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American Society of Interventional Pain Physicians News | August 3, 2016
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Legislative Session and Capitol Hill Visits - Your Chance to Make Your Voice Heard
A legislative conference is scheduled for September 7 and 8. To participate in this conference, you must to be in Washington on Tuesday, September 6 in order to attend the 5 pm preparation session. We will have Capitol Hill visits and speeches, etc., on Wednesday morning and afternoon (Sept. 7). We will be preparing you for the presentation on Tuesday evening at 5:00 pm. We will be attending Capitol Hill with speeches in the morning of Wednesday and Capitol Hill visits with individual members of the Congress on Wednesday afternoon. Some appointments may continue through Thursday. If you would like to leave on Wednesday, please do not plan on leaving before 6 pm. If you want to stay, that would be wonderful as visits will continue on Thursday for those who are available to stay.
Each member is expected to visit two senators and one member of Congress for a total of three visits.
ASIPP will book and pay for your room at the Phoenix Park Hotel in Washington, DC. You will be responsible for your own travel expenses.
It is crucial that we have as many people as possible in attendance for this legislative conference. Please block your schedule as soon as possible so that you can attend.
While many of the members and committees are important, we are specifically focusing on the following senators and members.
Click here for the list.
Please let us know as soon as possible if you will be attending so that we can begin making the appointments. Contact Melinda Martin at
[email protected] to RSVP
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ROOM BLOCK DEADLINE ENDS Today!
This comprehensive four day Regenerative Medicine Review Course. will run August 18-21, 2016 in Las Vegas, Nevada at The Caesars Hotel and the state-of-the-art Oquendo Center.
These unique courses meets the continuing needs of interventionalists, based on input and needs assessment over the years and are cutting edge educational programs. It entails two days of didactic courses and two days of hands-on workshops covering various aspects of regenerative medicine. The first two days involve comprehensive review courses in regenerative medicine and hands-on with live models.
This two day course is an essential component for interventional pain physicians and provides education opportunities to assist you in providing high-quality, competent, safe, accessible, and cost-efficient services to your patients. The next two days will be a Cadaver Workshop fashioned to techniques of regenerative medicine.
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Room Block Ends Today! Click HERE for reservations at Caesar's Palace Las Vegas
This Hands-On Cadaver Workshop in Interventional Techniques, including online lectures will run August 20 through August 21, 2016 in Las Vegas, Nevada at Caesars Palace Las Vegas and the state-of-the-art Oquendo Center. These unique courses meets the continuing needs of interventionalists, based on input and needs assessment over the years and are cutting edge educational programs. It entails the equivalent of two days of online lectures and two days of hands-on workshops covering various interventional techniques.
The 2 day Cadaver Workshop involves comprehensive review of interventional techniques. This two day 2 day Cadaver Workshop is an essential component for interventional pain physicians and provides education opportunities to assist you in providing high-quality, competent, safe, accessible, and cost-efficient services to your patients. Online Lectures from a recent Interventional Techniques couse are supplied for viewing prior to the cadaver workshop and will be available indefinitely after the meeting.
The Cadaver Workshop is fashioned to accommodate training levels and capacity of participants. Physicians can choose from basic, intermediate, or ABIPP examination preparation course levels to mirror your needs and skill level. it registration
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Room Block Ends Today! Click HERE for reservations at Caesar's Palace Las Vegas
The ASIPP®Comprehensive Review Courses and Competency Examination in Controlled Substance Management and Practice Management will be held in Las Vegas, NV, on August 18-20, 2016. These unique courses meet the continuing needs of interventionalists, based on input and needs assessment over the years and are cutting edge educational programs. They entail two days of didactic courses and a competency examination. Only physicians on the track to meet ABIPP requirements may take the combined examination. Others may take the single examination. The Practice Management course is so beneficial to practices, both officebased and ASCs, that many physicians send their staff early to keep them current on the cutting edge aspects of practice management.
These intensive review courses are designed to present interventional pain management specialists and other health care providers an in-depth review of multiple areas of interventional pain management-the areas we were never taught, yet are crucial for our survival. In addition to the review course, the American Board of Interventional Pain Physicians (for physicians) and the American Association of Allied Pain Management Professionals (for non-physicians) offers the opportunity for examination in order for physicians to obtain competency certification to and non-physicians to obtain associate certificates in Controlled Substance Management and/or Practice Management. Only physicians on the ABIPP track wanting to fulfill the ABIPP requirements may take the combined examination.
