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American Society of Interventional Pain Physicians News  | July 16, 2014

  IN THIS ISSUE 

  1. Time to Take the Gloves Off - Send your Comment Letters Today
  2. Now is the Time to Prepare for Board Examinations
  3. Room Block Discount for August Cadaver Workshop in Vegas Ends Next Week
  4. Opioid Deaths Highest in Younger Patients
  5. Analysis: Redefining value in physician payment 

  6. Food capsules 'could combat Britain's obesity crisis' 

  7. Schedules of Controlled Substances: Placement of Tramadol Into Schedule IV 

  8. Assistant Physician: A Half-Baked Idea? 

  9. America's Smokers: Still 40 Million Strong 

  10. CBO Sees Medicare's Financial Picture Improving 

reversal

Time to Take the Gloves Off - Send your Comment Letters Today

 CMS released the 2015 physician proposed payment rule July 3, 2013

 

It is time to take your gloves off! This is the time to provide as many opinions and comments as possible regarding the addition of fluoroscopic component to the epidural codes and for reversal of the cuts this year, with retrospective reimbursement from January 2014. We gained substantially in principle in the change for office payments which also provides an opportunity for further negotiations with CMS. However, when fluoroscopy was removed as a separate reimbursement from facet joint injections and sacroiliac joint interventions, the corrective action resulted in an increase in reimbursement by adding part of the fluoroscopy reimbursement to procedure codes.

 

It is our hope that CMS will apply a similar methodology and philosophy to the epidural decision and correct the epidural reimbursement in the same manner. They used the same philosophy, with the Correct Coding Initiative claiming that they were component codes of the procedure and would not be reimbursable separately. We were able to reverse that decision several years ago. Click here to see impact.

 

In order for this to occur, we need each physician to send at least 100 letters from patients, colleagues, and staff. Our goal is to send at least 100,000 letters to CMS. This is not that hard to do - it only takes a bit of time each day.

 

Here is the link for the physician letter - Please place on your letterhead if mailed. To submit via Capwiz click on the follow Capwiz link for physician letters. 

 

For Patient Letters

  • Click on the link for Word version of the patient letter 
  • Print it off daily changing the date and ask your patients to sign as the check in.
  • Each day assign a member (or two) of your staff to enter the patient letters using the  Capwiz link for patient letters
  • Remember, your office must enter the letters otherwise the odds are they won't be submitted!

 

This is an easy way to make a huge impact! Please commit to joining us in this important letter writing campaign. We need the full support and action from our members. Meanwhile, we will continue to work aggressively through  Congress and the administration to reverse these unfortunate cuts. 

 

2015 Proposed Physician Fee Schedule - IPM Codes

board

Now is the Time to Prepare for Board Examinations

 

Order these IPM Board Review materials which are designed to prepare physicians seeking board certificatin, re-certification, or an in-depth review of the specialty of interventional pain medicine.

 

Videos on DVD 

Order the Videos and receive 5 days of course video on a set of five DVDs. You can watch them on your computer, save them to your computer, or transport them with you to view somewhere else. And you will be able to load this on your iPad for viewing or just to listen to when you're driving

 

Videos Online 

Order the online videos and receive 5 days of course video via the Internet. You can watch them on your computer or any computer with Internet access. You will be given a password to access the high quality streaming video of each day.

 

 

Comprehensive and Timely Books

This three-volume set from ASIPP Publishing was created to give clinicians a complete study course to prepare for pain medicine board certification exams, based upon the curriculum of the American Board of Medical Specialties pain medicine examinations. These books take clinicians on a journey through the specialty of pain medicine and interventional pain management, from their origins and history, to the science and research behind methods and techniques, to pharmacology, types of pain, complementary therapies, and interventional and surgical techniques, and much, much more. Culminating with a comprehensive resource of 1,500 sample board exam questions, complete with thorough explanations of the answers, these books will not only help prepare clinicians for their board examination, they will become valuable resources that will be consulted for years to come.

 

Comprehensive and Convenient eBooks

The three-volume set from ASIPP Publishing created to give clinicians a complete study course to prepare for pain medicine board certification exams, based upon the curriculum of the American Board of Medical Specialties pain medicine examinations is now available in ebooks. Now you will be able to download the ebook version of these books to hand held devices for easy accessiblity for the mobile world we work in. These books take clinicians on a journey through the specialty of pain medicine and interventional pain management, from their origins and history, to the science and research behind methods and techniques, to pharmacology, types of pain, complementary therapies, and interventional and surgical techniques, and much, much more. Culminating with a comprehensive resource of 1,500 sample board exam questions, complete with thorough explanations of the answers, these books will not only help prepare clinicians for their board examination, they will become valuable resources that will be consulted for years to come.

 

SELECT FROM BOOKS, EBOOKS, DVD VIDEOS, OR ONLINE VIDEOS

 

vegas

Room Block Discount for August Cadaver Workshop in Vegas Ends Next Week

Cadaver workshop with basic and intermediate techniques, along with percutaneous disc decompression and vertebral augmentation and ultrasound for nonspinal interventions 

 

ASIPP has scheduled a Cadaver Workshop for Basic, Intermediate and Advanced (Disc Interventions) and an Ultrasound for Non-Spinal Injections Course. to be held Aug. 22-24 in Las Vegas. This is the last time this year that the ultrasound course will be offered.

