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American Society of Interventional Pain Physicians News  | November 2, 2016
  1. ASIPP Launches Qualified Clinical Data Registry (QCDR) for Interventional Pain Management 
  2. CMS Publishes Final Rule for Hospital Outpatient Department and ASC Final Payment Rates 
  3. We cordially invite you to be a part of ASIPP's newest journal: Interventional Pain Management Reports 
  4. Save the Date! Regenerative Medicine Course Scheduled for March 3-5 in Memphis: Limited Enrollment  
  5. Save the Date! Lumbar Endoscopic Spinal Decompression Course set for March 3-5, Memphis: Enrollment Lmited to 20  
  6. ABIPP Certification Made Simple: June Dates Set
  7. October Podcast Now Available!
  8. American College of Surgeons Launches Education Program on Opioids and Surgery: Use, Abuse, and Alternatives
  9. Trump says he would repeal ACA immediately
  10. Patients with Medically Unexplained Pain More Often Socially Excluded
  11. Start Planning NOW! ASIPP to Begin Accepting Abstracts for 2017 Annual Meeting
  12. Opioid Hospitalizations More Than Double Among Kids
  13. Opioids Unsafe in Pregnancy: The Pain Medicine News Report
  14. Blog: The joy has been sucked out of medicine. Here's why 
  15. State Society News 
  16. Physicians Wanted
launchASIPP Launches Qualified Clinical Data Registry (QCDR) for Interventional Pain Management
As we have seen over the past several months, Merit-Based Incentive Payment System (MIPS) has taken many turns. We have written a comment letter with 4,534 signatures and also went to Washington. We made great strides.
While MIPS requirements have been substantially relaxed in reference to penalties, we need to focus on making bonuses and also putting ourselves into exceptional categories which may yield bonuses of over 20% in the beginning.
To achieve this, the major tool is to publish measures excessively than required and follow through Qualified Clinical Data Registry (QCDR) registry.
The advantage of QCDR registry will be not only that we will use many of the existing measures, but also we have to incorporate multiple interventional pain management specific measures to show the outcomes. Thus, this registry will not only meet the criteria for MIPS, but will also provide us with outcome measures across the nation.
Consequently, the American Society of Interventional Pain Physicians (ASIPP) is developing a Qualified Clinical Data Registry (QCDR) alongside our technology and analytics partner ArborMetrix. Our goal is for ASIPP to be a QCDR for the Centers for Medicare and Medicaid Services' Merit-Based Incentive Payment System (MIPS) for 2017 and beyond, as the Physician Quality Reporting System (PQRS) transitions to MIPS.
You can help us achieve this milestone by replying to this email. Once we hear from you, our goal is to complete your enrollment in the QCDR before November 30, 2016, as initial participants which will facilitate you to participate in outcome measures development and provide us with the required numbers of at least 200 physicians prior to filing the application. Others may join later on until 2017. However, to get the full credit it will be imperative that everyone join by February 28, 2017. We foresee to submit registry application in the first week of January 2017 and we expect to hear from them by the end of February.
We will share soon with you the present ideas we have in reference to the outcomes and also the PQR measures we will recommend. However, you do not have to stick to these. We would like your input in developing outcome measures, as well as in selection your own existing PQR measures.
The following provides you further information:
Why is ASIPP developing a QCDR?
As ASIPP has communicated over the past several months, the existing measures and reporting options available through CMS are not adequate for our specialty. They do not reflect the procedures and nuances of interventional pain management. The QCDR we are developing will provide ASIPP members the ability to meet CMS quality reporting requirements through MIPS while utilizing measures specific to the specialty.
Why do I need to participate in a QCDR?
Participating in a QCDR is one way to meet requirements mandated to you by CMS under MIPS. In 2017, if you are a solo practitioner, in a group practice, or work as a consultant, and you bill Medicare Part B, you are required to report through MIPS. Doing so will allow you not only to avoid negative payment adjustments but also potentially to receive gains in 2019 for reporting in 2017.
What are the benefits of participating in the ASIPP QCDR?
  • You will be able to report on the specialty-specific measures ASIPP is developing. These measures will be more relevant, clinically appropriate, outcomes oriented, and meaningful to interventional pain physicians than general measures defined through MIPS. They will also help drive meaningful quality improvement in the specialty.
  • You will meet CMS requirements for reporting in 2017 to avoid penalties of up to 4% of your Medicare reimbursements and the specialty-specific measures will give you a better chance to optimize incentives (even leading to exceptional performer) and avoid penalties under MIPS.
  • You will be better prepared for CMS quality reporting in future years when penalties and incentives get even larger. By 2022, the impact on your CMS payments will range from a penalty of 9% to incentives of upwards of 9% (may be as high as 21 - 30%), depending on your reporting performance.
How do I enroll in the ASIPP QCDR?
The first step is to let us know you are interested by replying to this email. Once we have garnered enough interest, we will be in contact with details of the enrollment process. Participating in the ASIPP QCDR will be $500 per year for physician for ASIPP members, $750 for non-members. For physician assistants and nurse practitioners the cost is 20% less (i.e., $400 for members or $600 for non-members).
What is the timeline for participation?
ASIPP must enroll at least 200 physicians in our QCDR by November 30, 2016 to meet this initial milestone.
Where can I find additional information about QCDR participation?
The CMS website has information on QCDR. We will be making more ASIPP-specific information available soon.
Thank you again for all your help.  If you have any questions, please feel free to contact us.
hopdCMS Publishes Final Rule for Hospital Outpatient Department and ASC Final Payment Rates
As you see below, the news is not good for interventional pain management. Overall both ASCs and hospital outpatient departments are facing significant cuts as high as 11.5% for most commonly performed interventional techniques compared to the proposed rule and 2017 payment rates.
Most importantly it is disheartening to see that they plan to reimburse same amount for surgery centers or HOPDs for epidural injections with or without imaging guidance. There is a significant difference between hospital rates. Hospitals are reimbursed more than 85% higher than ASCs. Please click here to see analysis of interventional pain management for ASCs. Please click here for HOPD. To see the entire group please click here.
ipmreportsWe cordially invite you to be a part of ASIPP's newest journal: Interventional Pain Management Reports
The American Society of Interventional Pain Physicians is proud to announce a new journal that will be an important addition to the body of interventional pain management literature: Interventional Pain Management Reports. This is your chance to be one of the first to publish in this journal dedicated to the clinical practice of IPM.
Led by Editor in Chief Kenneth Candido, MD, Chairman and Professor, Department of Anesthesiology, Advocate Illinois Masonic Medical Center in Chicago, IPM Reports will focus on the promotion of excellence in the practice of interventional pain management and clinical research.
Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician. Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.
So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Brief Perspectives, Reviews, and Commentaries regarding health care policy and ethics.
Click HERE to read the Instructions for Authors for article submission
Click HERE  to submit a manuscript

