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American Society of Interventional Pain Physicians News  | November 11, 2015
IN THIS ISSUE
  1. Last Chance to Secure a Spot for One of ASIPP's November Meetings!
  2. Spending bill could mean more health funding, but shutdown is still possible 
  3. Payor, Coverage, and Policies: Denials & Appeals Webinar 
  4. Neglecting to Review Protocol Leads to Terrible Error, Lawsuit for Physician 
  5. Preventing Opioid Abuse: Impact of Tamper-Resistant Formulations 
  6. Top 10 Reasons to Stay in the Pain Management Game 
  7. HADS: A Quick and Effective Measure of Anxiety and Depression in Acute Pain
  8. Prescription Use Up and Here's Why, Say Researchers 
  9. Doctors Who Order More Tests, Treatments Less Likely to Be Sued for Malpractice 
  10. Off-Label Prescriptions Associated With Increased Adverse Events 
  11. New Guidance on Addiction Disorders Treatments
  12. ASIPP Call for Abstracts 
  13. State Society News 
  14. Physician Wanted 
novemberLast Chance to Secure a Spot for One of ASIPP's November Meetings!
   

 
Regenerative medicine is a NEW and EVOLVING field for interventional pain management. Know if and when to offer these treatments.  
Choose to attend one of ASIPP's November meetings. You can attend the 2-day intensive Regenerative Medicine Workshop or the 1 day Hands-On Cadaver Workshop for IPM Techniques. 
 
Objectives for Regenerative Medicine Course
  • Attain understanding of regenerative medicine.
  • Attain eligibility for competency certification with the completion of both levels.
  • Incorporate regenerative medicine 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.
Objectives for Cadaver Workshop for IPM Techniques 
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

 

BROCHURE

 

Accommodations
   
THE VENETIAN RESORT HOTEL CASINO
3355 Las Vegas Blvd. South, Las Vegas, NV 89109
Hotel: 702.414.1000 | Reservations: 866.659.9643
http://www.venetian.com 
Inform the agent that you are booking for American Society of Interventional Pain Physicians. We have secured a group rate of $159.
 
Cadaver Venue:
OQUENDO CENTER , 2425 E. Oquendo Road, Las Vegas, NV 89120
Phone: 702.739.6698 | Toll Free: 866.800.7326 |
spending
Spending bill could mean more health funding, but shutdown is still possible
 
Lawmakers have until Dec. 11 to pass an omnibus bill for fiscal 2016, and with extra money made possible by  last month's budget deal , HHS and the National Institutes of Health could see extra funding. 

If they cannot get an omnibus passed, there could be another continuing resolution agreement to keep funding for a period of time. Otherwise, the government will shut down.

Analysts said lawmakers will add riders to the bill that will be the focus of negotiations and familiar disagreements and could impede a final agreement.
 

                           
payorPayor, Coverage, and Policies: Denials & Appeals Webinar

Denials and Appeals Could Effect You Financially

Getting paid for services provided is essential to the financial success of your practice.  Key to getting paid is an understanding of the payor coverage policies that set forth the medical necessity, utilization and quality of care criteria as well as the coding requirements for provider services.  Failure to follow the mandates in these policies can lead to denial of payment and payor audits.

Vicki Myckowiak will provide a practical guide to understanding payor policies and using these policies to ensure that the documentation in your medical record accurately reflects the services provided and meets the requirements of the payor policies.  Vicki will also provide valuable information on steps to take in the face of denials or audits including a primer on the best practices for responding to a payor audit.
 
WEBINAR FEE:   $175  
DATE: November 17, 2015
LENGTH: 90 minute session 
TIME: 11:00am - 12:30pm CDT

SPEAKER:
Vicki Mykowiak, Esq.
 
 
Vicki Myckowiak is a principal of MYCKOWIAK ASSOCIATES, P.C.  She is a graduate of Franklin and Marshall College and The National Law Center at George Washington University.  Ms. Myckowiak is a member of the State Bar of Michigan, the American Bar Association, the American Health Lawyers Association, and the Health Care Compliance Association.

  
                           
  
protocol
Neglecting to Review Protocol Leads to Terrible Error, Lawsuit for Physician
 
Dr. M, 48, was an ophthalmologist working in a practice which was affiliated with a large medical center. He had been with the practice for just over a decade, and was quite happy there. The physician was well liked by patients and co-workers alike, due to his compassionate nature and the fact that he took the time to speak to patients at length. Unlike some of his colleagues, Dr. M was more concerned with the patient he was examining than with the backup in the waiting room, and so although this would push some of his appointments later, his patients generally didn't complain about the wait. It was more important to Dr. M to take the time to get to the root of his patients' problems, than to rush them through like clockwork.

On this particular morning, Dr. M was seeing Mrs. F, a patient who had been referred to him a month before. Mrs. F, 54, had been diagnosed with ocular toxoplasmosis which was causing visual changes and floaters. The physician had prescribed a number of different oral antibiotics over the past month, but Mrs. F had experienced various adverse effects including gastrointestinal problems and migraines. He had hoped that the most recent attempt at finding a tolerable antibiotic would work, but the patient was back again, complaining of unacceptable gastrointestinal upset from the last attempted medication.
 
 
MPR
 
tamper
Preventing Opioid Abuse: Impact of Tamper-Resistant Formulations
 
Pharmaceutical drug abuse has emerged as a fast-growing global problem that is largely driven by misuse of opioid analgesics. 1   Tampering can take the form of breaking, crushing, chewing, or pulverizing slow-release opioid tablets, accelerating the release of  larger doses, says Briony Larance, PhD, from the National Drug & Alcohol Research Centre at the University of New South Wales in Sydney, Australia.

