Advocacy

AANEM member and Advocacy Advisor, Peter Grant, MD, and AANEM Health Policy Director, Millie Suk, JD, MPP, attended the spring meeting of the National Physicians’ Council for Healthcare Policy (NPCHCP) in Washington, D.C. on March 19-20.  Dr. Grant serves as a Vice Chair of the NPCHCP. The focus of the meeting was wide-ranging, looking at ways to reform MACRA to preserve private and rural practice in the current legislative efforts to restructure America’s health care system.
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State Liaison Listing

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Michael Slesinski

State: 

Dr. Michael Slesinski is a physiatrist in Lansing, MI. He is the Resident/Fellow representative to the State Liaison Committee. Dr. Slesinski served as a Resident/Fellow representative for the 2015-2016 term. He was invited to be an Alternate Member for the 2016-2017 term.

Shawn Hadley

State: AK

Dr. Shawn Hadley is a physiatrist working at Alaska Neurodiagnostic and Rehabilitation in Anchorage, Alaska.

P. Caudill Miller

State: AL

Dr. Paul C. Miller is a neurologist practicing at Neurology Consultants of Montgomery in Montgomery, Alabama. Dr. Miller has been a member of the AANEM for 18 years and desires to be involved in quality control issues with EMG keeping this the practice of medicine, working on improved insurance reimbursement.

Todd Levine

State: AZ

Dr. Todd Levine is a neurologist working in Paradise Vally, Arizona.

Benjamin Sucher

State: AZ

Dr. Benjamin Sucher is a physiatrist who directs EMG labs in a rheumatologic group with several locations in the Phoenix, Arizona area. Dr. Sucher has been a member of the AANEM for 14 years and has dedicated his practice to EDX and Neuromuscular ultrasound. He has also been involved with billing and coding issues for many years.

Gregory Sahagian

State: CA

Dr. Gregory Sahagian is a neurologist working at UCSD as an Assistant Clinical Professor and managing partner of the Neurology Center of Southern California, in San Diego, California. He has been a member of the AANEM for 12 years and is involved in payor contracting at his practice. He is disappointed when he sees patients who have had inferior testing by untrained providers and strives to see this practice come to an end.

Michele Yang

State: CO

Enrica Arnaudo

State: DE

Dr. Enrica Arnaudo is a neurologist practicing as a solo neurologist at Neuromuscular Medicine of Delaware in Newark, Delaware. Dr. Arnaudo has been a member of the AANEM for 12 years and also instructs as a Clinical Professor at Thomas Jefferson University in Philadelphia. In her clinical practice, she is a strong advocate of quality EMG care and educates her patients on resource utilization and quality EDX consultations.

Robert Friedman

State: FL

Robert J Friedman, MD is a neurologist who is also board-certified in Neuromuscular Medicine and Pain Medicine, With offices in Jupiter and Wellington, Florida, he has been a member of the AANEM for 12 years and is also a member of the AANEM Professional Practice Committee.

John Kincaid

State: IN

Dr. John Kincaid is a neurologist working at the Indiana University School of Medicine in Indianapolis, Indiana. Dr. Kincaid has been a member of the AANEM for 31 years serving as the association’s delegate to the AMA House of Delegates. In addition, he is a CAC member for the Indiana Medicare carrier and has been consultant to several health insurance companies for reviewing coverage polices, technologies and billing practices.

Eric Bicknell

State: LA

Dr. Eric Bicknell is a physiatrist and the medical director of Physical Medicine and Rehabilitation for the Willis Knighton Health System in Shreveport, Louisiana. He has been a fellow of the AANEM for 23 years and his EMG laboratory has been AANEM accredited with Exemplary Status since 2012. Dr. Bicknell has testified before the Louisiana State Board of Medical Examiners regarding EMG fraud and abuse practices. He has been an advocate for the performance and appropriate reimbursement of quality electrodiagnostic studies with various Louisiana insurance medical directors and the Louisiana Congressional Delegation.

