Practice Management & Economics Committee

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Mission

To further the Strategic Plan by meeting the needs of members with respect to practice management, the economics of health care delivery, coding, nomenclature and reimbursement and managed care matters, and other issues that affect the practice of members.

The specific charges the committee are concerned with:

  1. Providing recommendations to the Governing Board regarding policy and programmatic actions on reimbursement and payment for services provided to patients by members. 
  2. Providing recommendations to the Governing Board regarding policy and programmatic actions on management, business and administrative policies and practices that maximize efficiency and assure compliance with laws affecting academic and private practices. 
  3. Work with the Center for GI Practice Management and Economics to develop business models for new practice ventures.
  4. Monitoring state and national policies affecting the provision of GI care and responding as appropriate. 
  5. Providing recommendations to the Governing Board on the economics of healthcare delivery as applied to gastroenterology. 
  6. Other matters that affect the payment for care provided to patients with digestive diseases.

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Committee Members 2011-12

Chair: Lawrence R. Kosinski, MD, MBA, AGAF 

  • Craig J. Bakken, CMPE 
  • William C. Bray, MD, AGAF 
  • Joel V. Brill, MD, AGAF, CHCQM
  • John W. Garrett, MD 
  • Michael J. Goldberg, MD, AGAF
  • Rajeev Jain, MD, AGAF
  • Thomas F. Jones, MD
  • Jeanette Keith, MD
  • Kirsten Teaney Weiser, MD
  • Andrew Tinsley, MD

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Committee Activities

The Practice Management and Economics Committee (PMEC) is committed to ensuring that gastroenterology practices have the capabilities to practice effectively in the face of various challenges.

Payor Policy Work Group (PPWG): Working together with the Clinical Practice and Quality Management Committee and Public Affairs and Advocacy Committee, the PMEC is engaged with payors to review and comment on regional and national medical policies affecting access to proven procedures, tests and drugs for gastroenterologists and their patients. View the work of the PPWG.

AGA Washington Insider: PMEC members regularly contribute insights to the AGA’s policy blog. 

AMA CPT® Editorial Panel: The AGA works closely with the ACG, ASGE and other specialty societies to ensure providers are able to appropriately report procedures and services via CPT codes. Over the years, the societies have been involved in developing new codes and revising existing CPT codes for GI procedures. Learn more about the CPT process. 

Relative Value Scale Update Committee (RUC): The AGA works closely with the ASGE to continuously evaluate and review relative value units (RVU) and practice expenses for physician work through the AMA’s RUC process. Learn more about why the RUC is important and how the process works.  

AGA CPT & RUC Advisor: Joel V. Brill, MD, AGAF, CHCQM
Alternate AGA RUC Advisor: Jaya Agrawal, MD

Center for GI Innovation and Technology: Through the center, the AGA works with key regulatory bodies and the commercial payor community to better understand their specific requirements for coverage, adoption and reimbursement and, in turn, will translate that information to the field. Through the center, AGA will advocate for a transparent and fair process that does not stifle innovation.

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Educational Activities and Materials

The Practice Management and Economics Committee develops programs to provide practitioners, administrators and practice personnel with tools to assist in both the day-to-day and future needs of the gastroenterology practice.  

Courses/Activities

Educational Materials

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