As the saying goes, “Data is King (or Queen)!” And legislators and regulators are moved to action by data and not anecdotes.
In conjunction with ACEP to better advocate for our members and the emergency medicine specialty, we are collecting data on your out-of-network (OON) payments focused on the Qualifying Payment Amount (QPA). This project will evaluate whether major payors are following the law by providing QPAs in writing for each CPT code that was paid or denied, assess the prevalence and size of variations between QPAs and the “Allowed Amounts” for OON payments and more. See the data collection Excel tool and Frequently Asked Questions about this project.
We understand there are questions about the requested data, how the data will be used and concerns about privacy and antitrust issues.
We get it!
That’s why EDPMA will host an informational webinar this Monday, May 9 at 1pm EDT to answer these questions and more for compliance managers, data analysists, business intelligence teams and skeptics. This webinar is open to both members and non-members.
Ed Gaines, JD and Greg Hufstetler CPA, the outside data consultant, will review project details and answer your questions.
For more information and to register, click here.