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American Society of Interventional Pain Physicians News  | July 6, 2016
IN THIS ISSUE
  1. ASIPP Plans Legislative Session to Present  Position  to Preserve Independent Practices and to Repeal or Modify MIPS
  2. ASIPP Launches Second Journal Interventional Pain Management Reports : Selection of  Editorial Board Begins
  3. Registration now Open! ASIPP To Offer 3 courses in August: Regenerative Medicine, Interventional Techniques and Controlled Substance and Practice Management
  4. Pain Physician publishes burnout survey results: 60% report emotional exhaustion and 36% high depersonalization 
  5. ABIPP Certification Made Simple
  6. Dr. Patel, Dr. Jha appointed to AMA CPT Advisory Committee 
  7. CMS: Final rule allows selling of claims data 
  8. ICD-10-CM Book Now Available: Order Your Copy Today!
  9. New Spinal Cord Stimulation Parameter for Enhanced Pain Relief
  10. SPG Stimulation Reduces Cluster Headache Pain, Frequency
  11. Why Your Health Insurance Data Should Be Liberated 
  12. State Society News
  13. Physicians Wanted
 mipsASIPP Plans Legislative Session to Present  Position  to Preserve Independent Practices and to Repeal or Modify MIPS

 
                           
ASIPP is in the early planning stages for our 2016 Capitol Hill visits. We will hold this in September when Congress convenes for the last time prior to the election. The meetings with key members will likely take place on a Monday and Tuesday allowing for participants to travel home on Tuesday evening or late afternoon.
 
ASIPP will provide a block of rooms for those who participate. Travel expenses will be on your own.
 
We would like to make a huge presence on Capitol Hill. With over 1,400 physicians signatures on the MIPS letter it will be crucial to make a good presentation legislatively. We will announce the date as soon as we have it confirmed. We hope you will participate in this important event.  
 
 
ASIPP has successfully submitted comment letter on Merit-Based Incentive Payment System (MIPS) with 4,534 signatures (1,433 physician signatories and 3,101 non-physician provider signatories) and North American Neuromodulation Society (NANS) as a cosignatory. Thanks to overwhelming opposition to MIPS outpouring of support on this issue from membership with grassroots support.
 
ASIPP also has signed the letter from multiple organizations interested in pain (AAPM, AAPMR, ASA, ASIPP, ASRA, AND NANS).
 
This is a historic achievement that has never been done for a small specialty.
 
Considering MACRA consists of 2 separate components with repeal of sustained growth rate formula (SGR) and creation of MIPS and APMs to increase the quality.
 
These are 2 independent activities. Any changes can be made for MIPS without affecting the other, including repeal, postponement, modification and replacement with an appropriate formula.
 
Essentially this is a budget balancing measure. It takes approximately $900 million in penalties and gives the same as bonuses. We are suspicious that these numbers can be changing and the composite scores their calculation can be an ever changing process with physician chasing to keep up with the changes. It is a never ending saga.
Please see the letters herewith:
 
 
Now the real work begins while awaiting on the final rule.
 
 

reportsASIPP Launches Second Journal Interventional Pain Management Reports: Selection of Editorial Board Begins


 

Due to overwhelming submissions of case reports and brief reviews to Pain Physician the Board of Directors of the American Society of Interventional Pain Physicians has approved publication of a second journal from ASIPP titled Interventional Pain Management Reports. This journal will concentrate on case reports, brief reviews, and letters to the editor.

Interventional Pain Management Reports inaugural issue will be published later this year .Initially Interventional Pain Management Reports will not be on PubMed. Potentially it would be on PubMed after 18 months or so. However, once accepted for PubMed, generally they accept all the articles since its inception if it is accepted within 3 years of launching.
 
At present all the case reports, brief reviews, letters to the editor for manuscripts not published in Pain Physician are being transferred to Interventional Pain Management Reports with the consent of the authors. We will be providing you with new platform and website address to submit to Interventional Pain Management Reports soon.
  
Kenneth Candido will be the Editor-in-Chief of the new journal.
 
We are currently looking for ASIPP members who are interested in being on the Editorial  Board  for this journal. Please send your CV to Holly Long at hlong @asipp.org

august



This comprehensive four day Regenerative Medicine Review Course. will run August 18-21, 2016 in Las Vegas, Nevada at The Caesars Hotel and the state-of-the-art Oquendo Center.

These unique courses meets the continuing needs of interventionalists, based on input and needs assessment over the years and are cutting edge educational programs. It entails two days of didactic courses and two days of hands-on workshops covering various aspects of regenerative medicine. The first two days involve comprehensive review courses in regenerative medicine and hands-on with live models.

This two day course is an essential component for interventional pain physicians and provides education opportunities to assist you in providing high-quality, competent, safe, accessible, and cost-efficient services to your patients. The next two days will be a Cadaver Workshop fashioned to techniques of regenerative medicine.
                           
