Are you interested in having your voice heard by CMS and impacting national payment policy?

edited November 2017 in GENERAL

The Provider Roundtable issues call for new members

 

The Provider Roundtable (PRT) was established in 2003 to give CMS the benefit of providers’ input and guidance on critical health care delivery issues. For the last 14 years, the PRT has provided Federal regulators with well-supported, data-driven comments about the operational impacts of Proposed Rules and established regulations on various payments systems, including OPPS, IPPS, the Clinical Laboratory Fee Schedule, and the Medicare Physician Fee Schedule (MPFS).

The PRT regularly provides written comments and oral testimony to CMS, Medicare Administrative Contractors (MACs), and the Hospital Outpatient Payment (HOP, formerly APC) Advisory Panel. These entities often integrate the PRT’s comments and recommendations into final rules as well as transmittals/claims processing instructions.

 Visit http://nimitt.com/PRT.html for more details about the PRT.

 

2017 call for new PRT members

 

The PRT has issued a call for new members who have a strong interest in improving Medicare reimbursement under various payment systems. If you have ideas about ways the CMS can provide fair and appropriate reimbursement to hospitals without increasing administrative burden, the PRT invites you to consider becoming a part of this dynamic and interactive group. 

Membership in the PRT provides an opportunity to have your voice heard by decision-makers on the Federal level. In addition to impacting national policy decisions, PRT members exchange ideas, address each other’s coding and billing questions and challenges, and share innovative strategies — all of which improves their own organizations’ daily operations and revenue integrity processes.

 

Application requirements and process

 

Candidates for membership must work for a health care provider, have moderate- to expert-level professional experience in their given discipline, and possess a strong knowledge of Medicare’s various reimbursement systems.

 

For example, past and present PRT members have included representatives from a wide variety of hospital disciplines, including but not limited to:

  • Business office

  • Clinical and ancillary departments

  • Compliance

  • Cost accounting

  • Cost reporting

  • Decision support

  • Finance

  • Health information systems

  • HIM

  • Patient financial services

  • physician practices

  • Quality

  • Revenue cycle

  • Revenue integrity

     

    All PRT members must commit to maintain their active standing in the group by:

  • Attending at least one PRT meeting annually. PRT meetings are held in conjunction with the HOP Panel Meeting, typically in February/March and August/September; meetings are held either in Washington, DC or Baltimore, MD.

  • Participating in the PRT’s monthly conference calls.

  • Actively assisting in the preparation of substantive comments for CMS and other regulatory entities.

     

    PRT members must demonstrate that they have their employer’s financial support to cover their transportation and accommodation costs. The PRT does not support travel for its members.

     

    If you are interested in being considered for membership, email roundtable@nimitt.com to request the application form. Completed applications must be received by December 15, 2017.

     

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