Academy of Pain Medicine is moving the 2016 Scientific Meeting to
Orlando. The dates for this event are August
12-14, 2016. This hotel offers luxurious guest rooms and
suites, impeccable service, an exquisite pool, private cabanas, spa
and much more.
Walt Disney World theme parks, the hotel provides luxury
transportation to and from these parks. The hotel offers a program
for kids in the WA Kids Club every day. The Fitness Center features
a variety of cardiovascular and weight training machines along with
morning yoga classes.
The hotel is home
to a wide variety of superior dining locations with celebrity chefs,
entertaining family eateries and one-of-a-kind hidden gems including
the award winning Bull and Bear Restaurant. This restaurant was
named Best Fine Dining by Orlando Home and Leisure, and offers a
menu of trend setting fare. It is the only Florida restaurant to
exclusively serve certified Angus Beef Prime Grade Cuts.
Now is the time
to plan your family vacation at the Florida Academy of Pain Medicine
Annual Scientific Meeting at the famous Waldorf-Astoria Hotel on
August 12-14, 2016.
Pain Management Physicians
you are a physician practicing in a Pain Management Clinic and were
registered based on the 6th qualification option in Rule
please keep in mind that as a part of your 40 hours of Continuing
Medical Education (CME) required per biennium, you must complete 15
hours of live lecture format, Category I CME in pain management for
every year you practice in pain management. These will need to be
reported to CE Broker along with the rest of your CME credits in
order for the Board to renew your license.
Answers to many questions regarding license renewal can be found at
the Board of Medicine's website at
License renewal is coming up for half of Florida's allopathic
physicians in Jan,
2016 and for all of Florida's osteopathic physicians in March,
This is the first
year that the online renewal system will be linked to CE Broker,
the Florida Department of Health
online CME tracking system.
If you haven't signed up for your CE Broker account and begun
do so by visiting
There are three account options:
free, professional and concierge. As an FMA member, you can get
a discount on CE Broker's
concierge service to take over the process of managing,
tracking and reporting your CME.
Simply send your certificates to CE Broker's
trained staff members,
and they will handle the rest.
signed up for a CE Broker account?
Dr. Felix Linetsky
Felix Linetsky, FAPM Board Member and nationally recognized medical
education leader, has written a chapter in the Second Edition of
Pain Medicine and Management – Just the Facts Textbook published by
McGraw Hill. Chapter 71 – Regenerative Injection Therapy (aka –
Prolotherapy was co-authored by Peter Peter Staats and Mark Wallace,
MD. This book can be purchased from Amazon for the amount of $80.90.
at Florida Board of Pharmacy’s
Controlled Substances Meeting
The Florida Board
of Pharmacy’s Controlled Substances Standards Committee recently met
at Delray Beach, Florida, to discuss issues regarding the
availability of certain medications for patients. They have been
receiving numerous complaints from patients and physicians across
the state regarding this issue.
MD, the Immediate Past President of the Florida Academy of Pain
Medicine, attended this meeting representing the Academy. He noted
that those attendees at this meeting made several recommendations
for the board to consider. The board will review these matters and
report back to the committee at the next meeting.
continue to monitor the activities of the Florida Board of Pharmacy,
and report any new developments to the members.
FAPM MEMBERS : The meeting
outlined below is important for as many members
as possible to attend, especially those of you who live within
a reasonable travel distance for this 2:00 P.M meeting on
Monday, August 10th. If we are to have a voice
with the con-
trolled substance standards for the relief of pain for our
then we need to stand up for them at this meeting. We have heard
your complaints and concerns, but now is the time to let your
concerns be heard where they count. With Walgreens and CVS
representatives attending this meeting, it will be the first time we
can address these issues directly, and hopefully gain some better
understanding of the problems. Again, I hope that many of our
FAPM members will make a special effort to attend this meeting.
Vinod Malik, M.D., FAPM President
Florida Board of Pharmacy
Controlled Substances Standards Committee Meeting
Monday, August 10, 2015, 2 p.m.
Double Tree by Hilton
100 Fairway Dr.
Deerfield Beach, FL 33441
Committee Members Special Committee Members
Gavin Meshad, Committee Chair Michael Jackson, BPharm, Florida
Michele Weizer, PharmD, BCPS, Board Chair Gary Cacciatore, Cardinal
Jeffrey Mesaros, PharmD, J.D. Mark Rubenstein, M.D., Florida Medical
Debra Glass, BPharm Harold Dalton, D.O., Fla. Society for
Interventional Pain Physicians
Winfield Adams, CSA Natasha Polster, Walgreens
Tom Davis, CVS
Anna Hayden, D.O., Florida Board of Osteopathic Medicine
Nabil El Sanadi, M.D. Florida Board of Medicine
David Flynn, Assistant Attorney General
Lynette Norr, Assistant Attorney General
Participants in this public meeting should be aware that these
proceeding are being recorded.
Monday, August 10, 2015 – 2 p.m.
a. New members
2. Committee member updates
a. Gary Cacciatore – DDC workgroups
3. Susan Langston, DEA
4. Discussion – Successes/Solutions
a. Bob Parrado
b. Florida Society for Health System Pharmacists
c. Rule 64B16-27.831, F.A.C.
5. Discussion – Education opportunities
a. Dr. Joseph Cammilleri
b. Example from other state (Arizona Best Practices document)
6. Future Meeting Dates
7. Transcript from June Committee Meeting
Jeffrey A. Zipper
FAPM Welcomes New Board
At the FAPM Annual Scientific
Meeting on Saturday, June 25, the attendees elected
TSE CHUNG LEE, M.D. to the Board of Directors as a
Member at Large. Dr. Lee is presently in practice at
the PRC Pain Associates in Daytona Beach as an
Interventional Physiatrist. He will be representing
the FAPM at the FMA House of Delegates in Orlando.
Dr. Lee earned his medical
degree at the Medical College of Ohio in Toledo,
Ohio. He completed a residency in Physical Medicine
and Rehabilitation at New York University, Rusk
Institute in New York City. He then completed a
Fellowship in EMG/Musculoskeletal/Spinal/Ultrasound
in Napa, California under the direction of Marko
He is further a member of the
American Academy of Physical Medicine and
Rehabilitation, the International Society of
Interventional Spine and the American Institute of
Ultrasound Medicine. He is a Diplomate of the
American Board of Physical Medicine and
Rehabilitation and of the American Board of Pain
Florida Academy of Pain Medicine is pleased to
welcome Dr. Lee as the newest member of the Board of
Vinod Malik, MD
President Elect - Stanley Dennison, MD
Vice President - Peter Taraschi, DO
Secretary - Felix
Treasurer - Kenneth
Immediate Past President
- Jeffrey Zipper, MD
Susanti Chowdhury, MD
- Tse Lee, MD
Member-at-Large - Raul Monzon, MD
Albert Ray, MD
DEPARTMENT OF HEALTH
Board of Pharmacy
The Board of Pharmacy Rules Committee announces a
public meeting to which all persons are invited.
