Medicare Program; Public Meeting in Calendar Year 2011 for New Clinical Laboratory Tests Payment Determinations, 10600-10602 [2011-4295]
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srobinson on DSKHWCL6B1PROD with NOTICES
10600
Federal Register / Vol. 76, No. 38 / Friday, February 25, 2011 / Notices
revised its Web site to ensure it includes
all of the alcohol-based hand rub
dispenser requirements.
• To meet the requirements at
§ 482.45(b)(3), the Joint Commission
revised its standards to address the
hospital’s responsibility to provide
organ transplant data directly to the
Department of Health and Human
Services when requested by the
Secretary.
• To meet the requirements at
§ 482.56, the Joint Commission revised
its crosswalk to ensure that if the
hospital provides rehabilitation,
physical therapy, occupational therapy,
audiology, or speech pathology services,
the services are organized and staffed to
ensure the health and safety of patients.
• To meet the requirements at
§ 482.61(a)(3), the Joint Commission
revised its standards to ensure
psychiatric hospitals clearly document
the reason for admission as stated by the
patient and/or others significantly
involved in the patient’s care.
• To meet the requirements at
§ 482.61(a)(5), the Joint Commission
revised its standards to address the
requirement that, when indicated, a
complete neurological examination be
recorded at the time of the admission
physical examination.
• To meet the requirements at
§ 482.61(c)(1)(ii), the Joint Commission
revised its standards to include both
short-term and long-range patient goals.
• To meet the requirements at
§ 482.61(c)(1)(iv), the Joint Commission
revised its standards to ensure the
patient’s treatment plan includes the
responsibilities of each member of the
treatment team.
• To meet the requirements at
§ 482.62, the Joint Commission revised
its crosswalk to address the psychiatric
hospital’s responsibility to formulate
written, individualized, comprehensive
treatment plans, provide active
treatment measures, and engage in
discharge planning.
• To meet the requirements at
§ 482.62(f), the Joint Commission
revised its standard to ensure that the
hospital has a director of social services
who monitors and evaluates the quality
and appropriateness of social services
furnished.
• The Joint Commission revised its
psychiatric hospital survey procedures
to ensure all applicable hospital CoPs at
42 CFR part 482 are adequately
evaluated for compliance.
B. Term of Approval
Based on the review and observations
described in section III. of this final
notice, we have determined that the
Joint Commission’s requirements for
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16:39 Feb 24, 2011
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psychiatric hospitals meet or exceed our
requirements. Therefore, we approve the
Joint Commission as a national
accreditation organization for
psychiatric hospitals that request
participation in the Medicare program
effective February 25, 2011 through
February 25, 2015.
V. Collection of Information
Requirements
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 (44
U.S.C. 35).
VI. Regulatory Impact Statement
In accordance with the provisions of
Executive Order 12866, this regulation
was not reviewed by the Office of
Management and Budget.
Authority: Section 1865 of the Social
Security Act (42 U.S.C. 1395bb).
(Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program)
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: February 18, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–4294 Filed 2–24–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1347–N]
Medicare Program; Public Meeting in
Calendar Year 2011 for New Clinical
Laboratory Tests Payment
Determinations
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces a
public meeting to receive comments and
recommendations (including
accompanying data on which
recommendations are based) from the
public on the appropriate basis for
establishing payment amounts for a
specified list of new Clinical Procedural
Terminology (CPT) codes for clinical
laboratory tests in calendar year (CY)
SUMMARY:
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2012. The meeting provides a forum for
interested parties to make presentations
and submit written comments on the
new codes that will be included in
Medicare’s Clinical Laboratory Fee
Schedule for CY 2012, which will be
effective on January 1, 2012. The
development of the codes for clinical
laboratory tests is largely performed by
the CPT Editorial Panel and will not be
further discussed at the meeting.
DATES: Meeting Date: The public
meeting is scheduled for Monday, July
18, 2011 from 9 a.m. to 2 p.m., Eastern
Standard Time (E.S.T.).
Deadline for Registration of
Presenters: All presenters for the public
meeting must register by July 11, 2011.
Deadline for Submitting Requests for
Special Accommodations: Requests for
special accommodations must be
received no later than 5 p.m., E.S.T. on
July 11, 2011.
