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Coding and Payment Policy Subcommittee

Reports to:

Medical Practice and Quality Committee

Charge

Advise the Medical Practice and Quality Committee on: (a) Medicare and other third-party payer policies to improve coverage, improve payment, and reduce practice hassles; (b) recommendations to other major entities that interface with Medicare and other third-party payers; (c) recommendations for improving coding and documentation of physician services; resources to help internists practice high-quality, cost-effective care; content for annual Internal Medicine meetings regarding Medicare and other third-party payers. Assist ACP's CPT advisor in reviewing proposed coding issues and policies from the CPT Editorial Panel and develop CPT and other coding proposals that advance the needs of internists, and function as a ACP's Specialty RVS Committee, as required by the RUC's guidelines for specialty societies.

Composition (8)

Chair; 7 members to include Chair, Subspecialty Advisory Group on Socioeconomic Affairs (SAGSA); any ACP member serving on the Current Procedural Terminology (CPT) Editorial Panel; CPT advisor, or American Hospital Association Coding Advisory Board; and the RUC representative or alternate. Non reserved slots should go to individuals identified as possessing expertise in coding, reimbursement, payer policy, current or past Medicare or private payer Medical Director, or Medicare Carrier Advisory Committee (CAC) member preferred.

Terms

One-year, renewable up to three times for a total of four years, unless additional time is approved by the Chair, BOR.

2015-16 Members

Michael (Doug) Leahy, MD, MACP, Chair
Summit Medical Group
Powell, TN
Specialty: IM

Moises Auron, MD, FAAP, SFHM, FACP
Beachwood, OH
Specialty: Hospital Medicine

Yul D. Ejnes, MD, MACP
N. Scituate, RI
Specialty: IM

Jeannine Z. Engel, MD, FACP
Associate Professor of Medicine
Nashville, TN
Specialty: IM

William E. Fox, MD, FACP
Charlottesville, VA
Specialty: IM

J. Leonard Lichtenfeld, MD, MACP
American Cancer Society
Atlanta, GA
Specialty: Medical Oncology

Scott Manaker, MD, PhD, FACP
Hospital of the University of PA
Philadelphia, PA
Specialty: PUD, Critical Care

Donna E. Sweet, MD, MACP
University of Kansas
Internal Medicine Midtown
Wichita, KS
Specialty: ID

Staff Liaison: Shari Erickson SErickson@acponline.org

Page updated: 04-14-15

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