October 30, 2013
Few 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.
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
Accomodations are at the Westin Las Vegas
Register Now for
Tuesday's E/M Modifiers Webinar
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
Some of the questions
answered will be:
- Modifier 25: Are you using it correctly or just trying to unbundle the
- Can I use modifier 25 when a patient has been scheduled for a
- What does "separately identifiable and significant" really mean?
- What are the time frames associated with modifier 25 and modifier 57?
Click HERE to register
|FDA 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
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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.
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.
|FDA 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.
|Pay and Practice:
Obama's ACA Promise Panned
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
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
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.
|The 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
All things that should have happened in the first
Health Policy and
Blog: 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.
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.
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Rate (SGR) Reform-Improved Outlook for Congressional Action This
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
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
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,
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
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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
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.
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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.
|Enrollment in MD,
DO Schools Hits New Highs
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
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).
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
And illnesses varied in
severity from mild to life threatening to fatal, Jernigan and colleagues
reported online in the New England Journal of
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
Date: November 4th , 2013 at
Location: Ruth Chris
1777 Reisterstown Rd Pikesville,
of Interventional Pain Physicians Schedule Symposium
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
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
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
* Please send in your
State Society meeting news to:
Holly Long at firstname.lastname@example.org
If you are
interested in advertising on the Physicians Wanted page, please contact Holly Long for pricing information
554-9412 ext. 230
Fax: (270) 554-5394
Click HERE to view Classified
Physicians Wanted Ads listed on the ASIPP website.
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American Society of Interventional Pain Physicians ®
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Phone 270.554.9412, Fax 270.554.5394