Medicare Program; First Semi-Annual Meeting of the Advisory Panel on Ambulatory Payment Classification Groups-February 28, 2011 Through March 2, 2011, 78707-78709 [2010-31542]
Download as PDF
Federal Register / Vol. 75, No. 241 / Thursday, December 16, 2010 / Notices
may serve after the expiration of the
member’s term until a successor takes
office. Any interested person may
nominate one or more qualified persons.
Self-nominations are also accepted.
The current Secretary’s Charter for the
MEDCAC is available on the CMS Web
site at: https://www.cms.hhs.gov/FACA/
Downloads/medcaccharter.pdf, or you
may obtain a copy of the charter by
submitting a request to the contact listed
in the FOR FURTHER INFORMATION
CONTACT section of this notice.
Authority: 5 U.S.C. App. 2, section
10(a)(1) and (a)(2).
Meeting Dates: We are
scheduling the first semi-annual
meeting in 2011 for the following dates
and times:
• Monday, February 28, 2011, 1 p.m. to
5 p.m. eastern standard time (e.s.t.)
• Tuesday, March 1, 2011, 8 a.m. to 5
p.m. (e.s.t.)
• Wednesday, March 2, 2011, 8 a.m. to
12 Noon (e.s.t.)
DATES:
Note 1: The times listed in this notice are
approximate times; consequently, the
meetings may last longer than listed in this
notice, but it will not begin before the posted
times.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program.)
Note 2: If the Panel’s business concludes
by COB on Tuesday (3/1/2011), there will be
no meeting on Wednesday (3/2/2011).
Dated: December 13, 2010.
Barry M. Straube,
CMS Chief Medical Officer, Director, Office
of Clinical Standards and Quality, Centers
for Medicare & Medicaid Services.
Deadline for Hardcopy Comments
(including the comment in
electronic format)/Suggested
Agenda Topics—
5 p.m. (e.s.t.), Monday, February 7,
2011.
Deadline for Hardcopy Presentations,
including the required electronic
documents as discussed below—
5 p.m. (e.s.t.), Monday, February 7,
2011.
Deadline for Attendance Registration—
5 p.m. (e.s.t.), Wednesday, February
23, 2011.
Deadline for Special
Accommodations—
5 p.m. (e.s.t.), Wednesday, February
23, 2011.
Deadlines
[FR Doc. 2010–31642 Filed 12–15–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1573–N]
Medicare Program; First Semi-Annual
Meeting of the Advisory Panel on
Ambulatory Payment Classification
Groups—February 28, 2011 Through
March 2, 2011
Centers for Medicare &
Medicaid Services, Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
This notice announces the
first semi-annual meeting of the
Advisory Panel on Ambulatory Payment
Classification (APC) Groups (the Panel)
for 2011. 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) (the
Secretary) and the Administrator of the
Centers for Medicare & Medicaid
Services (CMS) (the Administrator)
concerning the clinical integrity of the
APC groups and their associated
weights established under the Medicare
hospital Outpatient Prospective
Payment System (OPPS). We will
consider the Panel’s advice as we
prepare the proposed rule to update the
Medicare hospital Outpatient
Prospective Payment System (OPPS) for
CY 2012.
srobinson on DSKHWCL6B1PROD with NOTICES
SUMMARY:
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Submission of Materials to the
Designated Federal Officer (DFO)
Because of staffing and resource
limitations, we cannot accept written
comments and presentations by FAX,
nor can we print written comments and
presentations received electronically for
dissemination at the meeting.
Only hardcopy comments and
presentations can be reproduced for
public dissemination. All hardcopy
presentations must be accompanied by
Form CMS–20017 (revised 01/07). The
form is now available through the CMS
Forms Web site. The Uniform Resource
Locator (URL) for linking to this form is
as follows: https://www.cms.hhs.gov/
cmsforms/downloads/cms20017.pdf.
Presenters must use the most recent
copy of CMS–20017 (updated 01/07) at
the above URL. Additionally, presenters
must clearly explain the action(s) that
they are requesting CMS to take in the
appropriate section of the form. They
must also clarify their relationship to
the organization that they represent in
the presentation.
(Note: Issues that are vague, or that are
outside the scope of the APC Panel’s
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78707
purpose, will not be considered for
presentations and comments. There will
be no exceptions to this rule. We
appreciate your cooperation on this
matter.)
