Palm Springs - LogixHealth · William P. Jaquis, MD, FACEP – Dr. Jaquis is the Chief of the Department of Emergency Medicine at Lifebridge Health. He is the ACEP Board liaison to

Palm SpringsFebruary 20-24, 2017

MACRA and MIPS

Alternative Payment Models

Out of Network (OON) and Balance Billing

Hot Topics In 2017

Register before January 20 and save $100* with promo code: PALM

2 | Reimbursement Coding Conferences | www.acep.org/rc

Stay Up-to-Date on Your Reimbursement & Coding Knowledge

Get the latest news and essential topics you need to know at ACEP’s Reimbursement and Coding Conferences.

100% No Risk GuaranteeACEP guarantees the quality of its educational conferences. If, for any reason, you are

dissatisfied with the educational content of a conference for which you have paid, notify the

ACEP Meeting Registrar in writing within 30 days of attending the conference, and ACEP will give

you a credit towards another conference of comparable value or refund your registration fee.

Hot Topics in 2017

MACRA and MIPS Complexities for

2017: A Roadmap to Avoid

Big Penalties

Alternative Payment Models: Salvation

From MIPS or a Sentence of Hard

Times to Come?

Managing The Out of Network (OON)

and Balance Billing Issues

…. And much more

Who Should Attend: Emergency Physicians

Hospital Outpatient Coders

ED Nursing Directors

Billing/Coding/Medical Records

Professionals

Graduating Residents

Reimbursement/Practice Management

Consultants

Emergency Physician Group Managers

Reimbursement Coding Conferences | www.acep.org/rc | 3

UpcomingWebinars

Reserve your room at the Westin Mission Hills Golf Resort & Spa

71333 Dinah Shore Drive Rancho Mirage, CA 92270

Room Rate: $190 plus taxes and $15 per night resort fee

Discounted rate available until January 23, 2017.

Phone: (760) 328-5955 Reservations: (866) 716-8108 or visit: acep.org/rc/hotel

Explore the ExhibitsTuesday, Feb. 21 – Wednesday, Feb. 22

The exhibit program will feature approximately

30 companies ready to demonstrate what is

new in products and services specific to your

reimbursement and coding needs.

NEW! Fireside ChatTuesday, Feb. 21

There will be a “Fireside Chat” with exhibitors

out on the terrace on Tuesday evening!

January 31, 2017 at 2:00 PM: Get

up-to-speed with The Nuts and Bolts

of Physician Reimbursement and

Optimizing RVUs

May 23, 2017 at 2:00 PM: Stay

current with Industry Updates

Presented by Dr. Michael Granovsky,

Chair of ACEP’s Reimbursement and

Coding Conference

Webinar Pricing

Conference Attendee . . . . . . . . . . .$95

ACEP Member . . . . . . . . . . . . . .$155

Non-Member . . . . . . . . . . . . . . .$175


Reimbursement: Trends and Strategies in Emergency MedicineMONDAY, FEBRUARY 20

7:00 AM - 8:00 AM Registration and Continental Breakfast

8:00 AM - 9:00 AM 2017 Reimbursement Update and National TrendsMichael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE

9:00 AM - 10:00 AMCommercial Payer ED Reimbursement, ACOs, and The FutureSusan M. Nedza, MD, MBA, FACEP

10:00 AM - 10:15 AM Break

10:15 AM - 11:15 AM Turn the Tables: Patient Throughput Strategies to Increase Revenue James J. Augustine, MD, FACEP

11:15 AM - 12:15 AM Time is Money: How Do You Measure Up? ED Benchmarking Best Practices and Solutions James J. Augustine, MD, FACEP

12:15 PM - 1:30 PM Lunch (On Your Own)

1:30 PM - 3:00 PMHow to “Hold Serve” and to Avoid the “Double Bagel” in ED Coding, Billing, Audits and ComplianceEdward R. Gaines, III, JD, CCP

3:00 PM - 4:00 PM How to “Save Par” by Managing The Out of Network (OON) and Balance Billing IssuesEdward R. Gaines, III, JD, CCP

