ASIPP® Educational Services | Excellence in the education of Interventional Pain Physicians

CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT

Up to 9.25 AMA PRA Category 1 Credits™

ND E T T A R O E N O T H! BO

Up to 9.5 AMA PRA Category 1 Credits™

AND COMPETENCY EXAMINATIONS

June 9-11

Sheraton Memphis Downtown Hotel VENUE: SHERATON MEMPHIS DOWNTOWN HOTEL 250 NORTH MAIN STREET, MEMPHIS, TN, 38103 PHONE: 901-527-7300 | HOTEL RESERVATIONS: 866-716-8106 SPECIALS: • SPECIAL ROOM RATES THROUGH MAY 16, 2016 • 50% OFF MEETING FEE TO FELLOWS & RESIDENTS

American Society of Interventional Pain Physicians The Voice of Interventional Pain Management

CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT AND COMPETENCY EXAMINATIONS JUNE 9-11, 2016 | MEMPHIS, TN

FROM THE CHAIRMAN OF THE BOARD AND CEO On behalf of the Board of Directors of the American Society of Interventional Pain Physicians (ASIPP®), we invite you to one of the most comprehensive and useful educational conferences available anywhere. The ASIPP®Comprehensive Review Courses and Competency Examinations in Controlled Substance Management and Practice Management will be held in Memphis, TN, on June 9-11, 2016. Since we began offering the Competency Review courses in 2005, it has become recognized as a “must attend” training event for interventional pain physicians and physicians just entering interventional pain management or in-training and physicians appearing for board examinations by various boards. The Practice Management course is so beneficial to practices, both office-based and ASCs, that many physicians send their staff early to keep them current on the cutting edge aspects of practice management. These intensive review courses are 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 course features many nationally recognized experts in practice management and controlled substance management. 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 and Practice Management. Now offered at two separate times on Saturday for your convenience; 9:00am and 4:30pm.

COURSE DIRECTORS

Laxmaiah Manchikanti, MD Chairman of the Board and Chief Executive Officer, ASIPP®

Hans C. Hansen, MD Director Emeritus, ASIPP®

Stanford Silverman, MD Director at Large, ASIPP®

We hope you will join us at the home of the blues, Memphis, Tennessee for this special educational event. Whether you have practiced pain medicine or interventional pain management for years, if you are new to the discipline, or if you are in training—the ever-changing field of controlled substance management, practice management, and the rules and regulations associated with these areas of interventional pain management makes this an essential course for you. Sincerely, Laxmaiah Manchikanti, MD 2

AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS

CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT AND COMPETENCY EXAMINATIONS JUNE 9-11, 2016 | MEMPHIS, TN

STATEMENT OF NEED

AMERICANS WITH DISABILITIES ACT AND SPECIAL SERVICES

These comprehensive review courses are planned as CME activity to prepare for competency certification or an in-depth review in areas of Controlled Substance Management and Practice Management. These review courses are based on the American Board of Interventional Pain Physicians’ specifications for competency certification examinations.

Organizers fully comply with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact the organizers at (270) 554‑9412 at least 10 days prior to the conference.

These courses will provide in-depth evaluation of the knowledge of the participants with extensive review of subject(s).

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Institute for Medical Studies and the American Society of Interventional Pain Physicians (ASIPP®). The Institute for Medical Studies is accredited by the ACCME to provide continuing medical education for physicians.

As part of these comprehensive, in-depth, intense review courses, ASIPP® will provide participants with online material of the lectures. EDUCATIONAL OBJECTIVES/TARGET AUDIENCE The courses are intended to present interventional pain management specialists, nurses, and other healthcare providers an in-depth review of multiple areas of controlled substance management and practice management. EDUCATIONAL OBJECTIVES FOR CONTROLLED SUBSTANCE MANAGEMENT: • Review basic science and core concepts • Discuss pharmacology for IPM • Identify clinical use and effectiveness • Identify substance abuse in IPM • Discuss topics with documentation, regulatory issues, legal issues, and ethical issues EDUCATIONAL OBJECTIVES FOR PRACTICE MANAGEMENT: • Discuss documentation for IPM • Review practice management topics • Discuss coding and billing • Examine compliance issues OUTCOME Participants in the Controlled Substance Management Course should be able to apply the fundamental concepts of managing controlled substances in your practice, from pharmacology and the clinical uses to identifying abuse and the legal aspects of prescribing, for better outcomes and reduced side effects. The Practice Management course will educate you on how to operate an interventional pain care center more effectively, so that patients will receive the best care available.