We are also requiring electronic
versions of the written comments and
presentations, in addition to the
hardcopies.
In summary, presenters and/or
commenters must do the following:
• Send both electronic and hardcopy
versions of their presentations and
written comments by the prescribed
deadlines.
• Send electronic transmissions to the
e-mail address below.
• Do not send pictures of patients in
any of the documents unless their faces
have been blocked out.
• Do not send documents
electronically that have been archived.
• Mail (or send by courier) to the DFO
all hardcopies, accompanied by Form
CMS–20017 (revised 01/07), if they are
presenting, as specified in the FOR
FURTHER INFORMATION CONTACT section of
this notice.
• Commenters are not required to
send Form CMS–20017 with their
written comments.
ADDRESSES: The meeting will be held in
the Auditorium, CMS Central Office,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
FOR FURTHER INFORMATION CONTACT:
Shirl Ackerman-Ross, DFO, CMS, CM,
HAPG, DOC, 7500 Security Boulevard,
Mail Stop C4–05–17, Baltimore, MD
21244–1850. Phone: (410) 786–4474.
E-mail: SAckermanross@cms.hhs.gov.
(Note:) We recommend that you advise
couriers of the following information:
When delivering hardcopies of
presentations to CMS, if no one answers
at the above phone number, call (410)
786–4532 or (410) 786–9316.)
The e-mail address for comments,
presentations, and registration requests
is CMS APCPanel@cms.hhs.gov.
(Note: There is NO underscore in this email address; there is a SPACE between
CMS and APCPanel.)
News media representatives must
contact our Public Affairs Office at (202)
690–6145.
Advisory Committees’ Information
Lines: The phone numbers for the CMS
Federal Advisory Committee Hotline are
1–877–449–5659 (toll free) and (410)
786–9379 (local).
Web Sites: Access the CMS Web site
at: https://www.cms.hhs.gov/FACA/05_
AdvisoryPanelonAmbulatoryPayment
ClassificationGroups.asp#TopOfPage to
obtain the following information:
(Note: There is an UNDERSCORE after
FACA/05(like this_); there is no space.)
E:\FR\FM\16DEN1.SGM
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78708
Federal Register / Vol. 75, No. 241 / Thursday, December 16, 2010 / Notices
• Additional information on the APC
meeting agenda topics.
• Updates to the Panel’s activities.
• Copies of the current Charter.
• Membership requirements.
You may also search information
about the APC Panel and its
membership in the FACA database at
the following URL: https://
www.fido.gov/facadatabase/public.asp.
SUPPLEMENTARY INFORMATION:
I. Background
srobinson on DSKHWCL6B1PROD with NOTICES
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 on the clinical
integrity of the Ambulatory Payment
Classification (APC) groups and their
associated weights established under
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 Panel’s work. Such expertise
encompasses hospital payment systems;
hospital medical care delivery systems;
provider billing and accounting
systems; APC groups; Current
Procedural Terminology codes; Health
Care Common Procedure Coding System
(HCPCS) codes; the use of, and payment
for, drugs, medical devices, and other
services in the outpatient setting; and
other forms of relevant expertise. Details
regarding membership requirements for
the APC Panel are found on the FACA
and CMS Web sites as listed above.
The Panel presently consists of the
following members:
• E. L. Hambrick, M.D., J.D., Chair,
Medical Officer, CMS.
• Ruth L. Bush, M.D., M.P.H.
• Kari S. Cornicelli, C.P.A., F.H.F.M.A.
• Dawn L. Francis, M.D., M.H.S.
• Kathleen Graham, R.N., M.S.H.A.,
C.P.H.Q., A.C.M.
• Patrick A. Grusenmeyer, Sc.D.,
F.A.C.H.E.
• David A. Halsey, M.D.
• Brian D. Kavanagh, M.D., M.P.H.
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Jkt 223001
• Judith T. Kelly, R.H.I.T., R.H.I.A.,
C.C.S.
• Scott Manaker, M.D., Ph.D.
• John Marshall, C.R.A., F.A.H.R.A.,
R.C.C., R.T.®
• Agatha L. Nolen, D.Ph., M.S.,
F.A.S.H.P.
• Randall A. Oyer, M.D.
