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American Society of Interventional Pain Physicians News  | January 4, 2017
  1. CMS Releases Penalty Data - National IPM QCDR Can Help you Avoid the Penalties
  2. Mark Your Calendars: ASIPP Annual Meeting in Vegas in April
  3. Start Planning NOW! ASIPP to Begin Accepting Abstracts for 2017 Annual Meeting
  4. ACA Repeal: It Takes a Village of Congressional Committees 
  5. ABIPP Certification Made Simple: June Dates Set
  6. It's Final: FDA Bans Powdered Gloves in Surgery, Medicine
  7. Personal Health Care Spending On the Rise
  8. December Podcast Now Available
  9. Spinal Cord Stimulators for Chronic Pain LCD - R2
  10. Webinar: The New CMS Quality Payment Program MACRA-MIPs/APMs Emphasizing Pain Management 2017  
  11. State Society News 
CMS Releases Penalty Data - National IPM QCDR Can Help you Avoid the Penalties
CMS is out with the latest meaningful use and PQRS noncompliance or penalty numbers.
  • 470,000 providers were penalized for PQRS noncompliance
  • 209,000 doctors were hit with meaningful use penalty
  • Those who do not meet compliance criteria for PQRS will lose 1.5%  and those who do not meet criteria for meaningful use will lose 2% of their Medicare reimbursement
This data is very sobering considering each and every one has their plans to combat negative payments.  ASIPP is helping you to not only avoid the negative payments, but make substantial bonuses in future years with the National IPM Qualified Clinical Data Registry. A few Big Leaguers have gotten bonuses, but the majority of pain physicians were left out. Now is the time to join the Big Leagues with our National IPM-Qualified Clinical Data Registry (NIPM-QCDR)
ASIPP is well on the way to applying for CMS approval for the NIPM-QCDR in collaboration with ArborMetrix. We have had very healthy sign ups and are on track to gather the required amount of participants' quality data to meet CMS requirements by the end of the year.
To help participants prepare for the coming year, we plan to share many of the proposed measures in early January. If you want to begin collecting your data in your systems based on these preliminary measures, that will help you do so.  However, CMS does not confirm measures for new QCDRs until later in the first quarter so we will be able to share final measures then and will begin formal data collection by April 1. We do urge you to begin the process of enrollment now, while ASIPP completes the approval process with CMS.
If you are interested in signing up for the National IPM QCDR, you can respond to this email or send an email to ASIPPQCDR@arbormetrix.com. We will then send you registration forms to complete. There is no commitment or cost to you until we are approved for the QCDR for 2017 reporting. 
If you have already signed up, please pass along this information to anyone else who could benefit from this opportunity.   
As you are well aware, CMS has issued the final rule on its value-based care entitled, "Merit-Based Incentive Payment System Combining Quality Measures, Meaningful Use or Advancing Care Information, Clinical Improvement Activities and Costs." Because of our efforts, CMS has made substantial changes to enable us to avoid penalties. The QCDR reporting mechanism and specifically the NIPM-QCDR will complete the collection and submission of MIPS requirements.
This unique registry developed only for interventional pain physicians by ASIPP will:
  • Offer as many as 30 new non-MIPS QCDR measures specially designed by ASIPP for interventional pain management in addition
  • Manage submission of both MIPS and non-MIPS QCDR measures  
  • Support both individual physicians and physician group practices in meeting MIPS requirements.
  • Provide documentation and assistance with compiling the needed data for quality improvement
  • Provide easily accessible reports and performance updates to registry participants on an ongoing basis as new data is available from your practice
  • Allow physicians to review and select measures to report prior to submission
If you have any further questions, we can arrange for you to talk to one of the representatives from ArborMetrix with whose collaboration we are preparing the registry, or you can also attend one of the webinars we will be starting soon.

Please send an email to ASIPPQCDR@arbormetrix.com to sign up for QCDR participation. 


REGISTER TODAY! Only a limited number of spots. Competency Exam will be in June.


CLICK HERE for Brochure





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surveyThe Washington Post/Kaiser Family Foundation Survey of Long-Term Prescription Painkiller Users and Their Household Members
This partnership poll from  The Washington Post  and the Kaiser Family Foundation examines the long-term use of prescription painkillers by exploring the views and experiences of adults 18 and over who they themselves have taken strong prescription painkillers for a period of two months or more at some time in the past two years, other than to treat pain from cancer or terminal illness. The survey, conducted at a time when the nation is struggling to address the ongoing prescription painkiller and heroin epidemic, takes a closer look at long-term users of prescription painkillers to better understand how they started taking these drugs, their interactions with medical providers, their concerns and experiences with addiction, and their views of efforts to stem the abuse of painkillers. In addition, the survey also included household members of long-term users in order to capture their unique insight into how the drug use has impacted the individual.

This survey is the 30th in a series of surveys dating back to 1995 that have been conducted as part of  The Washington Post /Kaiser Family Foundation Survey Project.

Opioid drugs make pain tolerable, most long-term users say
At the center of the nation's opioid crisis is a simple fact: Large numbers of Americans experience serious pain, and the vast majority of those who have used strong painkillers for a long period say they work.

That's one key takeaway from a new Washington Post-Kaiser Family Foundation national poll of long-term opioid users, people who have taken the drugs for at least two months during the past two years.

The Centers for Disease Control and Prevention has discouraged doctors from prescribing opioid painkillers for chronic pain treatment after a sharp rise in overdose deaths related to opiates ranging from prescription painkillers to heroin and synthetic drugs such as fentanyl. CDC Director Tom Frieden recently told The Post that "prescription opiates are as addictive as heroin," and the agency's guidelines have noted that there is limited evidence that the drugs are effective in treating long-term pain. The Post-Kaiser survey finds that about 1 in 20 Americans have taken the drugs to treat pain for at least two months over the past two years, representing a significant barrier to curbing the country's reliance on the drugs.