ACCREDITATION STATEMENT

ASIPP® is now an ABA Registered CME Provider. CATEGORY I CREDIT The Institute for Medical Studies designates this live activity for a maximum of 9.25 AMA PRA Category 1 Credits ™ for Controlled Substance Management and 9.5 AMA PRA Category 1 Credits™ for Practice Management. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians of Osteopathic Medicine — the American Osteopathic Association (AOA) accepts AMA PRA Category 1 Credits™ as AOA Category 2-B credit. RN, NP, AND PA CREDIT Nurse Practitioners: The American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. RNs/ APNs- most State Nursing Boards accept CE activities designated for AMA PRA Category 1 Credits™ towards re-licensure requirements. Check with your board to determine whether they will accept this CME activity towards your re-licensure. This activity has designated 9.25 AMA PRA Category 1 Credits™ for Controlled Substance Management and 9.5 AMA PRA Category 1 Credits™ for Practice Management from organizations accredited by the ACCME. Physician Assistants- The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. CODING CREDIT ASIPP® has applied for approval of the American Academy of Professional Coders for the appropriate Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or any sponsors. AMERICANS WITH DISABILITIES ACT AND SPECIAL SERVICES Organizers fully comply with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact the organizers at (270) 554‑9412 at least 10 days prior to the conference.

ACCOMMODATIONS Sheraton Memphis Downtown Hotel 250 North Main Street, Memphis, TN 38103 Phone: (1)(901) 527-7300 | sheratonmemphisdowntown.com

Enjoy outstanding service in the warm, welcoming atmosphere of the newly renovated Sheraton Memphis Downtown Hotel. Attached to the Memphis Cook Convention Center and located as a direct stop on the vintage Memphis Main Street Trolley line, experience easy access to some of downtown’s most notable attractions. Inform the agent that you are booking for American Society of Interventional Pain Physicians. We have secured a group rate of $141. Register early, as all unbooked rooms will be released on May 16, 2016 or until sold out, whichever occurs first.

AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS

CODING CREDIT ASIPP® has applied for approval of the American Academy of Professional Coders for the appropriate Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or any sponsors. Duplication or distribution of materials or recording of lectures without express written permission from ASIPP® is prohibited. There is NO commercial support for this course.

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CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT AND COMPETENCY EXAMINATIONS JUNE 9-11, 2016 | MEMPHIS, TN

Thursday June 9, 2016

Controlled Substance Management

6:30 am – 7:25 am REGISTRATION AND BREAKFAST 7:25 am – 10:00 am Chairperson: Hans Hansen, MD 7:25 am – 8:00 am Introduction - Hans Hansen, MD