Peter Warinner

State: MA

Dr. Peter Warinner is a neurologist working for the CNS Multispecialty Clinic in Wellesley, Massachusetts. Dr. Warinner has been a member of the AANEM for 10 years and a primary concern of his is poor quality and possibly fraudulent EDX studies and billing. He feels these are harmful to patients and may lead to delays in appropriate diagnosis and treatments.

John Wilson

State: MD

Dr. John E. Wilson is a Physical Medicine and Rehabilitation fellow at the NeuroDiagnostic Associates of Maryland in Bel Air, Maryland. Dr. Wilson has been a member of the AANEM for 14 years as well as being a member of the Professional Practice Committee, also serving as chair. He received the AANEM Outstanding Advocate Award in 2007 for his efforts in advocating for quality EDX medicine.

Mary Kneiser

State: MI

Dr. Mary Kneiser is a Physical Medicine and Rehabilitation physician at Ability Assessments in St. Claire Shores, Michigan. Dr. Kneiser has been a member of the AANEM for 17 years and was one of the first physicians to take the ABEM MOC exam in 2002. She has served as an oral examiner for the ABPMR for the past four years and brings a unique perspective on the technical side of testing with her engineering degree. Dr. Kneiser has been educating claims adjusters since 2003. While the sources of fraudulent studies may change over the years, Kneiser’s message hasn’t: “It is important that we as physicians have open lines of communication with adjusters,” she explained. “Adjusters have a variety of experience levels and backgrounds, and when we are dealing with them we have to recognize that.” Kneiser hopes her audiences learn a sense of how to tell a quality study from a poor one. “We have to take the time to educate adjusters so they continue to value EDX studies in diagnosing patients,” she said. “ Kneiser has served as a State Liaison since 2009, when the program began.

Anandeep Kumar

State: MI

Dr. Anandeep Kumar is a physiatrist working for Iowa Health Physicians in Des Moines, Iowa. Dr. Kumar has been a member of the AANEM for over 10 years and is a legislative committee member for the Iowa Medical Society. He is also a physician peer reviewer for the Iowa state medical board and is a strong advocate of physician leadership and representation in legislative and reimbursement matters.

David Rippe

State: MN

Dr. David Rippe is a physiatrist working at Abbott Northwestern Hospital in Minneapolis, Minnesota.

Raghav Govindarajan

State: MO

Dr. Raghav Govindarajan is a neuromuscular specialist practicing in Columbia, Missouri. Dr. Govindarajan has been a member of AANEM for last 5 years and has served on numerous committees including ethics committee, marketing committee, GME committee and monograph committee. He has also been awarded the AANEM president's research award, AANEM best abstract award and AANEM junior member recognition award. His interest is in improving the quality of analysis and reporting of electrodiagnostic studies.

Daniel Phillips

State: MO

Dr. Daniel Phillips is a neurologist with NEI of St. Louis in Chesterfield, Missouri. Dr. Phillips has been a member of the AANEM for 21 years and has been an active member of the State Liaison Committee with the organization for several years.

Robert Yapundich

State: NC

Dr Robert Yapundich is a neurologist in private practice with Neurology Associates in Hickory, NC. He has been a member of the AANEM since 1997. In addition to overseeing the first AANEM certified EDX lab in North Carolina, Dr Yapundich maintains an active interest in advocacy for all aspects of neurology, especially those pertaining to electrodiagnostic medicine. He has a particular interest in advocating for patient safety through continued efforts to improve the regulatory landscape pertaining to quality control of electrodiagnostic studies.

