Medicare Program; Request for Nominations to the Advisory Panel on Ambulatory Payment Classification Groups, 9810-9811 [E8-2806]
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9810
Federal Register / Vol. 73, No. 36 / Friday, February 22, 2008 / Notices
Fiscal intermediary No.
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mstockstill on PROD1PC66 with NOTICES
We have implemented these
provisions through instructions to the
Medicare Administrative Contractors
(MAC) (CMS Joint Signature
Memorandum, JSM/TDL–08149,
January 28, 2008). CMS has instructed
FIs/MACs to reprocess claims for the
affected providers FY 2007 and FY
2008.
When originally applying section 508
of MMA, we required each hospital to
submit a request in writing by February
15, 2004, to the Medicare Geographic
Classification Review Board (MGCRB),
with a copy to CMS. We will neither
require nor accept written requests for
the extension required by section 117 of
MMSEA, since that section, by
providing a 1-year extension for certain
special exceptions and reclassifications
set to expire September 30, 2007,
already specifies the affected hospitals.
III. Regulatory Impact Statement
We have examined the impact of this
notice using the requirements of
Executive Order 12866 (September
1993, Regulatory Planning and Review),
and Executive Order 13132.
Executive Order 12866 directs
agencies to assess all costs and benefits
of available regulatory alternatives and,
if regulation is necessary, to select
regulatory approaches that maximize
net benefits (including potential
economic, environmental, public health
and safety effects, distributive impacts,
and equity). A regulatory impact
analysis (RIA) must be prepared for
major rules with economically
significant effects ($100 million or more
in any 1 year). This notice implements
a statutory provision that would
increase payments to hospitals by less
than $100 million and is therefore, not
a major rule. This notice also is not a
legislative rulemaking under the
Administrative Procedure Act, but
rather interprets and applies a statutory
mandate.
Executive Order 13132 establishes
certain requirements that an agency
must meet when it promulgates a
proposed rule (and subsequent final
rule) that imposes substantial direct
requirement costs on State and local
governments, preempts State law, or
VerDate Aug<31>2005
16:38 Feb 21, 2008
Jkt 214001
Current wage
index 4/1/
2007–9/30/
2007
Current GAF
4/1/2007–9/30/
2007
Revised wage
index 4/1/
2007–9/30/
2007
Revised GAF
4/1/2007–9/30/
2007
1.3113
1.3113
1.3113
1.3113
1.2730
1.2730
1.2039
1.2039
1.2039
1.2039
1.1797
1.1797
1.3134
1.3134
1.3134
1.3134
1.2971
1.2971
1.2053
1.2053
1.2053
1.2053
1.1950
1.1950
330049
330126
330135
330205
330209
330264
otherwise has Federalism implications.
Again, although we do not consider this
notice to be a substantive rule subject to
notice and comment rulemaking, we
note that this notice does not impose
any costs on State or local governments.
Therefore, the requirements of
Executive Order 13132 would not be
applicable.
We estimate the impact of sections
117(a) and (c) of MMSEA is to increase
payments to hospitals by $24 million for
FY 2007 and by $57 million for FY
2008.
In accordance with the provisions of
Executive Order 12866, this notice was
reviewed by the Office of Management
and Budget.
Authority: Section 117(a) and (c) of Public
Law 110–173. Section 106(a) of Division B,
Title 1, Public Law 109–432. Section 508(a)
of Public Law 108–173.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: February 7, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. E8–2798 Filed 2–21–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1395–N]
Medicare Program; Request for
Nominations to the Advisory Panel on
Ambulatory Payment Classification
Groups
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (DHHS).
ACTION: Notice.
AGENCY:
SUMMARY: This notice solicits the
nominations of three individuals for
consideration as members on the
Advisory Panel on Ambulatory Payment
Classification (APC) Groups (the Panel).
