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EDPMA Membership Newsletter
May 2019
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May 2019 Articles:
- EDPMA's Telehealth Workshop is in 1 Week!
- Thank You to the Telehealth Workshop Sponsors
- 2019 Solutions Summit Recap
- EDPMA's 2019 Annual Business Meeting
- EDPMA Award Winners
- Thank You to EDPMA's Corporate Supporters
- Meet our Sponsors & Exhibitors for the Solutions Summit
- Golf Tournament Winners
- Register Now for a Discount to Exhibit at Solutions Summit 2020
- New Member Spotlight: Core Clinical Partners
- Join an EDPMA Committee!
- CMS Announcemnts:
* Call for Public Comment: Outcome Measures for MIPS
* Emergency Department Services: Comparative Billing Report
- Save the Date: 2020 Solutions Summit
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EDPMA's Telehealth Workshop is in 1 Week!
Next week, join the Emergency Department Practice Management Association's
"Integrating Telehealth Into Your ED Practice" workshop! The agenda is loaded with fantastic expert speakers. This workshop will be the best one yet! The agenda is available
here.
Don't miss out, register
Here
!
Registration Fees:
The cost is $650 if you are a member of EDPMA. If there are three or more attendees from the same group or company, there is a $100 discount!
Where:
Holiday Inn DFW Airport South. Although the hotel block is closed, EDPMA might be able to assist you win getting a room at the block rate of
$129/night. Please email
[email protected] for assistance.
When:
Wednesday, May 29 and Thursday, May 30, 2019. There will be a networking reception/dinner on the 29th.
Session Topics will Include:
Sponsorships Still Available:
Lunch for
$2,000 (includes one exhibit table, one workshop registration, and a sign and napkins with company logo)
(1 available)
Exhibit Table for
$1000 (includes: One Exhibit Table.)
Additional workshop information is available here.
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Thank You to the Telehealth Workshop Sponsors
The in-depth educational sessions offered at the Telehealth Workshop in Ft. Worth, TX, are supported by our workshop sponsors. Thank you!
Evening Reception Sponsorship
Workshop Lunch Sponsorship
Workshop Breakfast Sponsorship
Workshop Break Sponsorships
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2019 Solutions Summit Recap
The 2019 Solutions Summit was a huge success! Nearly 400 attendees, including a record number of exhibitors (58), arrived in Scottsdale, Arizona, to learn about, discuss, and develop solutions to the challenges thpse in the business of emergency medicine are facing. Thank you to all of the excellent speakers and generous sponsors and exhibitors. Your contributions are greatly appreciated.
This year's Summit was held at a beautiful resort where attendees enjoyed comfortable weather among shaded covered walkways, palm trees, cacti, and giant fire places/pits. Some photos are available
here.
On Saturday, 40 golfers teed off to begin EDPMA's second golf tournament at the McCormick Ranch Golf Club as temperatures soared into the high 90's. A great time was had by all culminating in a fun Pre-Conference Reception at the golf course as the sun went down behind the mountains. A special thanks to Brault who sponsored the golf tournament, balls and tees, and Pre-Conference Reception. The winning team included, with .. hitting the longest drive and ... hitting closest to the pin. Congratulations all!
Sunday, Committee Day, included four workshops: Provider Enrollment, State Regulatory and Insurance, Quality Coding and Documentation, and Federal Health Policy. In-depth discussions of our advocacy work in all four areas was followed by the Opening Night Reception in the Exhibit Hall where attendees could catch up with old friends, meet new ones, and learn about the exhibitors' products and services. while enjoying appetizers and Sangria.
Monday and Tuesday were chock full of educational sessions. We held special break-out tracks on reimbursement, practice management, and alternative payment models (APMs). Tuesday afternoon included a medley of songs from the musical "Emergency the Musical." The Closing Reception was held poolside, with Mexican food and prickly pear margaritas as the sun set over the desert.
Wednesday morning, attendees learned how to advocate on behalf of the business of emergency medicine. Attendees enjoyed an outside brunch with mimosas while watching skits on how to -- and not to - lobby at the federal and state level. EDPMA members shared their stories on how they have developed as effective lobbyists for the industry and urged attendees to join the cause.
Committee Day Workshop Slides:
Summit Committee Day Workshop slides are available to EDPMA members only. These are confidential and may not be shared with non-members:
Thank you to all who attended and don't forget to fill out your attendee survey (available
here
). Exhibitors, please also fill out the exhibitor survey (available
here
). We are already getting started on next year's Summit in Nashville, Tennessee!
