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American Society of Interventional Pain Physicians News  | February 19, 2014




  1. Abstract Submission Deadline Extended to Friday, Feb. 21
  2. Attend ASIPP Annual Meeting--Enjoy Educational Programs Full of Controversy
  3. Documentation, Billing, and Coding Webinar Rescheduled for March 13
  4. Keep your patients informed and entertained with ASIPP-TV24 in your waiting room. 
  5. CBO report: Minimum wage hike could cost 500,000 jobs
  6. Health Law's Impact Has Only Begun
  7. Reimbursement changes for CPT code 76942
  8. AMA calls for ICD-10 delay
  9. ICD-10 to Cost Physician Practices More Than $200k
  10. At the ObamaCare Improv
  11. 'Doc Fix' To Heal Medicare Payment Flaw May Be In Congressional Homestretch
  12. Ratings a Factor When Choosing Physician
  13. State Society News
  14. Physician Wanted

abstractAbstract Submission Deadline Extended to Friday, Feb. 21 

 Abstract Submission has been extended to Friday, Feb. 21. Enter your abstract proposal into the American Society of Interventional Pain Physicians abstract and poster presentation at the 16th Annual Meeting set for April 4-6, 2014 in New Orleans, Louisiana.


The top 20 abstracts will be published in Pain Physician journal. The top 20 will be selected for Poster presentation during the annual meeting on April 5. The top 5 will be presenting their abstracts during the regular session of all members on Saturday. That evening at the Presidential Awards Banquet, the top three abstract presenters will receive cash prizes.


 Those selected will be notified by March 4, 2014 and will receive free registration to the annual meeting.


Click HERE or a complete set of rules  


Click HERE to submit your abstract.


annualAttend ASIPP Annual Meeting--Enjoy Educational Programs Full of Controversy






The only one meeting with all this information available and more is ASIPP's 16th annual meeting in New Orleans.


Come to New Orleans and listen to many experts speaking on not only the scientific aspects of interventional pain management, but most importantly clinical and practical aspects. This is the only annual meeting which provides you tools to manage your practice and preserve the practice into future.



The ASIPP Annual Meeting hotel room block is full. If you are unable to book a room at the Hilton New Orleans Riverside, rooms are available at several nearby hotels.

  • Harrah's New Orleans - 228 Poydras Street - 800-427-7247
  • Hyatt Place New Orleans Convention Center - 881 Convention Center Blvd. - 504-524-1881
  • Lafayette Hotel - 600 Saint Charles Avenue - 866-460-7454
  • Courtyard by Marriott New Orleans Downtown/Convention Center - 300 Julia - 504-598-9898
  • St. James Hotel, an Ascend Hotel Collection Member - 330 Magazine Street - 866-599-6674


 This year ASIPP has created educational programs of the highest caliber covering topics of critical interest to interventional pain physicians, mid-level providers, and staff








Are Transforaminal Epidurals Superior? Comparison of Caudal, Interlaminar, and Transforaminal

Kenneth Candido, MD


Epidural Injections: Stenosis, Discogenic, Post-Surgery

Frank Falco, MD


Cervical Epidural Injections: Interlaminar vs. Transforaminal

Sudhir Diwan, MD


Complications of Transforaminal Epidural Injections: Cervical, Thoracic, and Lumbosacral

Aaron Calodney, MD


Mechanism of Injury with Epidural Injections: Artery, Needle, Steroid, or Physician?

Sairam Atluri, MD


Alternate Approaches Transforaminal: Safe Triangle, Post Ganglion, Retrodiscal, or Kambin Triangle

Scott Glaser, MD



Visit the 2014 ASIPP Annual Meeting Website for more detail



webinarDocumentation, Billing, and Coding Webinar Rescheduled for March 13
Dr. Laxmaiah Manchikanti will present this webinar from 6 to 730 pm March 13,2014


Cost for the webinar is $175. Participants may receive 1.5 Credit Hours.
The incorporation of documentation measures into a physician practice should not be at the expense of patient care, but instead should augment the ability of the physician practice to provide quality patient care.
A well-designed documentation program can:
* Speed and optimize proper payment of claims.
* Minimize billing mistakes.
* Reduce the chances that an audit will be conducted by HCFA or the OIG.
* Avoid conflicts with the self-referral and anti-kickback statutes.
* Avoid submitting claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.

Recently documentation in IPM has been under attack from all carriers as well as recovery contractors, OIG, and others. OIG may seek civil monetary penalties and sometimes exclusion for a wide variety of conduct and is authorized to seek different amounts of penalties and assessments based on the type of violation at issue. Penalties range from $10,000 to $50,000 per violation.