4:00 PM - 4:15 PM Break

4:15 PM - 5:00 PM Canary in the Coal Mine: The Maryland Experience William P. Jaquis, MD, FACEP; Michael A. Granovsky, MD, CPC, FACEP; Susan M. Nedza, MD, MBA, FACEP

5:00 PM - 5:45 PM Alternative Payment Models: Salvation From MIPS or a Sentence of Hard Times to Come? William P. Jaquis, MD, FACEP

5:45 PM - 6:15 PMQuestion & Answer SessionMichael A. Granovsky, MD, CPC, FACEP (Moderator); David A. McKenzie, CAE; Edward R. Gaines, III, JD, CCP; William P. Jaquis, MD, FACEP; Susan M. Nedza, MD, MBA, FACEP

TUESDAY, FEBRUARY 217:30 AM - 8:00 AM Continental Breakfast

8:00 AM - 9:00 AM The Business Case for Freestanding EDsTimothy Seay, MD, FACEP

9:00 AM - 9:45 AMObservation Economic DriversMichael A. Granovsky, MD, CPC, FACEP

9:45 AM - 10:30 AM Break - Visit the Exhibits

10:30 AM - 11:30 AM Struggling Back To Baseline: Enterprise EMR Challenges: ICD-10 and PQRS Scribe SolutionsKevin M. Klauer, DO, EJD, FACEP

11:30 AM - 12:30 PM Strategic Compsensation Structures in the Age of Alternative Payment Models Kevin M. Klauer, DO, EJD, FACEP


1:45 PM - 2:45 PM ACA Realities, Out of Network Payments, and Value ModelsMichael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE; Jennifer L. Wiler, MD, MBA, FACEP

2:45 PM - 3:30 PM Break - Visit the Exhibits

3:30 PM - 4:30 PM Commercial Payers Consolidation and How to Survive the New WorldRon Howrigon

4:30 PM - 5:30 PM Question & Answer SessionMichael A. Granovsky, MD, CPC, FACEP (Moderator); Ron Howrigon; David McKenzie, CAE; Jennifer L. Wiler, MD, MBA, FACEP

5:30 PM - 6:30 PM Fireside Chat with Exhibitors

WEDNESDAY, FEBRUARY 22

7:30 AM - 8:00 AM Continental Breakfast

8:00 AM - 9:30 AMPayer Negotiations: Strategies to Maximize Success with the Movement to Value-Based ReimbursementRon Howrigon

9:30 AM - 10:15 AM Break - Visit the Exhibits

10:15 AM - 11:15 AMDrowning in a New Alphabet: MACRA and MIPs Complexities for 2017: A Roadmap to Avoid Big PenaltiesJennifer L. Wiler, MD, MBA, FACEP; Michael A. Granovsky, MD, CPC, FACEP

11:15 AM - 12:15 PM Question & Answer SessionMichael A. Granovsky, MD, CPC, FACEP (Moderator); Ron Howrigon; David McKenzie, CAE; Jennifer L. Wiler, MD, MBA, FACEP


THURSDAY, FEBRUARY 23


8:00 AM - 9:00 AM 2017 Expert Coding Update: CPT MIPS, and Audit TrapsMichael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE

9:00 AM - 10:00 AM Critical Care Coding: What Coders and Physicians Both Need to KnowRebecca B. Parker, MD, FACEP

10:00 AM - 10:15 AM Break

10:15 AM - 11:15 AM 2017 ICD-10: Grace Period is Over - Solutions for this Year Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P

11:15 AM - 12:15 AM Compliance Concerns: They Are Watching You! What You Need to Know to be SafeTodd Thomas, CCS-P


1:30 PM - 3:00 PMLightning Rounds: Don’t Get Struck – EHRs, MDM Controversies, and Other Hot Topics David A. McKenzie, CAE (Moderator); Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P

3:00 PM - 3:15 PM Break

3:15 PM - 4:15 PM 2017 Merit-Based Incentive Payment System Specifications and SolutionsMichael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P