 


This Hands-On Cadaver Workshop in Interventional Techniques, including online lectures will run August 20 through August 21, 2016 in Las Vegas, Nevada at Caesars Palace Las Vegas and the state-of-the-art Oquendo Center. These unique courses meets the continuing needs of interventionalists, based on input and needs assessment over the years and are cutting edge educational programs. It entails the equivalent of two days of online lectures and two days of hands-on workshops covering various interventional techniques.

The 2 day Cadaver Workshop involves comprehensive review of interventional techniques. This two day 2 day Cadaver Workshop is an essential component for interventional pain physicians and provides education opportunities to assist you in providing high-quality, competent, safe, accessible, and cost-efficient services to your patients. Online Lectures from a recent Interventional Techniques couse are supplied for viewing prior to the cadaver workshop and will be available indefinitely after the meeting.

The Cadaver Workshop is fashioned to accommodate training levels and capacity of participants. Physicians can choose from basic, intermediate, or ABIPP examination preparation course levels to mirror your needs and skill level. it registration
                           
  

The ASIPPĀ®Comprehensive Review Courses and Competency Examination in Controlled Substance Management and Practice Management will be held in Las Vegas, NV, on August 18-20, 2016. These unique courses meet the continuing needs of interventionalists, based on input and needs assessment over the years and are cutting edge educational programs. They entail two days of didactic courses and a competency examination. Only physicians on the track to meet ABIPP requirements may take the combined examination. Others may take the single examination. The Practice Management course is so beneficial to practices, both officebased and ASCs, that many physicians send their staff early to keep them current on the cutting edge aspects of practice management.

These intensive review courses are designed to present interventional pain management specialists and other health care providers an in-depth review of multiple areas of interventional pain management-the areas we were never taught, yet are crucial for our survival. In addition to the review course, the American Board of Interventional Pain Physicians (for physicians) and the American Association of Allied Pain Management Professionals (for non-physicians) offers the opportunity for examination in order for physicians to obtain competency certification to and non-physicians to obtain associate certificates in Controlled Substance Management and/or Practice Management. Only physicians on the ABIPP track wanting to fulfill the ABIPP requirements may take the combined examination.
burnout
Pain Physician publishes burnout survey results: 60% report emotional exhaustion and 36% high depersonalization
 
Pain medicine physicians were asked questions on sociodemographics and professional characteristics and measures of decisional authority, psychological job demands, job insecurity, perceived coworker support, and job dissatisfaction.
Two hundred seven pain medicine physicians' responses were analyzed, 60.4% reported high emotional exhaustion, 35.7% reported high depersonalization, and 19.3% reported low personal accomplishment. Greater psychological job demands and greater job dissatisfaction predicted greater emotional exhaustion. Younger age and greater job dissatisfaction predicted higher depersonalization. Lastly, lower coworker support and greater job dissatisfaction predicted lower personal accomplishment. There were no statistical violations of assumptions or collinearity.
The study concludes that pain medicine physicians in the United States reported high levels of emotional exhaustion, often considered the most taxing aspect of burnout. Job dissatisfaction appeared to be the leading agent in the development of all 3 components of burnout in pain medicine physicians in the United States. 
  
  
abippABIPP Certification Made Simple
 
The American Board of Interventional Pain Physicians (ABIPP) has developed certification programs that recognize accepted levels of knowledge and expertise in the interventional pain management profession, with the goal of improved patient care. Hundreds of qualified physicians have made the commitment to become ABIPP certified. ABIPP is recognized in 11 states. Ten states have no statutes governing specialty boards. Approval is pending in remaining states.
 
ABIPP is a Specialty Board providing certifications in the following areas:
Board Certification in Interventional Pain Management
Either with ABMS pain medicine board certification or  ABMS primary certification only

Competency Certification in:
* Interventional Pain Management
Regenerative Medicine
Controlled Substance Management
Coding, Compliance, and Practice Management
Fluoroscopic Interpretation and Radiological Safety
Endoscopic Spinal Decompression
 
Click HERE to view Pathway to ABIPP Certification

More information  www.abipp.org
patelDr. Patel, Dr. Jha appointed to AMA CPT Advisory Committee
 
Dr. Vikram B. Patel was appointed as American Medical Association (AMA) CPT Advisors for the American Society of Interventional Pain Physicians. Their term effective immediately and runs through June 2019.
 
Dr. Sachin Jha will serve as the alternate.
 
  
CMSCMS: Final rule allows selling of claims data
  
Data mining of patient medical records kept by the federal government will get a boost by the CMS, following the release of finalized changes to the so-called Qualified Entity Program. 

The 
final rule   released Friday authorizes certain CMS-approved organizations - including for-profit companies - to buy Medicare claims and other federal data at a price that matches the governments' cost in processing the data. These "qualified entities" can then combine it with patient data from insurance companies, providers and other sources, and then resell that data to those organizations and others, including employers and devicemakers.
 
book
ICD-10 Book Now Available: Order Your Copy Today!

