Robert Laszewski
President, Health Policy and Strategy Associates, Inc.(HPSA)
Robert Laszewski To Keynote The Manchikanti Distinguished Lecture Series At ASIPP ® Annual Meeting
Robert Laszewski's keynote, Evolving Concepts for Future Health Care Reform: Beyond ACA , is scheduled during the Manchikanti Distinguished Lecture Series of Friday, Aprl 3 during the ASIPP ® Annual Meeting 2020.

He has participated extensively in the nation's health care debate, especially on health insurance reform and the impact it will have on existing health insurance programs, the insurance industry, and the evolving role between payers and providers. Mr. Laszewski has written and spoken widely on the subject of health care reform and market change. His media appearances include health care features on ABC, NBC, CNN, PBS, and NPR, as well as on The McLaughlin Group and McLaughlin's One on One." Additionally, numerous articles about his ideas have appeared in the national and trade press and he has been regularly quoted in many newspapers including The Wall Street Journal and the Washington Post.
ABIPP Recognizes Your Knowledge and Expertise

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 now offers the only competency certification program for regenerative medicine.
For complete information about the examination requirements and to obtain an application packet, visit or call 270-554-9412 x4217 or by email at .
ABIPP Part I  
  • Combined CSM/CCPM Exam for ABIPP Path
  • Competency Exam in Controlled Substance Management
  • Competency Exam in Coding, Compliance, and Practice Management
JUNE 27-28
  • ABIPP Competency Exam
  • Regenerative Medicine Competency Exam
  • Endoscopic Lumbar Decompression Competency Exam
939 Ridge Lake Blvd.,
Memphis, Tennessee 38120
June 27 - June 28, 2020 | Hilton Memphis
The ASIPP ® Annual Meeting 2020 Is Going To Be BIG!
Everything in Texas is BIG . Including the ASIPP® Annual Meeting 2020 . Held at the Hyatt Regency Dallas , April 2-4, 2020. There will be two Distinguished Lecture Series and ten keynotes. There are more than 45 distinguished speakers scheduled with many being physician speakers. Over 1,000 attendees are projected to attend. There will be around 100 exhibitors. The Hyatt makes for a world class venue. This year's theme is ‘ Integration of Innovative Approaches in IPM ’. ASIPP® is collaborating with the Texas Pain Society . And there is a Career Fair . This is BIG !

This will be the 22nd annual meeting for ASIPP® and is being held in conjunction with the Texas Pain Society . The Annual Meeting will be tailored to physicians, mid-level providers, and staff. You can register in several ways. By phone contact Cindy at 270-554-9412. Online click here . In addition, the Exhibitor Prospectus is available to prospective sponsors and vendors. Click here to access the Exhibitor Prospectus .

Reserve your hotel room at discounted rates . The ASIPP ® meeting room block is now open for reservations. You may book online or by phone. Discounted rates include date of March 31-April 5 and will be available until March 17. Reserve by phone: 1-877-803-7534. Use the Group Discount Code: G-SIPP. Click here to reserve your room online.

If you have questions about the room the meeting, contact Karen Avery at / 270-554-9412 x 4210
ASIPP Annual Meeting Offering Optional ASAM Course

Course Includes 4 hours of online material at the conclusion of the course to provide the required 8 hours needed to obtain the waiver to prescribe buprenorphine in office-based treatment of opioid use disorders.

A $200 registration fee is in addition to the meeting registration fee.
ASAM course registrants must be registered attendees for the ASIPP 2020 Annual Meeting in Dallas. Onsite registration will be available as space allows or you may register in advance on your meeting registration form.

This course will only be offered Friday, April 3 and is open to Physicians, Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants who wish to obtain a waiver to prescribe buprenorphine in office-based treatment of opioid use disorder.
Announcing a New ASIPP Partnership - Fedora Billing
and Revenue Cycle Management Company 
After long discussions, in addition to our NorCal liability program for ASIPP members, now we are able to offer unique benefits for revenue cycle management with billing, etc.

Fedora ( ) is a company known to many of our board members and others. ASIPP has reached an agreement with Fedora to provide exclusive discounts on billing or revenue cycle management that will decrease practice costs and promote growth, or at least stop deterioration. It is not just a billing company; they streamline the billing and receivable process and constantly update payor regulations keeping your practice up to on date on a daily basis. 