4:15 PM - 5:15 PMOpen Forum: Your Specific Coding Concerns AddressedMichael A. Granovsky, MD, CPC, FACEP (Moderator); David A. McKenzie, CAE; Stacie Norris, MBA, CPC, CCS-P; Todd Thomas, CCS-P

FRIDAY, FEBRUARY 24


8:00 AM - 9:00 AM Stop the Bleeding: Coding for High RVU Procedures Michael A. Granovsky, MD, CPC, FACEP

9:00 AM - 10:30 AMAdvanced Coding Case Study WorkshopDavid A. McKenzie, CAE (Moderator); Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P

10:30 AM - 10:45 AM Break

10:45 AM - 12:15 PMAdvanced Coding Case Study Workshop (continued)David A. McKenzie, CAE (Moderator); Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P


1:30 PM - 2:30 PM Observation Services: Expanding Opportunities; Professional and Facility Coding SolutionsMichael A. Granovsky, MD, CPC, FACEP

2:30 PM - 3:30 PM Open Forum: Your Specific Coding Concerns AddressedMichael A. Granovsky, MD, CPC, FACEP (Moderator); David A. McKenzie, CAE; Todd Thomas, CCS-P

WEDNESDAY, FEBRUARY 22

1:30 PM - 3:30 PM Basic E/M Coding for Physician Services in the EDTodd Thomas, CCS-P

3:30 PM - 3:45 PM Break

3:45 PM - 5:45 PM Case Study Presentation: Look At This Case Through My EyesDavid A. McKenzie, CAE (Moderator); Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P

Advanced Procedure Coding for Emergency Medicine

Optional Session: Introduction to Emergency Department CodingThis session is great for emergency physicians and coders new to ED coding or are looking for a basic

ED coding refresher - a perfect companion to get up-to-speed before the Advanced Procedure Coding for

Emergency Medicine conference on Thursday.


Invited Faculty*

James J. Augustine, MD, FACEP – Dr. Augustine brings his reimbursement expertise as Vice President of the Emergency Department Benchmarking Alliance. He is a current ACEP Board Member and a Past Chair for the Joint Commission Hospital Professional Technical Advisory Committee.

Edward R. Gaines III, JD, CCP – Mr. Gaines is the Chief Compliance Officer at Zotec partners, one of the largest providers of physician and hospital coding, billing and practice management services in the US. He is also the Co-Founder and a current Board Member of the Emergency Department Practice Management Association (EDPMA). Mr. Gaines is a past ACEP’s Outstanding Speaker of the Year (2007-08)

Michael A. Granovsky, MD, CPC, FACEP – (Course Director) Dr. Granovsky is the President at LogixHealth, one of the nation’s leading providers of revenue cycle management services. He has an extensive career as a coding expertise holding distinct positions as Editor for ED Coding Alert and Subject Matter Expert for AAPC ED Subspecialty Certification Exam. He is also Course Director for ACEP’s Reimbursement and Coding Conferences. Dr. Granovsky is a past ACEP’s Outstanding Speaker of the Year (2014-15)

Ron Howrigon – Mr. Howrigon is President and CEO of Fulcrum Strategies, a contract negotiation and practice marketing firm specializing in improving contract language and reimbursement rates and brings over 30 years of experience on the payer and provider sides of healthcare.

William P. Jaquis, MD, FACEP – Dr. Jaquis is the Chief of the Department of Emergency Medicine at Lifebridge Health. He is the ACEP Board liaison to the Reimbursement Committee and CNAC. Dr. Jaquis is also on the Joint Task Force on Out of Network/Balance Billing and Medicaid.

Kevin M. Klauer, DO, EJD, FACEP – Dr. Klauer serves as Chief Medical Officer-Emergency Medicine and Chief Risk Officer and Executive Director Patient Safety Organization for TeamHealth. He has co-authored three risk management books: Emergency Medicine Bouncebacks: Medical and Legal and Risk Management, Bouncebacks: Pediatrics, and The Emergency Department: Executive Leadership for Protecting Patients and Hospitals. Dr. Klauer is a past recipient of the ACEP Honorable Mention Outstanding Speaker of the Year award (2013-14). Dr. Klauer is also Medical Editor-in-Chief of ACEP Now, ACEP’s official monthly publication.