8:00 am – 8:30 am Epidemiology of Prescription Opioid Use, overuse, and Abuse in Chronic Pain Jay Grider, MD, PhD 8:30 am – 9:00 am Comprehensive Assessment and Documentation of Chronic the Pain Patient Hans Hansen, MD 9:00 am – 9:30 am Anatomy, Physiology, and Psychology of Pain: Is There a Difference Between Acute, Subacute, Chronic, and Lifetime Pain? Alan Kaye, MD, PhD 9:30 am – 10:00 am Terminology, Mechanisms and Management of Abuse and Addictive Disorders: The Relevance to Pain Physicians - Jay Grider, MD, PhD 10:00 am – 10:30 am BREAK 10:30 am – 12:05 am Chairperson: Hans Hansen, MD 10:30 am – 10:35 am Introduction - Hans Hansen, MD 10:35 am – 11:05 am Opioid Pharmacology, Interactions, and Side Effects: Practical Applications Alan Kaye, MD, PhD 11:05 am – 11:35 am Adherence Monitoring in Chronic Pain: Pitfalls, Economic, and Other Consequences of Drug and Genetic Testing - Hans Hansen, MD 11:35 am – 12:05 pm Effectiveness of Current Non-Opioid Therapy: Fact, Opinion, Belief, and Conviction Leland Lou, MD 12:05 pm – 12:55 pm LUNCH 12:55 pm – 3:00 pm Chairperson: Hans Hansen, MD 12:55 am – 1:00 pm Introduction - Hans Hansen, MD 1:00 pm – 1:30 pm Non-Opioid Pharmacology: Benzodiazepines, Sedatives, and Hypnotics, Muscle Relaxants, antidepressants, and Antiepileptics: The Relevance to Pain Physicians Alan Kaye, MD, PhD 1:30 pm – 2:00 pm Effectiveness and Practical Applications of Current Non-Opioid Drug Therapy: Facts, Opinions, Beliefs, and Convictions - Alan Kaye, MD 2:00 pm – 2:30 pm Complexity and Application of Opioid Guidelines: Dose Reduction Strategies Hans Hansen, MD 2:30 pm – 3:00 pm Assessment and Management of Drug Dependency, Withdrawal and Overdose Prevention: Controlling the Epidemic Hans Hansen, MD 3:00 pm – 3:25 pm BREAK 3:25 pm – 6:30 pm Chairperson: Hans Hansen, MD 3:25 pm – 3:30 pm Introduction - Hans Hansen, MD 3:30 pm – 4:00 pm Drug Dependency and Abuse in the Health Care Team - Hans Hansen, MD 4:00 pm – 4:30 pm Effectiveness and Modes of Office Detoxification: Is It Worth Your Time? Hans Hansen, MD 4:30 pm – 5:00 pm Proteching Your Practice; A Physician’s Perspective - Hans Hansen, MD 5:00 pm – 5:30 pm Dealing with a Difficult Patient: Demanding, Manipulative, and Seductive Hans Hansen, MD 5:30 pm – 6:30 pm Ethical Aspects of IPM - Leland Lou, MD 4

AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS

CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT AND COMPETENCY EXAMINATIONS JUNE 9-11, 2016 | MEMPHIS, TN

Friday June 10, 2016 Practice Management

6:30 am – 7:25 am REGISTRATION AND BREAKFAST 7:25 am – 10:10 am Chairperson: Vicki Myckowiak, Esq. 7:25 am – 7:40 am Introduction - Vicki Myckowiak, Esq. 7:40 am – 9:00 am A Practical Guide to Fraud, Abuse, Compliance, and Defense Vicki Myckowiak, Esq. 9:00 am – 10:00 am HIPAA Privacy and Security Compliance - Vicki Myckowiak, Esq. 10:10 am – 10:25 am BREAK 10:25 am – 12:00 pm Chairperson: Marvel J Hammer, RN, CPC 10:25 am – 10:30 am Introduction - Marvel J Hammer, RN, CPC 10:30 am – 11:15 am Escalating Use of IPM and Other Services: Understanding LCDs, NCDs, Coverage Policies, Reviews, and Appeals - Vicki Myckowiak, Esq. 11:15 am – 12:00 pm Documentation and Coding for Ancillary - Marvel J Hammer, RN, CPC 12:00 pm – 12:55 pm LUNCH 12:55 pm – 3:00 pm Chairperson: Marvel J Hammer, RN, CPC 12:55 pm – 1:00 pm Introduction - Marvel J Hammer, RN, CPC 1:00 pm – 1:30 pm ASC Versus In-Office Coding and Billing - Marvel J Hammer, RN, CPC 1:30 pm – 2:00 pm ICD-10-CM: Seamless Navigation - Marvel J Hammer, RN, CPC 2:00 pm – 2:30 pm Documentation for Evaluation and Management Services Marvel J Hammer, RN, CPC 2:30 pm – 3:00 pm Coding for Evaluation and Management Services - Marvel J Hammer, RN, CPC 3:00 pm – 3:25 pm BREAK 3:25 pm- 6:30 pm Chairperson: Marvel J Hammer, RN, CPC 3:25 pm – 3:30 pm Introduction - Marvel J Hammer, RN, CPC 3:30 pm – 4:15 pm Anatomical Correlation of CPT Coding for IPM Procedures Marvel J Hammer, RN, CPC 4:15 pm – 5:00 pm Documentation, Coding, and Billing for IPM Procedures Marvel J Hammer, RN, CPC 5:00 pm – 5:30 pm Financial Management: Best Practices in Revenue Cycle Management, Maximizing Collections, Surviving in Turbulent Times - Michael Brown 5:30 pm – 6:00 pm Employment Law Basics: Risk Management and Employment Law Compliance Issues - Judith Holmes, JD 6:00 pm – 6:30 pm Handling Difficult Physicians, Staff, and Patients - Judith Holmes, JD 6:30 pm ADJOURN



