EDPMA members are invited to join us for an exclusive members-only event dedicated to exploring the pivotal role of Qualifying Payment Amounts (QPAs) in the Federal Independent Dispute Resolution (IDR) process. This free event kicks off at 1:00 PM EDT and features a series of discussions led by experts Jennifer Brown, Esq., Robert Jasak, Esq., and Ed Gaines, JD. Through in-depth analysis, we’ll cover the importance of QPAs in cost-sharing determinations, the impact of recent court rulings, and best practices for ensuring QPA accuracy. Gain insights into the regulatory landscape, QPA reliability, and future guidance in this evolving area of healthcare policy. Learn more!

Join us for an EDPMA Virtual Workshop!

• Date: September 4, 2024
• Time: 1pm – 4pm ET
• Location: Zoom (link to be sent upon registration)

What This Workshop Will Cover:

In recent years, health care entities have deployed significant efforts to transform fee-for-service payment into value-based models of care.  However, emergency medicine practices have not been proportionately included in these efforts, despite data and experiences that repeatedly reveal substantial opportunities to impact quality, outcomes, and cost that are essential to the success of value-based models.

Value-based models can take many forms, with considerable ranges of risk, opportunity, required investments, and clinical/operational demands.  In recent years, some emergency medicine practices have created and deployed value-based models.  Increasingly, there are common themes and metrics of interest including quality measures, avoidable hospitalizations, reducing ED bounce-backs, and addressing variation in clinical decision-making. Positive outcomes have resulted.

For many practices however, it is difficult to know where to start, how to proceed, and how to establish and deploy a value-based model.  This Workshop is an interactive session that provides background, information, and tools to empower your group’s value-based journey.  Experienced experts will share their own journey, their results, and lessons learned.  And interactive breakout sessions will enhance your learning experience with interested colleagues in our specialty.

Randy Pilgrim, MD, FACEP, FAAFP will provide a brief review of Value-Based Care (VBC) concepts for emergency medicine, fundamental program types, and examples of successful programs currently in practice.

Lisa Mauer, MD will describe a process designed to activate your relationships and local market awareness into profitable, winning contracts. We will break into groups to evaluate current situations that offer potential for VBC, including:

• Establishing contacts
• Identifying and assessing opportunities
• Defining the program
• Winning the contract
• Implementation

Jesse Pines, MD will cover the fundamentals of measurement, benchmarking, and using data analytics to change behavior through a virtuous cycle of measure-improve-measure-improve, where success naturally leads to new, more lucrative VBC opportunities.

Lastly, our expert panel will lead a discussion entitled “Now What” to help energize our group of leaders to confidently pursue better contracts tied to value starting now!

Our Workshop Faculty:

• Randy Pilgrim, MD, FACEP, FAAFP – Enterprise Chief Medical Officer, SCP Health
• Lisa Mauer, MD – Chief Medical Officer, ConsensioHealth
• Jesse Pines, MD – Chief of Clinical Innovation, US Acute Care Solutions

Pricing: 

Individual Member: $400
Individual Non-Member:  $500
Member Group Registration (3 or more from one organization): $1,100
Non-Member Group Registration (3 or more from one organization): $1,400 

For all group registrations, please contact [email protected] to register your entire group. When you register as a group, you must be registered all at once and pay with a single form of payment. 

If you are with a member organization and you see the non-member price, you are not on your organization’s roster, please see your organization’s admin. Your organization administrator can add you to the roster with these simple steps.

Join Dr. Mark Laperouse, an Emergency physician with more than 15 years of clinical experience and a strategic advisor to Ventra Health, as he discusses the benefits of ED observation units and how to ensure ED group isn’t leaving money on the table. Learn more here!

Are You Ready To Be A Changemaker In Your State? 

Attend The Power of State Advocacy members-only free webinar to learn how state advocacy can drive policy change.  

Members will gain insights into effective communication strategies, building strong relationships with state officials, and understanding the immediate impact policies can have at the state level.  

Presented by our State Regulatory and Insurance Committee, this program will equip you with the knowledge and skills needed to become effective state advocates. 

Thursday, February 29
2pm EST 

Learning Objectives: 

1. Understand the importance of effective communication in state advocacy: 
   1. Explore different communication channels such as writing persuasive letters, making phone calls, and utilizing social media platforms. 
   2. Learn how to tailor messaging to resonate with state policymakers and constituents.
   3. Analyze successful communication strategies used in previous state advocacy campaigns.
2. Develop relationship-building skills to enhance state advocacy efforts:
   1. Explore techniques for cultivating relationships with state officials, elected representatives, and key stakeholders.
   2. Understand the benefits of building coalitions and collaborating with other advocacy organizations.
   3. Gain insights into the art of fostering long-term relationships for sustained policy influence.
3. Recognize the immediate impact of policies at the state level:
   1. Explore case studies that demonstrate how state policies can swiftly affect communities and individuals.
   2. Learn how state-level policy changes can set precedents and influence broader national policies. 

After this 60-minute webinar, members will be equipped with the knowledge, skills, and resources to engage in effective state advocacy. You will understand the importance of communication, relationship-building, and the immediate impacts of policies at the state level, ultimately empowering you to make a difference in their communities through advocacy efforts.