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Are You Ready for October 2016: Honeymoon is Coming to an End
Order Your Pocket Guide Today!
 October 1, 2016, is coming. Along with it comes the end of the honeymoon period for ICD-10-CM is also coming. It essentially means you have to get ready for proper coding for the upcoming years.
Starting October 1, 2016, you must have a specific diagnosis for each condition you treat and for each procedure you perform.
You don't need to hit the panic button; there is help for preparation. But you should act now!
You can be prepared for the challenges of ICD-10-CM by purchasing the most definitive ICD-10-CM resource for interventional pain physicians.
If you have not already purchased and reviewed the ICD-10-CM for Interventional Pain Management: A Practical Guide, a pocket guide which will fit nicely in your pocket, you should order it immediately, not only for yourself, but for your staff, electronic and hard copy versions.
This exhaustive guide for interventional pain physicians will assist you with numerous intricacies of coding for interventional pain management. If you are not immediately ordering this practice guide, answer the following questions:
1. If you perform caudal epidural injection and cervical interlaminar epidural injection in a cervical and lumbar post surgery syndrome patient, can you use the same code for both procedures and get paid?
2. Can you perform lumbar transforaminal epidural injections at L5 and S1 in a patient with lumbar radiculitis at L5 only?
3. Can you use disc herniation and radiculopathy codes in the same patient in the same region?
If you answer "yes" for any of the above questions, you urgently need to prepare yourself and review these guidance.
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The Epidemic of Burnout, Depression, and Suicide in Medicine
Frank suicidal ideations (when someone has serious thoughts or plans about suicide) are reported in 5% to 10% of physicians.
I was discussing this with a colleague who told me that four of his medical school classmates have taken their own lives. He graduated in a class of 160 students, so that means that more than 2% of class died by suicide.
Related Aarticle Published in Pain Physician:
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How I Was Wrong About ObamaCare
I was wrong. Wrong about an important part of ObamaCare.
When I joined the Obama White House to advise the president on health-care policy as the only physician on the National Economic Council, I was deeply committed to developing the best health-care reform we could to expand coverage, improve quality and bring down costs. We worked for months to pass this landmark legislation, and I still count celebrating the passage of the Affordable Care Act with the president one balmy spring night in 2010 as one of my greatest Washington memories.
What I got wrong about ObamaCare was how the change in the delivery of health care would, and should, happen. I believed then that the consolidation of doctors into larger physician groups was inevitable and desirable under the ACA. I joined my White House health-care colleagues- Ezekiel Emanuel and Nancy-Ann DeParle-in writing a medical journal article arguing that "these reforms will unleash forces that favor integration across the continuum of care." We added that "only hospitals or health plans can afford to make the necessary investments" needed to provide the care we will need in a post-ACA world.
Access to this article may be lmited.
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ABIPP Certification Made Simple
The American Board of Interventional Pain Physicians (ABIPP) has developed certification programs that recognize accepted levels of knowledge and expertise in the interventional pain management profession, with the goal of improved patient care. Hundreds of qualified physicians have made the commitment to become ABIPP certified. ABIPP is recognized in 11 states. Ten states have no statutes governing specialty boards. Approval is pending in remaining states.
ABIPP is a Specialty Board providing certifications in the following areas:
Board Certification in Interventional Pain Management
Either with ABMS pain medicine board certification or ABMS primary certification only
Competency Certification in:
* Interventional Pain Management
* Regenerative Medicine
* Controlled Substance Management
* Coding, Compliance, and Practice Management
* Fluoroscopic Interpretation and Radiological Safety
* Endoscopic Spinal Decompression
Click HERE to view Pathway to ABIPP Certification
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ASIPP July Podcast Now Available
 On the July ASIPP Podcast, we'll be talking with ASIPP's current president, Dr. Aaron Calodney. Our news segment this time has a number of medical marijuana stories, as well as stories about depressed medical residents, a gene that holds the key to potential pain treatments, and more. Plus, how getting a tattoo could be the key to curing the common cold.
Click HERE to access podcast.
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Start Planning NOW! ASIPP to Begin Accepting Abstracts for 2017 Annual Meeting
Registration will be open for Abstract Submissions beginning August 10, 2016.
The American Society of Interventional Pain Physicians will hold its 19th Annual Meeting April 20-22 in Las Vegas at Caesar's Palace.
This year, we will be making significant changes to the Abstract and Poster Sessions. Anyone who submits their Abstract for consideration will be included in the electronic poster presentations. The posters are available to all meeting participants during all bring and meal times.