Will administer in June

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

More information: www.abipp.org

podcastOctober Podcast Now Available!
On the October podcast we'll learn what medical scribes are and what they do; in the news segment we'll have stories about which NSAIDs have the greatest cardiac risk, acetaminophen's effect on fetal neurodevelopment, a new prophylactic treatment for migraine, and much more; and we'll wrap things up with a study about whether women find beards attractive.
Cick HERE to listen.
surgeonsAmerican College of Surgeons Launches Education Program on Opioids and Surgery: Use, Abuse, and Alternatives
CHICAGO (October 31, 2016): The American College of Surgeons (ACS) today announced a new multifaceted initiative to improve the knowledge and management of pain in surgical patients with a focus on opioid risk and non-opioid alternatives.
With an educational grant from Pacira Pharmaceuticals, Inc. (Pacira), ACS will develop Opioids and Surgery: Use, Abuse and Alternatives (Opioids and Surgery) professional and patient education materials. Evidence-based education for the surgical patient will support informed choice and meet the guidelines for health literacy, informed consent, and surgical patient safety. Surgeons and surgical practitioners will have access to a comprehensive library of resources specific to opioids and the surgical patient including managing pain expectations, non-opioid options and screening programs. Team training focused on pain management, discharge and transition management will be a critical component of the program.

In 2014, more people died from drug overdoses than in any year on record. The majority of drug overdose deaths (more than six out of ten) involve an opioid, according to the Centers for Disease Control and Prevention (CDC). The CDC also reports that since 1999 the number of overdose deaths involving opioids, including prescription opioid pain relievers and heroin, nearly quadrupled

trumpTrump says he would repeal ACA immediately
Republican presidential nominee Donald Trump   and his running mate once again pledged to repeal and replace the Affordable Care Act if elected and emphasized plans to allow insurance to be  sold across state lines   and block grant Medicaid to the states.

