Happy Holidays
American Society of Interventional Pain Physicians News  | December 9, 2015
  1. Registration Open for 2016 ASIPP Annual Meeting in Dallas
  2. 2016 Billing and Coding Webinar set for Dec. 10
  3. ICD-10: A rude awakening coming? 
  4. CMS: 2014 Saw Spike in Healthcare Spending   
  5. More than 75% of High School Heroin Users Started With Prescription Opioids 
  6. Overdose drug helps woman feel pain for first time   
  7. ASIPP Call for Abstracts 
  8. ECRI Institute projects $80 billion spend on new drugs, devices   
  9. Virtual Reality for Pain Relief: Science Fiction to Medical Therapy 
  10. Higher TENS Dose Could Ease Low Back Pain in Older Adults 
  11. Inflammatory Back Pain Linked With Bone Loss 
  12. Readers Name Biggest Medical Stories of 2015   
  13. 5 steps to protect against hackers 
  14. Research finds higher productivity in positive work cultures   
  15. State Society News 
  16. Physician Wanted 
webinarWEBINAR FEE: $195   
WEBINAR DATE: December 10, 2015
TIME: 11:00am-12:30am CDT
LENGTH: 90 Minutes
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.

rudeICD-10: A rude awakening coming?
Initial data shows the apocalyptic warnings about ICD-10 immediately leading to claims rejection chaos were misplaced. The Centers for Medicare and Medicaid Services late last month said invalid ICD-10 codes comprised only 0.09% of error-based denials from October 1 (when ICD-10 went into effect) through October 27.

While CMS said it was "pleased to report that claims are processing normally," it's worth keeping in mind that the government agency has taken several temporary steps to smooth the transition to ICD-10 which may be masking problems that could manifest themselves down the road, including a claims denial amnesty for 12 months and advance payments to physicians in the event of processing problems related to ICD-10.

ASIPP: Survival Strategies for the Tsunami of ICD-10-CM for Interventionalists:Pursue or Perish
ASIPP will be publishing a helpful book on ICD-10 in the next few months titled. 
A Practical Guide to ICD-10-CM Coding for Interventional Pain Management. We will release pre-order information in the next few weeks.

  has  already  published   the survival strategies   as an e article in the September/ October  issue of the online Pain Physician. Since ICD-10-CM will be effective October 1, 2015, each and every physician has to be prepared. Consequently, we are providing you with the tables to assist you with the conversion.

Many of you have electronic medical records which you are hoping will convert automatically. As you see in this manuscript and also the codes converted, this will not be the case.

It is crucial that each condition be re-coded for accuracy and to avoid denials and subsequent cash crunch.
A single comprehensive table shows the conversion of commonly used spinal codes summarized into 2 pages. This can be carried on and put in the chart, even along with the other tables with modifications. You may not need to continue to use ICD-9 codes, however they are provided for your reference.

We have created 3 tables showing cervical, thoracic, and lumbosacral coding subsequently there are multiple tables with conversion of RSD, causalgia, and neuropathy,  headache and facial neuralgia, upper extremity joint coding, lower extremity joint coding, psychological coding,  and drug abuse coding.
The following is a list of Tables with a link to the documents for your convenience.

 CMS Provides Guidance on Implementation of ICD-10-CM

CMS: 2014 Saw Spike in Healthcare Spending  

CMS logo WASHINGTON -- Health spending jumped last year, driven mainly by increased healthcare coverage through Affordable Care Act enrollment, and the introduction of pricey hepatitis C drugs, according to research from the Centers for Medicare & Medicaid Services (CMS).

U.S. healthcare spending saw a growth of 5.3% in 2014, for a total of $3 trillion, according to Anne Martin, an economist with the National Health Statistics Group for CMS's Office of the Actuary, and colleagues.

    MedPage Today
More than 75% of High School Heroin Users Started With Prescription Opioids  

With concerns about opioid prescribing practices on the rise, many are paying closer attention to the increasing usage of heroin, especially among the country's youth. A  paper published in Drug and Alcohol Dependence outlines the potential linkages between high school students who use prescription painkillers and heroin.

The study revealed that more than 75% of high school heroin users started with prescription painkillers. Researchers also found that nearly 24% of students who admitted to using opioids more than 40 times reported lifetime heroin use.

    Clinical Pain Advisor
Overdose drug helps woman feel pain for first time  

A woman who was born without the ability to feel pain was hurt for the first time in 39 years when researchers burned her with a laser,New Scientist reports.
"I think she quite enjoyed the experiment," researcher John Wood says.

But that's not just good news for one budding masochist, it could also offer hope for people living in chronic pain. A small number of people are born without the ability to feel pain because their body lacks something called Nav1.7 channels. While researching mice genetically engineered to lack those channels, scientists discovered their bodies produced more painkilling opioid peptides. Wood figured a drug like naloxone-used in heroin and morphine overdoses-that blocks opioid peptides could reverse the condition. It worked, and he published the results Friday in Nature Communications.

