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American Society of Interventional Pain Physicians News  | March 5, 2014





  1. ASIPP's 2014 Annual Meeting includes many insightful and entertaining presentations
  2. Still Time to Register for March 13 Webinar on Documentation, Billing, and Coding
  3. Payers Probe Ways to Help Curb Risky Prescribing
  4. Keep your patients informed and entertained with ASIPP-TV24 in your waiting room
  5. Killing Pain: Benzo 'Boost' Can Be Deadly
  6. Killing Pain: Script by Script
  7. Schumer to HHS: Ditch Zohydro
  8. Pregnant Women On Opioids: The Pain Medicine News Report
  9. Blog: Patient's view on Reforming the Physician Fee-for-Service Payment System
  10. CMS launches ICD-10 website for small physician practices
  11. Tab for Repealing SGR? $138 Billion
  12. State Society News
  13. Physician Wanted

annualASIPP's 2014 Annual Meeting includes many insightful and entertaining presentations







CMS cuts and regulations for Interventional Pain Management will make it difficult to practice IPM in the future! In these cuts, CMS has valued physician work to be only $40 to perform an epidural (which does not include the SGR cut) for essentially placing the needle a few millimeters away from the spinal cord. However, we planned an agenda for the ASIPP 16th Annual Meeting which addresses exactly all the issues we are facing and will prepare you for the future of healthcare. This is the only meeting that will be covering these topics and one that you can't afford to miss.


The ASIPP Annual Meeting will have many exciting features: not only practical, evidence-based education, but also our speakers, who we are proud to say are the highest quality we've ever had and will include several insightful and entertaiing presentations.

Saturday, April 5th



Devi E. Nampiaparampil, MD

Interventional Pain Management and
the Media in the New Era


 Devi Elizabeth Nampiaparampil a.k.a. "Doctor Devi"

Dr. Devi is the first interventional pain physician to be a medical journalist. She will deliver the keynote speech on "Interventional Pain Management and Media Interactions in the Modern Era." People increasingly turn to the media for information about health and medicine. Too often, newspaper articles, television segments, and web-based media are biased against pain management physicians and interventional pain procedures. The media provides an outlet through which we can empower patients. We must work with journalists to distribute accurate medical information and to support evidence-based practices. At the conclusion of this talk, the participants will:

  • Learn how to disseminate accurate information to our patients using social media as well as traditional media
  • Be able to outline practical steps for reaching out to the media and for effectively educating patients
  • Understand pitfalls that might occur when working with journalists and producers
  • Be knowledgeable about the basic structure of the news industry and the function of reporters, producers, publicists, and other news professionals



Saturday, April 5th




Brad Nieder, MD

 The Healthy Humorist®-Brad Nieder, MD, CSP- is a funny doctor, keynote speaker and clean comedian who blends healthcare humor with wellness advice and an uplifting message. Audiences love his "Laughter is the Best Medicine" program, finding it entertaining and inspiring (and informative, too, as Dr. Brad explains-without being boring-how laughter really is good medicine ... for managing pain, enhancing immune system function, reducing stress and more.)


The 16th Annual Meeting will feature practical, evidence-based, education to help preserve your practice into the future. We believe you will find that this conference is quite different from the majority of other conferences, offering you much, much more than the typical lectures on emerging technologies. We have worked hard to design a meeting for you and your staff that covers the many aspects of your practice in addition to the cutting-edge technologies and research in IPM.

Visit 2014 Annual Meeting web site for more information


 Visit the 2014 ASIPP Annual Meeting Website for more details

webinarStill Time to Register for March 13 Webinar on Documentation, Billing, and Coding  
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


probePayers Probe Ways to Help Curb Risky Prescribing


A Massachusetts physician found himself in the headlines in 2005 when his license was suspended after evidence emerged that he had prescribed about one-third of the state's 922,985 OxyContin prescriptions in the previous year. Later convicted of drug dealing and Medicare fraud, the man remains a familiar example of the public health effect of risky prescribing.


But cases of inappropriate prescribing are often far more subtle. A physician may unwittingly prescribe to a doctor-shopping patient or simply prescribe too frequently without taking appropriate precautions. To help physicians and state officials identify dangerous prescribing patterns, all 50 states have created prescription drug monitoring programs or have legislation calling for the creation of such a program, and a growing body of evidence supports their use.




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.

benzoKilling Pain: Benzo 'Boost' Can Be Deadly



Only Michael Moore knew the combination to the safe in his bedroom closet. He had locked up his prescriptions for chronic pain and insomnia so his two young children could not get into them.

As it turned out, it was Moore, 49, who needed the protection.