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
There will be three vacancies on the
Panel: One vacancy as of June 1 and two
additional vacancies as of September 30,
2008. The purpose of the Panel is to
review the APC groups and their
associated weights and to advise the
Secretary of the Department of Health
and Human Services (DHHS), and the
Administrator of the Centers for
Medicare & Medicaid Services (CMS),
concerning the clinical integrity of the
APC groups and their associated
weights. We consider the Panel’s advice
as we prepare the annual updates of the
Medicare hospital outpatient
prospective payment system (OPPS).
The Secretary rechartered the Panel in
2006 for a 2-year period effective
through November 21, 2008.
Submission Date of Nominations:
Nominations will be considered if
postmarked by 5 p.m. E.S.T. on April 1,
2008, and sent to the designated address
provided in the ADDRESSES section of
this notice.
You may mail or hand
deliver nominations for membership to:
Center for Medicare and Medicaid
Services; Attn: Shirl Ackerman-Ross,
Designated Federal Official (DFO),
Advisory Panel on APC Groups; Center
for Medicare Management, Hospital &
Ambulatory Policy Group, Division of
Outpatient Care; 7500 Security
Boulevard, Mail Stop C4–05–17;
Baltimore, MD 21244–1850.
For Additional Information:
Contacts: Persons wishing to
nominate individuals to serve on the
Panel or to obtain further information
may also contact Shirl Ackerman-Ross,
the DFO, at CMSAPCPanel@
cms.hhs.gov (NOTE: There is NO
underscore in this e-mail address; there
is a SPACE between CMS and
APCPanel.), or call 410–786–4474.
(Note: Please advise couriers of the
following: When delivering hardcopies
of presentations to CMS, if no one
answers at the above phone number,
please call (410) 786–4532 or (410) 786–
9316.)
News media representatives should
contact the CMS Press Office at 202–
690–6145.
ADDRESSES:
E:\FR\FM\22FEN1.SGM
22FEN1
Federal Register / Vol. 73, No. 36 / Friday, February 22, 2008 / Notices
mstockstill on PROD1PC66 with NOTICES
Web Site: For additional information
on the APC Panel and updates to the
Panel’s activities, search our Web site at
the following: https://www.cms.hhs.gov/
FACA/05_Advisory
PanelonAmbulatoryPayment
ClassificationGroups.asp#TopOfPage.
(Use control + click the mouse in order
to access the previous URL.) (Note:
There is an UNDERSCORE after FACA/
05_; there is no space.)
Advisory Committees’ Information
Lines: You may also refer to the CMS
Federal Advisory Committee Hotlines at
1–877–449–5659 (toll-free) or 410–786–
9379 (local) for additional information.
SUPPLEMENTARY INFORMATION:
I. Background
The Secretary is required by section
1833(t)(9)(A) of the Social Security Act
(the Act), as amended and redesignated
by sections 201(h) and 202(a)(2) of the
Medicare, Medicaid, and SCHIP
Balanced Budget Refinement Act of
1999 (BBRA) (Pub. L. 106–113), to
consult with an expert outside advisory
panel regarding the clinical integrity of
the APC groups and relative payment
weights that are components of the
Medicare hospital OPPS.
The Charter requires that the APC
Panel meet up to three times annually.
We consider the Panel’s technical
advice as we prepare the proposed and
final rules to update the OPPS for the
next calendar year.
The Panel may consist of a chair and
up to 15 members who are full-time
employees of hospitals, hospital
systems, or other Medicare providers
that are subject to the OPPS. (For
purposes of the Panel, consultants or
independent contractors are not
considered to be full-time employees in
these organizations.)
The Administrator selects the Panel
membership based upon either selfnominations or nominations submitted
by providers or interested organizations.
The current Panel members are as
follows: (The asterisk [*] indicates the
Panel member whose term ends on June
1, 2008, and the double asterisks [**]
indicate Panel members whose terms
end on September 30, 2008.)