You may view the ASIPP billing program website at the following link:  

Some of the ASIPP Billing Program highlights are below:
Up to 50% savings for ASIPP members for their billing or revenue cycle management for their offices and surgery centers:
  • Expertise in interventional pain management billing for all types of services
  • 99% Clearing House Rate
  • 95% First-Time Claim Passage
  • 23.4 Average Days in A/R
  • Eligibility and Benefits Verification 
  • Pre-Certification/Prior Authorization
  • Denials and A/R Management 
Surgical Attire Changes a Bust for Infection Control?
One center reports what happened with
shift to bouffants, surgical jackets
Mandating surgical jackets and bouffant caps in the surgical suite didn't reduce patients' infection risk and may not have been worth the cost, a single-center retrospective study suggested.
Surgical site infections were similar ( P =0.28) across surgical attire groups in analysis of all inpatient operations at the University of Alabama at Birmingham (UAB) Hospital over a 22-month period as the center transitioned to use of bouffants and jackets:

  • 1.01% (124 of 12,266) without either
  • 0.99% (88 of 8,888) with bouffant headgear alone
  • 0.83% (107 of 12,888) with both items
Real-World Data Can't Replace the 'Magic' of Randomized Trials
Make RCTs less bureaucratic, not less common

Real-world database analyses are not the solution to the problem of large, expensive, and difficult-to-enroll randomized controlled trials (RCTs), argued an all-star clinical trials group.

"Instead, unnecessary obstacles to the reliable assessment of the efficacy and safety of treatments in randomized trials of appropriate size should be removed," Rory Collins, MD, and colleagues from the clinical trials and epidemiology unit at the University of Oxford, England, wrote in a viewpoint in the  New England Journal of Medicine .

Nonrandomized observational analyses of large electronic patient databases being promoted as an alternative can potentially catch rare adverse effects and pick up large beneficial effects.
Fake urine allows addicts, users to cheat drug tests
CINCINNATI ( WKRC ) - Drug abuse continues to leave a tragic trail. According to the Centers for Disease Control and Prevention, 70,237 people died from drug overdoses in 2017 alone.

Drug abuse is also expensive, The Council of Economic Advisors estimates the cost of the opioid crisis in 2018 cost $696 billion in the value of lost lives, as well as increases in health care and substance abuse treatment costs, increases in criminal justice costs, and reductions in productivity.

That’s why so many corporations and businesses rely upon drug tests of new and current employees. But that system works only if the tests are reliable.

A Local 12 Investigation examined a popular product that experts say allows addicts and users to cheat on urinalysis (UA), the most common type of drug test, which doctors say could lead to deadly outcomes.

Quick Fix PLUS is made by Spectrum Labs in Cincinnati and comes in a bright yellow box, which proclaims its product is "urea,” which “Contains other ingredients normally found in urine,” which the company claims is, “Balanced for pH, specific gravity and other characteristics.

It’s a leading product in the growing number of synthetic urines now flooding the market.
The ready availability and similarities of many over-the-counter pain medications can be daunting for patients, making the role of the clinician in helping them decide which medication to take when important.

Among the interesting findings in a new report of over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) and others was the factoid that more than half of patients admitted to emergency care for taking too much of one of these drugs are admitted for acetaminophen (Tylenol) overdose.

“The factors in the decision of whether and, if so, which drug to prescribe for relief of pain and inflammation, should not be limited to risks of cardiovascular or gastrointestinal side effects.,” said Charles H. Hennekens, MD, DPH, corresponding author of the Schmidt College of Medicine, said in in the news release. “These considerations should also include potential benefits including improvements in overall quality of life resulting from decrease in pain or impairment from musculoskeletal  pain  syndromes.”
Essentials of Regenerative Medicine in Interventional
Pain Management
Essentials of Regenerative Medicine in Interventional Pain Management is a book to bring concise, collective, and comprehensive information to interventional pain physicians practicing regenerative medicine in managing chronic pain. Regenerative medicine is an integral part of interventional pain management within the definitions of interventional pain management and interventional techniques.

Each chapter contains an introduction of the subject, historical context,pathophysiology, applicability of regenerative medicine with its evidence base, indications, anatomy, technical aspects, complications, and precautions for each topic when available and applicable. This comprehensive book consists of 35 chapters, more than 350 figures, and 50 tables.
Essentials of Regenerative Medicine in Interventional Pain Management
Submit Your Abstract To The ASIPP ® 2020 Annual Meeting Abstract/Poster Presentation

The 2020 Annual Meeting Abstract Submission is still now available!