On Nov. 3, 2012, Moore, a computer analyst from Milwaukee who had suffered a serious knee injury years earlier, died of an accidental overdose. When police opened the safe they found hundreds of two types of prescription pills: opioids and benzodiazepines.



Medpage Today

scriptKilling Pain: Script by Script


Primary care doctors wrote about 53 million benzodiazepine prescriptions in 2013, roughly four times the number written by psychiatrists, a group that penned 13 million benzo scripts.


Nurse practitioners and physician assistants were close behind with 11 million prescriptions for the drugs, according to data obtained by MedPage Today and the Milwaukee Journal Sentinel.


In 2013, non-doctors wrote 30 million opioid prescriptions, compared with 92 million written by primary care doctors that year, according to data provided by IMS Health, a drug market research firm.


MedPage Today

schumerSchumer to HHS: Ditch Zohydro


During a Monday press briefing, Sen. Charles Schumer (D-N.Y.) called on Health and Human Services Secretary Kathleen Sebelius to overturn the FDA's approval of Zohydro, a potent hydrocodone-only opioid approved last October.


Schumer joins Sens. Joe Manchin (D-W.Va.) and David Vitter (R-La.), who last week raised concerns about the drug and the way it was approved. In a letter to the dean of the medical school at the University of Rochester Manchin and Vitter voiced concerns about the school's involvement in a potential pay-to-play that they allege could be tied to Zohydro's approval.


In November, attorneys general from 28 states asked the FDA to reconsider its approval decision. And last week, more than 40 people -- including doctors and advocacy groups -- reinforced that message with their own letter to FDA Commissioner Margaret Hamburg, MD, asking her to pull the drug from the market.



MedPage Today

pregnantPregnant Women On Opioids: The Pain Medicine News Report


One in seven pregnant women has been prescribed an opioid prescription for pain at some point during her pregnancy, researchers report.

"I Felt Like an Old Fool": A pain management specialist revisits the painful experience of being investigated by a state medical board.


It may be possible to predict which patients with chronic pain will respond to a medical detoxification program, according to a new study.


The National Pain Foundation is back, four years after merging with the American Pain Foundation, which ceased to exist in 2012.



MedPage Today

blogBlog: Patient's view on Reforming the Physician Fee-for-Service Payment System


Virtually all serious proposals for health care cost containment include reforming the fee-for-service payment system. Last fall's bipartisan proposal to fix Medicare's sustainable growth rate included provisions to reward physicians for providing high-value rather than high-volume care. Ostensibly, realigning physicians' financial incentives would lead to higher quality, better coordinated, and more appropriate care.


But would patients necessarily be aware that their physicians are being paid differently? And would they even care? A new research report from Public Agenda and the Kettering Foundation suggests that consumers could play a role in advancing payment reform. But in order to work through the trade-offs of changing the system, employers and payers must help members of the public understand that most reimbursement is currently fee-for-service.


Public Agenda asked a total of 44 insured and uninsured Americans, 40 to 64 years old, to deliberate together in focus groups over the pros and cons of several approaches to cost containment. Participants had some recent contact with the health care system as patients but none were seriously ill. They considered payment reform, price transparency, increased consumer cost-sharing, government price-setting, and expanded access to Medicare, among other approaches.


Health Affairs


launchCMS launches ICD-10 website for small physician practices


ORLANDO - A new resource is available for small practices as they prepare to switch to the ICD-10 coding system.

Officials from the Centers for Medicare & Medicaid Services (CMS) launched a new website - Road to ICD-10 - to provide a central source of basic information as well as a place to start transitioning to the new code set, which becomes mandatory on Oct. 1.


The site provides fact sheets, training videos, sample codes, and a variety of other resources. It also provides training modules that are specific to certain specialties.



Family Practice

tabTab for Repealing SGR? $138 Billion


WASHINGTON -- Federal budget hawks say it'll cost $138 billion over 11 years to pass a bipartisan bill that finally kills Medicare's physician payment formula.


The Congressional Budget Office released its cost estimate on the legislation repealing Medicare's sustainable growth rate (SGR) late Thursday.


Congress now has a dollar amount on which to work to find how to pay for H.R. 4015 and S. 2000, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014.



MedPage Today

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stateState Society News




Georgia Society Chapter Plans Meeting



The Georgia Society of Interventional Pain Physicians (GSIPP) will have its 10th Annual Pain Summit April 25 - 27, 2014 at The Ritz Carlton Lodge Reynolds Plantation in Greensboro, GA.




For more information and registration, visit www.gsipp.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



Click HERE to view Classified Physicians Wanted Ads listed on the ASIPP website.

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