EDPMA’s May Membership Newsletter

Do you want early bird pricing to the 2021 EDPMA Solutions Summit in Fort Worth, Texas, September 26-29, 2021? Early bird registration is available if you register by May 21st. You can also register for the June 29 EDPMA webinar entitled “Precision Demand Capacity Management – Adapting to Our New Reality” as well as review our Solutions Summit exhibiting and sponsorship opportunities. Don’t miss out on putting your company’s name front and center for those in the business of emergency medicine! Also, be sure to welcome our new members and read the latest news from CMS.

 




EDPMA Solutions Summit 2021
Registration is now OPEN!

The Emergency Department Practice Management Association (EDPMA) is pleased to invite you to the 2021 Solutions Summit!

Join us at the Omni Fort Worth Hotel, Fort Worth, Texas, September 26-292021, for the premier conference for those in the business of emergency medicine!  We missed seeing all of you last year and are thrilled to be planning an in-person event this year. Registration is now OPEN!  Early bird rates end on May 21, 2021.

The 2021 EDPMA Solutions Summit offers in-depth educational sessions on the issues facing those managing an emergency department, emergency physician group, billing company, or other business that supports the emergency department. Learn solutions to the issues you face every day and network with both new and familiar business partners that you haven’t seen in many months.

This Year:

  • EDPMA committee workshops will be held on Sunday, September 26th, and are open to all registrants (including nonmembers and exhibitors). Learn more about EDPMA’s advocacy on out-of-network reimbursement, Medicare rates, inappropriate down-coding policies, documentation, practice management, and more. Sunday night is our opening party in the Exhibit Area!
  • Educational sessions are Monday and Tuesday, September 27-28, 2021. Sessions will address how to restore order in a post-pandemic world. Session topics include physician employment, finance, leadership, contracting, rural health, and more. Attendees will visit the Exhibit Area during breaks.
  • Wednesday morning sessions will focus on reimbursement issues including the Prudent Layperson Standard, implementation of the No Surprises Act, the interaction between federal and state surprise billing laws, and the Medicare Physician Fee Schedule (MPFS) & RUC.  Make sure your flight home is scheduled after 3:00pm so you don’t miss out on some of our most popular annual sessions.

Learn more and register here for the 2021 EDPMA Solutions Summit!


Join EDPMA for a Webinar Entitled “Precision Demand Capacity Management – Adapting to Our New Reality” 

Join EDPMA on June 29, 2021, at 2:00pm ET, for a webinar entitled “Precision Demand Capacity Management – Adapting to Our New Reality.”  Presented by Dr. Kirk Jensen and Alan Eisman, this webinar will discuss managing demand capacity and associated key performance indicators for the ED practice.

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.

This webinar is sponsored by:

 

Learn more and register here for the June 29 webinar.



EDPMA’s Cinco de Mayo Virtual Workshop
Was a Huge Success!

EDPMA’s Spring virtual workshop “The Cinco de Mayo Sessions: Victory over COVID-19 & Emergency Medicine’s Future State,” which took place on May 5, 2021, was a huge success. Over 90 registrants heard from expert speakers who generously shared their expertise with registrants.  Don’t worry if you missed out, recordings will be posted on the EDPMA website soon!

 

Wednesday, May 5th:

Session 1: The Consolidated Appropriations Act, of 2021 –Rural Emergency Hospitals, Micro-Hospitals & The Health and Human Services Provider Relief Fund
Tommy Barnhart
Henry Higgins, MD
Shana Christrup, MPH
Moderator: David Ernst, MD, FACEP

Session 2: Monoclonal Antibodies (MAB) and Medication Assisted Therapy (MAT), A Clinical Perspective
Gentry Wilkerson, MD
Moderator: Jason Adler, MD, FACEP, FAAEM

Session 3: Transfer Centers & ED Load Management Case Study
Mark Sutherland, MD
Moderator: Jason Adler, MD, FACEP, FAAEM

Session 4: Community Paramedicine
Michael A. Kaufmann, MD, FACEP, FAEMS
Moderator: David Ernst, MD, FACEP

 


Thank You to Our Cinco de Mayo Workshop Sponsors

EDPMA was able to offer the virtual workshop to EDPMA members for free due to our generous workshop sponsors. Thank you!

 


EDPMA’s Website has Been Redesigned! 

EDPMA is very excited to announce the launch of our newly designed website! Our goal with this new website is to provide our visitors an easier way to learn about EDPMA, explore upcoming events, read advocacy and news updates, and more. The website features a refreshed look, improved navigation, and a handful of features that will make the overall experience more impactful on desktop, mobile, and tablet. Click here to check it out.

 

 



Sponsor EDPMA’s Solutions Summit!

Are you a leader in the business of Emergency Medicine? The 2021 EDPMA Solutions Summit is THE Place to be. Join us September 26-29, in Fort Worth, Texas. Highlight your services, products, and thought leadership by joining your colleagues in supporting EDPMA through year-round corporate partnerships, Summit sponsorships and exhibiting!

The 2021 EDPMA Solutions Summit Prospectus is now available!

Corporate Partnerships $7,500-$25,000
Year-Round Corporate Partnership Packages (Platinum, Gold, Silver, and Bronze) give you high visibility at EDPMA’s signature event, the 2021 Solutions Summit, as well as year-round benefits. Corporate Partnerships highlight your leadership in the business of emergency medicine and your support for EDPMA. Depending on the package, benefits may include Summit registrations; an exhibit table; and ads on our website, newsletters and the Summit Onsite Guide. The Platinum Corporate Partnership includes the sponsorship of a Summit keynote speaker or reception.

