Medicare Program; Announcement of Five New Members to the Advisory Panel on Ambulatory Payment Classification Groups, 36723-36724 [E9-17609]

Download as PDF Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices for-profit organizations to submit proposals to the address listed in the ADDRESSES section of this notice by the date specified in the DATES section of this notice. If after this limited 1-year opportunity the report with the required findings cannot be completed, for-profit PACE demonstrations should plan to terminate their projects. We note that, as a resolicitation, all proposals received will be evaluated using the criteria specified in the original August 10, 2001 Federal Register notice (66 FR 42231) and these criteria are also available on the CMS Web site at: https:// www.cms.hhs.gov/ DemoProjectsEvalRpts/MD/ itemdetail.asp?itemID=CMS1202809. III. Collection of Information Requirements As we do not anticipate receiving 10 or more applications for this demonstration, this document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995. Authority: Section 1894(h) and 1934(h) of the Social Security Act (42 U.S.C. 1395eee and 1396u–4) (Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program; No. 93.773 Medicare— Hospital Insurance Program; and No. 93.774, Medicare—Supplementary Medical Insurance Program) Dated: May 6, 2009. Charlene Frizzera, Acting Administrator, Centers for Medicare & Medicaid Services. [FR Doc. E9–17607 Filed 7–23–09; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–1415–N] srobinson on DSKHWCL6B1PROD with NOTICES Medicare Program; Announcement of Five New Members 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 announces five new members selected to serve on the Advisory Panel on Ambulatory Payment Classification (APC) Groups (the Panel). The purpose of the Panel is to review the APC groups and their associated VerDate Nov<24>2008 18:55 Jul 23, 2009 Jkt 217001 weights and to advise the Secretary of DHHS (the Secretary) and the Administrator of CMS (the Administrator) concerning the clinical integrity of the APC groups and their associated weights. We will consider the Panel’s advice as we prepare the annual updates of the hospital outpatient prospective payment system (OPPS). FOR FURTHER INFORMATION CONTACT: For inquiries about the Panel, please contact the Designated Federal Official (DFO): Shirl Ackerman-Ross, DFO, CMS, CMM, HAPG, DOC, 7500 Security Boulevard, Mail Stop C4–05–17, Baltimore, MD 21244–1850, Phone (410) 786–4474. APC Panel E-Mail Address: The Email address for the Panel is as follows: CMS APCPanel@cms.hhs.gov (Note: There is NO underscore in this e-mail address; there is a SPACE between CMS and APCPanel.) News Media Contact: News media representatives must contact our Public Affairs Office at (202) 690–6145. CMS Advisory Committees Hotlines: The CMS Federal Advisory Committee Hotline is 1–877–449–5659 (toll free) and (410) 786–9379 (local) for additional Panel information. Web Sites: For additional information regarding the APC Panel membership, meetings, agendas, and updates to the Panel’s activities, please search our Web site at the following Uniform Resource Locator (URL): https://www.cms.hhs.gov/ FACA/05_AdvisoryPanelonAmbulatory PaymentClassificationGroups.asp# TopOfPage. (Note: There is an UNDERSCORE after FACA/05 (like this_); there is no space.) The public may also access the following URL for the Federal Advisory Committee Act Web site to obtain APC Panel information: https:// www.fido.gov/facadatabase/public.asp. A copy of the Panel’s Charter and other pertinent information are on both Web sites mentioned above. You may also email the Panel DFO at the above e-mail address for a copy of the Charter. SUPPLEMENTARY INFORMATION: I. Background The Secretary is required by section 1833(t)(9)(A) of the Social Security Act (the Act) 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 APC Panel meets up to three times annually. The Charter requires that the Panel must be fairly balanced in its membership in terms of the points of view represented and the functions to be performed. The Panel consists of up PO 00000 Frm 00075 Fmt 4703 Sfmt 4703 36723 to 15 members, who are representatives of providers, and a Chair. Each Panel