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American Society of Interventional Pain Physicians News  | March 23, 2016
  1. Don't Delay! ASIPP® 2016 Annual Meeting Room Discount Rate Ends Tomorrow! 
  2. CMS touts ICD-10 implementation success but Interventional Pain Management Practices May Not Agree! Use of the ASIPP® new ICD-10-CM Pocket Guide Can Help Ease the Burden!
  3. ASIPP to Hold Didactics on Disc Decompression, Imaging, Controlled Substance, Practice Management, Interventional Techniques in Memphis June 9-10, Cadaver workshop June 11, 12 
  4. FDA proposes ban on most powdered medical gloves 
  5. Anthem sues Express Scripts for $15 billion over drug pricing 
  6. Court grants CMS more time for final notice regarding 0.2% 'two-midnight' cut 
  7. Listen to March ASIPP® Podcast 
  8. JAMA: EHR notification overload costs doctors an hour a day 
  9. Popular Pain Reliever Doesn't Work for Osteoarthritis Patients
  10. Americans Take 80% of World's Opioid Supply 
  11. Feds Quietly Release National Pain Strategy
  12. Study: Use of self-filled vs prefilled syringes during anesthesia 
  13. Fast-Acting Opioids Get New Boxed Warning 
  14. Medicated Lidocaine Patches Can Improve Sleep, Quality of Life in PHN 
  15. State Society News
  16. Physician Wanted 
Don't Delay! ASIPP® 2016 Annual Meeting Room Discount Rate Ends Tomorrow!

It's time to book your reservation and register for the 2016 ASIPP Annual Meeting. our 19th annual meeting is scheduled for April 14-17 in Dallas, Texas.

Join us in Dallas to:
  • Hear Dr. Albert Telfeian discuss advances in Endoscopic Disc Decompression.
  • Congratulate Dr. Aaron Calodney as he begins his tenure as the next President of ASIPP.
  • Learn about emerging technologies in interventional pain management with Dr. Sudhir Diwan.
  • Celebrate the life of Dr. Prithvi Raj, one of the founding fathers of interventional pain medicine.
A special focus during this years' meeting will be on the rapidly growing field of Regenerative Medicine.  
Come hear my talk and learn the science behind this exciting sub-specialty and how you can add it to your practice.  If you want to learn about Platelet Rich Plasma (PRP), stem cells, and the growing evidence for their use in the treatment of painful orthopedic and spine disorders, you won't want to miss this talk!

Important topics and speakers are as follows:

Homage to Dr. Raj (Dr. Phulchand Prithvi Raj)
 Laxmaiah Manchikanti, MD
Homage to Dr. Luis Aliaga
Ramsin M. Benyamin, MD

Raj-Racz Distinguished Lecture Series
Interventional Pain Management: The Time of our Lives
Laxmaiah Manchikanti, MD - Keynote

  Evolving Concepts of Endoscopic Disc Decompression
Albert Telfeian, MD, PhD - Keynote

Manchikanti Distinguished Lecture
Strategies for the Survival of Independent Practice in the Era of Regulation and Empowered Insurance and Hospital Industry
Robert Laszewski - Keynote
The Current Landscape of Regenerative Medicine  
William D Murrell,  MD - Keynote

Application of Regenerative Medicine in Spinal Pain
Kenneth Pettine, MD - Keynote
Pathophysiology of Controlled Substance Use, Overuse, Abuse, Dependency Addiction
Susan Blank, MD - Keynote

CMS touts ICD-10 implementation success but Interventional Pain Management Practices May Not Agree! Use of the ASIPP® new ICD-10-CM Pocket Guide Can Help Ease the Burden!

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 ASIPP® 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.

memphisASIPP to Hold Didactics on Disc Decompression, Imaging, Controlled Substance, Practice Management, Interventional Techniques in Memphis June 9-10,  Cadaver workshop June 11, 12

Here is an early look at the June schedule of meetings that ASIPP has in store for you! Meeting Brochures and Registration will be available soon!

Lumbar Endoscopic Spinal Decompression Hands-on Cadaver Workshop and Online Lectures
Basic, Intermediate and Advanced Interventional Techniques
Jun. 11-12

Click HERE  to register

Comprehensive Review of Interventional Techniques and Hands on Cadaver Workshop
Jun 9-12

Click HERE  to register

Comprehensive Imaging Review in Interventional Pain Management and Competency Exam
Jun. 9-10
June 11

Click HERE to register
Comprehensive Review Course of Controlled Substance Management and Practice Management and Competency Examination
June 9-10
June 11

Click HERE to Register
ABIPP Part I Examination June 11      
250 North Main Street
Memphis , TN, 38103

Hotel Reservation

FDA proposes ban on most powdered medical gloves
Today, the U.S. Food and Drug Administration announced a proposal to ban most powdered gloves in the United States. While use of these gloves is decreasing, they pose an unreasonable and substantial risk of illness or injury to health care providers, patients and other individuals who are exposed to them, which cannot be corrected through new or updated labeling.

The proposed ban applies to powdered surgeon's gloves, powdered patient examination gloves and absorbable powder for lubricating a surgeon's glove.

Anthem sues Express Scripts for $15 billion over drug pricing
Health insurance company Anthem is suing Express Scripts, the largest prescription drug benefit provider in the U.S., for allegedly charging too much for drugs.

The lawsuit, filed in district court in New York, seeks to recover damages for alleged excessive pharmacy pricing and the right to terminate Anthem's contract with Express Scripts. Anthem seeks $15 billion in damages for uncompetitive pharmacy pricing from Dec. 1, 2015 through 2020, including a year of transition costs and business impacts, according to a spokeswoman. Anthem is also seeking $150 million for "operational breaches."