• Daniel J. Pothen, M.S., R.H.I.A.,
C.H.P.S., C.P.H.I.M.S., C.C.S.–P.
• Gregory Przybylski, M.D.
• Neville B. Sarkari, M.D., F.A.C.P.
II. Agenda
The agenda for the August 2010
meeting will provide for discussion and
comment on the following topics as
designated in the Panel’s Charter:
• Addressing whether procedures
within an APC group are similar both
clinically and in terms of resource use.
• Reconfiguring APCs (for example,
splitting of APCs, moving HCPCS codes
from one APC to another, and moving
HCPCS codes from new technology
APCs to clinical APCs).
• Evaluating APC group weights.
• Reviewing packaging the cost of
some items and services, including
drugs and devices, into procedures and
services, including the methodology and
the impact on APC group structure and
payment.
• Removing procedures from the
inpatient list for payment under the
OPPS.
• Using claims and cost report data
for CMS’ determination of APC group
costs.
• Addressing other technical issues
concerning APC group structure.
(Note: The subject matter before the
Panel will be limited to these and
related topics. Unrelated topics are not
subjects for discussion. Unrelated topics
include, but are not limited to, the
conversion factor, charge compression,
revisions to the cost report, passthrough payments, correct code usage,
and provider payment adjustments.
Therefore, these issues will not be
considered for presentations and/or
comments. There will be no exceptions
to this rule. We appreciate your
cooperation on this matter.)
The Panel may use data collected or
developed by entities and organizations,
other than the Department of Health and
Human Services (DHHS) and CMS, in
conducting its review. We recommend
organizations to submit data for the
Panel’s and CMS staff’s review.
III. Written Comments and Suggested
Agenda Topics
Hardcopy and electronic written
comments and suggested agenda topics
should be sent to the DFO as specified
in the ADDRESSES section of this notice.
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The DFO must receive these items by 5
p.m. (e.s.t.), Monday, February 7, 2011.
There will be no exceptions. We
appreciate your cooperation on this
matter.
The written comments and suggested
agenda topics submitted for the winter
2011 APC Panel meeting must fall
within the subject categories outlined in
the Panel’s Charter and as listed in the
Agenda section of this notice.
IV. Oral Presentations
Individuals or organizations wishing
to make 5-minute oral presentations
must submit hardcopy and electronic
versions of their presentations to the
DFO by 5 p.m. (e.s.t.), Monday,
February 7, 2011, for consideration.
The number of oral presentations may
be limited by the time available. Oral
presentations should not exceed 5
minutes in length for an individual or
an organization.
The Chair may further limit time
allowed for presentations due to the
number of oral presentations, if
necessary. Presentation times listed in
the public agenda are approximate and
presenters should be prepared to
present earlier and later than indicated.
V. Presenter and Presentation
Information
All presenters must submit Form
CMS–20017 (revised 01/07). Hardcopies
are required for oral presentations;
however, electronic submissions of
Form CMS–20017 are optional. The
DFO must receive the following
information from those wishing to make
oral presentations:
• Form CMS–20017 completed with
all pertinent information identified on
the first page of the presentation.
• One hardcopy of presentation.
• Electronic copy of presentation.
• Personal registration information as
described in the ‘‘Meeting Attendance’’
section below.
• Those persons wishing to submit
comments only must send hardcopy and
electronic versions of their comments,
but they are not required to submit
Form CMS–20017.
VI. Collection of Information
Requirements
This document does not impose any
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 (44
U.S.C. 35).
VII. Oral Comments
In addition to formal oral
presentations, there will be opportunity
E:\FR\FM\16DEN1.SGM
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Federal Register / Vol. 75, No. 241 / Thursday, December 16, 2010 / Notices
during the meeting for public oral
comments, which will be limited to 1
minute for each individual and a total
of 3 minutes per organization.
VIII. Meeting Attendance
The meeting is open to the public;
however, attendance is limited to space
available. Attendance will be
determined on a first-come, first-served
basis.
Persons wishing to attend this
meeting, which is located on Federal
property, must e-mail the DFO to
register in advance no later than 5 p.m.
(e.s.t.), Wednesday, February 23, 2011.
A confirmation will be sent to the
requester(s) by return e-mail.
