

 

Access to this article may be limited.

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healthHealth Insurers Cancel Thousands of Individual Policies Under PPACA

 

Health insurers are sending out thousands of cancellation notices to individual policy holders, frustrating consumers who want to keep their current coverage, according to a Kaiser Health Newsreport.

 

Insurance companies mainly state the policies they have decided to ax don't meet Patient Protection and Affordable Care Act requirements, according to the report. Under the reform law, individual health plans must cover "essential benefits" such as prescription drugs, mental health services and maternity care. Insurers must also cap consumers' annual expenses.

 

Various insurers are dropping plans that cover sizeable chunks of their individual markets. Florida Blue is ending about 300,000 policies, 80 percent of its individual policies in the state. Kaiser Permanente in California has sent cancellation notices to approximately 160,000 people who make up half of its individual business in the state, according to the report.

 

 

Becker's Hospital Review

 

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enrollmentEnrollment in MD, DO Schools Hits New Highs

 

WASHINGTON -- Medical school applications and enrollment reached record highs this year as organized medicine's cries for more funding for residency slots continued with little response from Congress.

 

The number of first-year medical students exceeded 20,000 for the first time in 2013, reaching 20,055, the Association of American Medical Colleges (AAMC) said Thursday in its annual report on medical school enrollment and applications.

 

Meanwhile, first-year student enrollment at osteopathic medical colleges increased 11.1% in 2013, to 6,449, according to the American Association of Colleges of Osteopathic Medicine (AACOM).

 

 

MedPage Today

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taintedTainted Steroid Shots Led to Varying Ailments

 

Patients made sick by contaminated steroid injections had a "broad spectrum of disease," ranging from stroke to abscess, researchers reported.

 

The pattern of disease varied over time, with meningitis dominating early in the outbreak and noncentral nervous system (CNS) disease showing up later, according to John Jernigan, MD, of the CDC, and colleagues.

 

And illnesses varied in severity from mild to life threatening to fatal, Jernigan and colleagues reported online in the New England Journal of Medicine.

 

 

Maryland State Society meeting Nov. 4

 

The Maryland chapter of the Amercan Scoeity of Interventional Pain Physicians has scheduled a meeting Monday, Nov. 4 at Ruth Cris Steakhouse, Pikesville, MD

 

The speaker will be Michael Bair, Director of the  Prescription Drug Monitoring Program, Maryland Department of Health and Mental Hygiene

Alcohol and Drug Abuse Administration

 

Date: November 4th , 2013 at 6:30PM

 

Location: Ruth Chris Steakhouse

1777 Reisterstown Rd Pikesville, MD 21208

 

 

NY/NJ Societies of Interventional Pain Physicians Schedule Symposium

 


 

Registration is now open for the Pain Medicine Symposium, 2013, which is set for Thursday, November 7, 2013-Sunday, November 10, 2013 at the Hyatt Regency, Jersey City.

 

Following the great success of the 2012 program, this program again will be a joint effort between the New York and New Jersey Societies of Interventional Pain Physicians. The curriculum is presented by Course Directors: Sudhir Diwan, MD and Peter Staats, MD.

 

Speakers will be Sanjay Bakshi, MD, Sudhir Diwan, MD, and Peter Staats, MD.

 

Click here to register for the NYNJSIPP Pain Symposium.

 

Click HERE for more information.

 

  

 

* Please send in your State Society meeting news to:
 Holly Long at hlong@asipp.org

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adsPhysicians Wanted

 

If you are interested in advertising on the Physicians Wanted page, please contact Holly Long for pricing information
Phone (270) 554-9412 ext. 230
Fax: (270) 554-5394

hlong@asipp.org

 

Click HERE to view Classified Physicians Wanted Ads listed on the ASIPP website.

 

 

 

 


All contents Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org