The Abstract Committee will select the top 25 for publication in Pain Physician and of those 10 will be selected for Abstract presentation and judging during the Annual Meeting. The top 3 will receive cash prizes.
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Opioid Problems Bring 'Tsunami' of Services, Study Finds
In one of the first looks at privately insured patients with opioid problems, researchers paint a grim picture: Medical services for people with opioid dependence diagnoses skyrocketed more than 3,000% between 2007 and 2014.
The study considers a huge cohort of people who have either job-based insurance or buy coverage on their own. Its findings illustrate that the opioid problem is "in the general mainstream," said Robin Gelburd, president of Fair Health, a nonprofit databank corporation focused on healthcare cost transparency and insurance information. "Is the health system preparing for this tsunami of services?" she said.
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A Pain Clinician's Perspective on the Comprehensive Addiction and Recovery Act
The Comprehensive Addiction and Recovery Act of 2016 (CARA) was introduced in Congress by Senator Sheldon [D-RI] on February 12, 2015, "to authorize the Attorney General to award grants to address the national epidemics of prescription opioid abuse and heroin use."
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On July 13, 2016, the CARA bill was approved by the US Senate, after being passed by the House of Representatives on July 8. President Obama enacted the CARA bill on July 22, turning it into a law.
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Study to Test Ways To Discuss Opioid Risks With ER Patients
To work toward lowering the risk of opioid dependence in patients who receive medications for pain syndromes while in the hospital, doctors from Northwell Health are collaborating with the University of Pennsylvania and the Mayo Clinic to study 2 methods of educating patients in the ER about the risks of opioid addiction.
Karin Rhodes, MD, vice president of care management design and evaluation in the Office of Population Health Management at Northwell Health, and colleagues are enrolling 400 patients from each hospital for a total of 1200 patients who present in emergency departments with lower back pain or with pain due to kidney stones.
Clinical Pain Advisor |
The Dichotomy of Substance P in Mediating Analgesia in the PNS and Nociception in the CNS
The excitatory neuromodulator Substance P (SP) in the tachykinin family of neuropeptides is produced in the CNS and PNS. Co-release of SP and glutamate, as well as upregulation of SP's neurokinin G Protein-coupled receptors (GPCRs) have been implicated in acute and chronic inflammation as well as nociception.
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A number of factors secreted in response to noxious stimuli in the periphery-including proteases and growth factors-activate GPCRs and transient receptor potential (TRP) channels on peptidergic nociceptors, leading to the release of SP and other neuropeptides. Binding of SP to its neurokinin (NK1)
receptors results in neurogenic inflammation and transmission of nociceptive signals centrally, through its effect on postcapillary venules and dorsal spinal neurons, respectively.
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CDC Issues Warning on New Opioid Substitute
Reports of exposure to a plant-based drug with opioid-like effects, kratom (
Mitragyna speciosa
), could lead to dangerous outcomes, and have been on the rise for the past few years, according to a CDC analysis of poison center calls.
In 2015 the number of calls that poison centers received regarding exposures to kratom was 10 times higher than in 2o1o (26 in 2010; 263 in 2015). In total from January 2010 until December 2015, 660 calls were recorded.
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NY surgeon faces 40 years in prison for Medicare billing scheme
A surgeon who practiced at hospitals in Brooklyn and Long Island, New York, faces 40 years in prison for submitting more than $25 million in false claims to Medicare, according to the
Department of Justice.
On Friday, Syed Ahmed, MD, was convicted of one count of healthcare fraud, three counts of making false statements related to healthcare matters and two counts of money laundering.
According to evidence presented at trial, Dr. Ahmed submitted millions of dollars in fraudulent claims to Medicare for incision-and-drainage and wound debridement surgeries that he never performed.
At trial, Assistant U.S. Attorney Patricia Notopoulos said Dr. Ahmed billed Medicare for 5,000 surgeries over a three-year period - 600 of which were allegedly performed on an elderly woman, according to the
New York Daily News.
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Nebulized Fentanyl vs. IV Opioids for Acute Pain
Nebulized fentanyl is as effective as IV opioids for the treatment of acute pain, however the variations of prepared fentanyl nebulized solution leave a question mark over the ability to deliver consistent doses.
The findings come from a new literature review published in Annals of Pharmacotherapy, examining research from 1945 to May 2016.
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Databases reviewed were MEDLINE (1966-2016), Web of Science (1945-2016), and Excerpta Medica (1980-2016), using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.
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