EDPMA’s 2021 Solutions Summit Sponsorship Opportunities $2,000-$15,000
Solutions Summit Sponsorships showcase your company throughout the Solutions Summit. We expect 300-400 attendees with over 80% in management. We offer a wide variety of sponsorships that will give your company and logo high visibility. Here’s just a sampling; Conference Portfolios, New Member Breakfast, Water Bottles, pedometers, and more.

2021 Solutions Summit Exhibit Table: $2,300 for members/$2,500 for nonmembers
Spend quality time with Solutions Summit attendees during breaks and for the well-attended Opening Night Reception in the Exhibit area (located in the foyer outside the general session and breakout rooms).

Solutions Summit Advertisements: $500-$750
Highlight your group or organization by purchasing a full- or half-page color ad in the Solutions Summit On-Site Guide.

 



Special Wednesday Half-Day Program at
EDPMA’s 2021 Solutions Summit

Make sure not to schedule your flight home from EDPMA’s 2021 Solutions Summit before 3:00pm on Wednesday or you will miss out on some of our most popular sessions!

This year we are focusing on the following reimbursement issues during our Wednesday morning sessions:

  • Prudent Layperson (PLP) – Lisa Maurer, M.D., FACEP / Tom Sugarman, M.D., FACEP, FAEM
  • Surprise Medical Billing (SMB) Federal Rule – Speakers: Tony Cirillo, M.D., FACEP / Randy Pilgrim, M.D., FACEP
  • Interaction between Federal & State Surprise Billing Laws – Andrew Sama, M.D., FACEP / Don Powell, D.O., FACEP and others
  • Medicare Physician Fee Schedule (MPFS) & RUC – Speakers: Ed Gaines, JD, CCP / David A. McKenzie, CAE

This half-day program is included as part of your Solutions Summit registration.

Alternatively, you can purchase a separate Wednesday Half-Day Registration for only $300.

 


Highlight Your Organization by
Sponsoring EDPMA in 2021

Do you want to be a Corporate Partner or Sponsor in 2021?

In addition to our Summit sponsorships, you can become a Copper Year-Round Corporate Partnership that gives you high visibility with EDPMA’s members. The benefits include your logo hyperlinked on EDPMA’s homepage, two banner ads, a Webinar Plus sponsorship, and more.

Other Sponsorships and Advertisements: $500-$2000
You can sponsor a webinar where you choose the topic and speaker for $2000 (Webinar Plus) or a Roundtable for $1000. You can advertise in the EDPMA Vendor Showcase for 2 months for $1000 (member price) or place a banner ad in an EDPMA newsletter for $500.  The EDPMA Vendor Showcase is a new page on the EDPMA website for vendors to link to a short video, marketing brochure, or other advertisements — just like a virtual exhibit table!  The 2021 EDPMA virtual sponsorships and advertisement opportunities are available here!

For more information and to move forward, please contact Joanne Tanner, MBA, Membership, Sponsorship & Exhibits Coordinator at jtanner@edpma.org.

 


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.

 


Welcome New Members!

EDPMA would like to welcome one new member this month:

Phoenix Coding and Consulting Services, Allen, TX

We look forward to working with you!

 


Call for Speakers: EDPMA Workshops or Webinars

As experts in the business of emergency medicine, we hope that you are interested in presenting at an upcoming EDPMA workshop, webinar or Summit. We want to receive your application and hear your ideas for educational sessions.  EDPMA encourages you to share this link with coworkers and industry colleagues you think would be great speakers on thoughtful and critical issues facing the business of emergency medicine. We accept applications on a rolling basis.

The application is available through this link: Apply Now

 


CMS Increases Medicare Payment for COVID-19
Monoclonal Antibody Infusions

CMS recently sent out the following announcement regarding Medicaid payments for COVID-19 Monoclonal Antibody Infusions

Special Edition – Thursday, May 6, 2021

CMS Increases Medicare Payment for COVID-19 Monoclonal Antibody Infusions

New payment policy for at-home administration

As part of the ongoing response to address the COVID-19 pandemic, CMS has increased the Medicare payment rate for administering monoclonal antibodies to treat beneficiaries with COVID-19, continuing coverage under the Medicare Part B COVID-19 vaccine benefit. Beneficiaries pay nothing out of pocket, regardless of where the service is furnished – including in a physician’s office, health care facility, or at home.

Effective May 6, the national average payment rate will increase from $310 to $450 for most health care settings. In support of providers’ efforts to prevent the spread of COVID-19, CMS will also establish a higher national payment rate of $750 when monoclonal antibodies are administered in the beneficiary’s home, including the beneficiary’s permanent residence or temporary lodging (e.g., hotel/motel, cruise ship, hostel, or homeless shelter).

The new national payment rate for at-home administration of monoclonal antibodies accounts for increased costs associated with the one-on-one nature of this care model. These higher national average payment rates reflect additional information provided to CMS about the costs of providing these services in a safe and timely manner, such as clinical staff and personal protective equipment. This action also means Medicare payments to providers and suppliers will be more aligned to their costs to administer these products.

CMS’s goal during the COVID-19 public health emergency has been to ensure that the agency is supporting beneficiary access to care. This new policy is based on timely, valuable input from stakeholders including the home health and ambulatory infusion industries on the costs associated with administering monoclonal antibodies.

CMS is updating the set of toolkits for providers, states, and insurers to help the health care system swiftly administer monoclonal antibody treatment with these new Medicare payment rates on the Monoclonal Antibody COVID-19 Infusion webpage.

In addition, CMS is updating coding resources for providers on the COVID-19 Vaccines and Monoclonal Antibodies webpage.

For additional clinical information about COVID-19 monoclonal antibodies, please visit:

HHS COVID-19 Resources for Health Care Professionals webpage