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Committee on RBRVS, Codes, and Reimbursements

The CPT coding system and the RBRVS represent the principal means of classification and payment determination for physician services by both private and public third-party payers. The Committee is charged with policy development, educational, liaison and advocacy efforts for the APA in respect to physician payment issues.

Term

Three years; volunteer leaders will be eligible for reappointment for an additional three year term at the conclusion of their first term.

Expected Time Commitment

  • One hour long call every other month.
  • Average of one to two hours each month to review, with higher demand around times when comments on CMS rules are due.
  • One to two hours per month if volunteer wants to serve on external workgroups.

Desired Expertise

Experience in health policy development particularly relating to CPT coding, Medicare reimbursement, and overall physician payment issues relating to psychiatry. This Committee includes members who are heavily involved in the CPT and RUC processes, representing psychiatry and advocating for appropriate coding and reimbursement for our APA members.

Responsibilities

  • Serving as subject matter expert on physician payment policy issues related to coding and reimbursement for members and external stakeholders.
  • Drafting and review APA comments to Medicare Physician Fee Schedule and other rules.
  • Helping create tools for membership to navigate topics of coding and documentation, telehealth, etc. such as FAQs, webinars and other formats.

Additional Criteria

Strong interest in CPT coding, Medicare reimbursement, and overall physician payment issues relating to psychiatry.

Medical leadership for mind, brain and body.

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