DATE AND TIME: Tuesday, August 11,
PLACE: Double Tree Hilton, 100
Fairway Drive, Deerfield Beach, FL 33441
The hotel phone number is (954)427-7700
GENERAL SUBJECT MATTER TO BE CONSIDERED:
House Bill CS/HB279 modified Section 465.189
A copy of the agenda may be obtained by contacting:
The Board of Pharmacy at (850)245-4292.
Pursuant to the provisions of the Americans with
Disabilities Act, any person requiring special
accommodations to participate in this
workshop/meeting is asked to advise the agency at
least 7 days before the workshop/meeting by
contacting: The Board of Pharmacy at (850)245-4292.
If you are hearing or speech impaired, please
contact the agency using the Florida Relay Service,
1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
If any person decides to appeal any decision made by
the Board with respect to any matter considered at
this meeting or hearing, he/she will need to ensure
that a verbatim record of the proceeding is made,
which record includes the testimony and evidence
from which the appeal is to be issued.
For more information, you may contact: The
Board of Pharmacy at (850)245-4292.
As the newly elected President of the Florida
Academy of Pain Medicine, I want to thank the Board
and Members for the vote of confidence in my ability
to lead this Academy.
At our recent FAPM Scientific Meeting in Orlando, we
set records of the number of physician attendees and
for the number of exhibitors. Our program offering
20 Category 1A CME credits was highly complimented
by the attendees, and the exhibitors greatly
appreciated the increased attendance and interest in
their products and services.
I want to thank our Gold Sponsor,
and the other special event sponsors -St.
Jude Medical and
Quest Labs. On
our website you can find a list of all of our
exhibit sponsors and their services. I hope you will
support them by using their services whenever
Our membership will reach new heights this year, and
I hope everyone reading this message will be
sure to join FAPM. Our
fiscal year ends on December 31st and you can
pay dues on our website.
In order for FAPM to remain a viable Academy, we
need the support of every pain medicine physician in
Speaking at our conference luncheon,
FMA President Alan Pillersdorf, MD reminded everyone
to support their medical associations so we can
present a united front of strength as we face the
challenges of our profession.
We are currently in the process of
evaluating this year's conference, and planning for
the 2016 program. Hopefully, each of you will want
to attend that event in Orlando on August 12-14, 2016.
At this conference we will continue to
offer a comprehensive program emphasizing pain
medicine issues including interventional and
integrated techniques. We plan to offer additional
workshops and welcome any suggestions from our
members on topics of interest to you. Just email
your ideas to our executive office at
Fraternally, Vinod Malik, MD
From the Immediate Past President:
New Physician Compensation Model Under MACRA
Below is my assessment of the new law that replaced
the SGR legislation!
The SGR formula promulgated by congress has threatened physicians
with payment cuts for the past decade. Making
financial planning and growth of physician practices
On April 16th 2015 the SGR formula was repealed and
replaced by the Medicare Access and CHIP
Reauthorization Act AKA (MACRA).
The full impact of the new law, which will fundamentally alter the
delivery of healthcare, is likely to be unknown for
several years, as much is dependent upon regulatory
actions of bureaucrats.
MACRA permanently repeals the current SGR reimbursement formula and
provides for a 10-year transition period to a new
performance-based payment system with financial
incentives for participation in alternative payment
First five years: Provides short term stability for physician payments received from
Payment updates to physicians are set to increase
This is less than the payment updates since 2009
which have averaged 2.4%/year
These small payment updates will likely impact
future pay increases from other 3rd party
During the following five years (2019-2024): Payment
uncertainty for physicians raises its ugly head
Beginning in 2019 there will be no further automatic
reimbursement increases for physicians providing MC
Physician compensation will be adjusted annually
based on performance under the new law’s Merit-Based
Payment Incentive System (MIPS). Which will consist
Physician Quality Reporting System (PQRS)
EHR/Meaningful Use Incentive Program
Value-Based Payment Method (VBPM).
Under the new law MIPS will be based on four
categories of annually developed metrics concerning:
EHR meaningful use
Clinical practice improvement activities
These metrics will be selected by suggestions from professional
entities and stakeholders.
The MIPS program will provide confidential feedback
to providers concerning their performance on a
Doctors with low MIPS scores will have their
payments reduced in proportion to their scores.
Negative payment adjustments will be capped at 4% in 2019, 5% in
2020, 7% in 2021, and 9% in 2022
Physicians with composite scores above the threshold
will receive positive payment adjustments capped
annually at $500 million from 2019 – 2024
The Value-Based Payment Method (VBPM) increases
begin in 2019
This system is in place today, it is voluntary and
is presently only open to groups of 100 or more
Payment increases based on VBPM will likely be
difficult to achieve based upon the performance
history of groups presently participating
Of the 1278 groups eligible in the US, only 106 participated
Of the 106 groups only 14 were eligible for a payment increase, 11
groups incurred reductions in payments and 81
received no adjustment at all.
Estimates are that MACRA will cost $214 billion and add $141
billion to federal budget deficits over 10 years.
Spending reduction offsets will produce some
savings, defraying a portion of the cost of the new
law. Other cost savings will be achieved by policy
changes aimed at Medicare beneficiaries and
government will achieve cost savings through
Larger premiums for higher income MC beneficiaries
starting in 2018
The minimum income threshold for income-related
premiums will be adjusted upwards starting in 2020
and indexed for inflation going forward.
Post-Acute Care market basket will increase by no
more than 1%
In-patient hospital rates will see a one-time
increase of 3.2% phased in from 2018 through 2025
If you owe the government back taxes the new law
gives the treasury department power to levy 100% of
provider payments for back taxes rather than the
current 30% until paid off.
This new law and future payment methodology relies heavily upon
regulatory rules that will be established by
governmental bureaucrats. Make sure your National,
State and Local Medical Societies are involved when
new rules are promulgated!!!
Jeffrey A. Zipper, MD
4774 Boca Raton Blvd | Suite A3B | Boca Raton, FL.
Regency Grand Cypress
For our past several
conferences, the Hyatt Regency Grand
Cypress Hotel at Lake Buena Vista in Orlando, has
served as the host hotel for the Florida Academy of
Pain Medicine’s Annual Scientific Meeting.