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EDPMA's 2019 Annual Business Meeting
EDPMA held its Annual Business Meeting during the Tuesday luncheon at the Solutions Summit. EDPMA's activities and successes in 2018 and our strategic plan for the rest of 2019 were summarized. The presentation is available here:
2018 Annual Business Meeting. For greater detail about our work in 2018, please review EDPMA's
2018 Annual Report. We strongly encourage you to share this annual report with your senior management to ensure they are aware of the value of your EDPMA membership.
The
2019-20 EDPMA Board of Directors started their term once the Summit ended:
Executive Committee:
Vituity: Bing Pao, MD, FACEP, Chair
BSA Healthcare: Jeffrey Bettinger, MD, FACEP, Vice Chair
Brault: Andrea Brault, MD, MMM, FACEP, Immediate Past-Chair
Emergency Care Specialists: Don Powell, DO, FACEP, Chair-Elect
R1: Jackie Willett, CHBME, Treasurer
TeamHealth: Aron Goldfeld, JD, MBA, At Large
EPOWERdoc, Inc.: David Ernst, MD, FACEP, At Large
St. Vincent Emergency Physicians: William Freudenthal, MD, FACEP, At Large
Zotec Partners: Ed Gaines, JD, At Large
Other Board Members:
Acute Care, Inc.: Paul Hudson, MBA, MHA, FACHE
CIPROMS Medical Billing, Inc.: Andrea Halpern Bryan
Edelberg & Associates: Caral Edelberg, CPC, CPMA, CCS-P, CHC, CAC
Envision Healthcare: Bob Kneeley
Gottlieb: Shanna Howe
Medical Coding Solutions: Mark E. Owen
Reimbursement Technologies, Inc.: Gary Gelbart, MBA
Rev4ward, LLC.: Juli Forde
Schumacher Clinical Partners: Randy Pilgrim, MD, FACEP
US Acute Care Solutions: L. Anthony Cirillo, MD, FACEP
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EDPMA Award Winners
After EDPMA's activities, successes, and future plans were discussed, annual awards were presented. Congratulations to Dr. Andrea Brault who received the Leadership Award, Drs. Dighton Packard and Randy Pilgrim who each received the Committee/Task Force Award, and Juli Forde who received the Rising Star Award! Your contributions to EDPMA are greatly appreciated!
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Thank You to EDPMA's Corporate Supporters
EDPMA would like to thank our year-long Corporate Supporters. Your important contributions ensure that the association stays active on many fronts advocating for and educating our membership.
Platinum Corporate Level
Gottlieb
Gold Corporate Level
ImagineSoftware
Zotec Partners
Silver Corporate Level
athenahealth, Inc.
Cascade Capital
Medlytix LLC
Pendrick Capital Partners
R1
Bronze Corporate Level
Academy for Continued Healthcare Learning (ACHL)
Vituity
We urge the rest of you to become Corporate Sponsors too! Please contact Elizabeth Mundinger ([email protected]) or Paul Gerard ([email protected]) to learn more.
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Meet our Sponsors & Exhibitors
for the Solutions Summit
The 2019 Solutions Summit will be a huge success due to the generous support of all of our sponsors and exhibitors. We look forward to seeing all of you on-site during the upcoming Solutions Summit.
Solutions Summit Sponsors:
Golf Tournament & Preconference Reception - Brault
Martin Gottlieb Advocacy Luncheon - Gottlieb
Conference Portfolio - Gryphon Healthcare
Mobile App - Brault
Hotel Key Cards - LogixHealth
Lanyards - Change Healthcare
Water Bottles -
CIPROMS Medical Billing, Inc.
EMRA Resident Scholarship - St. Vincent Emergency Physicians Inc., US Acute Care Solutions, and Vituity
Golf Balls & Tees - Brault
Wednesday Morning Joe - Franklin Collection Services Inc.
Exhibitors:
Academy for Continued Healthcare Learning (ACHL)
American College of Emergency Physicians
ARMCO Partners, LLC
athenahealth, Inc.
Automated Collection Services, Inc. (ACSI)
Aviacode Incorporated
Board of Certification in Emergency Medicine
Brault
Capio
Cascade Capital
Change Healthcare
CirrusMD
d2i
Data Media Associates, Inc.
DuvaSawko
EmOpti, Inc.
Envision Physician Services
EPOWERdoc, Inc.
Equian
Franklin Collection Service, Inc.
Gottlieb
Gryphon Healthcare
Huddy Healthcare Solutions, Inc.
ImagineSoftware
Innovative Healthcare Systems, Inc.
Integrated Care Physicians Inc.