David A. McKenzie, CAE – Mr. McKenzie is the Reimbursement Director for ACEP and is the liaison to the ACEP Reimbursement and Nomenclature Advisory Committee. He is the staff contact for the AMA RVS Update Committee(RUC) and the CPT Advisory Committee. Mr. McKenzie is a recipient of the CPT Excellence in Education Award (2016).

Susan Nedza, MD – Dr. Nedza is CMIO and Senior Vice President of Clinical Outcomes Management at MPA Healthcare Solutions, specializing in the areas of clinical assessment and improvement, bundled payments, and comparative effectiveness. Dr. Nedza is also a member of the ACEP Alternative Payment Models Task Force.

Stacie Norris, MBA, CPC, CCS-P – Ms. Norris has an extensive career centering on healthcare billing and coding. She is currently Director of Coding and Quality Assurance at Zotec Partners and an AHIMA ICD-10 Certified Trainer. Ms. Norris is Co-Chair to the EDPMA Quality, Coding and Documentation Committee and is on the Editorial Advisory Board for ED Coding Alert. She is also a member of the ACEP Coding and Nomenclature Advisory Committee and member of AHIMA.

Rebecca B. Parker, MD, FACEP – Dr. Parker is President of Team Parker, LLC, a consulting group for coding, billing and compliance. She also serves as Senior Vice President Practice and Payment Integration for Envision Healthcare, Executive Vice President Leadership development and Education for EmCare and is currently the President-Elect for the Board at ACEP.

Timothy Seay, MD, FACEP – Dr. Seay is Chairman of the Board for the Emergency Department Management Association. He is also Vice President of Emergency Medicine Risk Retention Group. Dr. Seay was the recipient of the EDPMA Committee/Task Force Service Award (2013).

Todd Thomas, CCS-P – Mr. Thomas is President at ERCoder, Inc. one of the nation’s most trusted coding and consulting firms supporting the emergency medical community. He is also a member of the ACEP Coding and Nomenclature Advisory Committee and member of ED Coding Alert Editorial Advisory Panel. Mr. Thomas is a past winner of the ACEP Outstanding Speaker of the Year award (2009-10).

Jennifer L. Wiler, MD, MBA, FACEP – Dr. Wiler is currently Executive Vice Chair and Associate Professor of Emergency Medicine at the University of Colorado. Dr. Wiler is a co-editor of Innovations in Quality and Value in Acute and Emergency Care.

*Faculty subject to change. Visit acep.org/rc/faculty for full faculty bios and up-to-date information


Reimbursement and Coding Registration

James J. Augustine, MD, FACEP – Dr. Augustine brings his reimbursement expertise as Vice President of the Emergency Department Benchmarking Alliance. He is a current ACEP Board Member and a Past Chair for the Joint Commission Hospital Professional Technical Advisory Committee.

Edward R. Gaines III, JD, CCP – Mr. Gaines is the Chief Compliance Officer at Zotec partners, one of the largest providers of physician and hospital coding, billing and practice management services in the US. He is also the Co-Founder and a current Board Member of the Emergency Department Practice Management Association (EDPMA). Mr. Gaines is a past ACEP’s Outstanding Speaker of the Year (2007-08)

Michael A. Granovsky, MD, CPC, FACEP – (Course Director) Dr. Granovsky is the President at LogixHealth, one of the nation’s leading providers of revenue cycle management services. He has an extensive career as a coding expertise holding distinct positions as Editor for ED Coding Alert and Subject Matter Expert for AAPC ED Subspecialty Certification Exam. He is also Course Director for ACEP’s Reimbursement and Coding Conferences. Dr. Granovsky is a past ACEP’s Outstanding Speaker of the Year (2014-15)

Ron Howrigon – Mr. Howrigon is President and CEO of Fulcrum Strategies, a contract negotiation and practice marketing firm specializing in improving contract language and reimbursement rates and brings over 30 years of experience on the payer and provider sides of healthcare.

