EDPMA’s advocacy efforts keep our issues front-and-center with Congress, CMS, CCIIO and other agencies. Click on the links to see our advocacy in action. Please note: access to the full letters require a member login.
2022 Letters
- EDPMA Submits Letter on MPFS Cuts
On Monday, December 5, 2022, EDPMA submitted a request to the Departments strongly urging them to prevent the entire 4.5% reduction to Medicare payment rates from being implemented on January 1, 2023. The letter can be found here. - EDPMA-ACEP Submit Letter on RARCs
On Monday, November 28, 2022, ACEP and EDPMA submitted a request for the Departments to require health plan and issuer use of the Remittance Advice Remark Codes (RARCs) when providing the disclosures that are required along with the initial payment or notice of denial for out-of-network services under the No Surprises Act. The letter can be found here. - EDPMA Submits Response to MACRA RFI
On Wednesday, October 19, 2022, EDPMA submitted a response to the request for Information on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). In the letter, EDPMA calls on Congress to begin the process of reform as soon as possible by convening roundtables with affected stakeholders and/or hearings in the Committees of jurisdiction to inform potential legislative solutions, highlighting reimbursement instability and MIPS and APMs as areas to address. The letter can be found here. - EDPMA Letter in Support of HR 8800
On Monday, September 26, 2022 EDPMA sent a letter to Reps. Bera and Bucshon thanking them for introducing HR 8800, Supporting Medicare Providers Act of 2022, and in support of the bill. The letter can be found here. - Coalition Letter on Washington State Balance Billing Implementation
On September 13, 2022, EDPMA joined coalition members in Washington State to provide comments on the second prepublication draft rule (R 2022-02) implementing HB 1688. The letter restated the coalition’s position from the August letter and reiterated the inclusion of the AADR provision in future versions. The letter can be found here. - EDPMA Submits Comments on REH Proposed Rule
On Tuesday, September 13, 2022, EDPMA submitted comments to CMS on 2023 Hospital Outpatient Prospective Payment System (OPPS) and Rural Emergency Hospitals (REH) proposed rule. The letter focused on REH provisions. The letter can be found here. - EDPMA Letter to Congressional Committee Leaders on MPFS Cuts
On Monday, September 12, 2022, EDPMA sent a letter to congressional committee leaders requesting that Congress act before the end of the year to mitigate expected Medicare Physician Fee Schedule (MPFS) cuts in calendar year 2023. EDPMA is asking Congress to address the short-term issue of stabilizing Medicare reimbursement in 2023 by increasing the Medicare CF in 2023 by at least 4.5 percent, waiving the 4 percent PAYGO cut, and providing an inflationary update based on the Medicare Economic Index (MEI). EDPMA is also urging Congress to work towards a long-term solution to provide an annual inflationary update to provide greater stability for physicians participating in the Medicare program and their patients. The letter can be found here. - EDPMA Submits 2023 MPFS Comment Letter
On Tuesday, September 6, 2022, EDPMA submitted a comment letter on the 2023 Medicare Physician Fee Schedule (MPFS) proposed rule. The letter can be found here. - EDPMA Comments on Conditions of Participation for REH and Critical Access Hospitals
On Thursday, August 25, 2022, EDPMA filed a comment letter with CMS on the Conditions of Participation for Rural Emergency Hospitals (REH) and Critical Access Hospital conditions of participation updates. The letter can be found here. - Coalition Letter on Washington State Balance Billing Implementation
On August 12, 2022, EDPMA joined coalition members in Washington State to provide additional feedback on the implementation of HB 1688 specifically related to AADRs. The letter can be found here. - Coalition Letter Urging Congress to Pass CF Adjustment for 2023 and Wave PAYGO Requirement
On July 27, 2022, EDPMA joined medical societies urging Congress to pass legislation that provides at least a 4.5% CF adjustment for 2023 and waives the 4% statutory PAYGO requirement. We also ask for legislation to provide a one-year inflationary update based on the Medicare Economic Index. These important policy changes will undoubtedly provide our members with crucial short-term fiscal stability while simultaneously laying the foundation for necessary long-term payment reforms. The letter can be found here. - EDPMA-ACEP Letter to Tri Agencies Regarding NSA Billing Compliance Issues
On June 21, 2022, EDPMA and ACEP sent a letter to Departments of HHS, Labor and Treasury asking for action to ensure patients are taken out of the middle of payment disputes with health plans. This letter is a follow-up to the April 25 letter and meeting with CCIIO where EDPMA and ACEP shared continued concerns about emergency physicians’ difficulty in obtaining information from plans and insurers as required by the No Surprises Act. The full letter can be found here. - Coalition Letter to Washington OIC on Balance Billing Rulemaking
On May 31, EDPMA joined coalition members in Washington State to send a comment letter on the implementation of HB 1688. The letter can be found here. - EDPMA Letter to Georgia Medicaid on Centene Downcoding
On April 27, 2022, EDPMA sent a letter to Georgia Medicaid on Centene’s automatic downcoding of emergency claims based on diagnosis. The letter can be found here. - EDPMA-ACEP Letter on NSA Billing Compliance Issues
On April 25, 2022, EDPMA and ACEP sent a letter to the Departments of HHS, Labor and Treasury highlighting how health plans have not supplied basic information required by the NSA when paying for patient care services. The letter can be found here. - EDPMA Letter to CMS Regarding Split/Shared Services
On April 4, EDPMA sent a letter to CMS asking for the agency to revisit its CY 2023 split/shared policies. The letter can be found here. - EDPMA-ACEP Comment Letter on IDR Portal
On March 22, 2022, EDPMA and ACEP sent a joint letter to the Departments of Health & Human Services, Labor, and Treasury providing feedback on the independent dispute resolution (IDR) Portal, which will be used to help facilitate claims through the federal IDR process under the No Surprises Act. The letter can be found here. - EDPMA Letter to HHS on PRF Accounting
On January 7, 2022, EDPMA urged the Administration to provide a more thorough accounting of the COVID-19 Provider Relief Funds to better understand how remaining funds may be dispersed. The letter can be found here.
For earlier EDPMA letters, please click here. (must be logged in to access)