Deadline for Submission of Written
Comments: Interested parties may
submit written comments on the
proposed payment determinations by
September 23, 2011, to the address
specified in the ADDRESSES section of
this notice. We note that comments
submitted should pertain to the
payment basis for a specified list of new
Clinical Procedural Terminology (CPT)
codes.
ADDRESSES: The public meeting will be
held in the main auditorium of the
central building of the Centers for
Medicare & Medicaid Services (CMS),
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
FOR FURTHER INFORMATION CONTACT:
Glenn McGuirk, (410) 786–5723.
SUPPLEMENTARY INFORMATION:
I. Background
Section 531(b) of the Medicare,
Medicaid, and SCHIP Benefits
Improvement and Protection Act of
2000 (BIPA) (Pub. L. 106–554) requires
the Secretary to establish procedures for
coding and payment determinations for
new clinical diagnostic laboratory tests
under Part B of title XVIII of the Social
Security Act (the Act) that permit public
consultation in a manner consistent
with the procedures established for
implementing coding modifications for
International Classification of Diseases
(ICD–9–CM). The procedures and public
meeting announced in this notice for
new clinical laboratory tests are in
accordance with the procedures
published on November 23, 2001 in the
Federal Register (66 FR 58743) to
implement section 531(b) of BIPA.
Section 942(b) of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) (Pub.
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srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 76, No. 38 / Friday, February 25, 2011 / Notices
L. 108–173) added section 1833(h)(8) of
the Act. Section 1833(h)(8)(A) of the Act
requires the Secretary to establish by
regulation procedure for determining
the basis for, and amount of, payment
for any clinical diagnostic laboratory
tests with respect to which a new or
substantially revised Healthcare
Common Procedures Coding System
(HCPCS) code is assigned on or after
January 1, 2005 (hereinafter referred to
as, ‘‘new test’’ or ‘‘new clinical laboratory
test’’). Section 1833(h)(8)(B) of the Act
sets forth the process for determining
the basis for, and the amount of,
payment for new tests. Pertinent to this
notice, section 1833(h)(8)(B)(i) and
section 1833(h)(8)(B)(ii) of the Act
requires the Secretary to make available
to the public a list that includes new
tests for which establishment of a
payment amount is being considered for
a year and, on the same day that the list
is made available, to publish in the
Federal Register a notice of a meeting
to receive comments and
recommendations (including
accompanying data on which
recommendations are based) from the
public on the appropriate basis for
establishing payment amounts for new
tests. Section 1833(h)(8)(B)(iii) of the
Act requires that we convene a public
meeting not less than 30 days after
publication of the notice in the Federal
Register. These requirements are
codified at 42 CFR part 414, subpart G.
A newly created Current Procedural
Terminology (CPT) code can represent
either a refinement or modification of
existing test methods, or a substantially
new test method. The preliminary list of
newly created CPT codes for calendar
year (CY) 2012 will be published on our
Web site as soon as possible at https://
www.cms.hhs.gov/ClinicalLabFeeSched.
Two methods are used to establish
payment amounts for new tests
included in the CY 2012 Clinical
Laboratory Fee Schedule. The first
method called ‘‘cross-walking’’ is used
when a new test is determined to be
comparable to an existing test, multiple
existing test codes, or a portion of an
existing test code. The new test code is
then assigned to the related existing
local fee schedule amounts and the
related existing national limitation
amount. Payment for the new test is
made at the lesser of the local fee
schedule amount or the national
limitation amount. We refer readers to
§ 414.508(a).
The second method called ‘‘gapfilling’’ is used when no comparable
existing test is available. When using
this method, instructions are provided
to each Medicare carrier or Part A and
Part B Medicare Administrative
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Jkt 223001
Contractor (MAC) to determine a
payment amount for its geographic
area(s) for use in the first year. These
determinations are based on the
following sources of information, if
available: Charges for the test and
routine discounts to charges; resources
required to perform the test; payment
amounts determined by other payers;
and charges, payment amounts, and
resources required for other tests that
may be comparable or otherwise
relevant. The carrier-specific amounts
are used to establish a national
limitation amount for the following
years. We refer readers to § 414.508(b).
