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American Society of Interventional Pain Physicians News  | February 24, 2016
  1. ASIPP 2016 Annual Meeting Offers World Class Program to Fill You in on Latest Advances 
  2. ICD-10-CM Pocket Book now available for pre-order 
  3. Listen to February ASIPP® Podcast 
  4. Denervation Tx Helps Patients With Discogenic Back Pain 
  5. Identifying New Effective Painkillers for Patients With Chronic Pain 
  6. CMS Clarification on Meaningful Use Hardship Exemption 
  7. Zyprexa: Also a Pain Med? Meta-analysis suggests analgesic effect for antipsychotic drug 
  8. Smoking Linked To Cervical Degenerative Disc Disease, Chronic Neck Pain 
  9. Mind-Body Intervention Can Improve Function, Pain in LBP 
  10. Do Performance Measures Miss the Point?
  11. State Society News 
  12. Physician Wanted 
ASIPP® 2016 Annual Meeting Offers World Class Program to Fill You in on Latest Advances

We would like to personally invite you to attend ASIPP®'s 21st  annual meeting. Dr Manchikanti, Dr Calodney, Dr Driver and I have worked to create a world class program designed to keep you abreast of the latest developments in the field of interventional pain management.  
The field of interventional pain is changing and at ASIPP® we have created a world class program to fill you in on the latest advances. This year has been a remarkable year for ASIPP®, our members, and most importantly our patients. We have embraced the advancement in the field of minimally invasive procedures, including ultrasound guidance, regenerative medicine, minimally invasive spine surgery and advanced waveforms in neurostimulation. You can't afford to miss this meeting. 
Come, learn new techniques, learn how to enhance your revenue, understand the ever changing world of compliance, support your society, and network with the leaders in the field of interventional pain management.  
The ASIPP® 2016 Annual Meeting, INNOVATIONS IN IPM FOR SUCCESS, was developed in collaboration with the Texas Pain Society. The meeting will take place in Dallas, Texas on Friday, April 15 through Sunday, April 17, 2016, at the Hyatt Regency Dallas.
Interventional pain management is at a crossroads with tremendous new advances, stymied by regulatory burdens. This meeting is intended to help you integrate cutting edge approaches, understand the changing regulatory environment, and improve your ability to run a successful interventional practice.  

ICD-10-CM Pocket Book now available for pre-order
To make life easy and promote seamless navigation with ICD-10-CM,ASIPP® has developed a comprehensive, practical, pocket guide for ICD-10-CM coding for interventional pain physicians. Designed for interventional pain physicians and their staff, this pocket guide goes beyond basic ICD-10-CM coding and helps to promote seamless navigation through 2016 and beyond.

This book clearly provides direction for clinical coding with assessment and provides guidance on specific coding for each procedure showing the intricacies and steps to avoid rejections.

The highlights are as follows:
  • This book includes four (4) major sections describing the basics, diseases, and disorders with figures and coding information, interventional techniques with coding scenarios in practical life, and finally an appendix reproducing the most important tables for easy and daily use.
  •  Section I - Basics: (Sample Chapters: Evolution of ICD-10, how to use ICD-10-CM, steps to correct coding, intricacies of ICD-10-CM coding, navigation from ICD-9-CM to ICD-10-CM
  • Section II - Diseases and Disorders: (Sample Chapters: Disc displacement, radiculopathy, disc disorder with radiculopathy and sciatica, spinal stenosis or neural canal stenosis, facet joint arthritis, fractures, nonspinal conditions, psychological disorders, drug abuse and dependency, medical disorders)
  • Section III: Interventional Techniques: (Sample Chapters: Lumbosacral epidural injections, sympathetic blocks, vertebral augmentation, implantables, etc)
  • Section IV: Appendix Tables: (Sample Chapters: Cervical spine codes, thoracic spine codes, lumbosacral spine codes, nonspinal codes, medical disorders, drug abuse and dependency, psychological coding), and much more!

The book is a 5.25" x 8.25" size which can be placed in your jacket or any carrying case. The price is highly reasonable. You can recover the cost of the book by avoiding mistakes in one single case.

Listen to February ASIPP® Podcast

In this edition of the ASIPP Podcast we'll have part 2 of our conversation with Dr. Hans Hansen about handling difficult patients. In the news segment we'll hear about a painkiller more potent than morphine, but much safer; we'll find out which medical specialty pays the most; a new study that hopes to answer the question if there is a  relationship between pain and the weather and much more; and we'll discover what singer-songwriter Bob Dylan has to do with medical publishing.
Click Here for Podcast

denerveDenervation Tx Helps Patients With Discogenic Back Pain
PALM SPRINGS , Calif. -- Biacuplasty combined with conventional treatment reduces pain and leads to improved quality of life and function in patients with discogenic back pain better than conventional treatments alone, a researcher said here.

The treatment led to a mean 2.4-point decrease in patient-reported pain scores over 6 months using a standard visual analogue scale (VAS) in a randomized, multicenter, cross-over trial -- a clinically meaningful result equating to about a 30% reduction in pain, said the lead investigator, Michael Gofeld, MD, of the University of Toronto.