LightSpeed Technology Group
LocumTenens.com
LogixHealth
MedData, Inc.
Medical Coding Solutions
Medlytix LLC.
MY Biomedical
Newsura Insurance Services, Inc.
Nicka & Associates, Inc.
Payor Logic (A ZOLL Company)
Pendrick Capital Partners
Pettigrew Medical Business Services
Phoenix Financial Services, LLC
Presidiohealth
PhyCon Incorporated
Physicians' Choice, LLC
Premium Asset Recovery Corporation (PARC)
ProScribe, LLC
Qventus, Inc.
R1
RelyMD
ScribeAmerica
SheppardMullin
Shift Administrators, LLC
Sycamore Physician Contracting
The Dental Box
The Sullivan Group
TransUnion Healthcare, Inc.
TruBridge
T-System, Inc.
USI Southwest
Zotec Partners
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Golf Tournament Winners
EDPMA would like to congratulate the foursome of Kevin Dement, VEP Healthcare; Steve Fidelholtz, Medlytix LLC; Arvind Krishnaswami, Medlytix, LLC; and Dr. Mitesh Patel, VEP Healthcare for being on the winning team for the EDPMA's "best ball" tournament. We would also like to congratulate
Andrea Halpern-Bryan, CIPROMS Medical Billing, Inc., for being closest to the pin, and
Dr. Brian Graham, Cleveland Clinic, for having the longest drive.
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Register Now for a Discount to Exhibit at
Solutions Summit 2020
This year, members of EDPMA will receive a
$200 discount when exhibiting at the 2020 Solutions Summit in Nashville, TN. In addition, you will receive an additional
$200 discount if you purchase your booth by
July 31, 2019. Plus, the earlier you register, the earlier you get to choose your booth location.
Exhibit Table Rates:
Before July 31,
2019
$2,000 member rate
$2,200 nonmember rate
After July 31 -
standard rates
$2,200 member rate
$2,400 nonmember rate
A 2020 EDPMA Exhibitor Contract is available here. Please reach out to Megan Van Dam, [email protected], to select your booth. Don't delay and miss this opportunity. Reserve your booth now!
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New Member Spotlight: Core Clinical Partners
 Core Clinical Partners is a physician services company with a hybrid ownership model in which local contract ownership is shared between the physician-owned management company and the local physicians. Core's dyad management model pairs a physician leader with a healthcare business leader to ensure the right tools are in place to provide excellent care to patients and excellent service to the physicians, advanced practice clinicians, and partner facilities. For more information on Core Clinical Partners, please click here.
Excerpts from a conversation with Boykin Robinson, M.D., MBA, CEO
Dr. Robinson has worked in the emergency medicine space for over 20 years and has been a practicing Emergency Physician in the Atlanta area throughout that time. Most recently, he led a division for a large physician management company after stops as site medical director and regional president. In early 2018, Dr. Robinson and a group of investors founded Core Clinical Partners headquartered in Atlanta, GA. They saw an industry need for a different model - one in which core physicians have transparent ownership in their practice but still have the support of a larger organization. This model creates an improved partnership with the hospital facility and results in more engaged physicians giving exceptional care to their patients. Currently Core Clinical Partners provides services in three states with expansion into four additional states planned for this summer as they grow both organically and by partnership with other groups.
Dr. Robinson was aware of EDPMA's value and contributions to the business of emergency medicine as he had attended several Solutions Summits through his previous firm. He knew when Core Clinical started, that joining EDPMA would help his team to stay knowledgeable and up-to-speed on important reimbursement issues including the "surprise billing" issue at both the state and federal levels. Dr. Robinson attended the 2019 Solutions Summit in Scottsdale and said "it was an excellent opportunity to connect with new and long-time colleagues and to get up-to-date information on many topics." Dr. Robinson found the overview session on APM's particularly useful. And, interestingly, Core Clinical's CFO, Gretchen Payne, was at the first Solutions Summit, 21 years ago! We thank Gretchen for her participation and support of EDPMA!
Dr. Robinson highlights that being a member of EDPMA provides a "seat at the table" to engage with other management-level emergency medicine experts and their legislative and regulatory counterparts. Having this direct knowledge and contact enhances their capabilities and their team's skillset. In addition to the important reimbursement issues EDPMA focuses on, Boykin is pleased to see that coding issues also are getting attention. Like many other emergency medicine physicians, Dr. Robinson has seen coding changes that directly impact their business and need to be addressed. He appreciates that EDPMA is working on challenging these changes in the industry. Also, Boykin points out that EDPMA's educational and networking opportunities, available to all members of his team, enhance their knowledge and awareness of many issues impacting emergency medicine, such as the Prudent Layperson Standard, Medicare issues, and more. Having these resources available via EDPMA's email's, action alerts, access to the members-only Toolkit, Workshops and the Solutions Summit have a direct impact on their business.
