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American Society of Interventional Pain Physicians News  | August 6, 2014

  IN THIS ISSUE 

  1. Two Days Left for Room Block for Las Vegas Cadaver Course - Just a Few Spots Remain 

  2. What are You Waiting for? It's Time to Send your Comment Letters Today 
  3. Most States Let Medicaid Doc Pay Hikes Lapse
  4. Average California Obamacare Rate Increase Only 4%--Success!!!
  5. Report Touches Off Fight Over Doc Training $$
  6. Survey: 1 In 5 Uninsured Don't Want Coverage
  7. HHS chisels ICD-10 compliance date in stone
  8. In Treatment, There Can Be Too Much of a Good Thing 
  9. Hospitals Cash In on the Newly Insured
  10. A Patients' Group Scores a Win in Muscular Dystrophy Drug Research
  11. Do We Know What We See?
  12. Divide between red and blue states over healthcare deepens
  13. Now is the Time to Prepare for Board Exams
vegas

Two Days Left for Room Block for Las Vegas Cadaver Course - Just a Few Spots Remain

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 08/08/2014. 

Click HERE to register for hotel.  

 

reversal

What are you Waiting for? It's Time to Send your Comment Letters Today

 Comment Time is Ending Soon

 

Just a few days remain to submit your Comment Letters. We need 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

medicaid
Most States Let Medicaid Doc Pay Hikes Lapse

 

Just six states and the District of Columbia will use their own money in 2015 to sustain the federal Medicaid pay raise to primary care doctors, which was a key provision of the Affordable Care Act intended to make sure millions of low-income people enrolling in the expanding insurance program have access to a physician.


 

Interestingly, two of the states extending the pay raise are Alabama and Mississippi -- neither of which expanded Medicaid under the health law. The other states extending the pay raise next year are Colorado, New Mexico, Iowa, and Maryland, according to interviews with state officials and the American Medical Association. Those four states expanded their Medicaid eligibility to cover everyone with incomes less than 138% of the federal poverty level, or about $15,900 for an individual.


 

Alaska and North Dakota paid primary care doctors in Medicaid the higher rates even before the health law's provision took effect in 2013.

 

 

MedPage Today

 

averageAverage California Obamacare Rate Increase Only 4%--Success!!!

 

The weighted average increase for plans being sold on the Obamacare California public exchange in 2015 will be 4%. So, that means Obamacare is working really well, right?

Well, wait a minute.

Let's consider a few things:

  1. This week the California insurance commissioner reported that the average unsubsidized 2014 rate increase carriers charged going into Obamacare was between 22% and 88%. That was a pretty healthy bump (I'll call it a bump because "Rate Shock" didn't happen) to get everyone into Obamacare in the first place. And remember, many of these consumers are now in narrow networks in California to boot.
  2. California voters will go to the polls this fall to vote on Proposition 45. That ballot initiative would regulate health insurance rates in California for the first time--something the carriers are dead set against. Big rate increases on part of the carriers would do a lot to get that proposition passed and very low increases would do a lot toward defeating it. The state's largest carriers have so far made $25 million in political contributions to defeat Prop 45.
  3. The health plans competing in the Obamacare exchanges are limited to very small losses this year because of the Obamacare reinsurance program that runs through 2016. In effect, anymore underpricing the insurers put into their rates for 2015 is subsidized by the federal government. In fact, the Obama administration recently took the statutory caps off of how much they can pay the carriers to keep their bottom line whole.

 

 

Health Policy and Market Place Blog

 

report
Report Touches Off Fight Over Doc Training $$

 

A high-level report recommending sweeping changes in how the government distributes $15 billion annually to subsidize the training of doctors has brought out the sharp scalpels of those who would be most immediately affected.


 

The reaction also raises questions about the sensitive politics involved in redistributing a large pot of money that now goes disproportionately to teaching hospitals in the northeast U.S. All of the changes recommended would have to be made by Congress.

 

MedPage Today

 

survey
Survey: 1 In 5 Uninsured Don't Want Coverage

 

Though millions of people gained health coverage this year as a result of the Affordable Care Act, millions more remain unaware of their options or have no interest in getting insured, a new survey has found.


 

Among those who were uninsured last year and remain uninsured, only 59% were familiar with the new Obamacare marketplaces and 38% were aware of federal subsidies to lower their insurance costs, according to the survey conducted in June by the nonpartisan Urban Institute.

 

 

MedPage Today

 

hhs
HHS chisels ICD-10 compliance date in stone

 

A final rule issued last evening by the Department of Health and Human Services makes it official: Oct. 1, 2015 is the compliance date for providers, payers and clearinghouses to transition to ICD-10. Medical practices have exactly 14 months to prepare for the changeover from ICD-9.


