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American Society of Interventional Pain Physicians News  | September 10, 2014

  IN THIS ISSUE 

  1.  Reversal of Epidural Cuts In 2015 Physician Payment Schedule: Two Steps Forward, One Step Back - The Struggle Continues

  2. How do physicians describe their political activity? Sad State of Affairs 

  3. Reduced Room Rate Ends in 6 days for Host October Controlled Substance Workshop in Orlando
  4. Just 6 days left to reserve your room at a reduced rate for the ASIPP Cadaver Workshop and Online Video Lectures Course in October

  5. ICD-10 transition could complicate adverse event reporting, says study 

  6. HealthCare.gov hacked, but no consumer information compromised

  7. Consumers may soon find a surprise in their mailbox: a notice that their health plan is being canceled

  8. The Next Chapter of Obamacare

  9. Apple's Next Big Focus: Your Health 

  10. Six-Figure Incomes-and Facing Financial Ruin 

  11. Expand Medicaid -- but Carefully, States Told 

  12. With Health-Law Marketplaces Reopening, Insurers Brace for Round Two 

  13. ESC: Guidelines Offer Recipe for Ripe Old Age 

  14. 5 ways you pay more for health insurance 

reversal

Reversal of Epidural Cuts In 2015 Physician Payment Schedule: Two Steps Forward, One Step Back - The Struggle Continues

 

The reversal of epidural cuts in the 2015 physician payment schedule embodies the philosophy of 2 steps forward and one step back -- the bundling of fluoroscopy into the primary codes --the tumultuous atmosphere for interventional pain management in 2014 and the potential that this will continue further. This is synonymous with the anecdote about a frog trying to climb out of the water well - for every 2 steps the frog climbs up, it falls back by one step, making its progress synonymous with our efforts as almost similar to a frog in a well. 
 

This situation illustrates that success is not always linear and partial success is not a failure. Recognition of these aspects can hopefully bring us some peace, since success may be measured with completeness among some circles, with a steady consistent ascent which is almost perfect, but not achievable under the present circumstances. 
 

Due to the  tremendous efforts of interventional pain physicians who sent over 65,000 letters to members of Congress, over 10,000 letters to CMS, plus acquiring and sending 40 letters from congressional leaders, in addition to attending numerous congressional meetings, CMS admitted that they utilized the wrong formula and thus agreed to reverse the cuts.


 

However, they also introduced the bundling of fluoroscopy into the physician payment code, as well as office facility payments, which is a detrimental factor that acts to actually reduce the value of the reversal significantly. Even though CMS has statde that it is only the fluoroscopy room portion that is being eliminated, they have also removed the physician fee completely and now the code being utilized is bundled for 62310, as well as 62311.

The comment period for proposed rule expired yesterday; however, members of the Congress do not have any such limitations. Consequently, we should continue to contact the members of the Congress and continue the pressure. ASIPP has a meeting scheduled in the coming weeks with congressional leaders, as well as CMS. Please continue to send the letters to the members of the Congress to put the pressure on.  


To submit via Capwiz click on the following:  Capwiz link for patient letters 
Capwitz link for physician letters

 

ASIPP submitted comment letters on physician payments and ASC and HOPD payments yesterday, September 2. Click on the links below to view the letters: 
 

ASIPP's Comment Letter on Physician Payments

 

ASIPP's Comment Letter on ASC and HOPD Payments

 

 

2015 Proposed Physician Fee Schedule - IPM Codes

political
How do Physicians Describe their Political Activity? Sad State of Affairs!

Most physicians say that they are moderately active in political matters, according to Physicians Practice's 2014 Great American Physician Survey.

 

The survey includes responses from 1,311 physicians.