The following personal information
must be e-mailed to the DFO by the date
and time above:
• Name(s) of attendee(s).
• Title(s).
• Organization.
• E-mail address(es).
• Telephone number(s).
XI. Panel Recommendations and
Discussions
The Panel’s recommendations at any
APC Panel meeting generally are not
final until they have been reviewed and
approved by the Panel on the last day
prior to final adjournment.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: December 2, 2010.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2010–31542 Filed 12–15–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
srobinson on DSKHWCL6B1PROD with NOTICES
IX. Security, Building, and Parking
Guidelines
Public Comment on the Draft Tribal
Consultation Policy
The following are the security,
building, and parking guidelines:
• Persons attending the meeting
including presenters must be registered
and on the attendance list by the
prescribed date.
• Individuals who are not registered
in advance will not be permitted to
enter the building and will be unable to
attend the meeting.
• Attendees must present
photographic identification to the
Federal Protective Service or Guard
Service personnel before entering the
building.
• Security measures include
inspection of vehicles, inside and out, at
the entrance to the grounds.
• All persons entering the building
must pass through a metal detector.
• All items brought into CMS
including personal items, such as
laptops, cell phones, and palm pilots,
are subject to physical inspection.
• The public may enter the building
30 to 45 minutes before the meeting
convenes each day.
• All visitors must be escorted in
areas other than the lower and first-floor
levels in the Central Building.
• The main-entrance guards will
issue parking permits and instructions
upon arrival at the building.
AGENCY:
X. Special Accommodations
Individuals requiring sign-language
interpretation or other special
accommodations must send a request
for these services to the DFO by 5 p.m.
(e.s.t.), Wednesday, February 23, 2011.
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Administration for Children
and Families, HHS.
ACTION: Notice.
On November 5, 2009,
President Obama signed the
‘‘Memorandum for the Heads of
Executive Departments and Agencies on
Tribal Consultation.’’ The President
stated that his Administration is
committed to regular and meaningful
consultation and collaboration with
tribal officials in policy decisions that
have tribal implications, including, as
an initial step, through complete and
consistent implementation of Executive
Order 13175.
The United States has a unique legal
and political relationship with Indian
tribal governments, established through
and confirmed by the Constitution of
the United States, treaties, statutes,
executive orders, and judicial decisions.
In recognition of that special
relationship, pursuant to Executive
Order 13175 of November 6, 2000,
executive departments and agencies are
charged with engaging in regular and
meaningful consultation and
collaboration with tribal officials in the
development of Federal policies that
have tribal implications, and are
responsible for strengthening the
government-to-government relationship
between the United States and Indian
Tribes.
The Department of Health and Human
Services (HHS) has taken its
responsibility to comply with Executive
Order 13175 very seriously over the past
SUMMARY:
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78709
decade, including the initial
implementation of a Department-wide
policy on tribal consultation and
coordination in 1997, and through
multiple evaluations and revisions of
that policy, most recently in 2008. Many
HHS agencies have already developed
their own agency-specific consultation
policies that complement the
Department-wide efforts.
Since 2005, the Administration for
Children and Families (ACF) has been
working under the guidance of the HHS
policy issued in 2005, and updated in
2008. Due to the various programs
administered by ACF and the many
requests from Tribes for consultation for
specific programs, as well as specific
program mandates for tribal
consultation, ACF has decided to create
an ACF Tribal Consultation Policy to
help ACF program and regional offices
better engage Federally recognized
Indian Tribes in the development or
revision of policies, regulations, and
proposed legislation that impact
American Indians. ACF firmly believes
that to create a good policy, ACF needs
input from Tribes to ensure that ACF is
meeting tribal needs and to establish a
partnership that can carry into the
future. ACF solicited membership for an
ACF Tribal/Federal Workgroup to
develop the initial draft policy. The
Workgroup met August 23 and 24, 2010,
in Washington, DC, and again in
Minneapolis, Minnesota, on September
16 and 17, 2010. The draft was reviewed
by tribal leaders attending the ACF
Tribal Consultation Session held in
Washington, DC on September 29, 2010,
and the Workgroup met again to address
the comments heard at the Tribal
Consultation Session. ACF will convene
the Tribal/Federal Workgroup again to
review and address the comments
received from this publication.
DATES: The deadline for receipt of
comments is January 31, 2011.