"Sometimes [tampering] is done to make tablets easier to swallow, but this may also be done so that the tablet can be taken via an unintended route of administration (such as dissolving and drinking, snorting, smoking, or injecting) and/or to enhance the euphoric effects of the opioid. These practices can place people at risk of a range of adverse effects," Dr. Larance told Clinical Pain Advisor.
 
 

ten
Top 10 Reasons to Stay in the Pain Management Game
 
Staying in the pain management game is not easy. Even though this may be the case for many in the medical community, clinicians can still find success by following specific guidelines focused on providing patients with individualized pain management approaches. 

"Pain medications are neither panacea nor pariah, and experienced prescribers understand the need for a nuanced approach to pain management," said Michael R. Clark, MD, MPH, MBA, of Johns Hopkins University School of Medicine and the American Society of Pain Educators.
 
 

HADS
HADS: A Quick and Effective Measure of Anxiety and Depression in Acute Pain
 
The Hospital Anxiety and Depression Scale (HADS) is a valid measure of anxiety and depression in patients with acute lower back pain, according to a study published in The Journal of Pain. 1

HADS was developed specifically to avoid reliance on confounding factors that are present in depression and anxiety, but also occur as symptoms of illness or treatment side effects.
 
 

up
Prescription Use Up and Here's Why, Say Researchers
 
Researchers report an increase in overall prescription drug use among adults in the United States between 1999-2012. Findings from the study are published in JAMA

Elizabeth D. Kantor, PhD, MPH, formerly of the Harvard T.H. Chan School of Public Health, Boston, and colleagues looked at trends in prescription drug use using data from the National Health and Nutrition Examination Survey (NHANES). A total of 37,959 study participants aged ≥20 years were included across seven NAHNES cycles (1999-2000 to 2011-2012). For each cycle, study authors analyzed use of prescription drugs in the past 30 days in general and by drug class. 
 
 
MPR

tests
Doctors Who Order More Tests, Treatments Less Likely to Be Sued for Malpractice
 
(HealthDay News) -The more tests and treatments U.S. doctors order for patients, the less likely they are to be sued for malpractice, according to a study published online Nov. 4 in The BMJ.

Researchers looked at data from nearly 19 million Florida hospital admissions between 2000 and 2009 and malpractice claims against 24,637 doctors in seven specialties. There were 4,342 malpractice claims. The overall rate was 2.8 percent per doctor annually, ranging from 1.6 percent per doctor a year in pediatrics to 4.1 percent per doctor a year in general surgery and obstetrics and gynecology.
 
 
MPR

offlabel
Off-Label Prescriptions Associated With Increased Adverse Events
 
While off-label use of prescription drugs is commonly used by clinicians for certain conditions, new research indicates that the practice may be associated with an increase in adverse events, especially when off-label use is not backed by scientific evidence.

Tewodros Eguale, MD, PhD, of McGill University, Montreal, Canada, and now of Massachusetts College of Pharmacy and Health Sciences, Boston, and colleagues looked at the off-label use of medications and subsequent adverse events on 46,021 patients in Quebec who received 151,305 prescriptions from 2005 through 2009.
 
 

guidance
New Guidance on Addiction Disorders Treatments
 
The American Society of Addiction Medicine (ASAM) has released new evidence-based recommendations on the use of prescription medications for the treatment of opioid addiction. Published in the October/November issue of the Journal of Addiction Medicine, the guideline aims to increase physician's knowledge of and ability to use often-complex treatments for managing patients with opioid use disorders.  
 
The ASAM Guideline Committee writes "This Practice Guideline was developed to assist in the evaluation and treatment of opioid use, and in the hope that, using this tool, more physicians will be able to provide effective treatment."
 
 
MD

abstracts

Make your plans now to participate in the American Society of Interventional Pain Physicians abstract and poster presentation at the 18th Annual Meeting, April 15-17 in Dallas, Texas.
  
The abstract submission deadline will be February 9, 2016.
  
The annual meeting is a great opportunity to share your abstract with hundreds of physicians who specialize in interventional pain management.
  
payment
CMS Publishes Final Payment Rules
 
The Centers for Medicare & Medicaid Services (CMS) has  issued a final rule updating payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2016. CMS finalized a number of new policies, including several that are a result of recently enacted legislation.
 
CMS released the final rules on Physician Payment Rates, Hospital Outpatient Departments (HOPD) payments, and Ambulatory Surgery Center (ASC) payments.

In reference to Ambulatory Surgery Center payments, there have been significant modifications including increasing facet joint interventions rates and reducing epidural rates. One item of good news is that CMS has increased payment for one-day percutaneous adhesiolysis, for which we have been struggling for a long period of time.
 
Following are the fee schedules for interventional pain management physicians, and for HOPDs and ASCs performing interventional pain management procedures.
 

Here are Fee Schedule links:
2016 Final Physician Fee Schedule - IPM Codes 

 
                           
Mark your calendar for December 10th and view this live webinar 'Coding: IPM Guide to 2016'. Get up to speed with the coding changes that are coming in 2016 for Interventional Pain Management practices. You are responsible for reporting the services correctly so you don't risk delays, denials, or incorrect payments. Use this guide for coding, billing, and compliance changes in 2016 in this 90-minute webinar with coding expert Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO.

Hyatt 

     
Join Our Mailing List!
state
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
www.gsipp.com

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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