 
Here are five statistics on the level of political activity of the respondents:

  • Moderately involved, I pay attention and I vote, but otherwise I leave the politicking to others - 48.6 percent
  • Somewhat active, I have occasionally volunteered time or donated money to a political candidate or organization and sometimes I attend political rallies - 22.4 percent
  • Not very involved, I usually just vote for whomever my party has nominated and don't pay much attention beyond that - 14 percent
  • Hardly at all, I usually don't vote - 9.7 percent
  • Very active, I usually volunteer on campaigns/raise or give money to candidates/organize political events - 5.3 percent

 

 

Becker's Spine Review

 

 

octoberReduced Room Rate Ends in 6 days for Host October Controlled Substance Workshop in Orlando


 

The ASIPP Comprehensive Review Course and Competency Exam in Controlled Substance Management and Practice Management Competency Exam will be held in Orlando, Florida, on October 17-19, 2014. Register and reserve your room today to take advantage of ASIPP's room block discount.


 

The Controlled Substance Management intensive review course is designed to present interventional pain management specialists and other health care providers an in-depth review of multiple areas of interventional pain management-the areas we were never taught, yet are crucial for our survival.


 
The two-day comprehensive review courses are planned as a CME activity to prepare for competency certification or an in-depth review in areas of What You Need to Know in Controlled Substance Management in IPM. This review course is based on the American Board of Interventional Pain Physicians' specifications for competency certification examinations.

 

This course is intended to present interventional pain management specialists, nurses, and other healthcare providers an in-depth review of multiple areas of interventional pain management including Controlled Substance Management.

Educational Objectives for Controlled Substance Management:

* Review basic science and core concepts

* Discuss pharmacology

* Identify clinical use and effectiveness

* Identify substance abuse

* Discuss topics with documentation, regulatory issues,legal issues, and ethical issues

 

In addition to the review course, the American Board of Interventional Pain Physicians(for physicians) and the American Association of Allied Pain Management Professionals(for non-physicians) offers the opportunity for examination in order for physicians to obtain competency certification to and non-physicians to obtain associate certificates in Controlled Substance Management or Coding, Compliance, and Practice Management.

 

Controlled Substance Management (Oct. 17-18) and Competency Examination (Oct. 19)

Click HERE to register

 

Coding, Compliance, and Practice Management Competency Examination (Oct. 19)

Click HERE to register

 

Brochure

 

ACCOMMODATIONS

ROSEN CENTRE HOTEL

9840 INTERNATIONAL DRIVE, ORLANDO, FL 32819 | (800) 204-7234

 Inform the agent that you are booking for American Society of Interventional Pain Physicians.

We have secured a group room rate of $129. Reserve rooms early-all unbooked rooms will be released after September 16, 2014.

 

Book now
cadaver

Just 6 days left to reserve your room at a reduced rate for the ASIPP Cadaver Workshop and Online Video Lectures Course in October

 

 

This 1˝-day workshop is designed for interventional pain physicians, for a review, skills improvement, or to assist in preparation for Comprehensive Interventional Pain Management Examination qualifications. ASIPP offers the most in-depth, comprehensive, and individualized programs available in interventional pain management, featuring maximum hands-on training with cadavers in a state-of-the-art facility and maximum ability to interact with other participants. 


 

Participants will experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques.

  • Each cadaver station is limited to a maximum of 7 participants.
  • Participants can choose the level of participation: basic, intermediate, or ABIPP Preparation
  • C-arms and state-of-the-art equipment are utilized in this course. Participants are requested to dress in casual attire or scrubs. Leaded aprons and thyroid shields will be provided. However, participants are advised to bring their own protective eyewear.
  • Participants will be provided with 7 video lectures relevant to the course material

 

Click HERE to register

 

Brochure

 

 ABIPP Part I Examination- Application 

 

 

ACCOMMODATIONS

ROSEN CENTRE HOTEL

9840 INTERNATIONAL DRIVE, ORLANDO, FL 32819 | (800) 204-7234

 Inform the agent that you are booking for American Society of Interventional Pain Physicians.

We have secured a group room rate of $129. Reserve rooms early-all unbooked rooms will be released after September 16, 2014.