ADDRESSES: Comments made in
response to this notice should be
addressed to Lillian Sparks,
Commissioner, Administration for
Native Americans, 370 L’Enfant
Promenade, SW., Mail Stop: Aerospace
2—West, Washington, DC 20447. Delays
may occur in mail delivery to Federal
offices; therefore, a copy of comments
should be faxed to (202) 690–7441.
Comments will be available for
inspection by members of the public at
the Administration for Native
Americans, 901 D Street, SW.,
Washington, DC 20447.
FOR FURTHER INFORMATION CONTACT:
Lillian Sparks, Commissioner,
Administration for Native Americans,
(877) 922–9262.
E:\FR\FM\16DEN1.SGM
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Agencies
[Federal Register Volume 75, Number 241 (Thursday, December 16, 2010)]
[Notices]
[Pages 78707-78709]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-31542]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1573-N]
Medicare Program; First Semi-Annual Meeting of the Advisory Panel
on Ambulatory Payment Classification Groups--February 28, 2011 Through
March 2, 2011
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces the first semi-annual meeting of the
Advisory Panel on Ambulatory Payment Classification (APC) Groups (the
Panel) for 2011. 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) (the Secretary) and the
Administrator of the Centers for Medicare & Medicaid Services (CMS)
(the Administrator) concerning the clinical integrity of the APC groups
and their associated weights established under the Medicare hospital
Outpatient Prospective Payment System (OPPS). We will consider the
Panel's advice as we prepare the proposed rule to update the Medicare
hospital Outpatient Prospective Payment System (OPPS) for CY 2012.
DATES: Meeting Dates: We are scheduling the first semi-annual meeting
in 2011 for the following dates and times:
Monday, February 28, 2011, 1 p.m. to 5 p.m. eastern standard
time (e.s.t.)
Tuesday, March 1, 2011, 8 a.m. to 5 p.m. (e.s.t.)
Wednesday, March 2, 2011, 8 a.m. to 12 Noon (e.s.t.)
Note 1: The times listed in this notice are approximate times;
consequently, the meetings may last longer than listed in this
notice, but it will not begin before the posted times.
Note 2: If the Panel's business concludes by COB on Tuesday (3/
1/2011), there will be no meeting on Wednesday (3/2/2011).
Deadlines
Deadline for Hardcopy Comments (including the comment in electronic
format)/Suggested Agenda Topics--
5 p.m. (e.s.t.), Monday, February 7, 2011.
Deadline for Hardcopy Presentations, including the required electronic
documents as discussed below--
5 p.m. (e.s.t.), Monday, February 7, 2011.
Deadline for Attendance Registration--
5 p.m. (e.s.t.), Wednesday, February 23, 2011.
Deadline for Special Accommodations--
5 p.m. (e.s.t.), Wednesday, February 23, 2011.
Submission of Materials to the Designated Federal Officer (DFO)
Because of staffing and resource limitations, we cannot accept
written comments and presentations by FAX, nor can we print written
comments and presentations received electronically for dissemination at
the meeting.
Only hardcopy comments and presentations can be reproduced for
public dissemination. All hardcopy presentations must be accompanied by
Form CMS-20017 (revised 01/07). The form is now available through the
CMS Forms Web site. The Uniform Resource Locator (URL) for linking to
this form is as follows: https://www.cms.hhs.gov/cmsforms/downloads/cms20017.pdf.
Presenters must use the most recent copy of CMS-20017 (updated 01/
07) at the above URL. Additionally, presenters must clearly explain the
action(s) that they are requesting CMS to take in the appropriate
section of the form. They must also clarify their relationship to the
organization that they represent in the presentation.
(Note: Issues that are vague, or that are outside the scope of the APC
Panel's purpose, will not be considered for presentations and comments.
There will be no exceptions to this rule. We appreciate your
cooperation on this matter.)
We are also requiring electronic versions of the written comments
and presentations, in addition to the hardcopies.
In summary, presenters and/or commenters must do the following:
Send both electronic and hardcopy versions of their
presentations and written comments by the prescribed deadlines.
Send electronic transmissions to the e-mail address below.
Do not send pictures of patients in any of the documents
unless their faces have been blocked out.
Do not send documents electronically that have been
archived.