Located in the area adjacent to Disney World and
Downtown Disney, the hotel is set within a 1500 acre
paradise that includes 45 holes of Jack Nicholas
signature designed golf, sailing on a private lake,
world class tennis courts, swimming pool with
waterfalls and waterslides, new spa services, and
special children’s programs.
hotel offers 815 stylish designed guest rooms, 46
luxury suites, three restaurants including the
classic “Hemingways” and many other amenities not
found in area hotels. Bus services are provided
regularly to Disney World and Downtown Disney.
luxury hotel further offers a reduced rate for
attendees at $169.00 per night, an exceptional rate
when compared to area hotels. This is a great family
friendly hotel, so come and enjoy this vacation
hotel with your family while earning your
re-licensing credits for this year.
Posted: April 24, 2015
By Shantanu Agrawal, M.D., CMS deputy administrator
for program integrity
Open Payments: Data review and dispute underway for
physicians – log in today
In its second year, the Open Payments program
continues to promote transparency and accountability
in health care by providing consumers with
information about financial relationships between
drug and medical device manufacturers and physicians
and teaching hospitals. The data posted has been
viewed nearly 6 million times and we’re pleased with
the continuing engagement of stakeholders on this
important transparency initiative.
All data for payments made in 2014 has been
submitted by the drug and medical device
manufacturers who are reporting the information. CMS
is encouraging physicians and representatives of
teaching hospitals to register in Open Payments now.
Instructions and quick tips for registration are
here. While companies that are submitting
payment records to CMS attest to the accuracy of the
continued success of the program relies on voluntary
participation by physicians and teaching hospitals.
This is the only opportunity for doctors and
teaching hospitals to review the data submitted by
manufacturers and group purchasing organizations
(GPOs) before it is included in the public database
on June 30, 2015.
the benefits of collaboration among physicians,
teaching hospitals and drug and device manufacturers
in the design and delivery of many life-saving drugs
Open Payments has given
patients a tool to become more involved and informed
health care consumers by discussing these
relationships with their physicians.
Last year, 26,000 physicians registered in the
system and lodged over 12,500 disputes. In contrast,
we published information about 4.45 million payments
made to at least 366,000 physicians or teaching
hospitals that were valued at $3.7 billion. I expect
that the data reported this year will be on scale
with the number and value of payments reported last
year. For physicians, the only way for each of you
to confirm that the data reported about you is
correct is to register and review your payments
before the review period ends.
To learn more about the program, visit
Emily Tillman, Operations Analyst
Medical Policy and Procedures
First Coast Service Options, Inc.
"When Experience Counts and Quality Matters"
Below please find a synopsis of bills that are
pertinent to our specialty! Links to the bills are
SB 728 with companion HB 1021 – These bills deal
with insurance company requirements for coverage of
opioid analgesics. Language- “A health insurance
policy that provides coverage for opioid analgesic
drug products: a) may impose a prior authorization
requirement for an abuse-deterrent opioid analgesic
drug product only if the policy imposes the
same prior authorization requirement for each opioid
analgesic drug produce without an
abuse-deterrent labeling claim which is covered by
the policy, and b) May not require use of an
opioid analgesic drug product without an
abuse-deterrent labeling claim before
providing coverage for an abuse-deterrent opioid
analgesic drug product.
SB 450 with companion HB4017 – These bills amend
the “pill mill” Statute 458.3265 and 459.0137 by
removing the January 1, 2016 sun-setting provision
presently in the Statute.
SB 532 with companion HB 281 – These bills seek
to allow PA’s and ARNP’s to order controlled
substances in a hospital setting under the
supervision of an attending physician. Language
– “A practioner who supervises a licensed PA or ARNP
may authorize the licensed PA or ARNP to order
controlled substances for administration to a
patient in a facility licensed under chapter 395”.
SB 614 with companion HB 547 – These bills seek
to allow PA’s and ARNP’s to designate themselves as
a controlled substance prescribing practitioners
under FS 456.44. Allowing them to prescribe all
schedules of CS’s in an office setting!
Links to the individual bills:
Jeffrey A. Zipper, M.D.
DEA crackdown causing legitimate pain
patients to suffer
The state of Florida recently endured the "pill mill
crisis," a proliferation of narcotic medication that
resulted in the reported overdose deaths in Florida
of approximately 7 people per day.
This crisis was the result of drug dealers paying
people to pose as patients in pain while presenting
to Florida physicians. Physicians and pharmacies
were either duped or knowingly participated until
2011, when the Florida Legislature dealt with the
crisis by passing legislation to regulate
prescriptions of narcotic medications.
Simultaneous with the Florida legislative action,
the Drug Enforcement Administration (DEA)
investigated, fined and suspended pharmacies that
were dispensing allegedly inappropriate
prescriptions. The DEA investigation resulted in
million-dollar settlements with national
pharmaceutical companies with operations in Florida.
These pharmacies must regulate themselves more
tightly than ever in order to minimize the risk of
further DEA actions. Unfortunately, the pharmacies
have gone too far and patient care is now suffering.
The dispensing policies of national chain pharmacies
have created a shortage of legitimate use pain
medicine in Florida. Fearing the DEA, the non-chain,
private pharmacies have also followed suit. Under
pressure these pharmacies are now observing strict
quotas for the sale of controlled substances.
I'm not referring to the shady guy on the street
corner, but instead about regular, everyday people
who require well regulated pain medication to
function. Under the guidelines established by the
state of Florida, legitimate pain medication clinics
see patients with acute and chronic pain. Some of
these patients have terminal illnesses, some have
debilitating arthritis and/or trauma induced sources
Through multi-modality treatments including
behavioral counseling, physical therapy,
chiropractic treatment, massage, acupuncture and
medications, many of these patients remain
functional members of our society.
Because the DEA has not established clear acceptable
guidelines for pharmacies, many pharmacies have
chosen to tighten their prescription dispensing
policies to the point that patients, without
warning, suddenly are told their prescriptions
cannot be filled. People are suffering.
In response to this situation, the Florida Medical
Association convened a meeting with representatives
from the Florida Board of Pharmacy, the DEA, the
Florida attorney general, the Florida Retail
Association, the Florida Society of Interventional
Pain Physicians, the Florida Academy of Pain
Medicine and the Florida Society of Physical
Medicine and Rehabilitation. The various meeting
participants expressed their positions, but
unfortunately the meeting did not result in any
resolution. The representative for the DEA denied
being the source of the problem, or that there was
in fact a problem to discuss.