member must be employed full-time by a hospital, hospital system, or other Medicare provider subject to payment under the OPPS. The Secretary or Administrator selects the Panel membership based upon either selfnominations or nominations submitted by Medicare providers and other interested organizations. All members must have technical expertise to enable them to participate fully in the work of the Panel. This expertise encompasses hospital payment systems; hospital medical-care delivery systems; provider billing systems; APC groups, Current Procedural Terminology codes, and alpha-numeric Healthcare Common Procedure Coding System codes; and the use of, and payment for, drugs and medical devices in the outpatient setting, as well as other forms of relevant expertise. The Charter requires that all members have a minimum of 5 years experience in their area(s) of expertise, but it is not necessary that any member be an expert in all of the areas listed above. For purposes of this Panel, consultants and independent contractors are not considered as being full-time employees of hospitals, hospital systems, or other Medicare providers that are paid under the Medicare hospital OPPS. A Panel member may serve up to a 4-year term. A member may serve after the expiration of his or her term until a successor has been sworn in. All terms are contingent upon the renewal of the Panel’s Charter by appropriate action before its termination. The Secretary rechartered the APC Panel effective November 21, 2008. II. Announcement of New Members The Panel may consist of a Chair and up to 15 Panel members who serve without compensation, according to an advance written agreement. Travel, meals, lodging, and related expenses for the meeting are reimbursed in accordance with standard Government travel regulations. We have a special interest in ensuring that women, minorities, representatives from various geographical locations, and the physically challenged are adequately represented on the Panel. The Secretary, or her 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. The Panel presently consists of the following 15 members and a Chair. (The E:\FR\FM\24JYN1.SGM 24JYN1 36724 Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices asterisk [*] indicates a Panel member whose term expires on 08/16/2009.) • Edith Hambrick, M.D., J.D., Chair. • Gloryanne Bryant, B.S., R.H.I.A., R.H.I.T., C.C.S.* • Kathleen M. Graham, R.N., M.S.H.A., C.P.H.Q. • Patrick Grusenmeyer, Sc.D., M.P.A., F.A.C.H. • Judith T. Kelly, B.S.H.A., R.H.I.T., R.H.I.A., C.C.S. • Michael D. Mills, Ph.D., M.S.P.H. • Thomas M. Munger, M.D., F.A.C.C.* • Agatha L. Nolen, D.Ph., M.S. • Randall A. Oyer, M.S. • Beverly Khnie Philip, M.D. • Russ Ranallo, M.S. • James V. Rawson, M.D.* • Michael A. Ross, M.D., F.A.C.E.P. • Patricia Spencer-Cisek, M.S., A.P.R.N.-BC, A.O.C.N.® • Kim Allan Williams, M.D., F.A.C.C., F.A.B.C.* • Robert Matthew Zwolak, M.D., PhD, F.A.C.S.* On December 22, 2008, we published the notice titled ‘‘Medicare Program; Request for Nominations to the Advisory Panel on Ambulatory Payment Classification Groups’’ (CMS–1411–N) in the Federal Register (FR) requesting nominations to the Panel replacing Panel members whose terms would expire on August 16, 2009. As a result of that FR notice, we are announcing five new members to the Panel. All five appointments are for 4-year terms commencing on October 1, 2009, as indicated below: Terms Ruth L. Bush, M.D., M.P.H. Gregory J. Przybylski, M.D. David Halsey, M.D .... Dawn L. Francis, M.D., M.H.S. Daniel Pothen, M.S., R.H.I.A., CPHIMS, CCS, CCS–P, CHC. srobinson on DSKHWCL6B1PROD with NOTICES NEW panel members 10/1/2009–9/30/2013 10/1/2009–9/30/2013 10/1/2009–9/30/2013 10/1/2009–9/30/2013 10/1/2009–9/30/2013 Note: Dr. Bush replaces Dr. Zwolak; Dr. Przybylski replaces Dr. Williams; Dr. Halsey replaces Dr. Rawson; Dr. Francis replaces Dr. Munger; and Mr. Pothen replaces Ms. Bryant. They will all take the Oaths of Office at the winter 2010 APC Panel meeting. Therefore, the current APC Panel members are all invited to attend the 2009 late summer meeting since the new members’ terms do not begin until October 1, 2009. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program). VerDate Nov<24>2008 18:55 Jul 23, 2009 Jkt 217001 Dated: July 14, 2009. Charlene Frizzera, Acting Administrator, Centers for Medicare & Medicaid Services. [FR Doc. E9–17609 Filed 7–23–09; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–1564–N] Medicare Program; Request for Nominations and Meeting of the Practicing Physicians Advisory Council, August 31, 2009 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. SUMMARY: This notice invites all organizations representing physicians to submit nominations for consideration to fill four seats on the Practicing Physicians Advisory Council (the Council) that will be vacated by current Council members in 2010. This notice also announces a quarterly meeting of the Council. The Council will meet to discuss certain proposed changes in regulations and manual instructions related to physicians’ services, as identified by the Secretary of Health and Human Services (the Secretary). This meeting is open to the public. DATES: Meeting Date: Monday, August 31, 2009, from 8:30 a.m. to 5 p.m. e.d.t. Deadline for Registration without Oral Presentation: Thursday, August 27, 2009, 12 noon, e.d.t. Deadline for Registration of Oral Presentations: Friday, August 7, 2009, 12 noon, e.d.t. Deadline for Submission of Oral Remarks and Written Comments: Wednesday, August 19, 2009, 12 noon, e.d.t. Deadline for Requesting Special Accommodations: Monday, August 24, 2009, 12 noon, e.d.t. Deadline for Submitting Nominations: Friday, September 11, 2009, 5 p.m. e.d.t. ADDRESSES: Meeting Location: The meeting will be held in the Hubert H. Humphrey Building, (Room TBD), 200 Independence Avenue, SW., Washington, DC 20201. Submission of Testimony: Testimonies should be mailed to Kelly Buchanan, Designated Federal Official (DFO), Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Mail stop C4–13–07, Baltimore, MD 21244– 1850, or contact the DFO via e-mail at PPAC_hhs@cms.hhs.gov. PO 00000 Frm 00076 Fmt 4703 Sfmt 4703 Submission of Nominations: Mail or deliver nominations to the Centers for Medicare and Medicaid Services, Center for Medicare Management, Division of Provider Relations and Evaluations, Attention: Kelly Buchanan, Designated Federal Official, Practicing Physicians Advisory Council, 7500 Security Boulevard, Mail Stop C4–13–07, Baltimore, Maryland 21244–1850. FOR FURTHER INFORMATION CONTACT: Kelly Buchanan, DFO, (410) 786–6132, or e-mail PPAC_hhs@cms.hhs.gov. News media representatives must contact the CMS Press Office, (202) 690– 6145. Please refer to the CMS Advisory Committees’ Information Line (1–877– 449–5659 toll free, (410) 786–9379 local) or the Internet at https:// www.cms.hhs.gov/home/ regsguidance.asp for additional information and updates on committee activities. SUPPLEMENTARY INFORMATION: I. Background In accordance with section 10(a) of the Federal Advisory Committee Act, this notice announces the quarterly meeting of the Practicing Physicians Advisory Council (the Council). The Secretary is mandated by section 1868(a)(1) of the Social Security Act (the Act) to appoint a Practicing Physicians Advisory Council based on nominations submitted by medical organizations representing physicians. The Council meets quarterly to discuss certain proposed changes in regulations and manual instructions related to physician services, as identified by the Secretary. To the extent feasible and consistent with statutory deadlines, the Council’s consultation must occur before Federal Register publication of the proposed changes. The Council submits an annual report on its recommendations to the Secretary and the Administrator of the Centers for Medicare & Medicaid Services (CMS) not later than December 31 of each year. The Council consists of 15 physicians, including the Chair. Members of the Council include both participating and nonparticipating physicians, and physicians practicing in rural and underserved urban areas. At least 11 members of the Council must be physicians as described in section 1861(r)(1) of the Act; that is, Statelicensed doctors of medicine or osteopathy. The remaining 4 members may include dentists, podiatrists, optometrists, and chiropractors. Members serve for overlapping 4-year terms. Section 1868(a)(2) of the Act provides that the Council meet quarterly to E:\FR\FM\24JYN1.SGM 24JYN1