For each new clinical laboratory test
code, a determination must be made to
either cross-walk or gap-fill.
II. Format
This meeting to receive comments
and recommendations (including
accompanying data on which
recommendations are based) on the
appropriate payment basis for the
specified list of new CPT codes is open
to the public. The on-site check-in for
visitors will be held from 8:30 a.m.,
E.S.T. to 9 a.m., E.S.T., followed by
opening remarks. Registered persons
from the public may discuss and
recommend payment determinations for
specific new test codes for the CY 2012
Clinical Laboratory Fee Schedule.
Presentations must be brief and
accompanied by three written copies.
CMS recommends that presenters make
copies available for approximately 50
meeting participants, since CMS will
not be providing additional copies.
Presentations must also be
electronically submitted to CMS on or
before July 1, 2011. Presentations
should be sent via e-mail to Glenn
McGuirk, at
Glenn.McGuirk@cms.hhs.gov. Once the
presentations are collected, CMS will
post them on the Clinical Laboratory
Web site at https://www.cms.hhs.gov/
ClinicalLabFeeSched. Presenters should
address the following items:
• New test code(s) and descriptor.
• Test purpose and method.
• Costs.
• Charges.
• Make a recommendation with
rationale for one of two methods (crosswalking or gap-fill) for determining
payment for new tests.
Additionally, the presenters should
provide the data on which their
recommendations are based.
Presentations that do not address the
above 5 items may be considered
incomplete and may not be considered
by CMS when making a payment
determination. CMS may request
missing information following the
PO 00000
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10601
meeting in order to prevent a
recommendation from being considered
incomplete.
A summary of the proposed new test
codes and the payment
recommendations that are presented
during the public meeting will be
posted on the CMS Web site by early
September 2011 and can be accessed at
https://www.cms.hhs.gov/
ClinicalLabFeeSched. The summary on
the CMS website will include a list of
all comments received by August 8,
2011 (15 business days after the
meeting). The summary will also
include our proposed determinations
with respect to the appropriate basis for
establishing a payment amount for each
code, an explanation of the reasons for
each determination, the data on which
the determinations are based, and a
request for public written comments on
the proposed determinations. Interested
parties may submit written comments
on the proposed payment
determinations by September 23, 2011,
to the address specified in the
ADDRESSES section of this notice. Final
payment determinations will be posted
on our website in October 2011. Each
determination will include a rationale,
data on which the determination is
based, and responses to comments and
suggestions received from the public.
After the final payment
determinations have been posted on our
Web site, the public may request
reconsideration of the basis for and
amount of payment for a new test as set
forth in § 414.509. We also refer readers
to the November 27, 2007 final rule (72
FR 66275 through 66280).
III. Registration Instructions
The Division of Ambulatory Services
in CMS is coordinating the public
meeting registration. Beginning June 20,
2011, registration may be completed online at the following Web address:
https://www.cms.hhs.gov/
ClinicalLabFeeSched. The following
information must be submitted when
registering:
• Name.
• Company name.
• Address.
• Telephone number(s).
• E-mail address(es).
When registering, individuals who
want to make a presentation must also
specify on which new clinical
laboratory test code(s) they will be
presenting comments. A confirmation
will be sent upon receipt of the
registration. Individuals must register by
the date specified in the DATES section
of this notice.
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10602
Federal Register / Vol. 76, No. 38 / Friday, February 25, 2011 / Notices
IV. Security, Building, and Parking
Guidelines
The meeting will be held in a Federal
government building; therefore, Federal
security measures are applicable. In
planning your arrival time, we
recommend allowing additional time to
clear security. It is suggested that you
arrive at the CMS facility between 8:15
a.m and 8:30 a.m., E.S.T. so that you
will be able to arrive promptly at the
meeting by 9 a.m., E.S.T. Individuals
who are not registered in advance will
not be permitted to enter the building
and will be unable to attend the
meeting. The public may not enter the
building earlier than 8:15 a.m., E.S.T.
(45 minutes before the convening of the
meeting).
Security measures include the
following:
• Presentation of government-issued
photographic identification to the
Federal Protective Service or Guard
Service personnel. Persons without
proper identification may be denied
access to the building.
