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American Society of Interventional Pain Physicians News  | March 9, 2016
  1. ASIPP 2016 Annual Meeting Offers World Class Program to Fill You in on Latest Advances 
  2. Our keynote speaker on selling health insurance across state lines: Robert Laszewski 
  3. Stop ICD-10 Disasters with Cash Flow Disruptions and Denials with Seamless Navigation By Ordering ICD-10-CM Pocket Book for Interventional Pain Physicians
  4. Physician practices spend $15.4 billion annually on quality reporting  
  5. Humana CEO to bank $40 million if Aetna deal closes 
  6. Feds call prescription drug price 2014 increase 'remarkable' 
  7. U.S. Officials Propose Test Program Aimed at Lowering Medicare Drug Costs 
  8. Anesthesiologists Managing Chronic Pain: Continuing Education Needed 
  9. SCOTUS Ruling: States Can't Force Health Care Data Release 
  10. 'Relentless Effort' Needed to Stop Nosocomial Infections: CDC 
  11. Nancy Reagan's Legacy 
  12. Rethinking Strong Opioids for Noncancer Pain
  13. State Society News 
  14. Physician Wanted 
ASIPP® 2016 Annual Meeting Offers World Class Program to Fill You in on Latest Advances

As you know, ASIPP® has been on the forefront in educating us in many areas on interventional pain practice. For ASIPP®, education is a mission. The topics and speakers are very carefully selected to focus on the development of safe, high quality, cost effective and evidence based practice of interventional pain management.

The research and clinical implications of PRP and stem cells will change the way we practice medicine in the 21st century. There is an extraordinary session on advanced regenerative medicine. In the last few decades, the invention of multiple spinal devices and cages have not improved the outcomes in spinal surgeries. It is high time we focus on minimally invasive spinal procedures, and you will learn evolving concepts of endoscopic disc decompression and spinal endoscopy.

Important topics are as follows:
Raj-Racz Distinguished Lecture Series
Evolving Concepts of Endoscopic Disc Decompression
Albert Telfeian, MD, PhD - Keynote
Interventional Pain Management: The Time of our Lives
Laxmaiah Manchikanti, MD - 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

Our Keynote Speaker on Selling Health Insurance Across State Lines: Robert Laszewski

In a recent article, Robert Laszewski, our keynote speaker, and an expert in health care  writes the impact of selling health insurance across state lines. He describes this as a really dumb idea.  He writes any candidate that suggests such a scheme only shows 

"Any candidate that suggest such a scheme  only shows how unsophisticated he and his advisors are when it comes to understanding how the insurance  markets really work or could work."  

He made the comments to insurance brokers and consultants in DC last week.

It was published in Health and Marketplace blog.  He also suggested that this is nothing more than an attempt to take the market back to the days of cherry picking risk - figuring out how to sell policies to only the healthy people. If this were ever enacted, it would only serve to shuffle the healthy people into one set of health insurance policies and the sick into another, thereby driving down costs for healthy, and in return just driving costs up for sick - and accomplishing nothing toward fundamentally making insurance cheaper. The article describes the number of problems related to this plan and also multiple issues related to state regulations and ability to sell insurance across the state lines already.

Stop ICD-10 Disasters with Cash Flow Disruptions and Denials with Seamless Navigation By Ordering ICD-10-CM Pocket Book for Interventional Pain Physicians
While it is easy to say that your EMR will convert all the ICD-10-CM codes, it is extremely difficult to know what codes are covered and which way is accurate for converting existing codes.
Have you ever thought about a patient with spondylosis with radiculopathy presenting for an epidural injection which later will be denied?
Have you ever thought about using the post surgery syndrome code for cervical and lumbar epidural injections and receiving a denial?
Have you ever thought about how to code a patient with disc herniation at one or 2 levels with associated radiculopathy? Would you code it as disc herniation and radiculopathy or disc displacement with radiculopathy? If you code it with 2 separate codes of disc herniation and radiculopathy, it will be inappropriate and your treatment will be denied.
There are numerous intricacies in navigating to ICD-10.
ASIPP's ICD-10-CM pocket book clearly shows multiple ways of preventing disasters:
  • Steps to correct coding
  • Intricacies of ICD-10-CM coding
  • Navigation from ICD-9-CM to ICD-10-CM
  • Chapters where interventional techniques clearly show the codes covered by Medicare carriers and recommended codes in order of preference.
What are you waiting for?
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.

qualtiyPhysician practices spend $15.4 billion annually on quality reporting

Editor's Note
Physician practices each year spend 785 hours per physician to track and report quality measures for Medicare and private health insurers at a cost of  more than $15.4 billion a year, this study finds.