An opioid epidemic is what happens when pain is treated only with pills
Too many opioids. Not enough opioids. Behold the opioid paradox.

The United States is in the midst of a massive opioid epidemic, as The Washington Post and other news organizations have documented extensively. In 2015, more than 33,000 people died from overdoses of opioids, meaning prescription painkillers, heroin, fentanyl or any combination. That easily keeps pace here with fatal motor vehicle accidents and gun-related deaths.

Certain states have been particularly affected. The Charleston Gazette just reported that opioid wholesalers shipped 780 million oxycodone and hydrocodone pills into West Virginia over a six-year period - enough for 433 pills for every person in the state. Meanwhile, 1,728 West Virginians died from overdoses of those two drugs.
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State Society News

OHSIPP Meeting
August 25-27, 2017
The Ohio Society of Interventional Pain Physicians (OHSIPP) has set the dates for its 2017 meeting.
Dates are Friday Aug 25 thru Sunday Aug 27, 2017.
The meeting will be held in Cincinnati at the Westin Hotel, 21 E 5th St , at Fountain Square .
Contact Michelle Byers for more information MichelleHByers@gmail.com

FSIPP Meeting
August 27 - 30, 2017
The Florida Society of Interventional Pain Physicians (FSIPP) has set the dates for its 2017 meeting
Dates are April 27-30, 2107
The meeting will be held in Orlando, FL at the Orlando World Center Marriott
Click Here for more information and to make reservation

Please send your State Society meetings and news to: Holly Long at hlong@asipp.org
powderIt's Final: FDA Bans Powdered Gloves in Surgery, Medicine
The US Food and Drug Administration (FDA) has finalized a rule banning the use of powdered gloves in medicine because they pose dangers to human health.

The ban, first proposed in March 2016, will further propel efforts already underway to phase out the use of prepowdered surgeons' gloves, powdered exam gloves, and absorbable powder for lubricating surgeons' gloves. Professional societies have advocated for a ban, and many large health systems have already either restricted or completely ended the use of such products, as have a majority of individual clinicians.

personalPersonal Health Care Spending On the Rise
HealthDay News -- From 1996 to 2013 there were considerable increases in personal health care spending in the United States, with the highest amounts for diabetes, ischemic heart disease, and low back and neck pain, according to a study published in the Journal of the American Medical Association.

Joseph L. Dieleman, PhD, from the Institute for Health Metrics and Evaluation in Seattle, and colleagues estimated US spending on personal health care and public health using data from government budgets, insurance claims, facility surveys, household surveys, and official US records from 1996 to 2013. A total of 183 data sources were used to estimate spending for 155 conditions.
listenDecember Podcast Now Available

On the December ASIPP Podcast we'll hear from ASIPP Chairman of the Board and CEO, Dr. Laxmaiah Manchikanti, about regenerative medicine; in the news segment we'll learn about a resurgence in the use of nitrous oxide, the latest medical marijuana news, a story about painkillers and hearing loss, and much more; and we'll wrap things up with a study about eye trauma and Laurel and Hardy movies.
CLICK HERE  to Listen

Spinal Cord Stimulators for Chronic Pain LCD - R2
The following JF Local Coverage Determination (LCD) has been revised under contractor numbers 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), 03602 (WY). 
Medicare Coverage Database (MCD) Number: L36204
LCD Title: Spinal Cord Stimulators for Chronic Pain
Effective Date: October 1, 2016
Summary of Changes: This LCD has been updated to clarify that a repeat trial is not needed when replacing the stimulator due to the need for battery change, malfunction or end of stimulator life. Also deleted HCPCS code from Group 2:
L8680 - Implantable neurostimulator electrode.
webinarWebinar: The New CMS Quality Payment Program MACRA-MIPs/APMs Emphasizing Pain Management 2017  
The Final Rule of the CMS Merit-Based Incentive Payment System, MIPS, and Alternative Payment Models, APMs, was published on 10/14/16, and is ~ 2,300 pages.  Identified as the Quality Payment Program, QPP, it is extensive in scope to reward or penalize providers for performing certain measures in four performance categories.  The four categories are: (1) Quality(2) Cost(3) Improvement Activities, and (4) Advancing Care Information.  The four categories result in a final score of between 0 to 100 points. Depending on the provider's final score, a penalty/reward is assessed, or the provider remains neutral.  For 2017 the penalty is 4%, but the bonus could be 3 to 4 times that amount. MIPS replaces PQRS, MU, and the VM (value modifier) programs, but rolls these same programs into the 3 performance categories above and the new category, Improvement Activities. This Webinar should educate physicians and their managers on how to understand and potentially achieve high scores in the new Quality Payment Program and avoid costly penalties in their Medicare Part B claims.
This webinar will explain and review:
  1. MACRA - MIPs / APMs
    a. Components of MIPs
      - QUALITY, ACI (Advancing Care Information), IA  
      (Improvement Activity), RU (Resource Use)
      - Scoring
    a. A comparative report prepared by CMS for attributing the cost to of
        care to physicians and groups used to determine resource use in 2018
    b. Obtaining an EIDM portal thru Medicare

January 19, 2017

3:00pm-4:30pm CST

90 Minutes

Deborah H. Tracy, MD, MBA
- Board Certified Anesthesiologist
- Subspecialty Certified Pain Management, ABA
- Fellow of the Interventional Pain Practice, WIP
- Board Certified Pain Management, ABIPP

Click HERE to register




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