William P. Jaquis, MD, FACEP – Dr. Jaquis is the Chief of the Department of Emergency Medicine at Lifebridge Health. He is the ACEP Board liaison to the Reimbursement Committee and CNAC. Dr. Jaquis is also on the Joint Task Force on Out of Network/Balance Billing and Medicaid.

Kevin M. Klauer, DO, EJD, FACEP – Dr. Klauer serves as Chief Medical Officer-Emergency Medicine and Chief Risk Officer and Executive Director Patient Safety Organization for TeamHealth. He has co-authored three risk management books: Emergency Medicine Bouncebacks: Medical and Legal and Risk Management, Bouncebacks: Pediatrics, and The Emergency Department: Executive Leadership for Protecting Patients and Hospitals. Dr. Klauer is a past recipient of the ACEP Honorable Mention Outstanding Speaker of the Year award (2013-14). Dr. Klauer is also Medical Editor-in-Chief of ACEP Now, ACEP’s official monthly publication.

David A. McKenzie, CAE – Mr. McKenzie is the Reimbursement Director for ACEP and is the liaison to the ACEP Reimbursement and Nomenclature Advisory Committee. He is the staff contact for the AMA RVS Update Committee(RUC) and the CPT Advisory Committee. Mr. McKenzie is a recipient of the CPT Excellence in Education Award (2016).

Susan Nedza, MD – Dr. Nedza is CMIO and Senior Vice President of Clinical Outcomes Management at MPA Healthcare Solutions, specializing in the areas of clinical assessment and improvement, bundled payments, and comparative effectiveness. Dr. Nedza is also a member of the ACEP Alternative Payment Models Task Force.

Stacie Norris, MBA, CPC, CCS-P – Ms. Norris has an extensive career centering on healthcare billing and coding. She is currently Director of Coding and Quality Assurance at Zotec Partners and an AHIMA ICD-10 Certified Trainer. Ms. Norris is Co-Chair to the EDPMA Quality, Coding and Documentation Committee and is on the Editorial Advisory Board for ED Coding Alert. She is also a member of the ACEP Coding and Nomenclature Advisory Committee and member of AHIMA.

Rebecca B. Parker, MD, FACEP – Dr. Parker is President of Team Parker, LLC, a consulting group for coding, billing and compliance. She also serves as Senior Vice President Practice and Payment Integration for Envision Healthcare, Executive Vice President Leadership development and Education for EmCare and is currently the President-Elect for the Board at ACEP.

Timothy Seay, MD, FACEP – Dr. Seay is Chairman of the Board for the Emergency Department Management Association. He is also Vice President of Emergency Medicine Risk Retention Group. Dr. Seay was the recipient of the EDPMA Committee/Task Force Service Award (2013).

Todd Thomas, CCS-P – Mr. Thomas is President at ERCoder, Inc. one of the nation’s most trusted coding and consulting firms supporting the emergency medical community. He is also a member of the ACEP Coding and Nomenclature Advisory Committee and member of ED Coding Alert Editorial Advisory Panel. Mr. Thomas is a past winner of the ACEP Outstanding Speaker of the Year award (2009-10).

Jennifer L. Wiler, MD, MBA, FACEP – Dr. Wiler is currently Executive Vice Chair and Associate Professor of Emergency Medicine at the University of Colorado. Dr. Wiler is a co-editor of Innovations in Quality and Value in Acute and Emergency Care.

*Promo code valid until January 20, 2017

**The additional member, non-member same institution, and additional billing/coding professional or consultant fee is applicable when registering three or more paid registrants from the same institution or group. The three or more registrations must be mailed together and full payment must be included, or call the Member Care Center at 800.798.1822 ext. 5 with your credit card payment.