At a campaign rally outside Valley Forge, Pennsylvania, on Tuesday, Trump also said he would want to see his primary opponent neurosurgeon Dr. Ben Carson as a major part of his administration.

On the 
first day of open enrollment   in ACA marketplaces for 2017, Trump and his surrogates blasted rising premiums and fewer plan choices. They also said the law has slowed hiring and job-making, although data does not reflect this.

unexpalinedPatients with Medically Unexplained Pain More Often Socially Excluded
Patients with chronic pain face a variety of burdens in addition to their symptoms, including depression, relational and occupational issues, and inadequate health care. 1

According to a sizable body of research, another significant issue affecting such patients is stigmatization, of which social exclusion is a key feature. 2   In a new study reported in the Journal of Pain, researchers at the University of Ghent in Belgium explored the social responses of observers toward individuals with medically unexplained pain. 3

Clinical Pain Advisor
Start Planning NOW!
ASIPPĀ® Abstracts Submission for 2017 Annual Meeting OPEN
Registration will be open for Abstract Submissions is now available.
The American Society of Interventional Pain Physicians will hold its 19th Annual Meeting April 20-22 in Las Vegas at Caesar's Palace.
This year, we will be making significant changes to the Abstract and Poster Sessions. Submissions will be in two categories: Resident/Fellow and Physician.  Selected posters will be on display forall meeting participants during all breaks and meal times.
The Abstract Committee will select the top 25 for publication in Pain Physician and of those 10 will be selected for Abstract presentation and judging during the Annual Meeting. The top 3 will receive cash prizes.

kidsOpioid Hospitalizations More Than Double Among Kids
The number of hospitalizations for opioid poisonings among children and adolescents more than doubled over a 15-year period beginning in the late 1990s, with poisonings among the youngest children more than tripling, a large retrospective analysis of pediatric hospital data found.

Among all children 1 to 19 years old, the incidence of opioid poisoning increased 165% from 1997 to 2012 -- from 1.40 to 3.71 per 100,000 children  (P   for trend <0.001), reported Julie R. Gaither, PhD, of Yale University in New Haven, Conn., and colleagues.
pregnancyOpioids Unsafe in Pregnancy: The Pain Medicine News Report

Recent analyses have found that many pregnant women receive opioids, which could increase the risk of birth defects.

Pain management experts discuss why the Centers for Medicare & Medicaid Services should not eliminate pain questions from hospital payment scoring calculations.
joyBlog: The joy has been sucked out of medicine. Here's why
She came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider's care was excellent, but the interaction still ended up reducing his salary. You see, that patient's only medical interaction that year was for this ankle sprain, and the provider was therefore held accountable for all of her primary care needs. Since she had not received a mammogram that year, or received a diabetes screening, he incurred an end-of-the-year penalty for failing to meet these quality standards.

Is it any wonder that many providers - primary care physicians, physician assistants, and even many beleaguered specialists - are increasingly dissatisfied with their jobs? What is happening to medical practice and what can we do to bring the joy back to being a health care provider?

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State Society News

NYSIPP Meeting
November 4 - 7, 2016
The New York and New Jersey Societies of Interventional Pain Physicians will hold a joint meeting
November 4-7, 2016 at the Hyatt Regency in Jersey City, NJ
Registration:   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.
he meeting is set for Friday, November 11 - Sunday, November 13, 2016  at the exquisite Bacara Resort & Spa,  Santa Barbara , California.  

Nov 12-13, 2016
The Kentucky Society of Interventional Pain Physicans and the Indiana Society of Interventional Pain Physicians
will hold a joint meting Nov. 12-13, 2016 at the Hyatt in Louisville, KY

OHSIPP Meeting
August 25-27, 2017
The Ohio Society of Interventional Pain Physicians (OHSIPP) has set the dates for it
S 2017 meeting. Dates are Friday Aug 25 thru Sunday Aug 27, 2017.
The meeting will be held in Cincinnati at the Westin Hotel, 21 E 5th St , at Fountain Square .
Contact Michelle Byers for more information MichelleHByers@gmail.com
Please send your State Society meetings and news to: Holly Long at hlong@asipp.org


Physicians Wanted


To view or post a job, please go to: http://jobs.asipp.org/home  

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