• Interior and exterior inspection of
vehicles (this includes engine and trunk
inspection) at the entrance to the
grounds. Parking permits and
instructions will be issued after the
vehicle inspection.
• Passing through a metal detector
and inspection of items brought into the
building.
We note that all items brought to
CMS, whether personal or for the
purpose of demonstration or to support
a demonstration, are subject to
inspection. We cannot assume
responsibility for coordinating the
receipt, transfer, transport, storage, setup, safety, or timely arrival of any
personal belongings or items used for
demonstration or to support a
demonstration.
srobinson on DSKHWCL6B1PROD with NOTICES
V. Special Accommodations
Individuals attending the meeting
who are hearing or visually impaired
and have special requirements, or a
condition that requires special
assistance, should provide the
information upon registering for the
meeting. The deadline for such
registrations is listed in the DATES
section of this notice.
VI. Collection of Information
Requirements
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 (44
U.S.C. 35).
VerDate Mar<15>2010
16:39 Feb 24, 2011
Jkt 223001
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: February 18, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–4295 Filed 2–24–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1515–N]
Medicare Program; Public Meetings in
Calendar Year 2011 for All New Public
Requests for Revisions to the
Healthcare Common Procedure Coding
System (HCPCS) Coding and Payment
Determinations
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces the
dates, time, and location of the
Healthcare Common Procedure Coding
System (HCPCS) public meetings to be
held in calendar year 2011 to discuss
our preliminary coding and payment
determinations for all new public
requests for revisions to the HCPCS.
These meetings provide a forum for
interested parties to make oral
presentations or to submit written
comments in response to preliminary
coding and payment determinations.
The discussion will be focused on
responses to our specific preliminary
recommendations and will include all
items on the public meeting agenda.
DATES: Meeting Dates: The following are
the 2011 HCPCS public meeting dates:
1. Tuesday, May 17, 2011, 9 a.m. to
5 p.m. eastern daylight time (e.d.t.)
(Drugs/Biologicals/
Radiopharmaceuticals/Radiologic
Imaging Agents).
2. Wednesday, May 18, 2011, 9 a.m.
to 5 p.m. e.d.t. (Drugs/Biologicals/
Radiopharmaceuticals/Radiologic
Imaging Agents).
3. Tuesday, May 24, 2011, 9 a.m. to
5 p.m. e.d.t. (Supplies and Other).
4. Wednesday, May 25, 2011, 9 a.m.
to 5 p.m. e.d.t. (Supplies and Other).
5. Tuesday, June 7, 2011, 9 a.m. to 5
p.m. e.d.t. (Orthotics and Prosthetics).
6. Wednesday, June 8, 2011, 9 a.m. to
5 p.m. e.d.t. (Durable Medical
Equipment (DME) and Accessories).
Deadlines for Primary Speaker
Registration and Presentation Materials:
SUMMARY:
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Fmt 4703
Sfmt 4703
The deadline for registering to be a
primary speaker and submitting
materials and writings that will be used
in support of an oral presentation are as
follows:
• May 3, 2011 for the May 17, 2011
and May 18, 2011 public meetings.
• May 10, 2011 for the May 24, 2011
and May 25, 2011 public meetings.
• May 24, 2011 for the June 7, 2011
and June 8, 2011 public meetings.
Deadline for Attendees that are
Foreign Nationals (reside outside the
U.S.) Registration: Attendees that are
Foreign Nationals (reside outside the
U.S.) are required to identify themselves
as such, and provide the necessary
information for security clearance (as
described in section IV. of this notice)
to the public meeting coordinator at
least 12 business days in advance of the
date of the public meeting date the
individual plans to attend. Therefore,
the deadlines for attendees that are
Foreign Nationals are as follows:
• April 29, 2011 for the May 17, 2011
and May 18, 2011 public meetings.
• May 6, 2011 for the May 24, 2011
and May 25, 2011 public meetings.
• May 19, 2011 for the June 7, 2011
and June 8, 2011 public meetings.