Alexander Pendino

State: NJ

Dr. Alexander Pendino is a neurologist in Hamilton, New Jersey. Dr. Pendino has been a fellow member of the AANEM for 16 years and has served on the Carrier Advisory Committee as a peer reviewer. He is currently serving on the Medicare Carrier Advisory Committee and has personally testified on behalf of the Neurological Association of New Jersey at the state legislature. Through the efforts of the AANEM’s State Liaison in New Jersey, Dr. Alexander Pendino, Highmark Medicare Services has corrected the Maximum Number of Studies Table included within its local coverage determination. Highmark was notified during the comment period in February that the table it included was not accurate and should be modified. The modifications were not included when the new policy was released earlier this year. Pendino spoke with Dr. Eileen Moynihan, Medical Director at Highmark Medicare, and discussed the inaccuracy. Ultimately, Pendino’s persistence resulted in a recent correction of the table.

Leo Germin

State: NV

Dr. Leo Germin is a neurologist working at Clinical Neurology Specialists in Henderson, Nevada. Dr. Germin has been a member of the AANEM for 14 years. As a strong advocate for both patient education regarding their health and compliance with AANEM policy “Who Is Qualified to Practice Electrodiagnostic Medicine” he is concerned about the increase in the number of mobile diagnostic technicians performing EDX studies without EMG or physician supervision in the PMD offices. Dr. Germin helped to defeat a Nevada Senate bill that would have allowed Chiropractors to perform EMG studies in their or other practitioners’ offices. Dr. Germin believes that payers require education regarding the indications that EDX studies should be only performed by neurologists or PMR physicians under direct EDX trained physician supervision and for the future in the accredited EMG labs only.

Joseph Carcione

State: NY

Dr. Joseph Carcione is a neurologist in Yonkers, New York. Dr. Carcione has been a member of the AANEM for 20 years and in his single-specialty practice for over 16 years. He has been involved with the special investigations unit of a major national healthcare company, assisting in the adjudication and prosecution of over 30 million dollars worth of fraudulent claims.

David Shuster

State: OH

Dr. David Shuster is a Physical Medicine and Rehabilitation physician at Electrodiagnostic Medicine Consultation in Dayton, Ohio. Dr. Shuster has been a member of the AANEM for almost 20 years. He is a Clinical Assistant Professor of Orthopaedic Surgery and Rehabilitation Medicine and Restorative Care at Wright State University, Boonshoft School of Medicine.

Timothy Pettingell

State: OK

Dr. Timothy Pettingell is a Physical Medicine and Rehabilitation physician in Tulsa, Oklahoma. Dr. Pettingell has been a member of the AANEM for 12 years and has done chart review and worked to educate nurse reviewers on proper performance of EDX studies. He is board certified by ABPMR, ABPMR subspecialty pain management and ABIME. Pettingell’s greatest concern in Oklahoma is “fraud and overutilization.” Pettingell, a physiatrist in Broken Arrow, kicked off a speaking tour that will end later this summer, educating case managers and adjusters about the value of quality EDX medicine. Pettingell reviews EDX medicine, the types of providers that should be performing and interpreting these studies, requirements of good quality studies, and parameters to identify fraudulent studies. He is targeting multiple insurers with the series, including the Case Management Society of America -- both the Tulsa and Oklahoma City chapters -- CompChoice, CompSource, WorkNET, Gemani, and AIG. His first engagement was with case managers at CBR Insurance, an Oklahoma workers’ compensation insurer. 06/10 In addition to Pettingell’s work educating case managers, he also has focused his efforts on the US Department of Labor. Initially, he was approached to provide a permanent impairment rating, and he conducted a full review of the injured workers’ records. Over the course of the review, Pettingell was frustrated by the degree of overutilization and the lack of scrutiny by the Department.

Peter Grant

State: OR

Dr. Peter Grant is a Physical Medicine and Rehabilitation physician in Medford, Oregon. Dr. Grant has been a member of the AANEM for over 25 years and is a Past President of the AANEM. He has served on many committees of the AANEM and has served on the Board of Directors. He was the founding Chairman of the EDX Laboratory Accreditation Committee. Dr. Grant's EDX laboratory was the first accredited laboratory in Oregon. Dr. Grant has lectured extensively in the area of fraudulent and abusive EDX practices and how to identify and combat them.

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