  USA Today

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.
ECRI Institute projects $80 billion spend on new drugs, devices  

According to a new report by ECRI Institute, a nonprofit dedicated to researching the best approaches to patient care, spending on a select group of new and novel drug and device therapies may exceed $80 billion in the near future if they all make it to market.

The data comes from a cost-analysis pilot project for the Agency for Healthcare Research and Quality (AHRQ) during which ECRI Institute analyzed the high costs of 47 of the 700 novel healthcare interventions that are being tracked in the U.S. Healthcare Horizon Scanning Systemand have potential for high impact.

Hypothetically, if all the technologies were implemented in a 1-year timeframe, the Institute determined that the U.S. healthcare system could potentially spend between $46.2 billion and $82.8 billion. These interventions, many of which are not yet available for clinical care, will add to the current debates over the affordability of healthcare.

Virtual Reality for Pain Relief: Science Fiction to Medical Therapy
From its first appearances in books like Aldous Huxley's Brave New World and on television in the series Star Trek, virtual reality has captured the human imagination. 

Now the concept has progressed past the realm of the science fiction genre into medical reality and is currently under investigation as potential therapy for a wide range of conditions from addiction to autism to posttraumatic stress disorder and now pain management. 

Higher TENS Dose Could Ease Low Back Pain in Older Adults
HealthDay News -- Transcutaneous electrical nerve stimulation (TENS) devices may offer some relief for adults with chronic back pain, with higher-frequency, higher-intensity application more effective for older patients, according to research published in The Journal of Pain.

Corey Simon, PhD, of the University of Florida's Pain Research and Intervention Center in Gainesville, and colleagues studied the effectiveness of TENS on 60 adults with axial chronic low back pain (CLBP) ranging in age from 18 to 79. Participants received four 20-minute sessions of TENS therapy over two to three weeks.

Inflammatory Back Pain Linked With Bone Loss  

More than four in 10 patients having inflammatory back pain suggestive of early axial spondyloarthritis (SpA) and followed for 2 years experienced bone loss in the lumbar spine and hip, according to findings published in Rheumatology.

Furthermore, even a short duration of anti-tumor necrosis factor (TNF) therapy had a positive effect on bone mineral density (BMD) in the lumbar spine and hip, while baseline use of nonsteroidal anti-inflammatory drugs (NSAIDs) and an increase in BMI were associated with protection at the hip.

    MedPage Today
Readers Name Biggest Medical Stories of 2015  

The switch to International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10), diagnostic codes in all their granular glory on October 1 ranked as the biggest medical news of 2015 in an online survey of Medscape readers.

Thirty-nine percent of readers put the debut of the new code set at the top of the list. Supporters of the ICD-10 codes, which are longer and five times as numerous as their ICD-9 predecessors, say their greater precision will accommodate new diagnoses and procedures and aid population-based medicine. The American Medical Association and other societies complain, however, that converting to ICD-10 has cost physicians time and money without really benefitting patients in the process. Physicians had feared widespread glitches in claims processing at the onset that would delay payments from public and private payers, but so far, such a cash flow crisis has not materialized.

The second biggest medical story of 2015 for Medscape readers (28%) was the approval of physician-assisted suicide (also called assisted dying) in California, making it the fifth state in the country where this practice is legal. California's new law, based on Oregon's trailblazing Death with Dignity Act, could create momentum for similar legislation to pass in more states.

5 steps to protect against hackers
Not long ago, hackers focused on stealing financial data. The digitization of financial transactions brought heavy regulation and security to protect those transactions, but thieves still found ways to steal things like credit card numbers to sell on the dark web. Now, online criminals have turned their attention to more valuable digital data: your electronic healthcare records.

Why? Because, while there will always be a market for stolen financial information, the information sells cheaply. If you find out a hacker stole your credit card number, you call your bank and cancel the card. If someone steals it and tries to make large or strange purchases across the country, your bank shuts the card down and calls you about suspicious activity. Credit card theft won't disappear, but it simply isn't as profitable as it used to be.

Research finds higher productivity in positive work cultures  

A large and growing body of research demonstrates that not only is a cut-throat work environment harmful to productivity, but a positive environment leads to dramatic benefits for employers, employees, and the bottom line, the December 1 Harvard Business Review reports.
Creating a positive and healthy culture includes six characteristics:
  • Caring for and maintaining responsibility for colleagues.
  • Providing support for one another.
  • Avoiding blame and forgiving mistakes.
  • Inspiring one another.
  • Emphasizing the value of the work.
  • Treating one another with respect, gratitude, and trust.
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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

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


Physicians Wanted


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