Abstracts Deadline February 17, 2020
Pain Physician January/February
2020 Articles Available Online Now
The January/February issue of Pain Physician features two surveys: one on prescription drugs in the workplace, and another on patient-reported outcome demographics. The issue also features randomized trials on pulsed radiofrequency on thoracic dorsal root ganglion, and the effects of intraoperative, low-dose ketamine on postsurgical pain after breast cancer.
Prescription Drugs and the US Workforce: Results from a National Safety Council Survey
Alaa Abd-Elsayed, MD, Mathew Fischer, MD, Jonathan Dimbert, MS, and Kenneth James Fiala,BS

Demographic Factors Associated with Patient-Reported Outcome Measures in Pain Management
Jihad Abdelgadir, MD, Edmund W Ong, PhD, Salma M Abdalla, MD, John C Hunting, MPH, Mohamed Mustafa Diab, MD, Michael M Haglund, MD, PhD, C Rory Goodwin, MD, PhD, and Padma Gulur, MD

Randomized Trials
Pulsed Radiofrequency on Thoracic Dorsal Root Ganglion versus Thoracic Paravertebral Nerve for Chronic Postmastectomy Pain, A Randomized Trial: 6-Month Results
Diab Fuad Hetta, MD, Sahar Abdel Baky Mohamed, MD, Kawser Hofny Mohamed, MD, Taha Abd Elrazek Mahmoud, MD, and Hanan Ahmed Eltyb, MD

Effects of Intraoperative Low-Dose Ketamine on Persistent Postsurgical Pain after Breast Cancer Surgery: A Prospective, Randomized, Controlled, Double-Blind Study
Christine Kang MD, Ah-Reum Cho MD, PhD, Kyung-Hoon Kim MD, PhD, Eun-A Lee MD, Hyeon-Jeong Lee MD, PhD , Jae-Young Kwon MD, PhD, Haekyu Kim MD, PhD, Eunsoo Kim MD, PhD, Ji-Seok Baik MD, PhD, and Choongrak Kim MD, PhD
Pharmacist: 'I Am a Danger to the Public'
Pharmacists at national chains like CVS, Walgreens, and Rite Aid say it's becoming difficult to do their jobs safely and they may be putting patients at risk,  the New York Times reports .

They blame their troubles on understaffing and performance metrics that ultimately boost profits for their employers, who have a financial interest in dispensing as many pills as possible.

In an anonymous letter to the Texas State Board of Pharmacy, one pharmacist wrote: "I am a danger to the public working for CVS."

The  Times  spoke with pharmacy boards in two dozen states that have fielded these complaints, though they have limited authority to regulate the business. Most boards don't require pharmacies to report errors, and sometimes pharmacy company officials sit on those boards.

Pharmacists describe having to do too many things at once: filling prescriptions, advising patients, calling doctors and insurers, working the register, answering phones, giving flu shots, and more. "I certainly make more mistakes," one wrote to the South Carolina pharmacy board. "I had two misfills in three years with the previous staffing and now I make 10-12 per year (that are caught) ."
Study: Medical Students Lose Empathy for Patients as They Progress Through Medical School
Medical students  appear  to lose empathy as they progress through medical school, and this decline in empathy is higher among MD (doctor of medicine) students than DO (osteopathic) students, according to a recent study published in the  journal  Academic Medicine.

Mohammadreza Hojat, PhD, said in a  press release  that empathy in the context of patient care is “a cognitive attribute that involves an ability to understand the patient’s pain, suffering, and perspective combined with a capability to communicate this understanding and an intention to help.”

In this study, researchers recruited 10,751 medical students (3,616 first-year, 2,764 second-year, 2,413 third-year, and 1,958 fourth-year students) enrolled in 41 campuses of DO-granting medical schools in the US while comparing preexisting data from students of MD-granting medical schools. All participants were asked to complete a web-based survey at the end of the 2017-2018 academic year that included the Jefferson Scale of Empathy (JSE) and the Infrequency Scale of the Zuckerman-Kuhlman Personality Questionnaire for assessing “good impression” response bias.
Control Your Waiting Room TV

Customized waiting room TV exclusively for ASIPP ® members. Create your own ad-free television broadcasts using our videos, custom informational slides and your own YouTube videos. Even add local weather reports, news and live messages.
State Society Meetings
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