Of course, the DEA is not an agency of health care.
Its job is to protect the U.S. citizens from illegal
use of drugs. To that end the DEA has succeeded on
its mission in Florida.
However it was obvious the legitimate needs of
suffering patients was not the concern of the DEA.
I believe the current situation will not change
until the American public demands Congress, which
regulates the DEA, to swing the pendulum back.
Things have gone too far.
Our politicians need to realize that while it is
vitally important to prevent inappropriate ordering
and dispensing of narcotic prescriptions, the pill
mill crisis in Florida is not what it was in 2011.
That period is over. The DEA watchdog is creating a
pain medicine shortage for patients who need these
medications to function.
I urge those of you who are affected or know someone
affected by this situation to contact your members
of Congress and express your desire for patients
with legitimate medical needs to always be able to
receive their necessary medicines for relief of
Jesse A. Lipnick, M.D., is board certified in
physical medicine and rehabilitation with added
qualification in pain medicine. He practices in
Gainesville and in Chiefland with Southeastern
Integrated Medical (SIMED). He serves as vice
president for the Florida Society of Interventional
Pain Physicians and is a board member for the
Alachua County Medical Society.
would like to wish everyone a safe, healthy and
happy holiday season!
I want to highlight this past year’s activities on
behalf of our membership and take a moment to
discuss some upcoming initiatives.
During this year’s legislative session, FAPM was
well represented by our lobbyist. Patient access to
controlled substances, as well as State pre-emption
for the regulation of pain management clinics, were
and remain at the top of our list. Other issues of
concern that were addressed include, insurance
companies denial of payment for many well
established interventional pain procedures based
upon them being deemed “investigational or
experimental” solely by the insurers own set of
criteria, and of course the annual Medicare and
Medicaid reimbursement issues. Next year our Academy
will continue to work closely with the FMA and other
State Medical Societies, in furtherance of causes
important to physicians and the patients we serve.
In FY 2013, Congress enacted a “temporary
doc fix” to the sustainable growth rate (SGR)
formula and have until April 1, 2015, to prevent a
projected 21% across the board cut to physician
Despite bipartisan support for a
comprehensive Medicare physician payment reform bill
in the past; House and Senate members have never
been able to agree on how to fund the measure.
Hopefully, with a Republican majority in both the
House and Senate, agreement on funding will come to
fruition by Q1 2015. On a positive note for those
owning surgical centers, CMS has adopted an ASC PPS
update of 1.4% for FY 2015.
In any event we will all need to make our
voices heard on Medicare physician payment reform
shortly. To that end, a letter writing campaign for
repeal of the SGR formula will be the first thing on
our plate for 2015. I will keep you posted!
This year, FAPM leadership supported FSIPP’s
resolution before the FMA’s legislative committee.
The resolution resolved to address “patient access
to opioid pain medications”. As a result of this
resolution, FMA initiated a teleconference between
all Florida pain related medical societies and
authoritative representatives from the DEA, Pharmacy
Associations, and Florida’s Board of Pharmacy.
I attended the October teleconference on
behalf of our Academy. I found it to be an open
forum where all parties had an opportunity to
clearly state their concerns and positions regarding
the dispensing of controlled substances by
pharmacists. All parties agreed that access to
controlled substances must be made available to
those in need. Furthermore, all parties seemed
interested in working together to resolve the
problems and will meet face to face in Q1 of 2015.
During next year’s legislative session FAPM
leadership will also work with the FMA and other
local pain related societies on the following
1) Preempt to the State all regulation
concerning the licensure, registration and
governance of PMC’s in an effort to void all local
municipalities and county ordinances in excess of
what is required by State law.
2) Legislation to prohibit commercial
insurers from deeming IPM procedures as experimental
or investigative when they are clearly covered
services recognized as reimbursable by a federally
funded government payor.
Lastly our annual three day Scientific
Meeting will be held on June 26-28, 2015. This year
we will be offering a full complement of 20 CME
credit hours on topics relevant to the practice of
pain medicine. Mark the dates on your calendar and
plan to join us at the beautiful Hyatt Regency Grand
Cypress Hotel in Orlando.
I wish all a Merry Christmas, Happy Hanukah
and Healthy New Year! I will keep you posted on
developments as we move forward this year with our
Jeffrey A. Zipper, M.D.
The battle for Florida
Politics provides a visual guide
to the gubernatorial battle for Florida in
geographic terms. Political Editor Jeremy
Wallace examines a number of issues facing
the campaigns as the race reaches its peak.
For example, Duval County, “once a solid
Republican stronghold,” is eroding for the
GOP. However, Gov. Rick Scott is likely to
once again dominate among rural voters as he
did in 2010. On the upside for Charlie
Crist, he has an opportunity to take a bite
out of the margin that carried Gov. Scott in
2010 in Miami-Dade and Broward counties.
Crunch time for Jeb Bush
says former Florida Gov. Jeb Bush is likely
facing his last shot at the White House, and
the pressure is on for him to enter the 2016
fray. His father, former President George W.
Bush, is reportedly eager for him to run.
Insiders are uncertain that a campaign will
come to fruition, and family concerns are
cited as one obstacle. A person who spoke
with Bush recently in Washington said, “He
told me two things: that he knows he has to
decide very soon, and that his wife is not
at all happy with the possibility.”
Physicians touchy about marijuana
Many physicians are speaking out against a
proposed constitutional amendment to
legalize medical marijuana in Florida,
saying its passage could lead to abuse. The
says the overarching concern is that
“Yesteryear’s ‘pill mill’ doctor will become
tomorrow’s ‘pot doc,’ someone who
rubber-stamps prescriptions for medical
marijuana regardless of concern.” The FMA
has cited the issue of potential drug abuse
as one of its reasons for opposing the
Overstep on painkillers
Prescription painkiller crackdown has gone
'way too far,' some doctors believe
Tampa Bay Times 9/2/2014
Tampa anesthesiologist Dr. Rafael Miguel
helped lead the fight against a surging prescription drug
abuse crisis in Florida.
As vice chair of the state's Board of Medicine,
Miguel called for legislative change to stem the flow of drugs that
led to thousands of overdose deaths each year.
Eventually, people listened.
Laws tightened. Police stepped up enforcement.
And deaths declined by 23 percent from 2010 to 2012.
Miguel now is in a different drug battle — one
for more access to narcotics, not less.
The obstacle, Miguel and other doctors report,
are pharmacies that are increasingly second-guessing them, asking to
see medical records or refusing service.
