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Clinical Practice Committee

Chair Kevin L. Kovitz, MD, MBA Elk Grove Village, IL
Vice Chair Stephen P. Hoffmann, MD Morgantown, WV
Committee Member Amy M. Ahasic, MD, MPH Norwalk, CT
Committee Member Thomas R. Gildea, MD Cleveland, OH
Committee Member Douglas Hsu, MD Boston, MA
Committee Member Omar Hussain, DO Melrose Park, IL
Committee Member Alfredo Lee Chang, MD Bronx, NY
Committee Member Scott Manaker, MD, PhD Philadelphia, PA
Committee Member Michael E. Nelson, MD Shawnee Mission, KS
Committee Member Kathrin Nicolacakis, MD Cleveland, OH
Committee Member Tanmay Panchabhai, MD Scottsdale, AZ
Committee Member Steve G. Peters, MD Rochester, MN
Committee Member Alan L. Plummer, MD Atlanta, GA
Committee Member Stephen R. Reeves, MD, PhD Seattle, WA
Committee Member Carleen M. Risaliti, MD Columbus, OH
Staff Gary Ewart Washington, DC

The Clinical Practice Committee monitors payment, billing, and regulatory matters that affect the clinical practice of pulmonary, sleep and critical care medicine in the United States. It drafts comments that represent ATS positions on payment, billing, and practice regulations to inform leadership, membership, relevant agencies, and the public on important issues as they arise, and educates leaders and membership on these above. It coordinates ATS strategies and efforts to influence payment, billing and coding policy at the AMA CPT, AMA RUC and federal health insurance programs (Medicare and Medicaid), and recommends methods for informing ATS membership on billing, payment, and coding issues and promoting memberships’ successful clinical practice. The Committee also collaborates with the Quality improvement and Implementation Committee to identify opportunities for ATS to be a leader and serve its members in the area of financial incentives or penalties. Finally, it coordinates information to the ATS membership on the work of the ATS Washington office.

Benchmarks, 2017-2018:
• Periodically publish information on billing, coding, and regulatory compliance for ATS members;
• Collaborate with the Quality Improvement and Implementation Committee to consider opportunities for ATS to develop and officially endorse physician quality reporting measures as an opportunity to generate revenue or provide value for members;
• Collaborate with Clinicians Advisory Committee to expand ATS resources to aid in practice management;
• Maintain and update a compendium of the resources and tools for implementation by ATS members, and develop an interactive web-based consultative service;
• Keep members and leadership informed regarding the aspects of Affordable Care Act that are apt to affect the practice of Pulmonary, Critical Care and Sleep Medicine;
• Produce comments for leadership’s review on key regulatory proposals that impact Pulmonary, Critical Care, and Sleep Medicine for reports at each ATS Board meeting;
• Consider adding educational activities including editorials in journals, updates on the ATS Website or content at the international conference;
• Monitor developments in treatments/technology in pulmonary, critical care and sleep medicine to ensure CPT coding nomenclature appropriately reflects these changes;
• As needed, compose and conduct member surveys to ensure appropriate valuation for pulmonary, critical care and sleep clinical services for reimbursement.