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American Society of Interventional Pain Physicians News  | December 2, 2015
IN THIS ISSUE
  1. Registration Open for 2016 ASIPP Annual Meeting in Dallas
  2. 2016 Billing and Coding Webinar set for Dec. 10
  3. Why the U.S. Pays More Than Other Countries for Drugs
  4. Safely Prescribing Opioids in an Era of Overdose 
  5. Turing's $750 Pill Daraprim Has $1 Competitor 
  6. Marijuana Use and Child Physical Abuse: Is There an Association? 
  7. West VA board drops Infection Control Case 
  8. Introducing ASIPP Podcast 
  9. Address Mental Health Barriers in Chronic Pain 
  10. The Impact of Risk Reduction Initiatives on Chronic Opioid Use 
  11. The Majority of Opioid Abusers Are Not in the Age Group You Might Suspect 
  12. How to Protect Your Practice From a Drug Diversion Investigation 
  13. Reducing our own pain is also reducing empathy for pain in others 
  14. 8 Ways to Prevent Pain During Holiday Shopping 
  15. ASIPP Call for Abstracts 
  16. State Society News 
  17. Physician Wanted 
                           
annual
  
                           
webinarWEBINAR FEE: $195   
WEBINAR DATE: December 10, 2015
TIME: 11:00am-12:30am CDT
LENGTH: 90 Minutes
SPEAKER: Marvel Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO 
 
Get up to speed with the coding changes that are coming in 2016 for Interventional Pain Management practices. You are responsible for reporting the services correctly so you don't risk delays, denials, or incorrect payments for your coding and billing. Learn to navigate coding, billing and compliance changes for 2016 in this 90-minute webinar with coding expert Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO. 

Webinar highlights:
  • 64461-64463: When is a paravertebral injection not coded as a paravertebral facet joint injection?
  • How will providers report spinal accessory nerve injections in 2016?
  • What NEW 2016 CPT Section Guidelines will effect facet joint nerve radio frequency ablation coding?
  • Get the published clarification, once and for all, on compliant CPT coding for neurolytic destruction of paravertebral facet joint nerves
  • What is the status of reporting fluoroscopy used with the 62310-62319 code set for 2016?  Were there changes in CPT?
  • In 2016, what changes in spinal cord neurostimulator programming requirements?
  • What are the CPT changes for Prolonged E/M services in 2016?  What is CPT's definition of qualified health care professional versus clinical staff?
  • Find out if there are any changes in 2016 for reporting presumptive or definitive drug testing
  • Where are we at in terms of surviving the Oct 1st implementation?
  • What is CMS proposing for coding changes for 2016 for presumptive and definitive drug testing?
  • Review 2015 mid-year and 2016 HCPCS drug code changes
  • Find out pain management coding questions that has been addressed in the past year by CPT Assistant
  • What will be the "hot topics" on the OIG Work Plan for 2016?
Your practice depends on your coding know-how, and there's no better way to make sure you're the "go-to" coder than to be ready for the New Year. Make sure you're on top of the latest changes by attending this must-have event.  
 
Note: Extra time will be devoted to a question and answer session at the end of the webinar presentation.



more

Norway, an oil producer with one of the world's richest economies, is an expensive place to live. A Big Mac costs $5.65. A gallon of gasoline costs $6. But one thing is far cheaper than in the U.S.: prescription drugs. Drug prices in the U.S. are shrouded in mystery, obscured by confidential rebates, multiple middlemen and the strict guarding of trade secrets. But for certain drugs---those paid for by Medicare Part B---prices are public. By stacking these against pricing in three foreign health systems, as discovered in nonpublic and public data, The Wall Street Journal was able to pinpoint international drug-cost differences and what lies behind them.


Access to article may be limited.
 
safely
Safely Prescribing Opioids in an Era of Overdose
 
The number of opioid prescriptions filled in US pharmacies has tripled since the early 1990s, skyrocketing from 76 million in 1991 to 219 million in 2001. 1   During this time period, emergency department visits from opioid misuse or abuse and opioid-related drug overdose deaths also rose sharply.

Continuing the upward trajectory, emergency department visits attributable to opioids increased from 600,000 to more than 1.2 million from 2004 to 2010, and overdose deaths have quadrupled from 4000 to more than 12,000 annually from 1999 to 2010, according to data from the Substance Abuse and Mental Health Services Administration. 2
 
 

turing
Turing's $750 Pill Daraprim Has $1 Competitor
 
The outrageous $750 a pill price of pyrimethamine (Daraprim/ Turing) could soon be undercut by the appearance of a new compound selling for a dollar a pill.

Express Scripts, a pharmacy benefits manager based in St. Louis, MO, announced today that it is working with Imprimis, a San Diego, CA compounder to combine pyrimethamine with leucovorin to market a new product, one due to be available this week.

 
marijuana
Marijuana Use and Child Physical Abuse: Is There an Association?

Laws allowing physicians to prescribe marijuana for medicinal purposes have been enacted in 23 states and the District of Columbia, 1   and 4 states have passed laws legalizing recreational marijuana. Although the sale and use of marijuana is still illegal under federal law, polls show most Americans now favor legalizing marijuana. 2,3   As marijuana use becomes more prevalent, some are concerned about how parents' marijuana use affects their children.