"They call us sometimes and ask if (a
prescription) is medically necessary," said Miguel, 59, who has a
Brandon clinic and teaches pain medicine at the University of South
Florida. "Well, if I write a prescription and it's got my DEA number
and my signature on it, what do you think, I'm joking around?"
Walgreens’ Good Faith Dispensing Protocol
October 07, 2013 1:10 PM
To: Jeffrey Zipper
update: Walgreen information, request feedback
Last June, your Academy's Policy and Advocacy Department sent all
members a letter summarizing the situation with respect to
Walgreens’ Good Faith Dispensing protocol. That information also
provided members with an easy way to report problems encountered
with patients filling prescriptions for opioid analgesics. After
hearing more concerns expressed by many of you at the Annual
Clinical Meeting held in Orlando, we have decided that we need to
re-send this information.
Attached is the original memo, for your review. If you and your
patients have been having problems getting prescriptions filled, please
provide feedback using this form. The form is also
in the attached document with more information as to what we are
seeking and how the information will be handled.
As always, thank you for your support of the Academy.
Bob Twillman, PhD, FAPM
Director of Policy and Advocacy
Dear Colleagues, as you can see from the missive below it
appears the FAPA’s #1 Legislative priority this year is to obtain
controlled substance prescribing privileges (all hands on deck)!!
Given the fiasco that Florida has recently experienced with the
advent of “pill mills” this would be an unwise turn of events and
must be opposed for the safety of our patients. THE PAIN MANAGEMENT
COMMUNITY MUST FIGHT TO PREVENT THIS LEGISLATIVE INTIATIVE.
Pill Mill Crackdown Pays Off
Academy of Pain Medicine is proud of the role our board and members
have played in the development of effective policies that have
contributed to the decline of "pill mills" in the state of Florida.
Over the past four years our lobbyists, presidents, staff members
and our affiliate medical societies have worked tirelessly to
see these policies implemented to the fullest extent of the law.
congratulations to every physician and organization that stepped up
to the task that made these changes happen.
TheLedger.com -All rights reserved ]
Florida's Effective Policies: Pill Mill Crackdown Pays Off
Florida, once labeled "the pill mill capital of
the country," has shown that it's ready to relinquish that title.
A report last week by the U.S. Centers for
Disease Control and Prevention found that changes in Florida
policies and law enforcement have led to what appears to be "the
first documented substantial decline in drug overdose mortality in
any state during the past 10 years."
From left, Rigoberto Guzman, MD, President FSPMR; Jeffrey Zipper, MD, President FAPM; Alan Harmon, MD, President FMA; Vinod Malik, MD, President-Elect, FAPM
Marla Golden, DO, receiving the Felix Linetsky Education Award
Jeffrey Zipper, MD, President, Florida Academy of Pain Medicine
receiving the FAPM Distinguished Service Award
Alan Harmon, MD, President, Florida Medical Association
Albert Ray, MD, Past President FAPM
Kenneth Webster, Executive Director, FAPM
- Ken Webster's Special Lady
FAPM Conference Is Big Success
pre-conference programs on basic pain issues, ultrasound treatments
and physical medicine and rehabilitation, the conference provided
special training in multiple modalities. The pre-conference
workshops were followed by offering twelve CME credits in areas
related to pain medicine issues.
Featured speakers included Alan Harmon, MD,
President of the Florida Medical Association and Judy Foreman,
author of the bestselling book, “A Nation in Pain". The panel
discussions held on the second day featured specialists in various
disciplines, a representative on E-FORCE and PDMP issues, and legal
and legislative programs. Panel moderators were: Albert Ray, MD,
FAPM Past-President, and Jeffrey Zipper, MD, current FAPM President.
Highlights of the annual membership luncheon
included FAPM awards. Marla Golden, DO, received the Felix Linetsky,
MD, Education Award for her leadership and participation in FAPM
educational programs the past few years. The Distinguished Service
Award was presented to Jeffrey Zipper, MD, for his leadership in
legislative issues affecting the practice of medicine in Florida.
Lynne Columbus, DO, from Clearwater, Florida was elected to the FAPM
Board of Directors.
Insurance companies should not meddle
in patients’ treatment
By Albert Ray
You pay your insurance premiums on time, and you know
exactly what kind of medical and prescription coverage to
expect. But what happens when your insurance company decides
it doesn’t want to provide the same coverage anymore?
That’s exactly what happened to “Mark,” one of my patients
suffering from osteoarthritis and a serious lower-back
injury. Without treatment for the severe, debilitating pain,
Mark simply could not function. As a 60-year-old man living
by himself, Mark has been completely self-reliant. He has no
one in his household to help him deal with the pain, so pain
management has been critical to his quality of life and
ability to function.
For years, Mark underwent physical therapy and a full range
of interdisciplinary treatment to restore his quality of
life. Thankfully, his pain has been consistently managed
with medications. I prescribed a specific dosage of
painkillers that provided adequate pain relief without any
sedation or adverse side effects. Although not perfect,
Mark’s situation was manageable. And as important, he was
paying his insurance premiums on time — to a major Florida
insurance company — until suddenly, he received a notice
that this unscrupulous company planned to arbitrarily limit
the amount of pain medication he could receive in any given
As Mark’s doctor, I had to find a way to provide him with a
new prescription that fell within the limits of this new,
arbitrary insurance-coverage limit. Sadly, it also meant
that I had to reduce his dosage from 90 milligrams per day
to 80 milligrams, which meant that Mark would have less pain
relief and an increase in the level of sedation because of
the insurance company’s interference with my patient’s
Why would an insurance company interfere this way? Was it
just plain greed, a simple case of trying to save a few
bucks so it could pocket more profits?
Unfortunately, Mark’s case is not unique. In 2011, Florida
lawmakers took steps to fight “pill mills” that were
thriving in our state and allowing people to abuse
prescription drugs. Unscrupulous people from around the
country would drive here to buy pain medication and sell it
on the black market.
Since passage of new laws aimed at fighting pill mills,
doctors and pharmacists, working closely with law
enforcement, were able to reduce the number of pill mills
and prescription drug-abuse incidents. But the unfortunate
side effect is that legitimate patients, in desperate need
of pain-management treatment, are getting shafted by
insurance companies who use the new law as an excuse to
alter insurance coverage and boost their profits.
They are playing games with patients, forcing them to jump
through hoops, fill out mountains of paperwork to justify
even the slightest adjustment to a sleeping-pill
prescription or an arthritis treatment. And when they get
called on it, they point to the laws passed in 2011 that
were designed to fight criminals and illegal drug abuse.