 

 

Description

This 2 day review course and cadaver workshop includes interventional techniques (basic, intermediate, and advanced), Ultrasound for non-spinal

injections, and Disc Interventions (advanced). Participants experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques

 

Objectives

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

fluoroscopic interpretation and radiation safety

- Demonstrate skills through interactive review of images

 

 

Accommodations

Planet Hollywood

3667 Las Vegas Boulevard South, Las Vegas, NV 89109

 

Reservations can be made through our block at group rate of $145 until 07/23/2014. 

Click HERE to register for hotel.  

 

deaths
Opioid Deaths Highest in Younger Patients

 

Deaths involving opioids proved to be a particular problem among younger people in one Canadian province, researchers reported.

 

In 2010, one in nearly every eight deaths in Ontario among people ages 25 to 34 were opioid-related, Tara Gomes, MHSc, of St. Michael's Hospital in Toronto, and colleagues reported online in Addiction.

 

The deaths were reflected in an "extraordinary number" of years of life lost due to premature death, they wrote.

 

 

MedPage Today

 

analysis
Analysis: Redefining value in physician payment

 

It is well known that our current fee-for-service system creates an environment that promotes volume over value and unintentionally exacerbates the delivery of fragmented, costly, and uncoordinated care. The Patient Protection and Affordable Care Act included a number of delivery system reforms, such as Accountable Care Organizations, bundled payments, and workforce provisions to strengthen foundations in primary care. Unfortunately, a focused effort on payments for specialists was not included even though a significant proportion of medical spending and healthcare utilization is attributed to services delivered by specialists, particularly in the Medicare population[i].

 

The specialty of medical oncology offers an example of the opportunity for specialty physician payment reform. In the current reimbursement model, physicians receive additional financial incentives through margins on the drugs that they prescribe. This can encourage specialists to administer costlier drugs, even when more cost-effective alternatives exist. Second, a growing trend toward treatment in the hospital outpatient setting rather than a doctor's office is contributing to high cost and cost growth in oncology[ii]. Moreover, little or no payment is provided to low-cost, high-impact, evidence-based services like patient education, palliative care, pain management, and secondary prevention.

 

Healthcare Finance News

 

foodFood capsules 'could combat Britain's obesity crisis'

 

Food capsules which "trick" the body into thinking it is full could help combat Britain's obesity crisis, new research suggests.

 

Previous studies have found a key difference between lean and obese people is the overweight ignore signals from the small intestine that tell the brain the body is full.

 

Scientists in London have found the lower intestine could be targeted by special food supplements which trick the digestive system into behaving as though a person has had a gastric bypass.

 

The Telegraph

tramadol

Schedules of Controlled Substances: Placement of Tramadol Into Schedule IV

 

SUMMARY: With the issuance of this final rule, the Deputy Administrator of the Drug Enforcement Administration places the substance 2- [(dimethylamino)methyl]-1-(3-methoxyphenyl)cyclohexanol (tramadol), including its salts, isomers, and salts of isomers, into schedule IV of the Controlled Substances Act. This scheduling action is pursuant to the Controlled Substances Act which requires that such actions be made on the record after opportunity for a hearing through formal rulemaking. This action imposes the regulatory controls and administrative, civil, and criminal sanctions applicable to schedule IV controlled substances on persons who handle (manufacture, distribute, dispense, import, export, engage in research, conduct instructional activities with, or possess) or propose to handle tramadol.

 

DATES: Effective August 18, 2014.

 

DEA

 

 

baked
Assistant Physician: A Half-Baked Idea?

 

Missouri is going to allow medical school graduates who did not match into residency programs to practice as "assistant physicians" in rural, underserved areas, a plan that does not sit well with physician organizations.

In a HealthLeaders Media article, interviews with the president of the Accreditation Council for Graduate Medical Education, and a representative for the American Academy of Physician Assistants, revealed staunch opposition to the bill. However, the Missouri State Medical Association voiced strong support in the face of the state's desperate need for rural healthcare.

 

With roughly 900 PAs in the state, the Missouri Academy of Physician Assistants said it was against the bill, Kansas City's NPR station reported, citing confusion with this "new profession."

 

MedPage Today

 

smoker
America's Smokers: Still 40 Million Strong

 

The U.S. adult smoking rate has plunged to below 20% from more than 40% half a century ago. Increasingly, smokers are poorer and less educated. And many smokers call themselves "occasional" or social smokers, consciously reining themselves in to try to avoid getting hooked.

 

Still, there are more than 40 million smokers in the U.S. today. And beneath the broad trends are pockets of growth and opportunity that are generating great interest in the tobacco industry.

 

 

Wall Street Journal

 

Access to this article may be limited.
cbo
CBO Sees Medicare's Financial Picture Improving

 

The biggest Medicare program is expected to remain financially solvent through 2030, five years longer than previously expected, according to a government estimate released Tuesday that predicts the program's health-care costs will grow more slowly than they did before the recession.

 

The report by the Congressional Budget Office said Medicare's financial picture had improved sharply since its February forecast, when the nonpartisan budget scorekeeper projected that the portion of the government-run health program that provides hospital coverage for seniors and the disabled would exhaust its reserves in 2025.

 

Wall Street Journal

 

Access to this article may be limited.
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CASIPP to Hold Annual Meeting on September 12-14 

 

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

 

 

Save the Date: NY/NJ Chapters Schedule Pain Medicine Symposium

 

The New York and New Jersey Societies of Interventional Pain Physicians' 2014 Pain Medicine Symposium will be held on November 6 - 9, 2014 at the Hyatt Regency Jersey City in New Jersey.

 

More information will be available soon.

 

 

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

 

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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

hlong@asipp.org

 

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

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