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New Member Spotlight: Concord Medical Group

Concord Medical Group is a physician-owned and -operated organization founded by Dr. Kyle Sheets in 2001. The group’s beginning focused on supporting rural hospitals in Texas. Concord has grown over the years and, in addition to emergency medicine, the group offers hospitalist and radiology specialties. Concord is now in ten states, managing over 80 programs with over 1,300 providers. Emergency medicine continues to be the group’s main focus. For more information on the Concord Medical Group, click here.

Excerpts from a conversation with Steve Kearney, Executive Vice President, and Chief Financial Officer

Concord Medical Group prides itself on its bespoke approach. There is no cookie-cutter approach as they focus carefully on meeting the needs of each of their clients. This includes providing the highest-quality patient care; supporting their physicians and other professionals with scheduling, training, and recruitment; and ensuring the effectiveness of their programs. Mr. Kearney joined Concord Medical Group over four years ago after managing two other emergency medicine groups. He comes with years of experience in developing and improving accounting, financial reporting, and financial planning & analysis as well as supporting financial systems that support higher levels of performance.

Mr. Kearney was familiar with EDPMA since he had worked in emergency medicine for years and had attended several Solutions Summit conferences. Steve recommended joining EDPMA, in part, due to the productive Solutions Summit conferences indicating a level of professionalism within the association. Steve said, “the conference has always been so well run and the programming informative and timely.” Mr. Kearney believes EDPMA’s member mix of physician groups and suppliers is useful. He said, “if we were looking for a supplier, of course, we would look at who is a member of EDPMA as a starting point.”

Mr. Kearney sees some of the current challenges in emergency medicine related to the implementation of the No Surprises Act and issues that regularly come up with payers. Mr. Kearney emphasized all the resources available to EDPMA members including the Toolboxes which provide detailed information on legislative and regulatory matters at the state and federal levels, including templates for taking action. And Steve wants to be sure his senior-level team is exposed to all these resources as they provide hands-on, practical and useable information. Steve also highlighted that being a member of EDPMA provides a collaborative approach to identifying and solving issues in emergency medicine. He knows the “go-it-alone” approach usually is not successful but working with so many knowledgeable colleagues provides the best avenue for meeting the challenges in emergency medicine and being successful.

Mr. Kearney and Dr. Sheets will be attending the 2021 Solutions Summit (September 26-29 in Fort Worth, TX). They look forward to seeing their colleagues, hearing the latest updates on business issues, legislation, and regulatory updates, and enjoying the great networking events. Steve has joined the Practice Management Committee and is encouraging his senior management team to join other EDPMA Committees such as Federal Health Policy, State Regulatory and Insurance, and the Quality, Coding, and Documentation committees.

EDPMA urges decision makers to maintain the 3.75% increase in the Medicare Conversion Factor

On July 23, 2021, EDPMA and 108 other physician advocates urged Congress and the Administration to maintain the 3.75% increase in the Medicare Conversion Factor at least through calendar year 2022 or 2023.  The letter is available here

August 18 Webinar: Understanding the Federal Ban on Surprise Medical Billing

This webinar is sponsored by Brault and presented by Dr. Andrea Brault and Dr. Lisa Maurer. The No Surprises Act will establish a federal ban on surprise billing and is scheduled to take effect on January 1, 2022. But, there are still many details that must be clarified during the current rule-making phase – including the definition for qualified payment amounts, specific plan obligations, and the rules/criteria for independent dispute resolution (IDR).

This webinar will take a deep dive into these critical topics and offer practical insights into planning and preparing for the coming year.

EDPMA Members can access the recording and slides here.