Agencies

[Federal Register Volume 74, Number 141 (Friday, July 24, 2009)]
[Notices]
[Pages 36723-36724]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-17609]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1415-N]


Medicare Program; Announcement of Five New Members 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 announces five new members selected to serve on 
the Advisory Panel on Ambulatory Payment Classification (APC) Groups 
(the Panel). The purpose of the Panel is to review the APC groups and 
their associated weights and to advise the Secretary of DHHS (the 
Secretary) and the Administrator of CMS (the Administrator) concerning 
the clinical integrity of the APC groups and their associated weights. 
We will consider the Panel's advice as we prepare the annual updates of 
the hospital outpatient prospective payment system (OPPS).

FOR FURTHER INFORMATION CONTACT: For inquiries about the Panel, please 
contact the Designated Federal Official (DFO): Shirl Ackerman-Ross, 
DFO, CMS, CMM, HAPG, DOC, 7500 Security Boulevard, Mail Stop C4-05-17, 
Baltimore, MD 21244-1850, Phone (410) 786-4474.
    APC Panel E-Mail Address: The E-mail address for the Panel is as 
follows: CMS APCPanel@cms.hhs.gov (Note: There is NO underscore in this 
e-mail address; there is a SPACE between CMS and APCPanel.)
    News Media Contact: News media representatives must contact our 
Public Affairs Office at (202) 690-6145.
    CMS Advisory Committees Hotlines: The CMS Federal Advisory 
Committee Hotline is 1-877-449-5659 (toll free) and (410) 786-9379 
(local) for additional Panel information.
    Web Sites: For additional information regarding the APC Panel 
membership, meetings, agendas, and updates to the Panel's activities, 
please search our Web site at the following Uniform Resource Locator 
(URL): https://www.cms.hhs.gov/FACA/05_AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage. 
(Note: There is an UNDERSCORE after FACA/05 (like this--); there is no 
space.)
    The public may also access the following URL for the Federal 
Advisory Committee Act Web site to obtain APC Panel information: 
https://www.fido.gov/facadatabase/public.asp. A copy of the Panel's 
Charter and other pertinent information are on both Web sites mentioned 
above. You may also e-mail the Panel DFO at the above e-mail address 
for a copy of the Charter.

SUPPLEMENTARY INFORMATION: 

I. Background

    The Secretary is required by section 1833(t)(9)(A) of the Social 
Security Act (the Act) 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 APC Panel meets up to three times annually. The Charter 
requires that the Panel must be fairly balanced in its membership in 
terms of the points of view represented and the functions to be 
performed. The Panel consists of up to 15 members, who are 
representatives of providers, and a Chair. Each Panel member must be 
employed full-time by a hospital, hospital system, or other Medicare 
provider subject to payment under the OPPS. The Secretary or 
Administrator selects the Panel membership based upon either self-
nominations or nominations submitted by Medicare providers and other 
interested organizations. All members must have technical expertise to 
enable them to participate fully in the work of the Panel. This 
expertise encompasses hospital payment systems; hospital medical-care 
delivery systems; provider billing systems; APC groups, Current 
Procedural Terminology codes, and alpha-numeric Healthcare Common 
Procedure Coding System codes; and the use of, and payment for, drugs 
and medical devices in the outpatient setting, as well as other forms 
of relevant expertise.
    The Charter requires that all members have a minimum of 5 years 
experience in their area(s) of expertise, but it is not necessary that 
any member be an expert in all of the areas listed above. For purposes 
of this Panel, consultants and independent contractors are not 
considered as being full-time employees of hospitals, hospital systems, 
or other Medicare providers that are paid under the Medicare hospital 
OPPS. A Panel member may serve up to a 4-year term. A member may serve 
after the expiration of his or her term until a successor has been 
sworn in. All terms are contingent upon the renewal of the Panel's 
Charter by appropriate action before its termination. The Secretary re-
chartered the APC Panel effective November 21, 2008.