Court grants CMS more time for final notice regarding 0.2% 'two-midnight' cut
The U.S. District Court for the District of Columbia has granted the Centers for Medicare & Medicaid Services' request to delay the issuing of a final notice justifying cutting inpatient prospective payment system payments by 0.2% in conjunction with its two-midnight policy. CMS now has until April 27 to issue the notice, which was originally due March 18. The cut was first included in the agency's fiscal year 2014 IPPS final rule and took effect Oct. 1, 2013. In October 2015, a federal court rejected CMS's arguments that it met all of the procedural legal requirements for rulemaking when it imposed the 0.2% cut, and ordered the agency to publish additional justification for the reduction and allow further opportunity for hospital comments. The order came in response to a consolidated federal case that includes a lawsuit brought by AHA, four hospital associations and four hospital organizations. CMS issued its revised justification Dec. 1 and accepted comment through Feb. 2. In  response , AHA urged CMS to fully reverse the 0.2% reduction, revise inpatient PPS base payment rates accordingly and reimburse hospitals for the resulting Medicare payment shortfall for discharges beginning Oct. 1, 201

Listen to March ASIPP® Podcast  

In March 2016 ASIPP Podcast we'll tell you about a great way ASIPP has come up with to help you make the transition to ICD-10-CM, we'll talk with Nick Autrey of Medical Media about an exciting new service for ASIPP members, and in the news segment we'll find out how opioids cause respiratory problems, the role of antibiotics in treating low back pain, another reason to tell your patients not to smoke, over-the-counter naloxone, and much more.

Click HERE to listen

JAMA: EHR notification overload costs doctors an hour a day
Primary care doctors now lose more than an hour a day to sorting through approximately 77 electronic health record notifications, researchers at Baylor University found.
"Information overload is of concern because new types of notifications and 'FYI' (for your information) messages can be easily created in the EHR (vs in a paper-based system)," the researchers wrote in the Journal of the American Medical Association  Internal Medicine.   
Making the workload harder to endure, reading and processing these messages is uncompensated in an environment of reduced reimbursements for office-based care, according to the study.

Popular Pain Reliever Doesn't Work for Osteoarthritis Patients
Patients suffering from complications associated with osteoarthritis often reach for over-the-counter pain relievers.   However, a recent study published in the Lancet found that paracetamol, sold in the US as acetaminophen under the brand name Tylenol and as a generic, does not effectively reduce pain and improve movement in patients with osteoarthritis of the knee and hip. 

To understand the efficacy of different types and doses of pain relievers for treating osteoarthritis pain, researchers reviewed 74 randomized trials published between 1980 and 2015, which included a total of 58,556 patients with osteoarthritis.   - See more at: http://www.hcplive.com/medical-news/popular-pain-reliever-doesnt-work-for-osteoarthritis-patients?utm_source=Informz&utm_medium=HCPLive&utm_campaign=Clinical_News_3-21-16#sthash.nR8FnIa3.dpuf

HCP Live
Americans Take 80% of World's Opioid Supply
The U.S. government is dealing with an epidemic ofopioid use.
Americans make up about 4.6 percent of the world's population, but consume 80 percent of the world's opioid supply. That information comes from the American Society of Interventional Pain Physicians.

Opioids offer strong pain relief. But they are addictive, according to the Centers for Disease Control and Prevention. Taking too many or too much can be fatal.
The U.S. Department of Health and Human Services (HHS) on Friday quietly released the National Pain Strategy, a comprehensive and ambitious "roadmap" to improve the quality of pain care in the United States. The 83-page report was overshadowed by the opioid prescribing guidelines released by the Centers for Disease Control and Prevention just a few days earlier.

Development of the National Pain Strategy (NPS) began over five years ago after the Institute of Medicine released a report calling for a "cultural transformation" in pain care, prevention, research, and education. Although the NPS was being closely watched by researchers, academics, regulators and professional societies, many long-suffering pain patients will be surprised to hear the U.S. even has a national pain strategy.
Study: Use of self-filled vs prefilled syringes during anesthesia
In this work system analysis, the inclusion of prefilled syringes into medication delivery by anesthesia providers simplified work processes and reduced the number and associated risks of system vulnerabilities.
Eight system vulnerabilities were found in the prefilled syringe system versus 21 in the self-filled syringe system.
An example of a system vulnerability with high risk in the self-filled syringe system was when an anesthesia provider needed to draw up medication during surgery while completing other requests simultaneously. This added cognitive complexity that did not exist in the prefilled syringe system.
Fast-Acting Opioids Get New Boxed Warning
The FDA is updating the labels on immediate-release opioids like Vicodin with new boxed warnings, and an indication for use only in the most severe pain, the agency announced.

The boxed warning alerts prescribers to the risk of misuse, abuse, addiction, overdose, and death associated with the drugs, as well as the risk of neonatal opioid withdrawal syndrome (NOWS) if taken during pregnancy.

Medicated Lidocaine Patches Can Improve Sleep, Quality of Life in PHN
Medicated lidocaine patches help reduce postherpetic neuralgia pain, and in turn improve sleep quality and overall perception of quality of life in patients with the debilitating condition.

The results of the 8-week, open-label study were published in the journal Pain Management.

The 8-week run-in study was part of a larger double-blind, placebo-controlled, multicenter phase 3 trial, and included 265 patients (42.6% male) aged 50 years or older with postherpetic neuralgia for at least 3 months post-rash healing. Patients were enrolled until exit due to lack of pain relief. Changes in quality of life were measured with the Chronic Pain Sleep Inventory, Short-Form 36 health survey, and Short-Form McGill Pain Questionnaire.


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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)

CASIPP 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


Physicians Wanted


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


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