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Clinical Practice Committee

Chair Kevin L. Kovitz, MD, MBA Elk Grove Village, IL
Vice Chair Omar Hussain, DO Melrose Park, IL
Committee Member Amy M. Ahasic, MD, MPH, ATSF Norwalk, CT
Committee Member Kim D. French, MHA, FCCP Elk Grove Village, IL
Committee Member Thomas R. Gildea, MD Cleveland, OH
Committee Member Fauziya Hassan, MBBS, MS Ann Arbor, MI
Committee Member Stephen P. Hoffmann, MD Morgantown, WV
Committee Member Douglas Hsu, MD, MPH Boston, MA
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 Steve G. Peters, MD Rochester, MN
Committee Member Alan L. Plummer, MD Atlanta, GA
Committee Member David W. Roe, MD Zionsville, IN
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, 2018-2019:
• 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 maintain an interactive web-based consultative service.
• Keep members and leadership informed regarding legislative changes in health care insurance that 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.
• Determine additional 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 by interacting with regulatory agencies.
• As needed, compose and conduct member surveys to ensure appropriate valuation for pulmonary, critical care and sleep clinical services for reimbursement.
• Work with ATS leadership to develop a cross-organizational committee focused on the business of medicine with the American College of Chest Physicians, including governance, membership, and processes.