AAPM&R signed on to a letter strongly recommending that CMS restore the Refinement Panel to serve as the relative value appeals process. This letter is a result of a resolution that was adopted by the AMA at the June American Medical Association (AMA) House of Delegates meeting. The resolution called for AMA to work with state medical associations and national medical specialty societies, to strongly advocate that CMS restore the Refinement Panel to serve as the appeals process that was appropriately in place from 1993-2010.