• E.L. Hambrick, M.D., J.D., Chair, a
CMS Medical Officer
• Gloryanne Bryant, B.S., RHIA,
RHIT, CCS
• Patrick A. Grusenmeyer, Sc.D.,
FACHE
• Hazel Kimmel, R.N., CCS, CPC*
• Michael D. Mills, PhD
• Thomas M. Munger, M.D., FACC
• Agatha L. Nolen, D.Ph., M.S.
• Beverly Khnie Philip, M.D.
• Louis Potters, M.D., FACR**
• Russ Ranallo, M.S., B.S.
VerDate Aug<31>2005
16:38 Feb 21, 2008
Jkt 214001
• James V. Rawson, M.D.
• Michael A. Ross, M.D., FACEP
• Judie S. Snipes, R.N., M.B.A.,
FACHE**
• Patricia Spencer-Cisek, M.S.,
APRN–BC, AOCN
• Kim Allen Williams, M.D., FACC,
FABC
• Robert M. Zwolak, M.D., PhD,
FACS
Panel members serve without
compensation, according to an advance
written agreement; however, for the
meetings, CMS reimburses travel, meals,
lodging, and related expenses in
accordance with standard Government
travel regulations.
We have a special interest in
attempting to ensure, while taking into
account the nominee pool, that the
Panel is diverse in all respects of the
following: Geography; rural or urban
practice; race, ethnicity, sex, and
disability; medical or technical
specialty; and type of hospital, hospital
health system, or other Medicare
provider.
The Secretary, or his designee,
appoints new members to the Panel
from among those candidates
determined to have the required
expertise. New appointments are made
in a manner that ensures a balanced
membership under the guidelines of the
Federal Advisory Committee Act.
II. Criteria for Nominees
All qualified nominees must have
technical expertise in one or more of the
listed areas of below that will enable
them to participate fully in the work of
the Panel. Nominees’ expertise must
exist in one of the following areas:
• Hospital payment systems.
• Hospital medical-care delivery
systems.
• Outpatient payment requirements.
• APC groups.
• Physicians’ Current Procedural
Terminology Codes.
• The use and payment of drugs and
medical devices in the outpatient
setting.
• Any other relevant expertise.
It is not necessary for a nominee to
possess expertise in all of the areas
listed, but each nominee must have a
minimum of 5 years experience and
currently have full-time employment in
his or her area of expertise. Members of
the Panel serve overlapping terms up to
4 years, based on the needs of the Panel
and contingent upon the rechartering of
the Panel.
Any interested person or organization
may nominate one or more qualified
individuals. Self-nominations will also
be accepted. Each nomination must
include the following:
PO 00000
Frm 00055
Fmt 4703
Sfmt 4703
9811
• Letter of Nomination,
• Curriculum Vita of the nominee,
and
• Written statement from the nominee
that the nominee is willing to serve on
the Panel under the conditions
described in this notice and further
specified in the Charter.
III. Copies of the Charter
To obtain a copy of the Panel’s
Charter, submit a written request to the
DFO at the address provided or by email at CMSAPCPanel@cms.hhs.gov, or
call her at 410–786–4474. Copies of the
Charter are also available on the Internet
at the following: https://
www.cms.hhs.gov/FACA/05_Advisory
PanelonAmbulatoryPayment
ClassificationGroups.asp#TopOfPage.
Authority: Section 1833(t)(9)(A) of the Act
(42 U.S.C. 1395l(t)(9)(A). The Panel is
governed by the provisions of Pub. L. 92–463,
as amended (5 U.S.C. Appendix 2).
(Catalog of Federal Domestic Assistance
Program No. 93.774, Medicare—
Supplementary Medical Insurance Program.)
Dated: February 7, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. E8–2806 Filed 2–21–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3186–FN]
Medicare Program: Approval of
Application by the Indian Health
Service (IHS) for Continued
Recognition as a National
Accreditation Organization That
Accredits American Indian and Alaska
Native (AI/AN) Entities To Furnish
Outpatient Diabetes Self-Management
Training
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Final notice.
