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American Society of Interventional Pain Physicians News  | April 30, 2014




  1. Spinal & NonSpinal Interventional Techniques Offered Just One Time This Year: June 20-21
  2. Register Today for ASIPP Practice Management Webinar May 13
  3. FDA Orders New Warning for Epidural Steroids
  4. ASIPP Response to FDA Warning
  5. Polls Try To Gauge The Health Law's Effects On Midterm Elections
  6. Medical Debts Up, Docs Get Tougher About Payments
  7. Health Plans Scramble To Figure 2015 Rates
  8. Medicare Patients Are First Casualty In Emerging Healthcare Revenue Battles
  9. State Society News
  10. Physician Wanted

juneSpinal & NonSpinal Interventional Techniques Offered Just One Time This Year: June 20-21




This 2-day comprehensive review course and cadaver workshop on spinal interventional techniques (basic and intermediate levels) and non-spinal interventional techniques. Participants experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques.



This intensive review course in spinal and non-spinal interventional techniques is planned as a CME activity for interventional pain physicians-for review, skills improvement or to fullfil state board requirements for CME hours.



After this course, participants should be able to:

- Describe the delivery of multiple aspects of interventional pain management.

- Review multiple areas of interventional pain management including spinal and non-spinal techniques.

- Demonstrate skills through interactive hands-on cadaver workshop.



Physicians should be able to integrate multiple aspects of spinal and non-spinal techniques in interventional pain management in treating their patients so that patients have better outcomes and reduced side effects.






212 N. Kingshighway, St. Louis, MO 63108 - (877) 587-2427

Each tastefully decorated space welcomes you with a comforting array of amenities and personal touches, including fine cotton sheets, generously sized towels and pre­mium toiletries.The discounted nightly rate of $160 is available through May 30, 2014 or until sold out which ever occurs first. Ask for the ASIPP room block when registering.


CLICK HERE for Brochure


CLICK HERE to Register

webinarRegister Today for ASIPP Practice Management Webinar May 13





WEB INAR DATE: May 13, 2014

TIME: 11:00am CST


LENGTH: 90 Minutes

SPEAKER: Gary M. Janko, MPA

Gary M. Janko, MPA

PSMG, Executive Vice President and Chief Operating Officer


The purpose of this webinar is to detail the major elements of the revenue cycle; identify meaningful benchmarks; define critical operating workflows and their impact on clinical efficiency; develop optimal report sets; and establish a budget to measure administrative and clinical performance against established goals. The webinar content is designed for both physicians, mid-level providers, and key administrative staff.


Upon conclusion, the attendee will gain an understanding of the need for establishing practice benchmarks and performance goals; the budgeting process; the inter-relationship between clinical workflow and the revenue cycle; develop report sets and methodology; presentation of financial results; and how to interpret operating trends and results.


The presentation will include detailed discussion of key workflows, examples of management and production reports, budget components, and financial statement presentation. Requirements for internal controls and segregation of duties to protect Practice assets will also be addressed.



Registration and other information can be found at:






orderFDA Orders New Warning for Epidural Steroids


Injectable corticosteroids must now carry a new label warning about the risks of severe adverse effects from epidural injections including death, stroke, and permanent blindness and paralysis, the FDA said.

The agency decided that such a warning is needed after reviewing numerous reports in the medical literature and its own adverse event database.


"Serious adverse events included death, spinal cord infarction, paraplegia, quadriplegia, cortical blindness, stroke, seizures, nerve injury, and brain edema," the FDA said in announcing the warning.


MedPage Today

responseASIPP Response to FDA Warning


As you have seen by now, the U.S. Food and Drug Administration (FDA) this week issued a warning on injection of corticosteroids into the epidural space, further it also states that they are not effective. This issue has been going on for some time. There was an FDA committee convened under the leadership of some prominent physicians. We were also members of this committee and were vehemently opposed to this. In fact, this is exactly what we said should not be done. Unfortunately, this is just the beginning; it will get even worse. The next release they will make in the near future is a lot worse. It actually mandates technical aspects.


I am quite certain we will be on the future external committee, but just remember we are only one vote. I do not believe that we will have any more influence than what we had last time. The same organizations will be dominate forces on this committee.


At this time, the important aspect is to discuss the advantages and disadvantages with our patients. Explain to them this is a common off-label use, which we have been doing for some time in our practices.

Additionally, we also need to look at the role of steroids. Are they really that beneficial or not? Of course we all have individual opinions, but the literature does stand. Based on the literature, there is an advantage only in certain types of patients so we can still use them in these patients with appropriate information.