 
The initial impression of ICD-10 implementation was that it went well for both providers and CMS, however, shortly after the October 1, 2015 date when Medicare claims began processing, providers found out otherwise. In some cases, Interventional Pain Management providers continue to struggle with "finding the right code" to report for their patient's condition.

CMS released a publication "Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities" http://tinyurl.com/CMS-ICD-10-ClarifyQ-A that provided additional details as to how this ICD-10 family of codes "free pass" was going to work.
 
In short, CMS stated, "The recent Guidance does not change the coding specificity required by the NCDs and LCDs. Coverage policies that currently require a specific diagnosis under ICD-9 will continue to require a specific diagnosis under ICD-10. It is important to note that these policies will require no greater specificity in ICD-10 than was required in ICD-9, with the exception of laterality, which does not exist in ICD-9. LCDs and NCDs that contain ICD-10 codes for right side, left side or bilateral do not allow for unspecified side."
What this means is that:
  • Interventional Pain Management providers are still being held responsible for reporting the correct ICD-10 code or risk Medicare claims denials.
  • Many Interventional Pain Management procedures are included in the various Medicare contractor's Local Coverage Policies (LCD) and include very specific lists of ICD-10 codes that meet medical necessity for the diagnostic and therapeutic procedures.
  • In some cases, Medicare contractors have separate LCD policies for each type of interventional pain procedure and often multiple pages in length.
Don't be one of the providers that have the misunderstanding if they report a valid ICD-10-CM code in the same family of codes, Medicare will accept that.
 
Busy Interventional Pain Management providers don't have time to check the Medicare LCD each time they perform a procedure.
 
Make your medical practice easier and use the ASIPPĀ® new ICD-10-CM Pocket Guide for assistance navigating through the complexity of ICD-10 coding.

  
This book is 5.25 x 8.25 and can easily be placed in your jacket or any carrying case. For only $400 you will receive both the electronic and paper versions. You can recover your cost by avoiding mistakes in just one single case.
  
Order immediately to avoid any future losses. Get it for yourself and get copies for all your partners and staff. Multiple copies can be transferred to your EMR and save you money.
  
Also take a 10% discount for 5-9 copies or a 20% discount for 10 copies or more.


parameterNew Spinal Cord Stimulation Parameter for Enhanced Pain Relief
  
Spinal cord stimulation (SCS) is effective in treating chronic neuropathic pain, yet, very little is known about the underlying mechanisms of this intervention. Improved understanding of SCS would not only help better tailor treatments for better results in the clinic. This can be achieved through enhanced communication between clinicians and basic researchers to design more effective treatments.

Current paradigms of SCS are based on the principle of gating mechanism for pain transmission, in which pain signal is mediated by large diameter fibers. However, a number of studies have shown SCS not only produces neuronal excitation, but also to neuronal inhibition. In addition, many neurotransmitter systems are affected, and the range of excitability is wide. 1 Descending serotonergic pathways may also be activated by SCS, secondary to dorsal column activation.
  
  
  
clusterSPG Stimulation Reduces Cluster Headache Pain, Frequency

Sphenopalatine ganglion (SPG) stimulation may serve as an effective acute therapy for patients with chronic cluster headache after first-line therapies have failed, according to data published in Cephalalgia.

The study, a long-term follow-up of the Pathway  CH-1 study, sought to characterize the long-term outcomes of microstimulator use on acute and frequency response to stimulation, headachedisability, and use of preventative medication over 24 months.
  
  

liberatedWhy Your Health Insurance Data Should Be Liberated
  
In a world where you can access nearly all human knowledge from a device in your pocket, it's absurd that you still can't find out how much having a baby will cost you. But it's not surprising.

"Health data" is such a hot topic these days that you'd think it was a recent invention, and in many cases you'd be right.  Apple   AAPL +0.18% 's HealthKit and other trackers passively gather exabytes of our health data as we move around. Saliva samples let us explore genetic conditions. A handful ofcompanies can discover the bugs living inside our guts.
  
  

Hyatt 

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State Society News

NYSIPP Meeting

November 4 - 7, 2016


 
The New York Society of Interventional Pain Physicians will hold a meeting November 4-7, 2016 at the Hyatt Regency in Jersey City, NJ - registration link is:  www.NYSIPP.org

Fellows / Residents Workshop, Thursday: November 3, 2016

NYNJSIPP PA/NP Meeting: Thursday and Friday Nov. 3, 4

Saturday Nov. 5: The Good, Bad and Ugly Sides of Opiate Utilization
 

CASIPP Annual Meeting
November 11-13, 2016
Early Bird Registration is Open for the California Society of Interventional Pain Physicians annual meeting. T he meeting is set for Friday, November 11 - Sunday, November 13, 2016  at the exquisite Bacara Resort & Spa,  Santa Barbara , California. 


 
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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