Mail (or send by courier) to the DFO all hardcopies,
accompanied by Form CMS-20017 (revised 01/07), if they are presenting,
as specified in the FOR FURTHER INFORMATION CONTACT section of this
notice.
Commenters are not required to send Form CMS-20017 with
their written comments.
ADDRESSES: The meeting will be held in the Auditorium, CMS Central
Office, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
FOR FURTHER INFORMATION CONTACT: Shirl Ackerman-Ross, DFO, CMS, CM,
HAPG, DOC, 7500 Security Boulevard, Mail Stop C4-05-17, Baltimore, MD
21244-1850. Phone: (410) 786-4474. E-mail: SAckermanross@cms.hhs.gov.
(Note:) We recommend that you advise couriers of the following
information: When delivering hardcopies of presentations to CMS, if no
one answers at the above phone number, call (410) 786-4532 or (410)
786-9316.)
The e-mail address for comments, presentations, and registration
requests is 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 representatives must contact our Public Affairs Office
at (202) 690-6145.
Advisory Committees' Information Lines: The phone numbers for the
CMS Federal Advisory Committee Hotline are 1-877-449-5659 (toll free)
and (410) 786-9379 (local).
Web Sites: Access the CMS Web site at: https://www.cms.hhs.gov/FACA/05_AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage
to obtain the following information:
(Note: There is an UNDERSCORE after FACA/05(like this--); there is no
space.)
[[Page 78708]]
Additional information on the APC meeting agenda topics.
Updates to the Panel's activities.
Copies of the current Charter.
Membership requirements.
You may also search information about the APC Panel and its
membership in the FACA database at the following URL: https://www.fido.gov/facadatabase/public.asp.
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 on the clinical integrity of the Ambulatory Payment
Classification (APC) groups and their associated weights established
under 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 Panel's work. Such expertise encompasses
hospital payment systems; hospital medical care delivery systems;
provider billing and accounting systems; APC groups; Current Procedural
Terminology codes; Health Care Common Procedure Coding System (HCPCS)
codes; the use of, and payment for, drugs, medical devices, and other
services in the outpatient setting; and other forms of relevant
expertise. Details regarding membership requirements for the APC Panel
are found on the FACA and CMS Web sites as listed above.
The Panel presently consists of the following members:
E. L. Hambrick, M.D., J.D., Chair, Medical Officer, CMS.
Ruth L. Bush, M.D., M.P.H.
Kari S. Cornicelli, C.P.A., F.H.F.M.A.
Dawn L. Francis, M.D., M.H.S.
Kathleen Graham, R.N., M.S.H.A., C.P.H.Q., A.C.M.
Patrick A. Grusenmeyer, Sc.D., F.A.C.H.E.
David A. Halsey, M.D.
Brian D. Kavanagh, M.D., M.P.H.
Judith T. Kelly, R.H.I.T., R.H.I.A., C.C.S.
Scott Manaker, M.D., Ph.D.
John Marshall, C.R.A., F.A.H.R.A., R.C.C., R.T.[supreg]
Agatha L. Nolen, D.Ph., M.S., F.A.S.H.P.
Randall A. Oyer, M.D.
Daniel J. Pothen, M.S., R.H.I.A., C.H.P.S., C.P.H.I.M.S.,
C.C.S.-P.
Gregory Przybylski, M.D.
Neville B. Sarkari, M.D., F.A.C.P.
II. Agenda
The agenda for the August 2010 meeting will provide for discussion
and comment on the following topics as designated in the Panel's
Charter:
Addressing whether procedures within an APC group are
similar both clinically and in terms of resource use.
Reconfiguring APCs (for example, splitting of APCs, moving
HCPCS codes from one APC to another, and moving HCPCS codes from new
technology APCs to clinical APCs).
Evaluating APC group weights.
Reviewing packaging the cost of some items and services,
including drugs and devices, into procedures and services, including
the methodology and the impact on APC group structure and payment.
Removing procedures from the inpatient list for payment
under the OPPS.
Using claims and cost report data for CMS' determination
of APC group costs.
Addressing other technical issues concerning APC group
structure.
(Note: The subject matter before the Panel will be limited to these and
related topics. Unrelated topics are not subjects for discussion.
Unrelated topics include, but are not limited to, the conversion
factor, charge compression, revisions to the cost report, pass-through
payments, correct code usage, and provider payment adjustments.
