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Regs & Eggs - April 2, 2020

ACEP Regulatory Victories

We could all use a little bit of good news right now, and this week, the Centers for Medicare & Medicaid Services (CMS) delivered some—by issuing a plethora of policies and waivers aimed at providing regulatory flexibility to health care practitioners during this crisis. ACEP advocated hard for a few of these new CMS policies, which are major wins for emergency medicine.

In my blog last week, I talked about two key telehealth-related issues that we were waiting for CMS to weigh in on:

  1. Allowing medical screening exams (MSEs), a requirement under Emergency Medical Treatment and Labor Act (EMTALA), to be performed via telehealth; and
  2. Adding the emergency department (ED) evaluation and management (E/M) codes to the list of approved Medicare telehealth services.

And what a difference a week makes! CMS, through a regulation and guidance issued this week, has acted on both of these! Emergency physicians can now perform MSEs via telehealth and the ED E/M codes are now included in the list of approved Medicare services for the duration of the national emergency.

Both these policy changes are critical. Being able to perform MSEs via telehealth will help protect you from unnecessary exposure to the virus and help preserve your limited supply of personal protective equipment. Further, having the ED E/M codes on the approved list of Medicare telehealth services will enable you to get appropriated reimbursed for the high quality and high intensity services you deliver remotely.

We will be hosting a webinar with CMS to discuss these EMTALA and telehealth policies tomorrow (Friday, April 3rd) at 1 pm EST. Please email me at jdavis@acep.org for details. We hope you can join!

You can read ACEP’s summary of all the newly announced CMS policies that will help you here

We continue to post other key federal guidance and information on our COVID-19 website. Of note, we have created a webpage highlighting new financial support opportunities (made available by the COVID-19 stimulus bill that recently was enacted) that you may be eligible for.

Lastly, I want you to know unequivocally that ACEP is here for you during this difficult time, we are listening and fighting for you, and we are getting concrete results that will make it easier and safer for you to do your job.
Until next week, this is Jeffrey saying, enjoy reading regs with your eggs!
Unfortunately, the Regs & Eggs podcast has been indefinitely suspended during the COVID-19 pandemic.

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jeff headshot.PNGIf you have any questions or want to weigh in on other regulatory items, feel free to email me: jdavis@acep.org.
Jeffrey Davis is the Director of Regulatory Affairs at the American College of Emergency Physicians (ACEP). He manages ACEP’s formal response to federal policies and works with federal agencies and other stakeholders to help advance ACEP’s federal affairs agenda. Prior to that, Jeffrey worked in the Budget Office at the U.S. Department of Health and Human Services for nearly eight years. Jeffrey came to the Government as a Presidential Management Fellow, and in his position in the Budget Office, he advised top level officials on major budgetary and policy considerations within Medicare and prepared detailed analyses of Medicare regulations and legislation. Jeffrey has a Masters of Science in Health Policy and Management from the Harvard T.H. Chan School of Public Health and a Bachelors of Arts degree from Duke University.

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