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American Society of Interventional Pain Physicians News  | March 16, 2016
  1. Don't Delay! ASIPP® 2016 Annual Meeting Room Discount Rate Ends March 24 
  2. Stop ICD-10 Disasters with Cash Flow Disruptions and Denials with Seamless Navigation By Ordering ICD-10-CM Pocket Book for Interventional Pain Physicians
  3. Listen to March ASIPP® Podcast  
  4. ASIPP to Hold Workshops on Imaging, Controlled Substance, Practice Management, Interventional Techniques in Memphis June 9-12 
  5. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016 
  6. Assessing Opioids Prescribed After Low-Risk Surgical Procedures 
  7. Mayo Clinic Establishes Model to Help Battle Burnout 
  8. Negotiating Higher Rates From Payers
  9. How Clinicians Can Promote Behavior Change in Patients 
  10. Value-based Care is Ripping Into Health System Profits 
  11. AG: Healthcare Accounted for 16% of CA Data Breaches in 2015
  12. Cigna could save $350 million from new Medicare Advantage policy shift 
  13. Humana CEO to bank $40 million if Aetna deal closes 
  14. Senate Overwhelmingly Passes Opioid Addiction Treatment Bill
  15. Quality Reporting Costs $40,000 per Physician per Year 
  16. State Society News
  17. Physician Wanted 
Don't Delay! ASIPP® 2016 Annual Meeting Room Discount Rate Ends March 24

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

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.

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

memphisASIPP to Hold Workshops on Imaging, Controlled Substance, Practice Management, Interventional Techniques in Memphis June 9-12

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
Jun. 11-12

Comprehensive Imaging Review in Interventional Pain Management and Competency Exam
Jun. 9-10
June 11
Comprehensive Review Course of Controlled Substance Management andPractice Management and Competency Examination
June 9-10
June 11
ABIPP Part I Examination June 11      
250 North Main Street
Memphis , TN, 38103

Hotel Reservation

CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016
This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care. The guideline addresses 1) when to initiate or continue opioids for chronic pain; 2) opioid selection, dosage, duration, follow-up, and discontinuation; and 3) assessing risk and addressing harms of opioid use. CDC developed the guideline using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework, and recommendations are made on the basis of a systematic review of the scientific evidence while considering benefits and harms, values and preferences, and resource allocation. CDC obtained input from experts, stakeholders, the public, peer reviewers, and a federally chartered advisory committee. It is important that patients receive appropriate pain treatment with careful consideration of the benefits and risks of treatment options. This guideline is intended to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder, overdose, and death. CDC has provided a checklist for prescribing opioids for chronic pain (http://stacks.cdc.gov/view/cdc/38025) as well as a website (http://www.cdc.gov/drugoverdose/prescribingresources.html) with additional tools to guide clinicians in implementing the recommendations.

Assessing Opioids Prescribed After Low-Risk Surgical Procedures
To understand patterns of postoperative opioid prescribing over time, researchers examined the trends of commonly-prescribed opioids after low-risk surgical procedures in the United States.
Hannah Wunsch, MD, MSc, of Sunnybrook Health Sciences Centre, Toronto, and colleagues examined trends in the amount of hydrocodone/acetaminophen and oxycodone/acetaminophen prescribed between 2004 and 2012.

Mayo Clinic Establishes Model to Help Battle Burnout
HealthDay News -- In an effort to reduce burnout among physicians, the Mayo Clinic is initiating a model to raise camaraderie and increase collaboration, according to a report published by the American Medical Association (AMA).
A model has been developed that focuses on physician engagement as a strategy to reduce burnout and involve physicians in their organizations' mission. The model established a formal forum to listen to physicians, where they discussed top pain points in a psychologically safe setting.