No insurance-company executive should have the right to tell
a doctor what to prescribe for a patient, nor should they be
able to impose arbitrary limits that could radically affect
a patient’s well being. Most of all, insurance-company
executives should never be allowed to interfere with
treatments they previously agreed to pay for. Such meddling
can only be ascribed to one motive: greed and profiteering
on the backs of patients who have dutifully paid their
The Legislature was right to combat prescription-drug abuse
in 2011. But now greedy insurance companies are abusing the
law. Until state lawmakers do something, patients will
continue to suffer.
Albert Ray, M.D., is the medical director at The LITE
Center and clinical associate professor at the University of
Miami Miller School of Medicine.
Patient Op-Ed: Denying necessary prescriptions to needy patients
The Florida Academy of Pain Medicine is working diligently to bring
to our legislature, patients and citizens regarding the problems
patients are having getting drug prescriptions filled. The following
article was printed in the Tampa Bay Times in support of our
concerns over this process of denying necessary prescriptions to
needy patients. Please feel free to share this article with you
patients, colleagues and staff. We will continue our efforts to help
patients across the state to be able to have their physician
filled. Should you have any similar cases to report of patients not
their prescribed drugs in a timely manner, please let us know.
Together we can help
alieviate this problem.
Fraternally, Jeffrey Zipper, FAPM President
The FAPM has hired a public relations firm to help bring media
attention to issues of importance and concern to us and our
patients. We are presently working on a project to help our patients
gain better access to their needed medications from Pharmacies. To
that end, if you have any patients experiencing difficulty with
getting their prescriptions filled for CS’s please contact Mr. Brian
Burgess from Meteoric Media Strategies ASAP at 850-273-2270 or email
Jeffrey A. Zipper, M.D.
The local coverage determination (LCD) for peripheral nerve blocks
was most recently revised January 1, 2013. Since that time, major
revisions were made throughout the entire LCD. The ‘Indications and
Limitations of Coverage and/or Medical Necessity’ section of the LCD
has been revised to clarify indications versus limitations of
coverage. In addition, the ‘CPT®/HCPCS Codes’, ‘ICD-9 Codes that
Support Medical Necessity’, ‘Documentation Requirements’,
‘Utilization Guidelines’ and ‘Sources of Information and Basis for
Decision’ sections of the LCD were revised.
This LCD revision is effective for services rendered
on or after March 17, 2014. First
Coast Services Options Inc. LCDs are available through the CMS
Medicare coverage database at
Coding guidelines for an LCD (when present) may be found by
selecting “LCD Attachments” in the Jump to Section…” drop-down menu
at the top of the LCD page.
To review active, future, and retired LCD for jurisdiction 9, please
FAPM has a “Neutral” Position on Medical Marijuana
Florida is facing a pain medicine crisis, and lawmakers
must find a way to deliver pain medicine to legitimate patients
while still blocking these controlled substances from those who
abuse them. No matter how Floridians vote on medical marijuana
amendment this November, the real burden must be on lawmakers to
overhaul our pain medicine regulations so that patients with
legitimate health issues can get the medications they need to have a
high quality of life. They deserve to have this access legally and
without undue excessive burden.
Congress Reaches Deal on SGR Repeal
February 6, 2014, Congress reached a bipartisan, bicameral agreement
on a bill that would repeal the Medicare Sustainable Growth Rate
(SGR) and replace it with a pay-for-performance system that would
evaluate and incentivize quality health care. All 3 congressional
committees of jurisdiction—the Senate Finance Committee, the House
Ways and Means Committee, and the House Energy and Commerce
Committee—have agreed on 1 piece of legislation that will now move
through the legislative process as a consensus bill.
the legislation would:
Repeal the SGR immediately
Provide positive annual payment updates of
0.5% for 5 years
Install a Merit-Based Incentive Payment System
(MIPS), which would include prospectively set performance
thresholds and offer flexibility in the imposition of
performance requirements that are inappropriate for some
Delay the effective date of the MIPS program 1
year, from 2017 to 2018
Increase the MIPS funding pool and adjust the
phase-in of penalty risks for those who fall in the lowest
performance quartile to be capped at a maximum of 9% (as opposed
to the previous 12%)
Sustain a 5% incentive payment for physicians
participating in alternative payment models
Double original funding for technical
assistance to small practices of 15 or fewer professionals
Recognize the development of functional status
quality measures as a priority
Many of the
provisions of the bill are improvements from previous proposals and
current law. AAPM&R advocated strongly to incorporate items that
would be beneficial in highlighting the care that physiatrists
because this legislation is not budget neutral, legislators will now
spend several weeks considering budget-cutting options to offset the
cost of the repeal. Some options have been leaked, including cuts to
postacute care and changes to the in-office ancillary services
exceptions to the physician self-referral law (Stark law).
is advocating tirelessly to ensure that the SGR repeal is not
achieved on the backs of our physician members. Stay tuned for
additional information in the coming weeks.
Jeffrey A. Zipper, M.D.
ALERT, ALERT, ALERT
Medicare will deny
claims for referring physicians who are not enrolled in PECOS as of
January 6, 2014. Physicians must be enrolled to prescribe durable
medical equipment. For more information, refer to their website at
(at the time of this post, this website is down).
Some of our vendors are
concerned that prescribing physicians who are not enrolled will not
be able to prescribe the durable medical equipment that you have
prescribed in the past.
December 16, 2013
I would like to take this opportunity to wish everyone a safe
and Happy Holiday season. Once again the house of medicine is coming
under reimbursement pressure from the annual mandated Congressional
SGR formula cuts, budget sequester cuts, the President’s ACA and CMS
spending reductions. Cuts to MC reimbursement for those of us
practicing pain medicine are especially severe this year. The
private practice of medicine appears to be dying a “death by a
Thousand cuts” in the US! While this news is disheartening, it is
incumbent upon medical leadership to make our voices heard to
protect access to care for our patients and preserve our ability to
make a living.
The recent passage of the bi-partisan Congressional budget
deal has revoked 40 billion of the 63 billion automatic budget cuts
due to sequestration. The brunt of the remaining 23 billion in
budget cuts due to sequestration will largely be borne by physicians
and hospitals. Both physicians and hospitals will continue to be
subject to an automatic 2% across the board reduction in MC
reimbursement for our services for the next two years. Congressional
staffers believed that Medicare providers were the” least painful”
CMS recently released the FY-2014 MC Physician Fee schedule.
The schedule takes into account an automatic 24% SGR reduction
unless action is taken by Congress to avert this annual issue.
