2012 asipp news header                
American Society of Interventional Pain Physicians News  | March 12, 2014





  1. Attend ASIPP's 2014 Annual Meeting! Protect Your Practice AND Survive into the Future
  2. Still Time to Register for Tomorrow's Webinar on Documentation, Billing, and Coding
  3. Doctor Payments on the Decline
  4. Non-doctors Writing Millions of Painkiller Rxs
  5. FDA Approves Headband Device for Migraine
  6. Docs Unprepared for Payment Reform
  7. U.S. Cocaine Consumption Declines by Half, While Marijuana Use Jumps
  8. FDA Opioid Rulings Slammed
  9. Impending debut of potent prescription painkiller Zohydro fuels debate over dangers
  10. Teens Likely to Get Opioid Rx for Headaches
  11. Number of Uninsured Buying Coverage Under Health Law Is Rising
  12. Reimbursement provisions in FY15 budget: $400 billion in cuts
  13. Obama Gives Health Plans Added Two-Year Reprieve
  14. Opposition to Medicare Part D Changes Grows
  15. State Society News
  16. Physician Wanted

annualAttend ASIPP's 2014 Annual Meeting! Protect Your Practice AND Survive into the Future








Join us for exciting, informative, and in-depth breakout sessions of multiple areas of ipm, including
practice management, fromindustry leading presenters.


In an effort to meet the needs of interventional pain physicians and other providers as well, we have created Breakout Sessions with educational programs of the highest caliber covering topics of critical interest to interventional pain physicians, mid-level providers, and staff.



Controversies of Epidural Injections

Friday, April 4, 2014

  • Are Transforaminal Epidurals Superior? Comparison of Caudal, Interlaminar, and Transforaminal
  • Epidural Injections: Stenosis, Discogenic, Post-Surgery
  • Cervical Epidural Injections: Interlaminar vs. Transforaminal
  • Complications of Transforaminal Epidural Injections: Cervical Thoracic, and Lumbosacral
  • Mechanism of Injury with Epidural Injections: Artery, Needle, Steroid, or Physician?
  • Alternate Approaches Transforaminal: Safe Triangle, Post Ganglion, Retrodiscal, or Kambin Triangle

Emerging Concepts in IPM

Friday, April 4, 2014

  • Ultrasound Basics
  • Controversies of RFTN: Needle Placement, Connection, Pulsed, Cooled, and Lesion Size
  • Diagnostic Facet Joint Nerve Blocks - 0%, 50%, 80%
  • PRP and other Biological
  • Therapeutic Facet Joint Nerve Blocks vs. Radiofrequency Neurotomy
  • Managing Thoracic Outlet Syndrome
  • Stem Cell Therapy

Practice Development

Friday, April 4, 2014.

  • Practice Management: Scheduling, Billing, and Collections
  • Developing and Managing a Value-Based Practice
  • Trends in Marketing Your Pain Management Practice

Legal and Ethical Considerations

Friday, April 4, 2014

  • Legal Considerations: Stark, Anti-Kickback, and Safe Harbors
  • Evolving CMS Mandates with Reimbursement and Quality Reporting
  • Ethical, Legal Considerations, and Regulation Requirements in Urine Drug Testing
  • Key Steps in Managed Care Contracting
  • Exhibitor Reception in Exhibit Hall

Emerging Evidence for Established Techniques

Saturday, April 5, 2014

  • Percutaneous Adhesiolysis
  • Discography: Provocation vs. Analgesia
  • Spinal Cord Stimulation
  • Intrathecal Implantables
  • Sacroiliac joint Interventions
  • Do We Need Steroids in Epidural Injections?
  • Vertebroplasty vs. Kyphoplasty

Emerging Aspects of IPM

Saturday, April 5, 2014

  • Cancer: Through Pain May Come a Cure
  • Hydrodiscectomy
  • Hip and Knee Injections for Interventionalists
  • Genetic Testing: Fact vs. Fiction
  • Abstract Presentations

Practice Management: Fraud and Abuse-Sleeping with the Enemy

Saturday, April 5, 2014

Here are the session topics:

  • What Are We Facing in IPM? Fraud, Abuse, and RAC s
  • Compliance for Success: OIG and HIPAA