Deadlines for all Other Attendees
Registration: All other individuals who
plan to enter the building to attend the
public meeting must register for each
date that they plan on attending. The
registration deadlines are different for
each meeting. Registration deadlines are
as follows:
• May 10, 2011 for the May 17, 2011
and May 18, 2011 public meeting dates.
• May 17, 2011 for the May 24, 2011
and May 25, 2011 public meeting dates.
• May 31, 2011 for the June 7, 2011
and June 8, 2011 public meeting dates.
Deadlines for Requesting Special
Accommodations: Individuals who plan
to attend the public meetings and
require sign-language interpretation or
other special assistance must request
these services by the following
deadlines:
• May 3, 2011 for the May 17, 2011
and May 18, 2011 public meetings.
• May 10, 2011 for the May 24, 2011
and May 25, 2011 public meetings.
• May 24, 2011 for the June 7, 2011
and June 8, 2011 public meetings.
Deadline for Submission of Written
Comments: Written comments must be
received by the date of the meeting at
which the code request is scheduled for
discussion.
ADDRESSES: Meeting Location: The
public meetings will be held in the main
auditorium of the central building of the
Centers for Medicare and Medicaid
Services, 7500 Security Boulevard,
Baltimore, MD 21244–1850.
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Agencies
[Federal Register Volume 76, Number 38 (Friday, February 25, 2011)]
[Notices]
[Pages 10600-10602]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-4295]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1347-N]
Medicare Program; Public Meeting in Calendar Year 2011 for New
Clinical Laboratory Tests Payment Determinations
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces a public meeting to receive comments and
recommendations (including accompanying data on which recommendations
are based) from the public on the appropriate basis for establishing
payment amounts for a specified list of new Clinical Procedural
Terminology (CPT) codes for clinical laboratory tests in calendar year
(CY) 2012. The meeting provides a forum for interested parties to make
presentations and submit written comments on the new codes that will be
included in Medicare's Clinical Laboratory Fee Schedule for CY 2012,
which will be effective on January 1, 2012. The development of the
codes for clinical laboratory tests is largely performed by the CPT
Editorial Panel and will not be further discussed at the meeting.
DATES: Meeting Date: The public meeting is scheduled for Monday, July
18, 2011 from 9 a.m. to 2 p.m., Eastern Standard Time (E.S.T.).
Deadline for Registration of Presenters: All presenters for the
public meeting must register by July 11, 2011.
Deadline for Submitting Requests for Special Accommodations:
Requests for special accommodations must be received no later than 5
p.m., E.S.T. on July 11, 2011.
Deadline for Submission of Written Comments: Interested parties may
submit written comments on the proposed payment determinations by
September 23, 2011, to the address specified in the ADDRESSES section
of this notice. We note that comments submitted should pertain to the
payment basis for a specified list of new Clinical Procedural
Terminology (CPT) codes.
ADDRESSES: The public meeting will be held in the main auditorium of
the central building of the Centers for Medicare & Medicaid Services
(CMS), 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
FOR FURTHER INFORMATION CONTACT: Glenn McGuirk, (410) 786-5723.
SUPPLEMENTARY INFORMATION:
I. Background
Section 531(b) of the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000 (BIPA) (Pub. L. 106-554)
requires the Secretary to establish procedures for coding and payment
determinations for new clinical diagnostic laboratory tests under Part
B of title XVIII of the Social Security Act (the Act) that permit
public consultation in a manner consistent with the procedures
established for implementing coding modifications for International
Classification of Diseases (ICD-9-CM). The procedures and public
meeting announced in this notice for new clinical laboratory tests are
in accordance with the procedures published on November 23, 2001 in the
Federal Register (66 FR 58743) to implement section 531(b) of BIPA.
Section 942(b) of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) (Pub.
[[Page 10601]]
L. 108-173) added section 1833(h)(8) of the Act. Section 1833(h)(8)(A)
of the Act requires the Secretary to establish by regulation procedure
for determining the basis for, and amount of, payment for any clinical
diagnostic laboratory tests with respect to which a new or
substantially revised Healthcare Common Procedures Coding System
(HCPCS) code is assigned on or after January 1, 2005 (hereinafter
referred to as, ``new test'' or ``new clinical laboratory test'').