Dr. Robinson, along with his team members, plans on joining one or two of the seven EDPMA Committees in the near future. He has seen first-hand how being a part of leadership can provide opportunities to directly impact legislation and support issues that can enhance the success of emergency medicine physicians and their patients.
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We encourage you to join an EDPMA committee. The real work at EDPMA is done at the committee level. Committee members work together in a variety of ways including:
- discussing the impact of the ACA, its possible repeal, and changes to Medicaid that impact ED practice groups,
- organizing meetings with CMS officials on provider enrollment,
- drafting letters to state-level policymakers on balance billing,
- identifying speakers on ED best practices,
- meeting with commercial payers about problematic downcoding policies,
- developing a toolbox to help survive an audit,
- preparing for Medicare reimbursement under the Merit-Based Incentive Payment System, and
- building strong business relationships.
Experts work side-by-side with newcomers, new leaders shine, and everyone's contribution is greatly appreciated. Many members report that insight shared on committee conference calls is one of the most important and unique benefits of their EDPMA membership. We invite you to join one of EDPMA's committees. Information about each committee is available here. (Don't be shy: if you want, you can just listen in.)
Membership Committee Update:
EDPMA would like to welcome four new members this month:
Hernando County Emergency Physician Services, Brooksville, FL
d2i, Parsippany, NJ
Georgia Emergency Department Services, Gainesville, GA
Steward Medical Group, Brookline, MA
We look forward to working with you!
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Call for Public Comment: Development and Reevaluation of Outpatient Outcome Measures for the Merit-based Incentive Payment System
The Centers for Medicare & Medicaid Services (CMS) is developing outcome measures for ambulatory care for the Merit-based Incentive Payment System (MIPS). As part of this project, Yale New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (CORE) is developing a measure of acute admissions for patients with multiple chronic conditions (MCCs). CMS is inviting stakeholders and other interested members of the public to review and comment on the measure. In response to stakeholder questions, CMS has extended the deadline for accepting public comments to May 24, 2019. Additionally, at the website listed below CMS will post a clarification on the measure's attribution by May 10, 2019.
Specifically, CORE adapted for MIPS a measure of acute, unplanned hospital admissions for MCC patients that CMS currently reports for Medicare Accountable Care Organizations. The re-specified measure for MIPS will assess each eligible clinician or clinician group's admission rate relative to that of other MIPS participating clinicians or clinician groups with similar patients.
The purpose of the public comment period is to gain input from the widest possible array of interested parties. Public comment can elicit critical suggestions not previously considered by the contractor or its national Technical Expert Panel (TEP).
The specifications and results of the MIPS MCC measure are outlined in the measure's methodology report, which presents the approach to measure development, the measure specifications, and results of measure evaluation and testing. You may also review a summary of the TEP's discussion on the measure. All documents are available in the 'downloads' section at the link below. In response to stakeholder questions, CMS will post additional information on the measure's attribution in the 'downloads' section by Friday, May 10, 2019.
Please email your comments to [email protected]. Comments must be received by 11:59 PM EST on May 24, 2019. If you are providing comments on behalf of an organization, include the organization's name and your contact information. If you are commenting as an individual, submit identifying or contact information. Any attachments should be in Microsoft Word, Excel, or PDF format. Do not include personal health information in your comments. For more information and to access the measure's documents posted for comment, please visit https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/PC-Currently-Accepting-Comments.html. Please note that at the end of the public comment period, all comments will be posted on the website.
Please contact Faseeha Altaf at [email protected] should you have any questions. |
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Emergency Department Services: Comparative
Billing Report in May
In late May, CMS will issue a Comparative Billing Report (CBR) on emergency department services, focusing on providers who submit Medicare Part B claims. These reports contain data-driven tables with an explanation of findings that compare your billing and payment patterns to those of your peers in your state and across the nation.
CBRs are not publicly available. Look for an email from [email protected] - External Link Policy - Opens in a new window with your report. Update your contact email address in the National Plan and Provider Enumeration System to ensure accurate delivery. Visit the CBR - External Link Policy - Opens in a new window website for more information.
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Save the Date: 2020 Solutions Summit
Don't miss Solutions Summit next year! EDPMA looks forward to seeing all of you in Nashville, TN, May 3-6, 2020.
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