Presently the House Ways and Means Committee have unanimously
approved a bill to repeal and replace the MC SGR formula. Hopefully
passage by the House and Senate will follow. If the SGR cuts are not
repealed there will be devastating financial consequences for all
healthcare providers! Even if the SGR formula is repealed this year
physicians who provide IPM services for MC beneficiaries will
experience severe reductions in reimbursement for those services.
This is especially so for providers performing office based IPM
procedures. Your Academy will keep you posted as to the outcome of
On another note FAPM is preparing for this year’s legislative
session in Tallahassee. Dr. Stanley Dennison, Chairmen of FAPM’s
legislative committee, will be leading our legislative initiative
this year. We have two major legislative issues for 2014.
will once again seek to preempt to the State all regulation
concerning the licensure, registration and governance of PMC’s in an
effort to void all local municipalities and county ordinances in
excess of what is required by State law.
FAPM will seek legislation to prohibit commercial insurers
from deeming IPM procedures as experimental or investigative when
they are clearly covered services recognized as reimbursable by a
federally funded government payor.
To that end, we
have hired Mr. Chip Case from Jefferson Monroe Consulting to help
with our lobbying efforts and Mr. Brian Hughes from Meteoric Media
to facilitate a PR campaign on our behalf. Dr. Dennison and I will
be working closely with these gentlemen to help achieve our goals
for this year’s legislative session.
Lastly, many of
our member’s patients are experiencing difficulty obtaining
necessary opioid analgesic medications for treatment of their
conditions. This is leading to significant frustration and stress
for healthcare providers and our patients. FAPM will ask our PR
agency for help in designing and implementing a campaign focused on
addressing this situation in multiple media outlets. Hopefully, we
can put some pressure on legislators to address this issue.
I wish all a
Merry Christmas and Happy New Year! I will keep you posted on
developments as we move forward this year with our agenda
FSCO the Medicare administrate contractor for jurisdiction J 9 has
retracted its previous article titled “Ultrasound Guidance for
Needle Placement in the Office Setting”. This retraction was based
upon input from your specialty society CAC representatives. Although
this article has been retracted there are still some limitations on
(please see attachment). Please also note, that
in the 2014 proposed rule for Revisions to Payment Policies under
the Physician Fee Schedule, the Centers for Medicare & Medicaid
Services (CMS) proposes a reduction in the relative value units
(RVUs) based on equipment inputs and procedure time assumptions for
Current Procedural Terminology (CPT®) code 76942.
Chief Executive Officer
2014 Medicare OBS Reimbursement Rates for SCS Trials
everyone has enjoyed their summer and all are ready to get back into
the swing of things. I would like to start off by thanking Dr Albert
Ray our immediate past president for his leadership and tireless
efforts in serving our organization over the past two years; as well
as, Dr. Felix Linetsky, Dr Kenneth Webster and the entire FAPM board
of directors for putting on an excellent educational program at this
year’s annual scientific conference. If you were unable to attend
this year’s conference you certainly missed out and I hope to see
you at the conference next year. In fact, place it on your calendar
today! (June 20-22, 2014). The Florida Academy of Pain Medicine
largely exists to advocate for and to protect the rights of the
chronic pain patients and the physician community that serves them
within the State. Your
membership in this organization is of paramount importance and
without your support we would not have a voice in Tallahassee. I
personally value your membership in the Academy and believe that
together we are making a difference in your practice and patients’
lives. I hope each of you will see fit to renew your membership this
year. If you know of a colleague that is not presently a member of
FAPM, please encourage him or her to join today!
of Medicine Survey Reveals Florida Physicians’ Top Concerns
Florida Medical Association Installs
W. Alan Harmon, M.D.
as 137th FMA President
The Florida Medical Association installed Jacksonville physician W.
Alan Harmon, M.D., FACP, as its 137th President this evening during
the 2013 FMA Annual Meeting in Orlando. Dr. Harmon is known among
his colleagues as a dedicated physician leader who has made many
contributions to organized medicine.
“Dr. Harmon has served the medical profession at the county, state
and national levels, and he is committed to making Florida a better
place for physicians to practice medicine,” said FMA Executive Vice
President Timothy J. Stapleton. “His knowledge of the many complex
issues facing doctors today is a great asset to the FMA.”
Board certified in internal medicine and gastroenterology, Dr.
Harmon practices with the Borland-Groover Clinic in Jacksonville. He
graduated with honors from the University of Florida College of
Medicine in 1976, and he completed his residency in internal
medicine and a fellowship in gastroenterology at the University of
Alabama in Birmingham.
Dr. Harmon has served on numerous FMA committees as well as the FMA
Board of Governors and the FMA PAC Board of Governors. He has been a
delegate from the FMA to the American Medical Association, and he
also served as FMA Treasurer from 2007 to 2011. He is a Past
President of the Duval County Medical Society, the Florida Society
of Internal Medicine and the Florida Gastroenterological Society.
Dr. Harmon is a Fellow of the American College of Physicians and was
elected last year to the AMA Council on Medical Service.
Dr. Harmon succeeds Vincent DeGennaro, M.D., who served as FMA
President from 2012-2013. Other FMA officers for 2013-2014 are:
President-Elect Alan Pillersdorf, M.D.; Vice President Ralph J. Nobo
Jr., M.D.; Secretary John Katopodis, M.D.; Treasurer Ronald Giffler,
M.D.; Speaker David J. Becker, M.D.; and Vice Speaker Corey L.
Draws Record Attendance
Conference a Great Success
Special Award Presented at Conference Luncheon
Left to Right: Rigoberto Puente-Guzman,MD, President of FSPR&R
Ralph Nobo, MD, Vice-President of FMA, Albert Ray, MD, President of
FAPM, Kenneth Webster, Ed D. FAPM Executive Director receiving the
Presidential Achivement Award,
and Jeffrey Zipper, FAPM President-Elect
Two Leadership Members of FAPM
Author Major Works
Felix Linetsky, MD and Albert
Ray, MD for recent publications in a major new textbook on Pain
Felix Linetsky, MD, FAPM
Board member, chairman of the FAPM Education Committee responsible
for our excellent Annual
Educational programs, and President of the American Academy of
Regenerative Orthopedic Medicine, has
coauthored “Treatment of Chronic Painful Musculoskeletal Injuries and Diseases with
Regenerative Injection Therapy (RIT): Regenerative Injection Therapy
Principles and Practice,” along with Hakan Alfredson, MD, PhD,
David Crane, MD, and Christopher Centano, MD. This chapter
was published in the
Comprehensive Treatment of Chronic Pain by Medical, Interventional,
and Integrative Approaches: the American Academy of Pain Medicine
Textbook on Patient Management and released last month. This
chapter offers a comprehensive review of regenerative injection
therapies including treatments related to pathology of connective
tissue, mechanism of action of chemical injectates and biological
injectates; provides a step
by step approach to differential diagnosis and treatment; and offers
future directions for regenerative injection therapies.
