EDPMA ADVOCATES

5-Question Quick Hit Survey

EDPMA needs your help to support our advocacy efforts to fix the No Surprises Act (NSA) by completing this 5-question Quick Hit survey. 

This survey will collect data on:  

• Reimbursement Changes in 2023: Since the NSA was implemented, physician groups experienced a 39% reduction in OON physician reimbursement (net collections per ED visit) in 2023 compared to 2022. This reduction affects patient care quality amid clinical workforce shortages and workplace strain. 
• Impact on Access to Care: EDPMA fully supports the NSA’s goal of protecting patients from unanticipated medical expenses due to out-of-network care. Emergency physicians must be fairly compensated for services delivered, especially under EMTALA. 
• Civil Monetary Penalties: EDPMA advocates for Civil Monetary Penalties and treble damages when non-prevailing parties fail to pay IDRE determinations promptly. Correct and timely payments are crucial to address health plan non-compliance. 
• Patient Cost Sharing Issue: Health plans changing patient cost sharing after losing an IDRE determination is a serious concern. 

We need YOUR HELP to gather essential data for advocacy efforts to protect physician reimbursement. 

EDPMA EDUCATES

Be a Part of the 2025 Solutions Summit: Share Your Expertise!

Do you have insights, innovations, or solutions to share? The 2025 Solutions Summit is calling for dynamic presenters like you to join our lineup. 

Why Should You Present? Your unique perspective matters. By sharing your expertise, you’ll enrich the Summit and provide invaluable learning experiences for fellow attendees.  

How to Get Involved: Submit your presentation proposal by

September 15, 2024.  



Don’t miss this chance to make an impact and be part of something bigger! 

Register: Value-Based Contracting: From Concept to Reality

The EDPMA Virtual Workshop: Value-Based Contracting - From Concepts to Reality is an interactive virtual workshop that provides background, information, and tools to empower your group’s value-based journey.  

It’s designed to help emergency medicine practices understand and implement value-based models. Here are the key points: 

• Background: Health care entities have been transforming fee-for-service payment into value-based models of care. However, emergency medicine practices have not been proportionately included in these efforts, despite substantial opportunities to impact quality, outcomes, and cost. 
• Program Types: Value-based models can take various forms, with different levels of risk, opportunity, required investments, and clinical/operational demands. 
• Common Themes and Metrics: Some emergency medicine practices have successfully deployed value-based models. Common themes include quality measures, avoidable hospitalizations, reducing ED bounce-backs, and addressing variation in clinical decision-making. 

Workshop Faculty: 

Randy Pilgrim, MD, FACEP, FAAFP: Provides a brief review of Value-Based Care (VBC) concepts for emergency medicine. 

Lisa Mauer, MD: Describes a process to activate relationships and local market awareness into profitable, winning contracts. 

Jesse Pines, MD: Covers measurement, benchmarking, and using data analytics to improve VBC outcomes. 

Pricing:  

Individual Member: $400 

Individual Non-Member: $500 

Member Group Registration (3 or more from one organization): $1,100 

September 4, 2024 

1pm – 4pm ET 

Register: RCM Workshop in Las Vegas 

Get ready for an RCM Revenue Rendezvous!  

Join us at The Cosmopolitan in Las Vegas for EDPMA’s annual RCM Workshop on December 10 and 11. This conference is designed to equip you with the latest strategies, best practices, and tools to optimize your revenue cycle and enhance overall financial performance. Here’s what’s in store: 



Pre-Conference Session  

• No Surprises Act (NSA) Regulatory and Litigation Updates: Learn about the impact of lawsuits on regulations from experts like Ed Gaines, JD (Zotec Partners) and Bob Jasak, Esq. (Hart Health Strategies). 
• Keynote Presentation: Gain insights from an IDRE CEO (James Bobeck, Esq. from Federal Hearings & Appeals Services, Inc.). 
• NSA IDRE Panel Discussion: Engage with panelists including James Bobeck, Esq. (FHAS Inc), Alla LaRoque (HaloMD), and Paul Jordan (SCP Health). 

RCM Workshop Curriculum:

• Medicare Physician Fee Schedule and Pertinent Regulatory Updates: Dive into the latest changes with Bob Jasak, JD (Hart Health Strategies) and Ed Gaines, JD (Zotec Partners). 
• Maximizing Opportunities in ED Observation: Explore ED observation strategies with Jason Adler, MD (LogixHealth) and Casey Collins, MD (STATUS Health Partners). 
• Rural Medicine Viewed Through an RCM Lens: Understand rural health considerations with Paul Hudson (STATUS Health Partners). 
• Cyber Security Perspectives: Get insights from a clinician (Susan Good, MD, EMS, SC) and Cecil Pineda (R1 RCM). 
• Coding & Reimbursement Conundrums: Navigate coding challenges with Ed Gaines, JD (Zotec Partners) and Jason Adler, MD (LogixHealth).
• Talk to the Experts: Engage in rapid-fire table talks on hot topics in the business of emergency medicine. 

Join us for a reception following Tuesday’s sessions.  

P.S. For sponsorship and exhibiting opportunities, contact sponsorship@edpma.org. 

FREE WEBINAR: Maximizing Obs Units in the ED  

Dr. Mark Laperouse and Ventra Health are offering a free members-only WebinarPlus on optimizing ED observation units to maximize revenue potential. Here are the key topics that will be covered: 

1. Patient selection criteria for ED observation 
2. Documenting medical necessity for observation services 
3. Proper coding guidelines for ED observation 
4. Evaluating whether to create a separate observation unit or provide observation services within the main ED 

This webinar aims to help emergency departments ensure they are not missing out on potential revenue from their observation services. It will provide best practices and insights on implementing and managing effective ED observation units 

Wednesday, August 21 

12pm EDT