Eight in 10 physicians surveyed reported spending more effort on quality measures now than 3 years ago, and nearly half reported significant burden because of multiple similar measures. Only 27% thought the current measures were representative of care quality.

Though much is gained from quality measurement, the current system is unnecessarily costly, the authors say. Greater effort is needed to standardize measures and make them easier to report.

Humana CEO to bank $40 million if Aetna deal closes
Humana CEO Bruce Broussard  is primed for a huge payday. If the federal government approves  Humana's  $37 billion sale to  Aetna , Broussard will receive $40.2 million.

The "golden parachute" compensation package includes a $6 million severance payout, while most of the remaining money will come from cashing out stock, according to a 
regulatory disclosure  released Wednesday.

The U.S. Justice Department's antitrust team is evaluating the 
Aetna-Humana marriage , announced last summer, along with Anthem's acquisition of Cigna Corp. Consumer advocates and hospitals have  criticized the mergers  as anticompetitive and harmful to the people who pay insurance premiums, but the insurers have said the deals are necessary to help them adapt to healthcare reform.

Feds call prescription drug price 2014 increase 'remarkable'
Fast-rising drug prices coupled with the use of costlier specialty drugs were the main reasons for a nearly 13% uptick in prescription drug spending in 2014, federal health officials said Tuesday.

The  Department of Health and Human Services called drug growth in 2013 "subdued," but said 2014's increase was "remarkable" and that it remained elevated during 2015 based on preliminary estimates.

U.S. Officials Propose Test Program Aimed at Lowering Medicare Drug Costs
WASHINGTON-The Obama administration is proposing a test program to see if lowering reimbursements for drugs administered by some Medicare doctors would prompt them to choose lower-cost, but equally effective, medications.
The development could lead to an overhaul of reimbursements under Medicare Part B, a program that pays about $19 billion a year to providers-and is outlined in a proposed rule issued Tuesday by the Centers for Medicare and Medicaid Services, which runs the program.

The initiative is part of a strategy by the Obama administration and Congressional lawmakers to tackle health-care spending that is driven in part by rising prescription-drug prices, an issue that has loomed in the presidential race and ranks high among public concerns in polls. The administration has sought information on pricing from pharmaceutical companies and has been probing ways to help consumers keep their drug costs in check.

Access to this article may be limited.
Anesthesiologists Managing Chronic Pain: Continuing Education Needed
With chronic pain affecting the quality of life of more than 40% of the population in the United States, 1  healthcare professionals managing and treating the condition are faced with evolving challenges.

Chronic pain is a complex problem that requires a multidisciplinary approach to patient care. 2  A single specialist cannot manage a patient in isolation; anesthesiologists, psychologists, psychiatrists, neurologists, and physical medicine and rehabilitation specialists must all work together to care properly for patients with chronic pain. More often than not, an anesthesiologist certified in pain medicine acts as the captain of this multidisciplinary team.

SCOTUS Ruling: States Can't Force Health Care Data Release
HealthDay News -- The Supreme Court has ruled against state efforts to collect health care data from insurance plans.
According to the Associated Press, the ruling came via a 6-2 decision that efforts by Vermont and 17 or more other states to collect and assess the data are in conflict with federal law governing certain health plans.

'Relentless Effort' Needed to Stop Nosocomial Infections: CDC
The CDC is urging "relentless effort" to prevent healthcare associated infections (HAI) and especially those caused by antibiotic-resistant organisms, according to the agency's director, Tom Frieden, MD.

"Doctors, nurses, and other healthcare professionals have the power to change the direction of antibiotic resistance nationally," Frieden told reporters in a telephone media briefing to discuss a Vitals Signs report on healthcare-associated infections.

Nancy Reagan's Legacy
Former U.S. first lady Nancy Reagan has died, a spokeswoman for the Reagan library said Sunday. She was 94.

Reagan died Sunday morning in her home in Los Angeles, said Joanna Drake in a statement on the Ronald Reagan Presidential Library's website. The cause was congestive heart failure. The former first lady will be buried at the library in Simi Valley, California, next to her husband, former president Ronald Reagan, who died in 2004.

The Atlantic

Rethinking Strong Opioids for Noncancer Pain
Strong opioids are no more effective than acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) in patients with musculoskeletal disease and other forms of noncancer pain, according to a review published in Joint Bone Spine. 1
Strong opioids, including morphine, fentanyl, and oxycodone, have been on the top step (step III) of the World Health Organization (WHO) analgesic ladder for many years. However, it may be time to rethink this model; when it comes to noncancer pain, strong opioids are neither strong nor effective.


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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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