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American Society of Interventional Pain Physicians News  | July 29, 2015

IN THIS ISSUE

 

  1. The Tragedy of the Implementation of ICD-10-CM as ICD-10: Is the Cart Before the Horse or is there a tragic paradox of misinformation and ignorance  
  2. Anthem grows Q2 profitability, preps for Cigna takeover 
  3. CMS projects higher healthcare spending growth through 2024 
  4. Registration Open for September Cadaver Workshop in Memphis 
  5. Health Insurer Merger Mania -- Muscle-Bound Competitors And A New Cold War In Health Care 
  6. Drug Delivery of the Future Could Mean Better Adherence 
  7. New Spinal Cord Stimulation Therapy Delivers Long-Term Relief For Chronic Back, Leg Pain 
  8. CMS updates 6 areas of infection prevention worksheet  
  9. Placebo Treatments Can Ease Pain
  10. Physicians Stubbornly Work While Sick: HealthLeaders Media
  11. State Society News 
  12. Physician Wanted 
tragedy

The Tragedy of the Implementation of ICD-10-CM as ICD-10: Is the Cart Before the Horse or is there a tragic paradox of misinformation and ignorance

 

Manchikanti et al in their recent manuscript described various issues related to ICD-10-CM masquerading as ICD-10 in the United States. Click HERE  to read on PubMed.

  1. ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification, is specific for United States unlike ICD-10 which is used across the world in 195 countries.
  2.  ICD-10-CM is vastly different from ICD-10.
  3.  The number of codes in ICD-10 are 14,400, whereas 144,000 in ICD-10-CM to be implemented in the United States.
  4. The implementation is based on a liberal interpretation of the Health Insurance Portability and Accountability Act (HIPAA), which requires an update of ICD-9-CM.
  5. The Supreme Court on June 29, 2015, ruled that the Environmental Protection Agency unreasonably interpreted the Clean Air Act when it decided to set limits on the emissions of toxic pollutants from power plants, without first considering the costs on the industry, very similar to ICD-10-CM. 
  6.  ICD-10-CM development was a tragic situation with 4 nonphysician groups dominating the process known as cooperating parties which were dominated by American Health Information Management Association (AHIMA), American Hospital Association (AHA), followed by Centers for Disease Control and Prevention (CDC), and Centers for Medicare and Medicare Services (CMS).
  • The AIHMA has taken the lead with the AHA just behind, both with escalating profits and influence, essentially creating a statutory monopoly for their own benefit.
  • Another body called ICD-10-CM Coalition which includes 3M which will boost its revenue and profits substantially with its implementation and Blue Cross Blue Shield.
  • Physician groups are not a party to their cooperating parties or coalitions, having only a peripheral involvement. ICD-10-CM creates numerous deficiencies with 500 codes that are more specific in ICD-9-CM than ICD-10-CM.

7. The costs of an implementation are enormous, along with maintenance costs, productivity and cash

    disruptions. ICD-10-CM is similar to the saga of electronic medical records (EMRs) with meaningless use

    and poor patient care, but profits for health IT industry.

  •  For example, Partners HealthCare of Boston controlling Massachusett's General Hospital and Brigham and Women's Hospital have spent $1.4 billion for start-up of EMRs. Duke University has spent $700 million for their start-up EMRs.
  • In contrast, University Medical Center in New Orleans, Louisiana replacing old famous Charity Hospital has

Related Story:

 

 

ICD-10: CMS won't deny claims for first year  

anthem

Anthem grows Q2 profitability, preps for Cigna takeover

 

Low medical costs and growth in Medicaid membership raised the second-quarter bottom line at Anthem. Now, the Indianapolis-based health insurer will turn its focus on getting approval for its $54.2 billion takeover of rival Cigna Corp.

Anthem's net income jumped 17.5% from the second quarter last year to $859.1 million, according to financial statements released Wednesday. Overall membership, totaling 38.5 million, did not increase from this year's first quarter. Anthem added more Medicaid beneficiaries, one of its strongest growing segments since it acquired Amerigroup, but it continued to lose employer-based and individual exchange members.

 

 

Modern Healthcare

 

projectCMS projects higher healthcare spending growth through 2024

 

The historically low growth rates of national health spending over the last several years may be history. CMS officials say the ACA's insurance expansion, an improving economy, an aging population and expensive new drugs are pushing up health costs once again.

 

U.S. health spending is expected to grow 5.8% annually between 2014 and 2024, according to projections from CMS economists and actuaries published Tuesday in Health Affairs. The amount spent on healthcare in 2014 alone is projected to have risen 5.5%-the first time since 2007 that the growth rate exceeded 5%. The high prices of hepatitis C drugs contributed to that faster spending increase, actuaries said on a call with reporters.

 

Modern Healthcare

 

septRegistration Open for September Cadaver Workshop in Memphis

 

ASIPP's Ultrasound for Regenerative Medicine Workshop is scheduled for
September 18, 2015 and  the Hands-on Cadaver Workshop for IPM Techniques, September 19 - September 20, 2015

 

 

Objectives for this Intensive Ultrasound for Regenerative Medicine Workshop are:

  • Attain the ability to understand ultrasound interpretation and regenerative medicine.
  • To incorporate ultrasound and regenerative medicine in treating your patients so that patients have better outcomes and reduced side effects.
  • mprove existing skills and/or develop new skills in the delivery of interventional techniques involving ultrasound and regenerative medicine.
  •  Ability to demonstrate skills.