Learn More!

Join us in Seattle for Solutions Summit 2024, a one-of-a-kind education and networking conference. Plus 5 meals and 2 receptions.

The 2024 Solutions Summit is the most comprehensive conference on the business of emergency medicine covering topics you care about including the No Surprises Act, reimbursement and regulatory policy, independent dispute resolution, revenue cycle management, and much more.

Why Attend Solutions Summit?

Attending the 2024 Solutions Summit has never been more essential. Last year at the 2023 Summit, we saw our largest turnout ever because attendees know that at this conference they can experience:

• Exceptional Faculty: Gain insights from thought leaders and disrupters in the business of emergency medicine. 
• Networking Opportunities: Connect with like-minded professionals and expand your network. 
• Cutting-edge Sessions to enhance your skills and knowledge. 
• Innovative Exhibitors: Explore the latest products and services from top companies in the field. 
• Exclusive Access: Be among the first to access best practices and industry trends. 

Interested in sponsorship or exhibiting? Contact Joanne at [email protected].

NOTE: Registered attendees will receive a link to the official Solutions Summit room block in their confirmation email.  Since we make every effort to secure the lowest rate, we ask that you only make your hotel reservations through our special link. We strongly urge attendees NOT to use a third-party vendor to make their hotel reservations. 

2024 Solutions Summit Agenda At A Glance

April 26-30, 2024
Seattle, WA

Friday, April 26 – Pre-Conference Reception (tentative)
Saturday, April 27 – Committee Programming, Exhibitor Set-up & Welcome Reception
Sunday, April 28 – Summit Day 1
Monday, April 29 – Summit Day 2, Exhibitor Tear Down & Closing Reception
Tuesday, April 30 – Summit programming concludes at 12p; Tuesday features dynamic hard-hitting topics, so stay for the entire conference!

Learn More!

EDPMA’s 2024 RCM Update: Moving Beyond Regulation to Practice virtual workshop will raise your expertise so you are ready for 2024 reimbursement changes and challenges.  

Through rapid fire and deep dive interactive sessions, you will learn optimal reimbursement practices to strengthen your organization and your clients’ bottom line.  

Workshop Focuses On Updates and Best Practices In:  

• Addressing Bad Payer Behavior 
• Coding (plus hands-on coding exercises) 
• Documentation 
• Medicare Physician Fee Schedule 
• MIPS 
• Split/Shared 
• Telehealth

Workshop Agenda and Faculty:

• Medicare by the Numbers: The Basic Tenets of Physician Reimbursement  (15 minutes)

Andrea Brault, MD, MMM, FACEP – President and CEO, Brault Practice Solutions

• MIPS and MVPs: The Evolving Landscape of Medicare Reimbursement  (45 minutes)

Andrea Brault, MD, MMM, FACEP – President and CEO, Brault Practice Solutions

• Understanding Payer Behavior: A Panel Discussion  (45 minutes)

Patrick Velliky – Vice President Government Affairs, Envision Health

Eric Swartz – Deputy General Counsel, ApolloMD

Moderator: Casey Crane, MBA, RN, BSN – Senior Vice President of Operations, Core Clinical Partners

• Telehealth Reimbursement: What’s In, What’s Out for 2024  (30 minutes)

Juli Forde Smith – Director of Strategic Partnerships, Zoll Data Systems

• Case Studies in Coding (45 minutes)

Jacquie Bratcher, CPC, CEDC – Senior Director of Coding, R1 RCM

Bart Robinson – Director of Coding Quality, Core Clinical Partners

Theresa Schwegmann, RHIA, CPC – Vice President of Coding Services, SCP Health

Moderator: Jason Adler, MD, FACEP, FAAEM – Vice President of Coding, LogixHealth

*There is a 10 minutes break for attendees during this workshop

Sessions will be presented at the 300 and 400 level. 

Who Should Attend?  

Leaders in: 

• Coding 
• Revenue Cycle Management 
• Compliance and Audits 
• Documentation

Thursday, January 18
1p – 4p EST 

Learn More

The RCM Workshop focuses on the full spectrum of regulatory and business changes of the No Surprise Act (NSA), strategy perspectives, and tactical planning for revenue cycle management. 

December 13 – 14, 2023
The Wynn Resort, Las Vegas, NV

The beautiful Wynn Resort in Las Vegas will host EDPMA’s annual RCM Workshop on December 13 and 14. And we are betting on YOU as “An RCM Wynner! This conference includes (2) half-day sessions (to minimize your time out of the office) and will equip you with the latest strategies, best practices, and tools to optimize your revenue cycle and enhance overall financial performance.  

Our first-ever Pre-Conference Session (8am – 12pm PST) will be held on the morning of December 13 before the RCM Workshop starts.  

After this pre-conference session, attendees will:  

• Understand the impact lawsuits are having on the regulations. 
• Understand the perspective from an IDRE CEO on how the IDR process is evolving; 
• Learn how EDPMA’s No Surprises Act I-Tact Committee and advocacy with CMS & CCIIO informed and impacted improved health plan compliance and the IDR process in general; 
• Ask questions to an expert panel who are responsible for filing IDRs and from an IDRE CEO.

Click here for more information.