Negotiating Higher Rates From Payers
Negotiations to increase payment from insurance companies can be extremely difficult, although it is possible to get a payment increase, according to a report published in Medical Economics.
Practices should be aware that dealing with insurance companies involves being prepared with data. Practices should conduct an internal audit, reviewing all current and past contracts and payment records from insurers. The practice should assess information such as how much it makes or loses on each contract, how much business it does with each payer, and how payment has changed over the years; information should be entered into a spreadsheet. Compiling the information is time consuming and some small practices abandon the process. Other companies hire a consultant to conduct the analysis and negotiations.

How Clinicians Can Promote Behavior Change in Patients
Five key strategies are employed by clinicians to help promote patient behavior change, according to a study published in the Annals of Family Medicine.
Jessica Greene, PhD, from George Washington University in Washington, DC, and colleagues conducted a mixed methods study using data on the change in patient activation measure (PAM) score for 7144 patients. In-depth interviews were conducted with clinicians whose patients' score increases were among the highest and among the lowest (10 of each).

Value-based Care is Ripping Into Health System Profits

Large health systems and hospital operators are reporting falling profits, revenue, income, and share value. The promise of population health management may eventually restore financial order, says one industry expert.
It has not been a good revenue year so far for health systems and hospital operators. Some of the largest players report massive slides in profits and stock prices.

The good news, analysts say, is that health systems will see a turnaround once the industry more fully adopts the value-based care model.

The bad news is that probably will take a while.
AG: Healthcare Accounted for 16% of CA Data Breaches in 2015
Physical breaches were still the dominant form of breach in healthcare, but "as the transition to electronic medical records continues, the healthcare sector will increasingly face the same challenges in securing digital data that other sectors have been grappling with for several years," according to the report.

This article originally appeared in California Healthfax.

Healthcare providers accounted for 16% of all data breaches in California last year and nearly one-quarter were the result of hacking and malware, according to a new report released in February.

The 2016 California Data Breach Report from the state Attorney General's Office found the healthcare sector was third only to retail (25%) and finance (18%) as the most vulnerable to breaches. The healthcare sector was also cited as doing a poor job of encrypting data that is often stolen in physical breaches, although it has improved its security in the past two years.


Cigna could save $350 million from new Medicare Advantage policy shift
The CMS has scrapped a policy that reduced star ratings for Medicare Advantage plans facing sanctions for poor compliance.

The move, which was quietly released by the CMS in a memo (PDF) and shocked many in the industry, will immediately protect hundreds of millions of dollars at Cigna Corp., which had its Medicare Advantage plans sanctioned in January.

"It does seem pretty unusual to make this kind of dramatic change in a memo," said Tom Kornfield, a vice president at consulting firm Avalere Health and former CMS official. "It sort of comes out of nowhere."

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.

Senate Overwhelmingly Passes Opioid Addiction Treatment Bill
WASHINGTON -- By a vote of 94-1, the Senate on Thursday passed a bill to fund treatment for opioid addiction for prisoners, increase opioid abuse prevention efforts, and expand the availability of the anti-overdose drug naloxone (Narcan).

"The legislation reflects the Senate working at its finest to address the awful epidemic that's gripping our country," Sen. Chuck Grassley (R-Iowa), chairman of the Senate Judiciary Committee, said shortly after the bill was passed. "Real lives will be saved because of the leadership of this [group]."
qualityQuality Reporting Costs $40,000 per Physician per Year

As the drive for value-based care advances, US medical practices in just four specialties spend an estimated $15.4 billion each year reporting whether they are meeting their quality targets, according to a survey.
The results of the survey, which were published in the March issue of Health Affairs, bolster anecdotal reports from physicians about the increasing cost and time burden associated with reporting quality measures to insurers, according to Lawrence P. Casalino, MD, PhD, MPH, from the Department of Health Care Policy at Weill Cornell Medical College in New York City, and colleagues.

There is little standardization of quality measures, which may include mammography rates or hemoglobin A1c levels for patients with diabetes. Individual insurers may require physicians to report on hundreds of quality measures with little overlap in the measures used by different insurers, according to the authors.


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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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