Bridget Freisthler, PhD, a professor with the University of California-Los Angeles Department of Social Welfare, and colleagues from the Pacific Institute for Research and Evaluation in Oakland, California, recently reported findings from a study that assessed the relationship between current marijuana use, the local availability of marijuana via dispensaries, and abusive or neglectful parenting. 4
 
 

drop
West VA board drops Infection Control Case
 
 Roland F. Chalifoux Jr.,DO has  been cleared of any wrong doing by the West Virginia Board of Osteopathic Medicine regarding the false and misleading allegations in July 2014 that he acted unprofessionally and created an outbreak of Hep B, C, and HIV in the Ohio Valley.
 

 
podcast

mental
Address Mental Health Barriers in Chronic Pain
 
Painful chronic conditions often are accompanied by equally debilitating comorbidities such as depression, substance use disorders, and suicidal ideation. Unfortunately, there are significant barriers to accessing mental health services that need to be addressed to adequately treat these complex patients.

That was the advice from Martin Cheatle, PhD, who is director of the Pain and Chemical Dependency Program at the Center for Studies of Addiction at the University of Pennsylvania in Philadelphia.
 

Clinical Pain Advisor
risk
The Impact of Risk Reduction Initiatives on Chronic Opioid Use
 
Exposing clinicians to a multifaceted risk-reduction initiative significantly shifts prescribing practices away from high-dose chronic opioid therapy, according to a study published in the Journal of Pain.

Such interventions are sorely needed; prescription opioid sales in the United States have tripled since 1999, though the amount of chronic pain reported by patients remains unchanged. The explosion in opioid use was accompanied by repercussions - nearly 2 million American teens and adults either abused or were dependent on opioid pain relievers in 2013, and the number of overdoses had quadrupled to over 16,000.
 
 

majority
The Majority of Opioid Abusers Are Not in the Age Group You Might Suspect
 
Younger patients may get a bad rep for misusing prescription medications, but they do not make up the prominent group who get the interventions.

One of the major concerns associated with prescription drugs is the risk of misuse and abuse. The addictive properties of opioids make the analgesics potentially dangerous. Researchers from New York University's Center for Drug Use and HIV Research (CDUHR) and NYU's School of Medicine (NYUSoM) examined trends in opioid treatment programs in New York City with a focus on older patients and they found that there has been a major increase in admissions.

"Most notably, we found a pronounced age trend in those utilizing opioid treatment programs from 1996 to 2012, with adults aged 50 and older becoming the majority treatment population," principle investigator Benjamin Han, MD, MPH, an instructor at NYUSoM, said in a news release
 
 
protect
How to Protect Your Practice From a Drug Diversion Investigation
 
Healthcare providers got an insider's look at how law-enforcement officials conduct drug diversion investigations, learning how to avoid unintentional mistakes that may garner unwanted scrutiny from regulatory bodies and how to better protect their practices.

Two members of the National Association of Drug Diversion Investigators, Marc Gonzalez, PharmD, and Steven Louie, JD, hosted an interactive session detailing actual cases in which "pill mills" were busted, letting clinicians enact scenarios in which they assume the role of the drug diversion investigator. 
 
 

empathy
Reducing our own pain is also reducing empathy for pain in others
 
The ability to feel the pain of others is based on neurobiological processes which underlie pain experience in oneself. Using innovative methods, an international research team headed by psychologist Claus Lamm from the University of Vienna could show that a reduction of self-experienced pain leads to a reduction in empathy for pain in others as well. The researchers assumed that this effect is underpinned by endogenous opioids and published these results in a recent paper in the peer-reviewed journal "PNAS". 

In a study with more than 100 participants, Claus Lamm and his interdisciplinary team used an innovative experimental trick, the so-called placebo analgesia effect, to close an explanatory gap in the understanding of the neurobiological mechanisms of empathy. Experimentally manipulating self-experienced pain, they tested whether this manipulation also leads to an equivalent change in empathy for pain. "Only this trick enabled us to conclude with higher certainty that empathy relies on simulation", explains Claus Lamm from the Department of Basic Psychological Research and Research Methods at the University of Vienna. 
 
shop
8 Ways to Prevent Pain During Holiday Shopping
 
The holiday season may not bring thoughts of aches and pains to mind, but as Black Friday nears, the American Chiropractic Association encourages the public to approach holiday shopping with the same care they would for an athletic event in order to prevent strain.

"Our bodies have the capacity to do a little more than we normally do," said Scott Bautch, DC, of ACA's Council on Occupational Health in a press release. "But our bodies do not adapt very well to doing a lot more than we normally do. Since the added demands of this season can stress the capacity of our bodies, we need to do everything we can to help ourselves. Eat right, drink plenty of water, stretch, exercise and take a few minutes to slow down and reflect on what the season is all about."
 
 

abstracts

Make your plans now to participate in the American Society of Interventional Pain Physicians abstract and poster presentation at the 18th Annual Meeting, April 15-17 in Dallas, Texas.
  
The abstract submission deadline will be February 9, 2016.
  
The annual meeting is a great opportunity to share your abstract with hundreds of physicians who specialize in interventional pain management.
  
Hyatt 
     
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state
State Society News

Mark your calendar: GSIPP 12th Annual Pain Summit meeting set.
The Georgia Society of Interventional Pain Physician have set their meeting dates for 2016.
GSIPP 12th Annual Pain Summit
April 22-24, 2016
The Ritz Carlton Lodge Reynolds Plantation
Greensboro, Georgia
www.gsipp.com

SAVE the DATE: FSIPP Meeting May 20-22, 2016
The Florida Society of Interventional Pain Physicians will hold its annual meeting in 2016 on May 20-22. The meeting will be held at the Orlando World Center Marriott in Orlando.
Watch FSIPP.org for more details.

 
Please send your State Society meetings and news to: Holly Long at hlong@asipp.org

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