Documentation Debacle

Saturday, April 5, 2014

Here are the session topics:

  • Understanding Documentation Basics and Requirements: CPT, ICD-9, or ICD-10
  • Documentation for Evaluation and Management Services
  • Documentation for IPM Techniques and Other Services
  • Interfacing Documentation with Coding


webinarStill Time to Register for Tomorrow's Webinar on Documentation, Billing, and Coding  
DRM mug Dr. Laxmaiah Manchikanti will present this webinar from 6 to 730 pm Thursday, 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


paymentDoctor Payments on the Decline


Pharmaceutical company payments to health care professionals dropped between 2011 and 2012 among most of the companies and categories ProPublica tracks, driven in part by increased transparency as well as blockbuster drugs losing patent protection. Research payments, however, have increased among that group.



nonNon-doctors Writing Millions of Painkiller Rxs


In 2013, physician assistants, nurse practitioners, and others wrote nearly a third of the painkiller prescriptions issued, according to an investigation by the Milwaukee Journal Sentinel and Medpage Today.


The report was based on data the two outlets obtained from IMS Health. It revealed that doctors did not issue about 30 million of the 92 million painkiller prescriptions last year.


The practice of non-doctors issuing painkiller prescriptions is coming under increased scrutiny because of the increasing number of opioid-related deaths and problems with illegal diversion across the country.


Modern Medicine


headbandFDA Approves Headband Device for Migraine


 A headband delivering electrical nerve stimulation can prevent onset of migraine headaches and can be marketed for that purpose in the U.S., the FDA said Tuesday.


Called Cefaly, the Belgian-made device is the first to win FDA approval for migraine prevention and is also the first transcutaneous electrical nerve stimulation (TENS) system OK'd for any type of pain prevention, as opposed to acute treatment, the agency said.


The device is battery-powered and worn around the head, with the actual TENS stimulator centered on the forehead just above the eyes. It delivers a small, steady current to trigeminal nerve branches. Patients will be instructed to use the device once daily for a maximum of 20 minutes. It is approved for adults only.



MedPage Today

unpreparedDocs Unprepared for Payment Reform


A pair of recent reports call into question the ability of physician practices to embrace health reform efforts.

Practices aren't staffed to become patient-centered medical homes (PCMHs), and little is known about how to best operate in a setting that rewards physicians for performance, the studies released in the last week found.


Only about half (53%) of more than 500 primary care practices reported having nurse practitioners or physician assistants, and a quarter (24%) had care managers or coordinators, Deborah Peikes, PhD, of Mathematica Policy Research in Princeton, N.J., and colleagues wrote in the Annals of Family Medicine. A mere 7% reported having pharmacists, social workers, community service coordinators, health educators, or nutritionists.



MedPage Today

cocaineU.S. Cocaine Consumption Declines by Half, While Marijuana Use Jumps


The use of cocaine dropped sharply across the United States from 2006 to 2010, while the amount of marijuana consumed increased significantly during the same period, according to a new report.


Studying illegal drug use nationally from 2000 to 2010, researchers found the amount of marijuana consumed by Americans increased by more than 30 percent from 2006 to 2010, while cocaine consumption fell by about half. Meanwhile, heroin use was fairly stable throughout the decade.


Methamphetamine consumption dramatically increased during the first half of the decade and then declined, but researchers did not have enough information to make a credible estimate of the drug's use from 2008 to 2010.



Health Canal


slammedFDA Opioid Rulings Slammed


FDA decisions about prescription opioid painkillers have been inconsistent, and the agency should make future decisions with greater transparency, according to drug safety researchers.


While all extended-release oxycodone products (OxyContin and generics) are required to have abuse-deterrent properties, that's not the case for long-acting oxymorphone (Opana and generics) or hydrocodone (Zohydro), according to Lewis Nelson, MD, of NYU School of Medicine, and colleagues.



MedPage Today

dangerImpending debut of potent prescription painkiller Zohydro fuels debate over dangers


A powerful new prescription painkiller that's packed with hydrocodone and provides 12-hour pain relief will be available in pharmacies in the next couple of weeks.


Both the manufacturer of Zohydro and the federal Food and Drug Administration say that the drug, a synthetic opioid, is safe if used correctly and is a necessary alternative for patients who have built up a tolerance to other opioids or can't tolerate opioids mixed with other medicines.


