Health Information Management

Provider Roundtable seeks new members

APCs Insider, May 3, 2013

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The Provider Roundtable (PRT) was established in 2003 to give CMS the benefit of providers’ input and guidance on critical healthcare delivery issues.

In the last decade, the PRT has provided well-supported, data-driven comments to federal regulators on the operational impacts of proposed rules and established regulations concerning OPPS and IPPS. The PRT regularly provides written comments and oral testimony to CMS, Medicare contractors (FI/MACs), and the HOP (formerly APC) Advisory Panel. These entities have frequently integrated the PRT’s comments and requests into final rule-making.
Visit for more details about the Provider Roundtable.
Call for new members in progress
The PRT is seeking to expand its membership of representatives from healthcare organizations across the country and has issued a call for new members. Applicants must be interested in working to improve Medicare reimbursement under the OPPS/APC system as well as the IPPS/DRGs, and value-based purchasing models over time.
Candidates must be moderate- to expert-level professionals in their given discipline and possess a strong knowledge of the Medicare payment systems. Appropriate PRT members include staff from a variety of hospital disciplines, including HIM, finance, business office, revenue cycle, decision support, cost accounting, cost reporting, patient financial services, compliance, clinical and ancillary departments, information systems, quality, etc.
If you have ideas about how 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 affecting national policy decisions, PRT members exchange ideas, reflect on coding and billing questions, and share innovative strategies — which can help improve their own healthcare organizations’ daily operations and revenue integrity processes.
Application requirements and process
PRT members must be employed full-time by a healthcare provider and must commit to maintain active standing in the group through in-person attendance at one meeting each year (typically held in February-March and August-September), participation in periodic conference calls, and engagement in the group process to prepare substantive comments for CMS and other entities.
PRT members must have their employer’s financial support to cover their transportation and accommodation costs. All PRT members (including new members) will meet in the Washington, DC area in August or September 2013 to prepare comments on the 2014 OPPS proposed rule and attend the HOP Advisory Panel meeting.
If you are interested in being considered for membership, please send an email to: to request more information and an application form.
The deadline for applications is June 12. The PRT Membership Committee will select new participants and all successful candidates will be notified by late July 2013.

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