Saturday June 11, 2016 Competency Examinations

(Select from the following. Same exams at different times) o Controlled Substance Management and/or Practice Management 9:00am REGISTRATION 9:15am Test Instruction and Examination Begins (You will have 2 hours to complete the 100 question examination) o Controlled Substance Management and/or Practice Management 5:30pm REGISTRATION 5:45pm Test Instruction and Examination Begins (You will have 2 hours to complete the 100 question examination) AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS

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CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT AND COMPETENCY EXAMINATIONS JUNE 9-11, 2016 | MEMPHIS, TN

ERVENTIO INT N

N BOARD CA O RI

F

N PHYS PAI IC I AL

REGISTRATION FOR PHYSICIANS

ABIPP S AN

AM E

PERSONAL INFORMATION

Please type or print your information clearly __________________________________________________________________________________________________________________________________________________

NAME

(FIRST)

(MIDDLE INITIAL)

(LAST)

__________________________________________________________________________________________________________________________________________________

ORGANIZATION

__________________________________________________________________________________________________________________________________________________

ADDRESS

__________________________________________________________________________________________________________________________________________________

CITY



STATE



ZIP

__________________________________________________________________________________________________________________________________________________

PHONE

CELL

FAX

__________________________________________________________________________________________________________________________________________________

E-MAIL



PHYSICIAN INFORMATION Please answer all the following questions. MEDICAL DEGREE: m MD

m DO m PhD m Other (specify) ____________________________________________________________

PRIMARY PROFESSIONAL PRACTICE SETTING (please check all that apply): m Ambulatory Surgery m Hospital m Office m Academic m University

m Administrative

m Military

m VA

m Other (please specify): _____________________________________________________________________________________________

COURSE/EXAMINATIONS REGISTRATION INFORMATION Combined Controlled Substance Management and Practice Management m 2-day Combined Review Course - Physician Member $1,200 m 2-day Combined Review Course - Physician Non-member $1,500 Controlled Substance Management m 1-day Controlled Substance Management - Physician Member $700 m 1-day Controlled Substance Management - Physician Non-Member $850 Practice Management m 1-day Practice Management - Physician Member $700 m 1-day Practice Management - Physician Non-member $850

COURSES

m *Fellows and Residents Receive a 50% Discount

EXAMINATIONS

m Combined Exam (Controlled Substance Management and Practice Management) - Physician $600 m Controlled Substance Management Exam - Physician $600 m Practice Management Exam - Physician $600

m 9:00am m 4:30pm

If registering as a Fellow or Resident, you must provide the name of your fellowship program, university, or hospital, the coordinator, and contact number: _________________________________________________________________________________________________________________________________________________

PAYMENT METHOD (Please check one): m MASTERCARD

m VISA

m AMERICAN EXPRESS

RETURN COMPLETED FORM TO: ASIPP®, 81 Lakeview Drive, Paducah, KY 42001 or Fax to 270-554-5394

m DISCOVER

___________________________________________________________________________________________

CREDIT CARD NUMBER

EXP DATE

SECURITY CODE

___________________________________________________________________________________________

NAME ON CARD m CHECK CHECK NUMBER ______________________ m ENCLOSED (Payable to ABIPP) (Your application will not be processed if payment does not accompany registration form)

________________________________________________________________________

SIGNATURE OF APPLICANT

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CANCELLATION POLICY: ASIPP reserves the right to cancel this course upon reasonable notice and will assume no financial obligation to registrants for cancellation for reasons beyond its control. Registration fees will be refunded however, costs incurred by the registrants, such as airline or hotel fees or penalties, are the responsibility of the registrants. ASIPP requires a 30-day notice of cancellation. Cancellations must be submitted in writing by May 10, 2016. Cancellations after May 10, 2016 but prior to May 26, 2016 will forfeit 50% of their registration fee. No refunds can be made after May 26, 2016 REGISTER ONLINE AT www.asipp.org/meetings.htm

AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS

CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT AND COMPETENCY EXAMINATIONS JUNE 9-11, 2016 | MEMPHIS, TN

REGISTRATION FOR NON-PHYSICIANS PERSONAL INFORMATION

Please type or print your information clearly __________________________________________________________________________________________________________________________________________________