AGENCY:
SUMMARY: This final notice announces
the approval of the Indian Health
Service (IHS) as a national accreditation
organization for the purpose of
determining that entities meet the
necessary quality standards to furnish
outpatient diabetes self-management
training services under Part B of the
Medicare program. Therefore, American
Indian and Alaska Native diabetes selfmanagement training (DSMT) programs
accredited by the IHS will receive
E:\FR\FM\22FEN1.SGM
22FEN1
]]>Agencies
[Federal Register Volume 73, Number 36 (Friday, February 22, 2008)]
[Notices]
[Pages 9810-9811]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-2806]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1395-N]
Medicare Program; Request for Nominations to the Advisory Panel
on Ambulatory Payment Classification Groups
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (DHHS).
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice solicits the nominations of three individuals for
consideration as members on the Advisory Panel on Ambulatory Payment
Classification (APC) Groups (the Panel). There will be three vacancies
on the Panel: One vacancy as of June 1 and two additional vacancies as
of September 30, 2008. The purpose of the Panel is to review the APC
groups and their associated weights and to advise the Secretary of the
Department of Health and Human Services (DHHS), and the Administrator
of the Centers for Medicare & Medicaid Services (CMS), concerning the
clinical integrity of the APC groups and their associated weights. We
consider the Panel's advice as we prepare the annual updates of the
Medicare hospital outpatient prospective payment system (OPPS). The
Secretary rechartered the Panel in 2006 for a 2-year period effective
through November 21, 2008.
Submission Date of Nominations: Nominations will be considered if
postmarked by 5 p.m. E.S.T. on April 1, 2008, and sent to the
designated address provided in the ADDRESSES section of this notice.
ADDRESSES: You may mail or hand deliver nominations for membership to:
Center for Medicare and Medicaid Services; Attn: Shirl Ackerman-Ross,
Designated Federal Official (DFO), Advisory Panel on APC Groups; Center
for Medicare Management, Hospital & Ambulatory Policy Group, Division
of Outpatient Care; 7500 Security Boulevard, Mail Stop C4-05-17;
Baltimore, MD 21244-1850.
For Additional Information:
Contacts: Persons wishing to nominate individuals to serve on the
Panel or to obtain further information may also contact Shirl Ackerman-
Ross, the DFO, at CMSAPCPanel@cms.hhs.gov (NOTE: There is NO
underscore in this e-mail address; there is a SPACE between CMS and
APCPanel.), or call 410-786-4474. (Note: Please advise couriers of the
following: When delivering hardcopies of presentations to CMS, if no
one answers at the above phone number, please call (410) 786-4532 or
(410) 786-9316.)
News media representatives should contact the CMS Press Office at
202-690-6145.
[[Page 9811]]
Web Site: For additional information on the APC Panel and updates
to the Panel's activities, search our Web site at the following: http:/
/www.cms.hhs.gov/FACA/05_
AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage.
(Use control + click the mouse in order to access the previous URL.)
(Note: There is an UNDERSCORE after FACA/05--; there is no space.)
Advisory Committees' Information Lines: You may also refer to the
CMS Federal Advisory Committee Hotlines at 1-877-449-5659 (toll-free)
or 410-786-9379 (local) for additional information.
SUPPLEMENTARY INFORMATION:
I. Background
The Secretary is required by section 1833(t)(9)(A) of the Social
Security Act (the Act), as amended and redesignated by sections 201(h)
and 202(a)(2) of the Medicare, Medicaid, and SCHIP Balanced Budget
Refinement Act of 1999 (BBRA) (Pub. L. 106-113), to consult with an
expert outside advisory panel regarding the clinical integrity of the
APC groups and relative payment weights that are components of the
Medicare hospital OPPS.
The Charter requires that the APC Panel meet up to three times
annually. We consider the Panel's technical advice as we prepare the
proposed and final rules to update the OPPS for the next calendar year.