 

Book now

 

icd10
ICD-10 transition could complicate adverse event reporting, says study

Because codes for Patient Safety Indicators often do not map directly from ICD-9 to ICD-10, the transition to ICD-10 may cause the frequency of adverse events to be misreported, according to a recent study in the Journal of the American Medical Informatics Association.

 

Of a sample of 23 PSI ICD-9 codes, just three had an equivalent ICD-10 code. For 15 of the codes, the mapping was 'convoluted,' often meaning more than one ICD-9 code translated into the same ICD-10 code. Five of the 23 PSI codes were either depreciated or had no ICD-10 equivalent.

 

To determine the effect these mapping issues would have on adverse event reporting, researchers studied a sample of 1,446,581 Medicaid visits in Illinois. Researchers used the visits' ICD-9 codes to determine the number of visits including a PSI indicator, and compared these results to the PSIs represented after the visits were coded using ICD-10. Results showed both under- and overreporting of adverse events based on the transition to ICD-10.

 

Becker's Hospital Review

 

 

healthcaregov
HealthCare.gov hacked, but no consumer information compromised


Hackers successfully accessed a HealthCare.gov server in July and were able to upload malicious software, HHS disclosed Thursday. The breach was discovered last week during a manual review of the website's security logs.

 

The breached server was only used for testing, meaning none of the more than 5 million Americans with personal information on the website's servers was affected by the incident, HHS told The Wall Street Journal, which broke the story. Because the server did not contain consumer information, security settings were lower on that server than on other servers, according to the report. Federal investigators are also unsure if the hacker intended to target the insurance exchange marketplace, as the software uploaded to the server was designed to launch attacks on other websites rather than gather information from its host.

 

"Our review indicates that the server did not contain consumer personal information; data was not transmitted outside the agency and the website was not specifically targeted," HHS said in a written statement, according to the Journal. "We have taken measures to further strengthen security."

The breach has renewed concerns about the

 

 

Becker's Hospital Review

 

 

consumers

Consumers may soon find a surprise in their mailbox: a notice that their health plan is being canceled

 

 

Last year, many consumers who thought their health plans would be canceled because they didn't meet the standards of the health law got a reprieve. Following stinging criticism for appearing to renege on a promise that people who liked their existing plans could keep them, President Barack Obama backed off plans to require all individual and small group plans that had not been in place before the health law to meet new standards starting in 2014.


 

The administration initially announced a transitional policy that, with state approval, would allow insurers to renew plans that didn't comply with coverage or cost standards starting in December 2013 and continue doing so until October 2014. Then in March, the administration said it would extend the transitional policy for 2 more years, meaning that some people will be able to hang onto their noncompliant plans through 2017.

 

 

MedPage Today

 

obamacare
The Next Chapter of Obamacare

Welcome back from the summer.

It's been pretty quiet lately on the Obamcare front.

So quiet, that there has been a flurry of articles recently over how Obamacare has dropped to a second or even third tier issue and will hardly matter come election-time.

Wishful thinking.

Obamacare has largely been out of the news cycle for a couple of months but that is about to change.

 

Health Policy and Marketplace

 

apple
Apple's Next Big Focus: Your Health

 

Apple Inc. AAPL +0.87% has jolted many industries over the years, from recorded music to mobile phones. Now, it is charging into health and fitness, hoping to bring order to a fragmented mess of wearable devices and scattered data.

Its entry is stirring enthusiasm among entrepreneurs and health providers. But Apple will have to overcome regulatory and privacy challenges and consumer indifference.

 

Apple on Tuesday is expected to unveil a smartwatch embedded with more than 10 sensors to monitor health and fitness signs, according to people familiar with the matter. Apple declined to comment.

 

 

Wall Street Journal

 

 

Access to this article may be limited.

six

Six-Figure Incomes-and Facing Financial Ruin

 

Hey, big spender: Pulling down a six-figure salary can make your dreams come true, but it doesn't eliminate the risk of living beyond your means.