Therefore, these issues will not be considered for presentations and/or
comments. There will be no exceptions to this rule. We appreciate your
cooperation on this matter.)
The Panel may use data collected or developed by entities and
organizations, other than the Department of Health and Human Services
(DHHS) and CMS, in conducting its review. We recommend organizations to
submit data for the Panel's and CMS staff's review.
III. Written Comments and Suggested Agenda Topics
Hardcopy and electronic written comments and suggested agenda
topics should be sent to the DFO as specified in the ADDRESSES section
of this notice. The DFO must receive these items by 5 p.m. (e.s.t.),
Monday, February 7, 2011. There will be no exceptions. We appreciate
your cooperation on this matter.
The written comments and suggested agenda topics submitted for the
winter 2011 APC Panel meeting must fall within the subject categories
outlined in the Panel's Charter and as listed in the Agenda section of
this notice.
IV. Oral Presentations
Individuals or organizations wishing to make 5-minute oral
presentations must submit hardcopy and electronic versions of their
presentations to the DFO by 5 p.m. (e.s.t.), Monday, February 7, 2011,
for consideration.
The number of oral presentations may be limited by the time
available. Oral presentations should not exceed 5 minutes in length for
an individual or an organization.
The Chair may further limit time allowed for presentations due to
the number of oral presentations, if necessary. Presentation times
listed in the public agenda are approximate and presenters should be
prepared to present earlier and later than indicated.
V. Presenter and Presentation Information
All presenters must submit Form CMS-20017 (revised 01/07).
Hardcopies are required for oral presentations; however, electronic
submissions of Form CMS-20017 are optional. The DFO must receive the
following information from those wishing to make oral presentations:
Form CMS-20017 completed with all pertinent information
identified on the first page of the presentation.
One hardcopy of presentation.
Electronic copy of presentation.
Personal registration information as described in the
``Meeting Attendance'' section below.
Those persons wishing to submit comments only must send
hardcopy and electronic versions of their comments, but they are not
required to submit Form CMS-20017.
VI. Collection of Information Requirements
This document does not impose any 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 (44 U.S.C. 35).
VII. Oral Comments
In addition to formal oral presentations, there will be opportunity
[[Page 78709]]
during the meeting for public oral comments, which will be limited to 1
minute for each individual and a total of 3 minutes per organization.
VIII. Meeting Attendance
The meeting is open to the public; however, attendance is limited
to space available. Attendance will be determined on a first-come,
first-served basis.
Persons wishing to attend this meeting, which is located on Federal
property, must e-mail the DFO to register in advance no later than 5
p.m. (e.s.t.), Wednesday, February 23, 2011. A confirmation will be
sent to the requester(s) by return e-mail.
The following personal information must be e-mailed to the DFO by
the date and time above:
Name(s) of attendee(s).
Title(s).
Organization.
E-mail address(es).
Telephone number(s).
IX. Security, Building, and Parking Guidelines
The following are the security, building, and parking guidelines:
Persons attending the meeting including presenters must be
registered and on the attendance list by the prescribed date.
Individuals who are not registered in advance will not be
permitted to enter the building and will be unable to attend the
meeting.
Attendees must present photographic identification to the
Federal Protective Service or Guard Service personnel before entering
the building.
Security measures include inspection of vehicles, inside
and out, at the entrance to the grounds.
All persons entering the building must pass through a
metal detector.
All items brought into CMS including personal items, such
as laptops, cell phones, and palm pilots, are subject to physical
inspection.
The public may enter the building 30 to 45 minutes before
the meeting convenes each day.
All visitors must be escorted in areas other than the
lower and first-floor levels in the Central Building.
The main-entrance guards will issue parking permits and
instructions upon arrival at the building.
X. Special Accommodations
Individuals requiring sign-language interpretation or other special
accommodations must send a request for these services to the DFO by 5
p.m. (e.s.t.), Wednesday, February 23, 2011.
XI. Panel Recommendations and Discussions
The Panel's recommendations at any APC Panel meeting generally are
not final until they have been reviewed and approved by the Panel on
the last day prior to final adjournment.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: December 2, 2010.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2010-31542 Filed 12-15-10; 8:45 am]
BILLING CODE 4120-01-P