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American Society of Interventional Pain Physicians News  | March 30, 2016
  1. ASIPP Annual Meeting: A Meeting of Innovations in IPM for Success
  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. Epidural Injections Effective for Managing Chronic Spinal Pain 
  5. Obama Sets Task Force to Ensure Access to Addiction Tx 
  6. ObamaCare may force employers to pull the plug on millions of health plans, CBO report finds 
  7. How Psychologists, Physicians Can Coexist in Pain Medicine 
  8. Do Physicians Prescribe Opioids for Longer Than CDC Advises?  
  9. Study: Open Access Trial Data Underutilized Making data public doesn't translate to actual use 
  10. State Society News
  11. Physician Wanted 
ASIPP Annual Meeting: A Meeting of Innovations in IPM for Success

As we get even closer to the Annual Meeting, I would like to re-emphasize some of the issues we are focusing on. As you know, interventional pain management is going through a tumultuous phase. Consequently, among various steps taken, we are incorporating the use of regenerative medicine for managing chronic pain into interventional pain management. The basic tenet of regenerative medicine is to:
      • regenerate
      • repair
      • rejuvenate and
      • restore biological function that has been lost to age, disease, injury, or congenital abnormalities by cellular tissue and organ substitutes.
These are exciting times to learn and incorporate regenerative medicine into your practice.
We will have two substantial lectures by iconic and eminent physicians regarding the current utility and future of regenerative medicine.
  • THE CURRENT LANDSCAPE OF REGENERATIVE MEDICINE by Keynote Speaker, William D. Murrell, MD will cover the evolution and dynamics of regenerative medicine and also touch on incorporating it into interventional pain management.
William D. Murrell, MD , is an internationally known regenerative medicine specialist, with some even considering him to be the father of regenerative medicine. He has held many positions in this young and dynamic specialty.
  •  APPLICATION OF REGENERATIVE MEDICINE IN SPINAL PAIN by Keynote Speaker Kenneth Pettine, MD,a spine surgeon who has performed both basic and clinical research as approved by the FDA to define the role of regenerative medicine in spinal pain. His motto is "Friends don't let friends get fused." Dr. Pettine has published extensively about spinal disorders, including arthroplasty, and has incorporated regenerative medicine in managing spinal pain.
Come and enjoy a once-in-a-lifetime opportunity to listen to these two great physicians on regenerative medicine with a focus on interventional pain management.
Apart from this, we also have multiple other seminars including
2 lunch symposiums (no CMEs) entitled:
1. Patient Variability and the Dynamic Nature of Pain: Customizing
Therapy with Multiple Waveform Options
Moderator: Richard Rauck, MD
Giancarlo Barolat , MD , James North, MD and Louis Raso, MD
(Sponsored by Boston Scientific)
2. Wireless Neuromodulation Innovation for Pain Management
Richard North, MD and Sunil Pachal, MD
(Sponsored by Stimwave)
As you know, other important aspects includes a tribute to Dr. Prithvi Raj on Friday, April 15 and the following lectures:
  • Raj-Racz Distinguished lecture series will include a presentation from me describing "Interventional Pain Management: The Time of Our Lives" and a presentation by Albert Telfeian, MD, PhD titled "Evolving Concepts of Endoscopic Disc Decompression."
  • Manchikanti Distinguished Lecture by Robert Laszewski, national health care expert, titled "Strategies for the Survival of Independent Practice in the Era of Regulation and Empowered Insurance and Hospital Industry".
And many more sessions on practice management, emerging concepts and controversies, spinal cord stimulation, current utility and future of interventional techniques, and, finally, controlled substance management.

Don't miss the greatest opportunity available this year for interventional pain physicians. Register now or read the Annual Meeting brochure for more information.

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

Epidural Injections Effective for Managing Chronic Spinal Pain
Ensuring diagnosis matches the indication is key, experts emphasize
Properly used, epidural spinal injections are an effective way to manage chronic spinal pain, according to the results of a systematic review of the available literature.

Published in Pain Physician (2015;18:E939-E1004), the study's investigators, including first author and that journal's editor-in-chief Alan Kaye, MD, PhD, wrote that their findings show "the efficacy of epidural injections in managing a multitude of chronic spinal conditions."

Dr. Kaye, who also chairs the Department of Anesthesia at the Louisiana State University School of Medicine, in New Orleans, added that "as a clinician, I have seen the benefits of epidural steroid injections over the last 25 years," and that the results of the review did not surprise him.
Obama Sets Task Force to Ensure Access to Addiction Tx
President warns about possible mandatory provider training
ATLANTA -- Noting that the opioid abuse and heroin epidemic "is affecting everybody -- young, old, men, women, [and] children," President Obama launched a federal task force Tuesday to address the issue.

The Mental Health and Substance Use Disorder Parity Task Force will work to ensure access to coverage for behavioral health issues, Obama said here at the National Rx Drug Abuse and Heroin Summit.
ObamaCare may force employers to pull the plug on millions of health plans, CBO report finds
In the latest report to undercut President Obama's "If you like your health care plan, you can keep it" promise, the Congressional Budget Office projects millions of workers will leave employer-sponsored health plans over the next decade because of ObamaCare. 

Some will opt to go on Medicaid, but others will be kicked off their company plans by employers who decide not to offer coverage anymore, according to a new CBO report titled,  "Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2016 to 2026."

"As a result of the ACA, between 4 million and 9 million fewer people are projected to have employment-based coverage each year from 2017 through 2026 than would have had such coverage if the ACA had never been enacted," the report, released Thursday, said.
Employers now cover some 155 million people, 

How Psychologists, Physicians Can Coexist in Pain Medicine
With the American Academy of Pain Medicine (AAPM) opening its doors to psychologists in 2015, the pain community has been witnessing a shift in how these healthcare professionals are being included in annual pain conference symposia.

This expanded presence is a reflection of the growing awareness and acceptance of psychology as a partner in treatment of pain. A recent national report revealed that pain physicians support improved education in pain psychology and lament barriers to access for this discipline. 1

Do Physicians Prescribe Opioids for Longer Than CDC Advises?
When doctors in the United States prescribe opioids for their patients, 99% of them hand out prescriptions that exceed the federally recommended three-day dosage limit, new research suggests.
In the results of a survey of 200 doctors conducted by the National Safety Council, nearly one-quarter (23%) gave out month-long dosages. And while 84% of doctors screen for signs of prior opioid abuse, just one-third ask about a family history of addiction. Only 5% offer direct help to patients when signs of abuse are uncovered, and less than 40% refer such patients for treatment elsewhere.

Study: Open Access Trial Data Underutilized Making data public doesn't translate to actual use
Across three open data platforms offering more than 3,000 clinical trials, only 15.5% were requested by a small number of researchers over the course of 2 years, according to a new study.

Only 505 unique trials had ever been requested, including 356 phase III trials, or 24.7% of available phase III trials, reported Ann Marie Navar, MD, PhD, MHS, of Duke University Medical Center in Durham, N.C., and colleagues.



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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


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