II. Announcement of New Members

    The Panel may consist of a Chair and up to 15 Panel members who 
serve without compensation, according to an advance written agreement. 
Travel, meals, lodging, and related expenses for the meeting are 
reimbursed in accordance with standard Government travel regulations. 
We have a special interest in ensuring that women, minorities, 
representatives from various geographical locations, and the physically 
challenged are adequately represented on the Panel.
    The Secretary, or her 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.
    The Panel presently consists of the following 15 members and a 
Chair. (The

[[Page 36724]]

asterisk [*] indicates a Panel member whose term expires on 08/16/
2009.)
     Edith Hambrick, M.D., J.D., Chair.
     Gloryanne Bryant, B.S., R.H.I.A., R.H.I.T., C.C.S.*
     Kathleen M. Graham, R.N., M.S.H.A., C.P.H.Q.
     Patrick Grusenmeyer, Sc.D., M.P.A., F.A.C.H.
     Judith T. Kelly, B.S.H.A., R.H.I.T., R.H.I.A., C.C.S.
     Michael D. Mills, Ph.D., M.S.P.H.
     Thomas M. Munger, M.D., F.A.C.C.*
     Agatha L. Nolen, D.Ph., M.S.
     Randall A. Oyer, M.S.
     Beverly Khnie Philip, M.D.
     Russ Ranallo, M.S.
     James V. Rawson, M.D.*
     Michael A. Ross, M.D., F.A.C.E.P.
     Patricia Spencer-Cisek, M.S., A.P.R.N.-BC, 
A.O.C.N.[supreg]
     Kim Allan Williams, M.D., F.A.C.C., F.A.B.C.*
     Robert Matthew Zwolak, M.D., PhD, F.A.C.S.*
    On December 22, 2008, we published the notice titled ``Medicare 
Program; Request for Nominations to the Advisory Panel on Ambulatory 
Payment Classification Groups'' (CMS-1411-N) in the Federal Register 
(FR) requesting nominations to the Panel replacing Panel members whose 
terms would expire on August 16, 2009. As a result of that FR notice, 
we are announcing five new members to the Panel. All five appointments 
are for 4-year terms commencing on October 1, 2009, as indicated below:

------------------------------------------------------------------------
          NEW panel members                          Terms
------------------------------------------------------------------------
Ruth L. Bush, M.D., M.P.H...........  10/1/2009-9/30/2013
Gregory J. Przybylski, M.D..........  10/1/2009-9/30/2013
David Halsey, M.D...................  10/1/2009-9/30/2013
Dawn L. Francis, M.D., M.H.S........  10/1/2009-9/30/2013
Daniel Pothen, M.S., R.H.I.A.,        10/1/2009-9/30/2013
 CPHIMS, CCS, CCS-P, CHC.
------------------------------------------------------------------------


    Note: Dr. Bush replaces Dr. Zwolak; Dr. Przybylski replaces Dr. 
Williams; Dr. Halsey replaces Dr. Rawson; Dr. Francis replaces Dr. 
Munger; and Mr. Pothen replaces Ms. Bryant. They will all take the 
Oaths of Office at the winter 2010 APC Panel meeting. Therefore, the 
current APC Panel members are all invited to attend the 2009 late 
summer meeting since the new members' terms do not begin until 
October 1, 2009.

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program).

    Dated: July 14, 2009.
Charlene Frizzera,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. E9-17609 Filed 7-23-09; 8:45 am]
BILLING CODE 4120-01-P
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