***Letter of verification required

****Nurses/NPs must include License #

Continuing Medical Education Credit for PhysiciansThe American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Reimbursement: Trends and Strategies in Emergency Medicine. The American College of Emergency Physicians designates this live activity for a maximum of 18.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Optional Session: Introduction to Emergency Department Coding. The American College of Emergency Physicians designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Advanced Procedure Coding for Emergency Medicine. The American College of Emergency Physicians designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Reimbursement: Trends and Strategies in Emergency Medicine, Optional Session: Introduction to Emergency Department Coding and the Advanced Procedure Coding for Emergency Medicine have been approved for 18.75, 4 and 13.5 hours, respectively for ACEP Category I credit.

AAPC has approved the conference Reimbursement: Trends and Strategies in Emergency Medicine sponsored by American College Emergency Physicians for 19 CEUs.

AAPC has approved the conference 2017 Advanced Procedure Coding for Emergency Medicine sponsored by American College Emergency Physicians for 13.5 CEUs.

AAPC has approved the conference 2017 Optional Session: Introduction to Emergency Department Coding sponsored by American College Emergency Physicians for 4.0 CEUs.

Advanced Procedure Coding for Emergency Medicine, scheduled for February 23-24, 2017, has been approved for 13.5 credits of AOA Category 2-B.

Optional Session: Introduction to Emergency Department Coding, scheduled for February 22, 2017, has been approved for 4 credits of AOA Category 2-B.

Reimbursement: Trends and Strategies in Emergency Medicine, scheduled for February 20-22, 2017, has been approved for 18.75 credits of AOA Category 2-B.

SAVE $100*

with promo code

PALM

Reimbursement:Trends and Strategies in

Emergency Medicine

Advanced Procedure Coding for Emergency

Medicine

with promo code PALM Regular Price with promo

code PALM Regular Price

ACEP Member $665.00 $765.00 $535.00 $635.00

ACEP Member Same Institution** $555.00 $655.00 $495.00 $595.00

ACOEP Member $665.00 $765.00 $535.00 $635.00

Non-Member Physician $855.00 $955.00 $685.00 $785.00

Non-Member Physician Same Institution** $745.00 $845.00 $615.00 $715.00

ACEP Resident $465.00 $565.00 $335.00 $435.00

ACOEP Resident $465.00 $565.00 $335.00 $435.00

Non-Member Resident*** $495.00 $595.00 $395.00 $495.00

Physician Assistant $495.00 $595.00 $395.00 $495.00

Nurse / NP**** $495.00 $595.00 $395.00 $495.00

Billing / Coding $745.00 $845.00 $635.00 $735.00

Additional Billing / Coding** $645.00 $745.00 $545.00 $645.00

Consultant $745.00 $845.00 $655.00 $755.00

Additional Consultant** $645.00 $745.00 $565.00 $665.00

Optional Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regular Price: $150

www.acep.org/rc

800.798.1822 Ext. 5

[email protected]

ACEP Meeting RegistrarP.O. Box 619911Dallas, TX 75261-9911

CANCELLATION POLICY Full conference registration, less the $100 cancellation fee, is refundable only if submitted in writing to [email protected] 30 days prior to the beginning of the conference. Registrations and cancellations received after the 30 day deadline are not refundable. Exceptions will be made for family emergencies and must be submitted in writing to [email protected]. For these instances the full conference registration fee, less the $100 admin fee, will be refunded. You cannot reinstate a registration after you cancel. If you cancel and are entitled to a refund, expect the refund within 30 days. All refunds will be issued back to the original payment type. Cash payments will be refunded by check.

Register before January 20 and save $100* with promo code: PALM

Palm SpringsFebruary 20-24, 2017

Register Online: acep.org/rc

“ (I come to the conference for) the coding knowledge,

credibility, networking, exploring problems, and

all the great resources available here.”

– Marilyn Hall, CPC, Overgaard, AZ

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Documents

Palm Springs - LogixHealth · William P. Jaquis, MD, FACEP – Dr. Jaquis is the Chief of the Department of Emergency Medicine at Lifebridge Health. He is the ACEP Board liaison to