 

Four months ago, the U.S. Senate voted in favor of - and President Barack Obama soon signed - the Protecting Access to Medicare Act of 2014. Primarily meant to forestall cuts in Medicare payment rates for physicians, the bill also contained a little-debated component, of mysterious provenance, that called for delaying ICD-10 implementation until 2015 at the earliest.


 

Medical Practice Insider

treatment
In Treatment, There Can Be Too Much of a Good Thing

Aggressive treatment of chronic diseases such as high blood pressure and diabetes has helped to reduce patient deaths. But a new study suggests some patients may be getting too much treatment, increasing their health risks.

 

The study, published Monday in the Journal of the American College of Cardiology, reviewed electronic health records of nearly 400,000 patients at Kaiser Permanente Southern California who were taking medication for high blood pressure, or hypertension. The report suggests patients whose blood pressure is reduced below optimum levels are at an increased risk for death or kidney failure.

 

In the case of diabetes, in which the body can't control the amount of sugar in the blood, a study by Yale School of Medicine researchers of Medicare data found a growing problem of people with diabetes being hospitalized because their blood-sugar level had dropped too low, possibly because of overly aggressive treatment. In the enthusiasm to control blood sugar, patients are put at risk, the researchers say.

 

Wall Street Journal

 

Access to this article may be limited.

cash
Hospitals Cash In on the Newly Insured

 

A rush of newly insured patients using health services has boosted hospital operators' fortunes but has racked up costs that insurers didn't anticipate, corporate filings and interviews with executives show.

 

People are getting more back surgeries, seeking maternity care and showing up at emergency rooms more frequently, executives say, boosting income for hospital operators.

 

At Tenet Healthcare Corp. THC +1.83% , patient volumes rose 4% in the second quarter compared with a year earlier, while uninsured inpatient admissions slid 22%. The Dallas-based company's earnings before interest, taxes, depreciation and amortization rose 37%. (The company posted a net loss for the quarter in part due to expenses related to its acquisition of rival Vanguard Health Systems last year.)

 

Chief Executive Trevor Fetter said volume was high in maternity care, spine treatment and other procedures among people enrolling in plans offered through new health-law marketplaces, many of whom were previously uninsured and had likely delayed care. In some states, he said, hospitals got a boost from Medicaid programs that swelled under the law.

 

Wall Street Journal

 

Access to this article may be limited.

score
A Patients' Group Scores a Win in Muscular Dystrophy Drug Research

 

When it comes to developing new drugs, pharmaceutical companies and federal agencies have always called the shots. Now patients and their families want a turn.

Parent Project Muscular Dystrophy, an advocacy group founded by family members frustrated by a lack of research on Duchenne muscular dystrophy, initiated and wrote a draft guidance for pharmaceutical companies trying to develop drugs to treat the fatal condition.

 

Guidances are issued by the Food and Drug Administration and set out the latest thinking on designing trials and which standards must be met by companies to get a new drug approved. The FDA typically initiates the creation of guidances. But with so many diseases, the agency can't cover them all.

 

Wall Street Journal

 

Access to this article may be limited.
see
Do We Know What We See?

 

In a shifty world, surely the one thing we can rely on is the evidence of our own eyes. I may doubt everything else, but I have no doubts about what I see right now. Even if I'm stuck in The Matrix, even if the things I see aren't real-I still know that I see them.

 

Or do I?

 

A new paper in the journal Trends in Cognitive Sciences by the New York University philosopher Ned Block demonstrates just how hard it is to tell if we really know what we see. Right now it looks to me as if I see the entire garden in front of me, each of the potted succulents, all of the mossy bricks, every one of the fuchsia blossoms. But I can only pay attention to and remember a few things at a time. If I just saw the garden for an instant, I'd only remember the few plants I was paying attention to just then.

 

Wall Street Journal

 

Access to this article may be limited.
divide

Divide between red and blue states over healthcare deepens

 

States that have aggressively put the Affordable Care Act into practice have cut the number of uninsured residents sharply -- in some cases in half or better -- while those that balked have improved little if at all, according to new data released Tuesday.


 

The state-by-state numbers, from the Gallup-Healthways Well-Being Index, reinforce one of the major impacts of Obamacare so far: Political debate has widened the healthcare gap between red and blue states.

All 10 states with the largest percentages of uninsured adults now have Republican governors and legislatures. The lowest percentages all are governed by Democrats, with the exception of Pennsylvania. 

 

LA Times

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

 

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stateState Society News

  

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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