Following is a fact sheet for you to reference. FACT SHEET


I am quite certain more discussions will be going on with this issue but I hope this information is helpful for now.

pollsPolls Try To Gauge The Health Law's Effects On Midterm Elections


A new NBC News/Wall Street Journal poll finds that more people think the overhaul is a bad idea rather than a good one. Still, another poll concluded that voters in swing districts are more supportive of fixing it instead of repealing it.


The Wall Street Journal: Americans Want To Pull Back From World Stage, Poll Finds
But the president's standing remains perilously low just six months before the midterm congressional elections, and the poll was riddled with warning signs for his party. Support for his signature health-care law is improving slightly, a result that comes after the announcement that eight million people had picked insurance plans under the law. Still, support for the law remains weak, with 46% saying it is a bad idea and 36% saying it is a good one. "Clearly, the president has better news from his health-care law. But in general, that better news has still left people, by double-digit margins, saying it is a bad idea," said Mr. McInturff, the GOP pollster (Hook, 4/30).


NBC News: Poll: Slight Improvements But Tough Terrain Ahead For Democrats

Support for President Barack Obama and his health care law has increased in the weeks since the White House announced that eight million Americans have enrolled in the law's health-insurance exchanges, according to a new NBC News/Wall Street Journal poll. But in spite of slight improvements from March, the poll still represent difficult terrain for Obama and the Democratic Party with six months to go until November's midterm elections. Republican pollster Bill McInturff, who conducted the survey with Democratic pollster Peter Hart, says the results highlight the difference between "better" and "good" for Democrats (Murray, 4/29).



Kaiser Health News


debtsMedical Debts Up, Docs Get Tougher About Payments


ALEXANDRIA, La. -- Mid State Orthopaedic and Sports Medicine Center is hard to miss. The practice's new, 30,000-square-foot building is marked with an enormous sign along one of the main roads in this central Louisiana city of about 48,000 people.


In the elegant, high-ceilinged interior, the practice's 11 doctors see about 300 patients daily to bring in $10 million in revenue each year. It's a highly successful operation. But when practice administrator Spencer Michael started here two years ago, the business was struggling with a common problem: collecting payments from patients.


The recent economic downturn and the increasing use of high-deductible insurance plans "has driven patients to want to put off paying their bills," Michael explains. Whether it's for a hip replacement or a broken bone, he frequently sees patients on the hook for a $3,000 to $5,000 deductible.


MedPage Today


scrambleHealth Plans Scramble To Figure 2015 Rates


With the results sure to affect politics as well as pocketbooks, health insurers are already preparing to raise rates next year for plans issued under the Affordable Care Act.


But their calculation about how much depends on their ability to predict how newly enrolled customers -- for whom little is known regarding health status and medical needs -- - will affect 2015 costs.


"We're working with about a third of the information that we usually have," said Brian Lobley, senior vice president of marketing and consumer business at Pennsylvania's Independence Blue Cross. "We've really been combing the data to get a first look."



MedPage Today

casualtyMedicare Patients Are First Casualty In Emerging Healthcare Revenue Battles


Whatever else you may need financially after age 65... as a patient, you will likely need a special Medicare calculator that includes a timer. Turns out that how patients are technically admitted to a hospital, and how many "midnights" they stay, both play a critical role in what Medicare will cover and what out-of-pocket costs will be. As the revenue battles heat up; the rules governing Medicare coverage and payment are becoming increasingly complex and litigious.


The first question is how a Medicare patient is admitted. Was it officially as "inpatient" or did the hospital elect to admit the patient under "observation status?" Beyond that ... was the stay for 3 consecutive midnight's... or was it under the terms of the new "two-midnight" rule (RAC audits pending in March, 2015).





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stateState Society News




FSIPP Annual Meeting set for May 16-18, 2014


The Florida  Soceity of Interventional Pain Physicians will hold its annual meeting May 16-18 at the Hilton Bonnet Creek, Orlando, Florida--

On the Disney Property.


Don't miss this year's FSIPP Annual Meeting. It is expected to supersede all other meetings and includes an additional full-day Friday Schedule with concomitant sessions, Session A, Prescribing Controlled Substances and Session B, Practice Management. Our full-day Practice Management Session is a new edition to our meeting and will include: ICD-10, PQRS, HIPPA and cyber situations, audits, efficiency, solvency and much more. Our Controlled Substance Workshop will provide full updates on the pill mill crisis in Florida, a review of current statistics, trends in prescribing practices and addiction. The Friday Night Dinner for you and your family will feature Spanish Guitar Music, Flamenco Dancers, Sketch Artists and a Banquet Dinner. Discounted packages for the Spectacular Disney World Kingdoms are available to all. Lectures on Saturday and Sunday will be presented by nationally recognized speakers on cutting edge issues in pain management.


Go to FSIPP's homepage, http://fsipp.org, for information on reserving your hotel room. The Conference Brochure with registration materials will also be available soon and you will be notified.



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












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