 

Successful professionals routinely take home enough money to pay for both everyday luxuries and indulgent big-ticket items, from new cars and fancy dinners to expensive second homes and lavish foreign vacations.

 

But some high earners end up leading a lifestyle they can barely afford, saving little or nothing for retirement and living paycheck to paycheck. In extreme cases, they even fail to make ends meet, particularly if they lose their jobs or face unexpected expenses.

 

 

Wall Street Journal

 

Access to this article may be limited.

 

expand
Expand Medicaid -- but Carefully, States Told

 

"States, feel free to expand your Medicaid programs -- within limits."


 

That's what the federal government seems to be telling states that are expanding their Medicaid programs through section 1115 waivers. States using the waivers will need to follow certain rules so that patient access to care isn't limited or prevented, noted a recent report from the Center on Budget and Policy Priorities (CBPP).


 

In the last few years, 27 states and the District of Columbia have expanded their Medicaid programs under the Affordable Care Act (ACA). Four states -- Arkansas, Iowa, Michigan, and most recently Pennsylvania -- have obtained waivers, giving these states greater flexibility in structuring the expansions and allowing them to test new approaches in Medicaid that differ from federal program rules.

 

 

MedPage Today

 

market
With Health-Law Marketplaces Reopening, Insurers Brace for Round Two

 

This fall, health insurers are fastening their seat belts-and hoping the ride will be a bit less bumpy than last year's.

 

On Nov. 15, the health-law marketplaces will reopen for business, selling coverage to millions of Americans. Last October's debut of the online exchanges was widely seen as disastrous, with technical malfunctions early on preventing many consumers from buying plans or freezing them in confusing limbo.

 

Eventually, fixes and workarounds enabled about eight million people to select plans through the government marketplaces. But the delays meant many people didn't sign up until late in the enrollment period, which wound down in April, leaving insurers little time to assess their new enrollees and figure out rates for next year.

 

 

Wall Street Journal

 

Access to this article may be limited.

esc
ESC: Guidelines Offer Recipe for Ripe Old Age

 

BARCELONA -- If you want to live to be 100 years old, the best advice is follow guidelines from major cardiology groups: Eat the right stuff, exercise, and avoid tobacco and excessive alcohol, researchers reported here.


 

In a study of 118 centenarians in Spain, Manuel Martinez-Selles D'Oliviera-Soares, MD, assistant professor of cardiology at the Hospital General Universitario Gregorio Maranon, Madrid, reported that most of the individuals considered their health status as very good -- with 45% rating their health status at least an 8 on a 10-point scale.


 

"Most of the centenarians that we studied were physically active during their lifetime and continued to exercise after they were 65 years of age," Martinez-Selles said in a press conference at the annual congress of the European Society of Cardiology.

 

 

MedPage Today

 

ways
5 ways you pay more for health insurance

 

Health care spending growth may be at record lows in recent years, but employees are shelling out way more for premiums, deductibles, doctors' visits and drugs.

Workers with solo coverage now pay an average of $1,081 in annual premiums, according to a Kaiser Family Foundation/Health Research & Educational Trust report released Wednesday. That's up a whopping 8.1% from a year ago.

 

Family coverage costs workers an average of $4,823 a year now. That's up 5.7%, though Kaiser said the change is not statistically significant.


 

Overall, average annual premiums (the total of what employees and employers pay for someone's health care) rose 3% to $16,834 for family coverage and stayed basically flat for single coverage at $6,025.

 

 

CNN Money

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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

 

 

INSIPP & KSIPP to Hold Joint Meeting Sept. 20

 

The Indiana and Kentucky Societies of Interventional Pain Physicians will hold its 2014 Annual Meeting September 20, 2014 at the Tropicana Evansville, Evansville, IN

 

Click  HERE for registration form.

 

Click  HERE for brochure.

 

 

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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