The Panel may consist of a chair and up to 15 members who are full-
time employees of hospitals, hospital systems, or other Medicare
providers that are subject to the OPPS. (For purposes of the Panel,
consultants or independent contractors are not considered to be full-
time employees in these organizations.)
The Administrator selects the Panel membership based upon either
self-nominations or nominations submitted by providers or interested
organizations.
The current Panel members are as follows: (The asterisk [*]
indicates the Panel member whose term ends on June 1, 2008, and the
double asterisks [**] indicate Panel members whose terms end on
September 30, 2008.)
E.L. Hambrick, M.D., J.D., Chair, a CMS Medical Officer
Gloryanne Bryant, B.S., RHIA, RHIT, CCS
Patrick A. Grusenmeyer, Sc.D., FACHE
Hazel Kimmel, R.N., CCS, CPC*
Michael D. Mills, PhD
Thomas M. Munger, M.D., FACC
Agatha L. Nolen, D.Ph., M.S.
Beverly Khnie Philip, M.D.
Louis Potters, M.D., FACR**
Russ Ranallo, M.S., B.S.
James V. Rawson, M.D.
Michael A. Ross, M.D., FACEP
Judie S. Snipes, R.N., M.B.A., FACHE**
Patricia Spencer-Cisek, M.S., APRN-BC, AOCN[reg]
Kim Allen Williams, M.D., FACC, FABC
Robert M. Zwolak, M.D., PhD, FACS
Panel members serve without compensation, according to an advance
written agreement; however, for the meetings, CMS reimburses travel,
meals, lodging, and related expenses in accordance with standard
Government travel regulations.
We have a special interest in attempting to ensure, while taking
into account the nominee pool, that the Panel is diverse in all
respects of the following: Geography; rural or urban practice; race,
ethnicity, sex, and disability; medical or technical specialty; and
type of hospital, hospital health system, or other Medicare provider.
The Secretary, or his designee, appoints new members to the Panel
from among those candidates determined to have the required expertise.
New appointments are made in a manner that ensures a balanced
membership under the guidelines of the Federal Advisory Committee Act.
II. Criteria for Nominees
All qualified nominees must have technical expertise in one or more
of the listed areas of below that will enable them to participate fully
in the work of the Panel. Nominees' expertise must exist in one of the
following areas:
Hospital payment systems.
Hospital medical-care delivery systems.
Outpatient payment requirements.
APC groups.
Physicians' Current Procedural Terminology Codes.
The use and payment of drugs and medical devices in the
outpatient setting.
Any other relevant expertise.
It is not necessary for a nominee to possess expertise in all of
the areas listed, but each nominee must have a minimum of 5 years
experience and currently have full-time employment in his or her area
of expertise. Members of the Panel serve overlapping terms up to 4
years, based on the needs of the Panel and contingent upon the
rechartering of the Panel.
Any interested person or organization may nominate one or more
qualified individuals. Self-nominations will also be accepted. Each
nomination must include the following:
Letter of Nomination,
Curriculum Vita of the nominee, and
Written statement from the nominee that the nominee is
willing to serve on the Panel under the conditions described in this
notice and further specified in the Charter.
III. Copies of the Charter
To obtain a copy of the Panel's Charter, submit a written request
to the DFO at the address provided or by e-mail at
CMSAPCPanel@cms.hhs.gov, or call her at 410-786-4474. Copies of the
Charter are also available on the Internet at the following: https://
www.cms.hhs.gov/FACA/05_
AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage.
Authority: Section 1833(t)(9)(A) of the Act (42 U.S.C.
1395l(t)(9)(A). The Panel is governed by the provisions of Pub. L.
92-463, as amended (5 U.S.C. Appendix 2).
(Catalog of Federal Domestic Assistance Program No. 93.774,
Medicare--Supplementary Medical Insurance Program.)
Dated: February 7, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. E8-2806 Filed 2-21-08; 8:45 am]
BILLING CODE 4120-01-P