CMS Clarification on Meaningful Use Hardship Exemption
CMS logo In response to requests from the AMA, the Centers for Medicare & Medicaid Services (CMS) has issued FAQ #14357 clarifying that applying for a hardship exemption from the 2017 meaningful use payment penalty will not preclude physicians from receiving the incentive if they successfully attest to meaningful use in 2015.  In essence, the hardship exemption will act as a safety net.  As a reminder, the AMA is encouraging all physicians to apply for a hardship exemption as a result of the delay of the 2015 meaningful use modification rule.  Step-by-step instructions (log in) on how to file for the exemption, which must be received by CMS by March 15, 2016, may be found on the AMA website.
[EHR Incentive Program] If I submit a hardship exception application by the March 15, 2016 deadline, does that mean that I cannot attest for the 2015 EHR reporting period and possibly receive an incentive pay? 
No.  Submission of a hardship exception application does not prevent a provider from attesting and receiving an incentive payment if meaningful use requirements are met.
Attestation for the 2015 EHR reporting periods is currently open.  We urge providers to try to attest by the March 11, 2016 attestation deadline.  If they successfully attest, they will avoid the payment adjustment in 2017 and may also be eligible to receive an EHR Incentive payment.
However, if a provider cannot attest for a 2015 reporting period or believes their attestation may be unsuccessful, the provider can apply for a hardship exception to avoid the payment adjustment in 2017. The application will not prevent a provider from earning an incentive if their attestation is in fact successful. The deadline to submit a hardship exception application is March 15, 2016 for eligible professionals and April 1, 2016 for eligible hospitals.

Zyprexa: Also a Pain Med? Meta-analysis suggests analgesic effect for antipsychotic drug
PALM SPRINGS , Calif. -- Olanzapine (Zyprexa) appears to reduce pain, a literature review indicated, and the antipsychotic drug could become a new tool in the battle against pain if confirmed in prospective trials, a researcher said here.

A review of 18 published studies involving use of atypical antipsychotics in patients with a variety of pain states suggested not only that off-label use of these agents has some history, but that olanzapine in particular may be uniquely effective in this context, according to psychiatrist and pain medicine specialist Xavier Jimenez, MD, of the Cleveland Clinic.

Smoking Linked To Cervical Degenerative Disc Disease, Chronic Neck Pain
Smoking has been linked to worsening cervical degenerative disc disease in the cervical spine and can therefore increase the risk of chronic neck pain, according to research presented at the Association of Academic Physiatrists (AAP) 2016 meeting in Sacramento, California.
"Smoking is not healthy for a person's intervertebral discs given the risk of developing microvascular disease - a disease of the small blood vessels - due to nicotine abuse," said Mitchel Leavitt, MD, resident physician at Emory University's Department of Physical Medicine and Rehabilitation, in a statement. "Intervertebral discs receive their nourishment from the microvasculature that line the endplates on either side of each disc; when these blood vessels are damaged, the discs do not receive nourishment and this may speed up the degenerative process."

Mind-Body Intervention Can Improve Function, Pain in LBP
HealthDay News -- A mind-body intervention can improve short-term function and current and most severe pain for elderly patients with chronic low back pain (LBP), according to a study published inJAMA Internal Medicine.
Natalia E. Morone, MD, from the University of Pittsburgh School of Medicine, and colleagues examined the effectiveness of a mind-body program for increasing function and reducing pain in chronic LBP. Community-dwelling older adults (65 or older) with LBP-associated functional limitations and chronic pain were recruited and randomized to a mind-body program (140 participants) or a health education program (142 participants). Participants received an 8-week group program followed by 7 monthly sessions; follow-up occurred at program completion and 6 months later.

Identifying New Effective Painkillers for Patients With Chronic Pain
Functional MRI (fMRI) may help clinicians with identifying new and effective pain medicines for patients with chronic pain, according to a study published in Anesthesiology.
It is current practice for researchers to use patient-reported pain relief as the primary outcome measure in development studies designed to determine whether a painkiller is effective. This approach, however, is subject to many unwanted influences: self-reported pain perception and relief is subjective. Effective compounds that might work well in the general population can be overlooked.

Do Performance Measures Miss the Point?
Just as the U.S. healthcare system is about to make performance measurement a central feature of ... well, just about everything doctors do ... some prominent and highly influential physicians are asking for a pause and reassessment.

Writing for the  New York Times , Bob Wachter, MD, argues that "Two of our most vital industries, health care and education, have become increasingly subjected to metrics and measurements. Of course, we need to hold professionals accountable. But the focus on numbers has gone too far. We're hitting the targets, but missing the point ..."

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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

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 2016 Annual Meeting, Conference and Trade Show Interventional Pain Management: 
A Diagnostic and Therapeutic Pathway to Restoration of Function
 will be held at the  Orlando World Center Marriott,
8701 World Center Drive, Orlando, FL 32821
FSIPP is also offering 2 concurrent programs:
  • Safe Opiate Prescribing Course - no charge, but you need to be registered for the annual meeting.
  • The Business of Pain Course on Saturday, May 21 - $150.00
To register online, please select from the choices below.
2016 FSIPP Members
Early Registration Rate: $449.00 through 4/1/2016

(Late Registration Rate: $525.00 after 4/1/2016)

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


Physicians Wanted


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