In this innovative and interactive webinar, we will evaluate the rules and regulations of documentation, billing, and coding, along with practical examples and case presentations.
This webinar is intended for interventional pain management specialist, nurses, staff, and other healthcare providers.
Click HERE to register


keepKeep your patients informed and entertained with ASIPP-TV24 in your waiting room.

With ASIPP-TV24 our patients will view TV programming about Interventional Pain Management furnished by the American Society of Interventional Pain Physicians (ASIPP) and video of your practice if you choose. Your waiting room patients will increase their awareness of pain management issues and procedures by watching ASIPP-TV24.


And this relevant and appealing programming will also lessen the perceived wait time for patients and caregivers. ASIPP-TV24 is easy to setup and run. A media player and all of the content, administration, and technical support is handled by ASIPP and it's partner Tanager Productions. Fresh content is downloaded to your office on a regular basis. All of this for a subscription fee as low as $35 per month.

For more information Click Here.

cboCBO report: Minimum wage hike could cost 500,000 jobs
 The new non-partisan report provides ammunition for both sides in an increasingly heated political fight over the minimum wage.


WASHINGTON - President Obama's call to raise the federal minimum wage could help lift 900,000 workers out of poverty, but at a cost of as many as 500,000 jobs, according to an analysis released today by the non-partisan Congressional Budget Office.

The White House and congressional Democrats--who are seeking to make a federal minimum wage hike a top issue in the 2014 elections--took issue with the politically sensitive report and said CBO's findings are inconsistent with the prevailing view among economists that raising the minimum wage does not impact employment.


USA Today

impactHealth Law's Impact Has Only Begun


On Jan. 1, the key provisions of the Affordable Care Act took effect. Americans gained access to new health plans subsidized by federal dollars. Insurers no longer can turn away people with existing conditions. Millions are now eligible for new Medicaid benefits.


But the federal law also upended existing health-insurance arrangements for millions of people. Companies worry about the expense of providing new policies, some hospitals aren't seeing the influx of new patients they expected to balance new costs and entrepreneurs say they may hire more part-time workers to avoid offering more coverage.


The law's true impact will play out over years. It will depend in part on whether backers overcome serious early setbacks, including crippling glitches in the new online insurance marketplaces and many states' rejection of the Medicaid expansion. But another obstacle the law faces is pushback from some consumers and industry over the higher costs, complex rules and mandatory requirements it imposes.


Wall Street Journal


Access to this article may be limited.

reimburseReimbursement changes for CPT code 76942


In the December 2013 issue of Anthem's Network Update, you were notified of the following:


For claims with dates of service on or after March 17, 2014, Anthem Blue Cross and Blue Shield (Anthem) in Indiana, Kentucky, Missouri, Ohio and Wisconsin (individually referred to herein as the Health Plan), will no longer reimburse CPT code 76942 (Ultrasonic guidance for needle placement) when it is reported with 27096, 32554, 32555, 32556, 32557, 37760, 37761, 43232, 43237, 43242, 45341, 45342, 64479-64484, 64490-64495, 76975, 0213T-0218T, 0228T-0213T, 0232T, 0249T, and 0301T.


After our December 2013 issue published, the Current Procedural Terminology (CPT) parenthetical guideline was updated to include three additional CPT codes: 10030, 19083 and 19285.

As a result, we are notifying you of the following:

  • Effective March 17, 2014, the Health Plan will no longer reimburse CPT code 76942 when it is reported with 10030, 19083, 19285.
  • Effective May 19, 2014, the Health Plan will no longer override the edit when Modifier 59 is appended to either 76942 and 10030, 19083 and 19285.


Anthem Network E-Update


delayAMA calls for ICD-10 delay


The costs to medical practices for implementing the International Classification of Diseases-10th Revision (ICD-10) coding system have been grossly underestimated, according to a recent study by Nachimson Advisors for the American Medical Association (AMA). The association is calling for a delay in the October 1, 2014, ICD-10 go-live date in order to give practices more time to prepare for the financial and administrative requirements.


Small practices can expect to spend between $56,639 and $226,105 and medium-size practices can spend between $213,364 and $824,735 to implement ICD-10. Expected costs include up to $100,000 in payment disruption for small practices, and up to $166,000 in productivity losses for medium-size practices. Large practices can expect to spend between $2 million and $8 million to implement the new coding system, according to the study. The study estimated that two-thirds of physicians will pay the upper range of cost estimates. In 2008, the AMA estimated that it would cost a small practice $83,290 to implement ICD-10.


