Who We Are

The Emergency Department Practice Management Association (EDPMA) is one of the nation’s largest trade associations supporting the delivery of emergency medical care to all Americans. Together, EDPMA’s members deliver (or directly support) health care for over half of the 136.3 million patients who visit U.S. emergency departments each year. Our members include physician groups, billing and coding companies, and others who support health care provided in the Emergency Department and work collectively to deliver services often unmet elsewhere. We provide advocacy and educational resources to Emergency Department physician groups and their practice partners.

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Latest Advocacy Activities

On November 21, 2016, ACEP and EDPMA submitted joint comments to the Idaho Department of Insurance regarding a bill currently being drafted that would limit balance billing.   A copy of the joint ACEP and EDPMA comment letter is available here.
On November 1, 2016, the Centers for Medicare & Medicaid Services (CMS) finalized its update to the Outpatient Prospective Payment System (OPPS) for 2017.  CMS estimates that the rule will increase OPPS payments by 1.7 percent.  A copy of the final rule is available here.
On October 28, 2016, EDPMA urged Aetna Healthcare to rescind its update regarding ER level of care and its intent to down-code emergency services based on certain designated minor diagnosis codes would constitute an unfair claims settlement practice. 
A copy of EDPMA's comments are available here.
On October 26, 2016, EDPMA sent an Action Alert to members who practice in the state of New Jersey to weigh in on problematic legislation (A1952) that extends the balance billing ban on emergency care, extends the ban to self-funded ERISA plans, requires that arbitration result in a reimbursement rate between 90% & 200% of Medicare, and requires independent emergency groups to accept the insurance that is accepted by the hospital.
  A copy of EDPMA’s Action Alert is available here.

CMS finalizes MACRA rule.  The final rule is available here.  ACMS summary is available here.

On October 6, 2016, EDPMA and ACEP filed comments with the Federal Government urging it to require ACA health plans to offer fair coverage including adequate reimbursement for emergency care.  A copy of the joint EDPMA and ACEP comments are available here.

On September 29, 2016, EDPMA submitted comments to CMS on Episode Payment Models and how they may qualify as Alternative Payment Models. 
A copy of EDPMA's comments are available here.

On September 29, 2016, EDPMA urged United Healthcare to suspend its troublesome reimbursement policy changes relating to Evaluation and Management (E/M) of emergency care. 
A copy of EDPMA's comments are available here.
On September 6, 2016, EDPMA submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the proposed 2017 Medicare Physician Fee Schedule.  A copy of EDPMA's comments are available
here.

 



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