Cadaver Workshop Objectives:

  • To integrate multiple aspects of interventional pain management in treating your patients so that patients have better outcomes and reduced side effects.
  •  Provide high-quality, competent, safe, accessible, and cost-efficient services to your patients.
  •  Improve existing skills and/or develop new skills in the delivery of interventional techniques.
  •  Review multiple areas of interventional pain management including fluoroscopic interpretation and radiation safety.
  •  Demonstrate skills through interactive review of images.

 

Accommodations

The Westin Memphis Beale Street Hotel

170 Lt. George W. Lee Avenue ยท Memphis, TN, 38103 | 901-334-5900

We have secured a group room rate of $129.

Reserve rooms early-all unbooked rooms will be released after August 18, 2015.

 

 

Register: http://www.asipp.org/0915-registration.htm 

 

muscleHealth Insurer Merger Mania -- Muscle-Bound Competitors And A New Cold War In Health Care

 

It is doubtful that the dramatically escalating consolidation in both the health insurance industry and among hospitals and doctors will make our health care system either more efficient or more competitive.

 

First Aetna AET +0.00% announced a merger with Humana HUM +0.00% and now Anthem WLP +% has announced an agreement to buy CIGNA CI +0.68%.

 

 

Forbes

 

futureDrug Delivery of the Future Could Mean Better Adherence

 

For clinicians, one of the problems with medication adherence is that patients may have difficulties with pharmacological therapy unrelated to the drug itself; patients may have difficulty in swallowing pills that can hinder the start or continuation of their treatment. Certain medications like biologic agents require administration via injection, which could be a barrier for patients with a fear of needles or prefer other delivery methods. However, in recent years significant advances have been made to improve the delivery of drugs by alternate routes. Of particular interest is the use of so-called "microneedles", in which extremely small needles are utilized to safely and effectively deliver drugs directly to the stomach lining from capsules or under the top layer of skin via a patch. Most of these alternate drug delivery systems are still in the experimental stages, but in the coming years a pill or patch could replace certain injections as the primary mode of transit for many medications that typically require subcutaneous administration like insulin and vaccines.

 

MPR


 

                           
  

scsNew Spinal Cord Stimulation Therapy Delivers Long-Term Relief For Chronic Back, Leg Pain

 

Chronic back and leg pain patients now have an alternative treatment to relieving pain and improving quality of life: spinal cord stimulation (SCS) therapy with a higher frequency.

 

Published in Anesthesiology, the report found that patients who receive a novel high frequency form of SCS therapy (which uses frequency pulses of 10,000 Hz) find greater pain relief than patients who undergo a traditional low level frequency form of SCS therapy (which uses frequencies of 40 to 60 Hz).

 

 

Clinical Pain Advisor

 

 

infection
CMS updates 6 areas of infection prevention worksheet

 

CMS recently updated the Ambulatory Surgery Center (ASC) Infection Prevention (IP) Surveyor Worksheet. This IP worksheet is used by state, federal, and accreditation organization surveyors on all Medicare-certified ASC surveys to assess compliance with 416.51 Condition for Coverage: Infection Control. In addition, AAAHC encourages ASCs to use this worksheet on a voluntary basis for self-assessment of their practices related to infection prevention.

Changes include new assessments related to:

  1. Immediate use steam sterilization (IUSS)
  2. Point-of-care testing devices such as glucometers and standardized prothrombin (INR) monitors
  3. Chemical, biological, and mechanical indicator use during sterilization
  4. Safe injection practices for multi-dose medication vials
  5. Environmental cleaning of high-touch surfaces
  6. Limitations regarding artificial nails/nail extensions

These revisions match information CMS previously released and there could be further changes to the worksheet when the final version is published.

 

AAAHC

 

  
placebo

 Placebo Treatments Can Ease Pain

 

Patients still find pain relief in treatments they know will provide no medical value whatsoever, a new study revealed.

Published in The Journal of Pain, the report concluded that if treatment cues are reinforced with positive outcomes, placebo effects that are independent of reported expectations for pain relief can be created.

 

 

Clinical Pain Advisor

 

stubborn

Physicians Stubbornly Work While Sick: HealthLeaders Media

 

Clinicians often come to work while sick, primarily because they do not want to let their patients and colleagues down.

Senior healthcare leaders share strategies for strengthening the leadership skills of midlevel managers.

Advertisement

 

Long-term gains appear to outweigh short-term pains from adoption of bundled payments for hip and knee replacement procedures.

 

MedPage Today

 

 

                           
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WVSIPP Meeting Set for  Aug 13-16, 2015

The West Virginia Society of Interventional Pain Physicians will hold its annual meeting at the Eden Roc Miami Beach, Miami Beach, FL Aug. 13-16, 2015. For more information, go to www.painconfreg.info     


Save The Date! CASIPP Meeting set for October 2015
The California chapter of the American Society of Interventional Pain Physicians   will hold its 6th Annual Meeting in Monterey, CA at the Monterey Plaza Hotel Resort over the weekend of October 16-18. Agenda and registration can be found online at www.casipp.com or by calling 661-435-3473. 

 

NY and NJ Societies to hold Pain Symposium Nov. 5-8

The New York and New Jersey Societies of Interventional Pain Physicians will host a Pain Symposium titled Evolving Pain Therapies on November 5-8, 2015 at the Hyatt Regency, Jersey City, NJ. Click HERE for Schedule and more information.
 

 

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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Physicians Wanted

 

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To receive a member discount for posting a job, use member code: 20Member  

 

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