But local addiction-treatment experts and families who have lost loved ones to opiate overdoses say the new drug will contribute to the deadly heroin and pain pill epidemic. For them, a new prescription opiate is the last thing needed on the shelves of drugstores.


Buffalo News



teenTeens Likely to Get Opioid Rx for Headaches


Nearly half of teens who visit a doctor complaining of headache pain walk away with a prescription for a narcotic painkiller, researchers found.


And teens who sought headache treatment at an emergency department were twice as likely to get an opioid for their headache as those who saw a doctor in a different setting.


Opioids were go-to drugs for teen headache even though evidence-based guidelines do not recommend them for first-line treatment.


MedPage Today

risingNumber of Uninsured Buying Coverage Under Health Law Is Rising

The number of previously uninsured consumers buying coverage under the health law has risen sharply in recent weeks, according to new research, a nascent signal of progress in the law's goal of reducing the ranks of the uninsured.


The overall share of uninsured people gaining coverage remains low, but the trend suggests more people could gain coverage as the enrollment period approaches its final weeks. Most people must pick health plans by the end of March, when open enrollment ends.


About 27% of 395 consumers surveyed in mid-February who enrolled in health-law coverage were previously uninsured, according to consultancy McKinsey & Co. That is up from about 11% in a previous McKinsey survey covering consumers who had chosen coverage as of January.



Wall Street Journal



 Access to this article may be limited.

fy15Reimbursement provisions in FY15 budget: $400 billion in cuts


The Obama Administration released its proposed federal budget for fiscal year 2015 this week. Virtually all types of healthcare providers, health plans, and drug manufacturers would be impacted by the budget provisions if adopted as proposed - an unlikely scenario given the Republican House leadership's reaction to the document.


Hospitals will not be altogether pleased with many of the budget proposals. "Today's budget proposal includes some problematic policies that would undermine the ability of hospitals to improve the healthcare system and, ultimately, puts access to services at risk for the patients and communities we serve," said AHA President and CEO Rich Umbdenstock, in a statement.



Healthcare Finance News


reprieveObama Gives Health Plans Added Two-Year Reprieve


The Obama administration further postponed a provision of the Affordable Care Act on Wednesday, the latest in a series of changes that have delayed or pared back the health overhaul so much that many of its ambitious goals won't be achieved during its first years in full effect.


Democrats sought to create a new health-care landscape when they passed the law in 2010, with millions of uninsured Americans gaining coverage, employers facing fines if they didn't insure workers and skimpy health plans disappearing.


But a series of delays by the administration-and decisions by states on implementing the law-have taken a toll. The latest delay came Wednesday, when federal officials said insurance companies could continue selling plans that don't meet the law's more rigorous standards until 2016 in some instances. It was the second time the administration delayed that requirement after the law's tougher standards prompted insurers to cancel millions of people's health plans last year. The latest delay averts another raft of cancellations before this year's midterm elections.


Wall Street Journal


Access to this article may be limited.

partdOpposition to Medicare Part D Changes Grows


Medicare's prescription drug program was controversial when it arrived, but a decade later it is widely considered to be a Washington success story. Now, though, the Obama administration is proposing a series of significant changes to fix what critics say isn't broken.


Administration officials say they want to help beneficiaries make good choices and save taxpayers money. But some patient groups, pharmaceutical manufacturers, and lawmakers in both parties are pushing back against various elements.


The regulation would affect several aspects of the Medicare drug program, also known as Part D, ranging from new limits on the number of plans insurers could offer consumers to new rules about what drugs those plans must cover. It also would prohibit exclusion of pharmacies from a plan's "preferred pharmacy network" as long as they agree to the plan's terms and conditions.


MedPage Today

Join Our Mailing List!
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


If you are interested in advertising on the Physicians Wanted page, please contact Holly Long for pricing information
Phone (270) 554-9412 ext. 230
Fax: (270) 554-5394



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

ASIPP Members are encouraged to visit and 'Like' or do 'Friend Request' or 'Connect' on ASIPP's new social media sites. ASIPP now has a Facebook account, a Twitter Account, a You Tube account and we are also on LinkedIn. Get more involved today and visit our new sites.
Facebook twitter twitter