July 21 Webinar: Data for the Future. Post-pandemic Strategic Planning for ED Leaders

Using data from the Emergency Department Benchmarking Alliance’s annual survey, Dr. James Augustine’s presentation will focus on the NOW issues in ED management, with the data to help guide the C-suite leadership. The Covid-19 pandemic-tested Emergency Departments (EDs) across the country are now adapting to a post-pandemic reality. ED visits are increasing in 2021, on a new trajectory from 2020. Data shows that around 70% or higher of patients are admitted from the ED, but an increasing percentage have long stays in the ED before being admitted, impacting staff and space capacities. EDs also manage care for many mental health and substance abuse patients, and there has been an increasing focus on directing them into treatment. This has led to opportunities for ED staff to seek to help these patients outside the law enforcement/EMS/ED pathway. All these shifts in patient care and management will lead to reevaluation and design change in EDs across the country.

For more information and to register click here.

EDPMA Sends Fourth Letter Commenting on Implementation of the No Surprises Act

EDPMA and ACEP sent the following four joint letters to the Center for Consumer Information and Insurance Oversight (CCIIO) and Office of Management and Budget (OMB) on provisions we would like included in the rules implanting the federal No Surprises Act. The No Surprises Act establishes a process for payment and dispute resolution for out-of-network emergency care (and some nonemergency care). Many important issues were left open for the Administration to address in the rulemaking phase. An Interim Final Rule implementing portions of the Act is expected soon.

3/24/21 EDPMA/ACEP Joint Letter to Biden Administration on No Surprises Act Implementation

5/14/21 EDPMA/ACEP NSA Letter 2 re: Technical RCM Advice

06/14/21 Third EDPMA/ACEP letter to CIIO on NSA Implementation

6/16/21 EDPMA/ACEP Letter to OMB Re No Surprises Act Implementation

EDPMA New Member Spotlight: Alteon Health

EDPMA New Member Spotlight: Alteon Health

Alteon Health partners with hospitals to deliver the highest-quality patient care. The company works to empower physicians and staff to employ innovative and adaptable care-delivery models. Alteon Health prides itself on strengthening the skills of their team members through mentorship, education, and professional development. For more information on Alteon Health, click here.

Excerpts from a conversation with Chris Greenwood, Vice President, Growth and Integrations

Mr. Greenwood joined Alteon Health 2 1/2 years ago after several years in various business areas in healthcare including managed care contracting, EHR development and implementation, and onboarding and integration of new business through organic growth, mergers and acquisitions. Alteon Health was formed in 2017 from the merger of two long-standing physician staffing companies – Emergency Medicine Associates (EMA) of Maryland and Island Medical Management of New York. Together, the company has over 40 years of experience in emergency medicine.

Chris spearheaded the effort to have Alteon Health become an EDPMA member because of several conversations he had with EDPMA members and a review of EDPMA’s advocacy work, particularly at the Federal level. Mr. Greenwood said, “Alteon Health wants to become part of EDPMA’s collaborative team, raise our voice on issues of importance to emergency medicine and be a thought leader.” Chris understands the importance of being involved and informed on Federal legislation and the impact of various laws and policies on their business model and physicians. Mr. Greenwood highlights that the pressures of the Coronavirus pandemic have contributed to new challenges for emergency medicine including new staffing issues and potentially lower volumes continuing. Chris believes that EDPMA’s collaborative approach helps all groups and businesses in emergency medicine reach better results than each company can attain acting individually.

Other challenges Mr. Greenwood sees in emergency medicine include staying informed on CMS’s activities and being part of EDPMA’s collective input into the decision-making process. Chris appreciates EDPMA’s efforts in working on the issues related to the implementation of the No Surprises Act (NSA) and keeping the membership informed through the monthly Advocacy Newsletter. Chris appreciates that EDPMA works proactively on various legislative and regulatory issues, such as Surprise Medical Billing and problematic down-coding at both the Federal and state levels. He also commented that he is looking forward to the Wednesday morning session at the upcoming Solutions Summit (scheduled for September 26-29) focusing on key legislative issues.