NAME (LAST)

(FIRST)

(MIDDLE INITIAL)

__________________________________________________________________________________________________________________________________________________

ORGANIZATION

__________________________________________________________________________________________________________________________________________________

ADDRESS

__________________________________________________________________________________________________________________________________________________

CITY



STATE



ZIP

__________________________________________________________________________________________________________________________________________________

PHONE

CELL

FAX

__________________________________________________________________________________________________________________________________________________

E-MAIL



NON-PHYSICIAN INFORMATION Please answer all the following questions. PERSONAL DATA: (for statistical purposes only)

Date of birth ______/______/______

m Male

m Female

HIGHEST DEGREE EARNED: ______________________________________________________________________________ CERTIFICATIONS: m JD m MBA m MA m CPA m CPC m CPE m PA m NP m CRNA m RN m RT m ST m Other (specify) _______ PROFESSIONAL QUALIFICATIONS/EXPERIENCE IN THE FIELD: m Coding _____ years m Billing _____ years m Compliance _____ years

m Practice Management _____ years

COURSE/EXAMINATIONS REGISTRATION INFORMATION Combined Controlled Substance Management and Practice Management m 2-day Combined Review Course - Non-physician Member $1,000 m 2-day Combined Review Course - Non-physician Non-member $1,200 Controlled Substance Management m 1-day Controlled Substance Management - Non-physician Member $600 m 1-day Controlled Substance Management - Non-physician Non-member $700 Practice Management m 1-day Practice Management - Non-physician Member $600 m 1-day Practice Management - Non-physician Non-member $700

COURSES

EXAMINATIONS

m Combined Exam (Controlled Substance Management and Practice Management) - Non-physician $500 m Controlled Substance Management Exam - Non-physician $500 m Practice Management Exam - Non-physician $500

m 9:00am m 4:30pm

If registering as a Fellow or Resident, you must provide the name of your fellowship program, university, or hospital, the coordinator, and contact number: _________________________________________________________________________________________________________________________________________________

PAYMENT METHOD (Please check one): m MASTERCARD

m VISA

m AMERICAN EXPRESS

RETURN COMPLETED FORM TO: ASIPP®, 81 Lakeview Drive, Paducah, KY 42001 or Fax to 270-554-5394

m DISCOVER

___________________________________________________________________________________________

CREDIT CARD NUMBER

EXP DATE

SECURITY CODE

___________________________________________________________________________________________

NAME ON CARD m CHECK CHECK NUMBER ______________________ m ENCLOSED (Payable to ABIPP) (Your application will not be processed if payment does not accompany registration form) ________________________________________________________________________

SIGNATURE OF APPLICANT

AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS

CANCELLATION POLICY: ASIPP reserves the right to cancel this course upon reasonable notice and will assume no financial obligation to registrants for cancellation for reasons beyond its control. Registration fees will be refunded however, costs incurred by the registrants, such as airline or hotel fees or penalties, are the responsibility of the registrants. ASIPP requires a 30-day notice of cancellation. Cancellations must be submitted in writing by May 10, 2016. Cancellations after May 10, 2016 but prior to May 26, 2016 will forfeit 50% of their registration fee. No refunds can be made after May 26, 2016 REGISTER ONLINE AT www.asipp.org/meetings.htm

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SPECIALS: • SPECIAL ROOM RATES THROUGH MAY 16, 2016 • 50% OFF MEETING FEE TO FELLOWS & RESIDENTS

VENUE: SHERATON MEMPHIS DOWNTOWN HOTEL 250 NORTH MAIN STREET, MEMPHIS, TN, 38103 PHONE: 901-527-7300 | HOTEL RESERVATIONS: 866-716-8106

Sheraton Memphis Downtown Hotel

June 9-11

AND COMPETENCY EXAMINATIONS

Up to 9.5 AMA PRA Category 1 Credits™

Up to 9.25 AMA PRA Category 1 Credits™

CONTROLLED SUBSTANCE MANAGEMENT AND PRACTICE MANAGEMENT

81 Lakeview Drive, Paducah, KY 42001

D TENOR AT N E O OTH! B

American Society of Interventional Pain Physicians PADUCAH, KY PERMIT #44

PAID

PRSRT STD U.S. POSTAGE