Linetsky and his co-authors are all internationally recognized
experts in the field of regenerative injection therapies, and have
combined their knowledge and skills in this excellent chapter.
Dr. Linetsky will be speaking and also teaching an
Ultrasound Guided Treatment
course at our upcoming annual meeting in June 28-30, 2013. The FAPM
has named an award in Dr Linetsky’s honor:
The Annual Felix Linetsky Award for Excellence in Education, to
recognize his lifelong dedication to helping patients receive better
care through education.
Dr. Linetsky will be available for private conversations for those
Ray, MD, current president of FAPM and president of the
Foundation for Pain Medicine, has served as the section editor on
Integrative Approaches for the Comprehensive
Treatment of Chronic Pain by Medical, Interventional, and
Integrative Approaches: the American Academy of Pain Medicine
Textbook on Patient Management.
He has served as the editor for 25 chapters including
such topics as pain perception, neuroplasticity and sensitization,
muscle pain treatment, addictive disorders, mental status exam of
pain patients, psychological assessment s and treatments, hypnosis,
acupuncture, manual therapies, regenerative therapies,
interdisciplinary functional restoration programs, spirituality,
disparate populations, sleep and pain, empowerment for pain
sufferers and their caregivers, geriatric issues in pain, primary
care issues, patient advocacy, neonatal pain, disability assessment,
the Double Effect, and failure to treat issues. Within this book,
Dr. Ray has authored a chapter entitled
Sensitization, and Pain,” and coauthored
“Pain as a Perceptual
Experience” with Ms. Rhonwyn Ullmann, MS, and Michael Francis,
MD; as well as “Manual
Therapies,” with Mr. John Barnes, PT,LMT, NCTMP and Ms. Rhonwyn
has dedicated his medical career to the understanding,
treatment, and teaching of pain in the whole person, and has also
served as the president of the American Academy of Pain Medicine,
the Southern Pain Society, and the National Pain Foundation. He has
been a Director at Large for the American Board of Pain Medicine and
still sits on their Exam Council.
Dr. Ray has also been a pioneer working for the establishment
of Pain Medicine as a primary specialty. Dr. Ray will be leading a
course in Basic Pain Medicine
at our Annual Educational Meeting next month.
will have this brand new textbook available at the exhibit hall
at Booth 306 for anyone interested. Come join this exciting meeting and meet our
authors in person.
FL Doc Arrested for Running Pill Mill, 3rd Offense
A St. Petersburg doctor who was accused
in 2011 of helping operate an illegal pain clinic in Pasco County
was arrested again Thursday on charges that he was doing the same
thing in Citrus County.
From the President:
Dear FAPM Members:
The Florida Academy of Pain Medicine strives to represent our
members on important issues that affect your ability to practice
medicine in the state of Florida. While we have expanded our member
services the past two years, including Executive Offices and
services, we have not increased your annual dues.
However, it is important for the success
of our programs to maintain a strong member base. As we enter the
fourth quarter of our fiscal year we need every member to be sure
their dues are current. We have a current list of dues paying
members for this year posted in our membership section on this
website. Please check to see if your name appears. If your name is
listed, thank you for your support of FAPM programs. If your name is
not listed, please take a moment to pay them “on line”. Your support
is needed now so that FAPM can continue to represent you on issues
that affect your medical practice.
Take time to check our website often to
stay informed of important medical matters. We strive to maintain
up-to-date communication so that our members are properly informed.
Albert Ray, MD, President
● Active website with regular updates,
special alerts and blast emails.
● Educational programs designed to
keep you up-to-date on the latest developments in pain medicine.
Discounted fees for members.
● Information resources to provide
practical insight into dealing with third party payers and
● Annual scientific conference with
nationally known speakers and relevant topics.
● PAC FUND to support legislative
issues pertaining to pain medicine.
● Opportunities for the exchange of
information and experiences with colleagues who have encountered
problems similar to those with which you are dealing.
● PainInfo, the Academy’s periodical
newsletter, which keeps you informed as to upcoming meetings,
Academy activities, and economic, legislative and regulatory
information (both state and national) which affects your practice.
● Representation within Florida’s
recognized organized medicine body, the Florida Medical Association,
both via a seat in the FMA House of Delegates and a seat on the FMA
FDA guidance urges patient outreach regarding important drug
recall related to Aspergillus Meningitis
FLORIDA DEPARTMENT OF HEALTH COLLABORATES WITH HEALTH CARE
PROFESSIONALS IN ONGOING FUNGAL MENINGITIS OUTBREAK INVESTIGATION
~New FDA guidance urges patient outreach~
NY Times- FDA Won't Require Special Training
the Court Fight to Protect Physician Medicare Data
Bondi's Weekly Briefing: Prescription Drug Diversion: Combating
Congress Approves 10-Month SGR
Note!The Electronic - Florida Online Reporting of Controlled
Substances Evaluation program
(E-FORCSE) is Florida's Prescription Drug Monitoring Program
(PDMP). The PDMP was created by the 2009
legislature in an initiative to encourage safer prescribing of
controlled substances and to reduce drug abuse and diversion
within the state of Florida. Remember: Section
893.055, Florida Statutes, requires health
care practitioners to report to the PDMP each time a controlled
substance is dispensed to an individual. This information
is to be reported through the electronic system as soon as
possible but not more than 7 days after dispensing. This
reporting timeframe ensures that health care practitioners have
the most up-to-date information available.
House GOP agrees
to doc pay-rate extension
tells some Florida doctors it won't fill their prescriptions for
on CVS blacklist feeling branded
Pain Management Regulations Affect
More Than Pain Management Specialists
Linda A. Keen
of counsel to The Florida
Healthcare Law Firm
MSK Medicine Council Outstanding Service Award
AAPM&R Outstanding Council Service Award was established this year
to recognize service/volunteerism of Council members who contribute
to the success of the Academy in fulfilling its mission and serving
its membership in ways not limited to research, education, and
Andrew Sherman, MD, MS—the
first MSK Medicine Council recipient of the AAPM&R Outstanding
Council Service Award! Outstanding Council Service Award recipients
will be recognized at the Annual Assembly at our Council business
meeting on Friday, November 5, at 5:45 pm, and will be announced
during the Forty-Second Walter J. Zeiter Lecture and Awards Ceremony
on Saturday, November 6, at 11 am.