Chris has joined EDPMA’s Federal Health Policy Committee (FHPC) and the State Regulatory and Insurance Committee (SRIC) and is encouraging his team members to join others, in particular, the Quality, Coding, and Documentation Committee (QCDC) and the Practice Management Committee (PMC). Chris understands it’s important to hear the discussion of the issues and viewpoints while being part of the group that develops solutions and strategies. Mr. Greenwood looks forward to seeing many colleagues at EDPMA’s 2021 Solutions Summit on September 26-29 in Fort Worth, Texas.

June 29 Webinar: Precision Demand Capacity Management – Adapting to our New Reality

This webinar is sponsored by d2i and will be presented by Dr. Kirk Jensen and Alan Eisman. In the past, as demand grew each year in a fairly predictable way, groups could be successful “enough” with a back of the envelope analysis and corresponding modifications. The COVID-19 pandemic, with its dramatic swings in volume and acuity, has accelerated the urgency for deploying more precise demand capacity optimization and patient flow strategies. With professional salaries representing roughly 70% of the practice’s cost structure and with demand less predictable, the very survival of the independent group practice may depend on acutely and precisely matching staffing with volume.

For more information and to register click here.

EDPMA New Member Spotlight: NYM Health

Nym Health has been in business for about three years and is headquartered in Boston, Massachusetts.  Nym Health transforms revenue cycle management with direct-to-billing autonomous coding that reduces denials and operational expenses, accelerates payment cycles and maximizes audit-readiness. For more information on Nym Health, please click here.

Excerpts from a conversation with Amihai Neiderman, Chief Executive Officer

Mr. Neiderman has a BA in Math and Computer Sciences, served as an officer for over 10 years in the Israeli Defense Force’s cybersecurity unit, and volunteered as an EMT for more than 8 years. Medicine also runs in the family, as his wife is an ENT surgeon at a large hospital. Amihai and his partner, CTO Adam Rimon, founded Nym Health in 2018.

Nym Health employs physicians, teamed alongside programmers and computational linguists. In addition, every employee at Nym completes a certified medical coding course. This strategy supports Nym’s goal of understanding what the physician is doing, placing themselves alongside the physician in the emergency department with each individual patient.

Nym’s autonomous coding technology, applied in a real-world environment, enables Nym to capture the nuances of medical coding. This knowledge in turn assists their clients, as Nym better understands how coding then drives reimbursement. Nym is well aware that for the practicing emergency medicine physician, the challenge of working in a busy emergency department is characterized by an irregular schedule, hectic events followed by down times, and different volume flows. High-acuity patients need a physician’s full focus, and high-quality patient care is their top concern, with medical coding not being a main priority for the physician.

Amihai was introduced to EDPMA by a colleague in emergency medicine and was planning on speaking at the 2020 Solutions Summit (before it was cancelled due to the COVID pandemic). Instead, Mr. Neiderman chose to join EDPMA to ensure Nym was able to hear first-hand about key issues and challenges in emergency medicine, learning about the legislative and regulatory priorities EDPMA members are focused on at both the State and Federal level.

By becoming a member, Nym Health’s employees receive all of EDPMA’s information, including the monthly Membership and Advocacy newsletters, weekly ED newsletter and action and news alerts. According to Amihai, “We are always looking to improve what we’re doing and proactively help the industry, so joining EDPMA made a lot of sense.”

In addition, Nym’s Chief Medical Information Officer has joined the Quality, Coding and Documentation Committee (QCDC) to learn what members see is happening with problematic downcoding, and be a part of the discussion to come up with solutions.

Amihai and his team will be attending and exhibiting at the 2021 Solutions Summit (September 26-29, Fort Worth, TX.) As this will be Nym Health’s first Solutions Summit, he is looking forward to meeting many of the members, hearing the educational sessions and enjoying the many networking opportunities.

EDPMA/ACEP Letter to Moda Health

EDPMA and ACEP sent a 5/5/21 EDPMA/ACEP Joint Letter to Moda Health regarding its new policy for emergency department claims that violates PLP.

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