Committee Member
Service as a committee member is a one-year appointment with potential for reappointment for up to two additional terms. Service requires participation on monthly conference calls and collaborative involvement on projects that meet the committee mandate. New committee members will be polled for their best available meeting day and time.
Mandate: The Coding and Reimbursement Advisory Committee prioritizes and provides guidance on advocacy and education initiatives related to coding and reimbursement issues and policies.
Preliminary Goals for 2025/2026:
1. Based on member feedback and staff analyses, provide recommendations to the AASM Board of Directors for which coding and reimbursement issues affecting groups of clinicians (national or regional) should be prioritized and addressed through advocacy or education initiatives by the AASM.
2. Provide input during the development and updating of coding and reimbursement educational resources for AASM members and payers (e.g., coding FAQs, webinars).
3. Review and provide feedback on payer requests for feedback on new or updated coverage policies and AASM payer communications used to advocate on behalf of members.
4. Provide guidance regarding strategies to encourage payer alignment with AASM clinical practice guideline recommendations and to advocate for appropriate reimbursement.
5. Provide feedback to AMA CPT Editorial Panel and RVS Update Committee (RUC) Advisors on maintenance or changes to the sleep medicine code set or other codes relevant to sleep clinicians.
6. Provide feedback on AASM responses to relevant Centers for Medicare & Medicaid Services (CMS) public comment periods (e.g., Physician Fee Schedule, Quality Payment Program, Prior Authorization, Hospital Outpatient Prospective Payment System, etc.) and requests for reconsideration.
7. Provide input on member inquiries, as requested.
8. Develop a webinar for the 2025-2026 webinar series.
Please review the AASM_COI_Policy__Updated_January_2025_.pdf.
Committee, task force and panel members are required to disclose any relevant conflicts when appointed in order to determine the appropriate management of conflicts. Any new conflicts that arise during a member’s term must also be disclosed at that time.