Medical Economics

icdICD-10 to Cost Physician Practices More Than $200k


The American Medical Association initiated a study conducted by the Nachimson Advisors on the cost of implementing ICD-10, which will be nearly three times that predicted in a 2008 study.


The ICD-10 code set includes 68,000 codes and will be a massive undertaking for the healthcare system. The new study predicts that costs incurred for small practices will be $56,639 to $226,105; medium sized practice will be $213,364 to $824,735; and large practice will be $2 million to $8 million.


Around two-thirds of physician practices are projected to fall into the upper range of current cost estimates. Practices will incur costs for software upgrades, training staff, practice assessments and testing. They will also experience payment disruption and loss of physician productivity during the switch.


According to CMS, denial rates could increase 100 to 200 percent during the early stages of ICD-10, and software vendor readiness for the October implementation date is lagging.


Becker Spine Review


imoprovAt the ObamaCare Improv


President Obama predicted at the House Democratic retreat on Friday that "10 years from now, five years from now" people will look back on the Affordable Care Act as "a monumental achievement." He's right in the limited sense that, given the delays he has sanctioned so far, it will take years before anyone can tell if it works.

Now that we've had more time to parse this week's announcement of a second delay of the employer mandate, the political reason for the carve-out is becoming clearer. Far from the economic relief that the White House claimed, the rule is meant to turn back the lifeboats toward the capsized ObamaCare ocean liner so the women and especially the children can help with the rescue.


The statutory mandate requires businesses with the equivalent of 50 full-time employees based on a 30-hour work week to cover all workers or else pay a fine, starting Jan. 1, 2014. Mr. Obama is pushing the deadline back to 2016 for a new business category the White House waved into existence-those with fewer than 100 workers. Plus, all employers above that threshold will have to cover a mere 70% of their work force that year, not the law's pre-rewrite 100%.


Wall Street Journal


Access to this article may be limited.

fix'Doc Fix' To Heal Medicare Payment Flaw May Be In Congressional Homestretch


Using language seldom reserved for Congress, the nation's most powerful lobbies for physicians are heaping praise on rare bipartisan legislation heading to the floors of the U.S. Senate and House of Representatives perhaps within the next month to fix a flaw in how doctors are paid by the federal Medicare health insurance program for the elderly.


After years of watching Congress delay, debate and dither on the repeal of Medicare's "sustainable growth rate," or SGR, reimbursement formula, a solution has passed three powerful Congressional committees and is headed possibly next month to likely passage.




ratingsRatings a Factor When Choosing Physician


Nearly three out of five people said a physician's rating on a website was at least a somewhat important factor when choosing a doctor, survey results published Tuesday found.


Of the more than 2,100 who responded, 19% (16%-23%, 95% CI) said a physician's rating on a reporting website was a "very important" factor in their choice, and another 40% (36%-44%, 95% CI) said it was "somewhat important," according to a research letter published in the Journal of the American Medical Association.


While consumers rated other factors such as word of mouth and years of experience as more important in picking a doctor, 65% of respondents (61%-69%, 95% CI) were at least aware of online physician ratings, David Hanauer, MD, of the University of Michigan Medical School in Ann Arbor, and colleagues wrote.



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stateState Society News



Mississippi Chaper Plans Meeting


The Mississippi -Society of Interventional Pain Physicians (MS-SIPP)

 will have a dinner meeting at 6 pm February 22 at Shapleys restaurant in Ridgeland, MS.


Please contact Timothy Beacham, MD for more information at  tbeacham06@gmail.com


Pennsylvania Chapter Meeting Feb. 22


The Pennsylvania chapter (PASIPP) will meet at 10:30 am February 22, 2014 at the Harrisburg Hilton (1 North Second Street, Harrisburg PA 17101) in Harrisburg PA.


For more information, contact Vahid Grami, MD, MPH , PASIPP President, vahidgrami@yahoo.com



CASIPP Sets Date for Annual Meeting


The California Society of Interventional Pain Physicians will hold its 2014 annual meeting September 12-14 at the Terranea Resort (www.terranea.com) in Rancho Palos Verdes, CA.


For more information, go to www.casipp.com





* Please send in your State Society meeting news to:
 Holly Long at hlong@asipp.org






adsPhysicians Wanted


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Phone (270) 554-9412 ext. 230
Fax: (270) 554-5394



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