Section 1833(h)(8)(B) of the Act sets forth the process for determining
the basis for, and the amount of, payment for new tests. Pertinent to
this notice, section 1833(h)(8)(B)(i) and section 1833(h)(8)(B)(ii) of
the Act requires the Secretary to make available to the public a list
that includes new tests for which establishment of a payment amount is
being considered for a year and, on the same day that the list is made
available, to publish in the Federal Register a notice of a meeting to
receive comments and recommendations (including accompanying data on
which recommendations are based) from the public on the appropriate
basis for establishing payment amounts for new tests. Section
1833(h)(8)(B)(iii) of the Act requires that we convene a public meeting
not less than 30 days after publication of the notice in the Federal
Register. These requirements are codified at 42 CFR part 414, subpart
G.
A newly created Current Procedural Terminology (CPT) code can
represent either a refinement or modification of existing test methods,
or a substantially new test method. The preliminary list of newly
created CPT codes for calendar year (CY) 2012 will be published on our
Web site as soon as possible at https://www.cms.hhs.gov/ClinicalLabFeeSched.
Two methods are used to establish payment amounts for new tests
included in the CY 2012 Clinical Laboratory Fee Schedule. The first
method called ``cross-walking'' is used when a new test is determined
to be comparable to an existing test, multiple existing test codes, or
a portion of an existing test code. The new test code is then assigned
to the related existing local fee schedule amounts and the related
existing national limitation amount. Payment for the new test is made
at the lesser of the local fee schedule amount or the national
limitation amount. We refer readers to Sec. 414.508(a).
The second method called ``gap-filling'' is used when no comparable
existing test is available. When using this method, instructions are
provided to each Medicare carrier or Part A and Part B Medicare
Administrative Contractor (MAC) to determine a payment amount for its
geographic area(s) for use in the first year. These determinations are
based on the following sources of information, if available: Charges
for the test and routine discounts to charges; resources required to
perform the test; payment amounts determined by other payers; and
charges, payment amounts, and resources required for other tests that
may be comparable or otherwise relevant. The carrier-specific amounts
are used to establish a national limitation amount for the following
years. We refer readers to Sec. 414.508(b). For each new clinical
laboratory test code, a determination must be made to either cross-walk
or gap-fill.
II. Format
This meeting to receive comments and recommendations (including
accompanying data on which recommendations are based) on the
appropriate payment basis for the specified list of new CPT codes is
open to the public. The on-site check-in for visitors will be held from
8:30 a.m., E.S.T. to 9 a.m., E.S.T., followed by opening remarks.
Registered persons from the public may discuss and recommend payment
determinations for specific new test codes for the CY 2012 Clinical
Laboratory Fee Schedule.
Presentations must be brief and accompanied by three written
copies. CMS recommends that presenters make copies available for
approximately 50 meeting participants, since CMS will not be providing
additional copies. Presentations must also be electronically submitted
to CMS on or before July 1, 2011. Presentations should be sent via e-
mail to Glenn McGuirk, at Glenn.McGuirk@cms.hhs.gov. Once the
presentations are collected, CMS will post them on the Clinical
Laboratory Web site at https://www.cms.hhs.gov/ClinicalLabFeeSched.
Presenters should address the following items:
New test code(s) and descriptor.
Test purpose and method.
Costs.
Charges.
Make a recommendation with rationale for one of two
methods (cross-walking or gap-fill) for determining payment for new
tests.
Additionally, the presenters should provide the data on which their
recommendations are based. Presentations that do not address the above
5 items may be considered incomplete and may not be considered by CMS
when making a payment determination. CMS may request missing
information following the meeting in order to prevent a recommendation
from being considered incomplete.
A summary of the proposed new test codes and the payment
recommendations that are presented during the public meeting will be
posted on the CMS Web site by early September 2011 and can be accessed
at https://www.cms.hhs.gov/ClinicalLabFeeSched. The summary on the CMS
website will include a list of all comments received by August 8, 2011
(15 business days after the meeting). The summary will also include our
proposed determinations with respect to the appropriate basis for
establishing a payment amount for each code, an explanation of the
reasons for each determination, the data on which the determinations
are based, and a request for public written comments on the proposed
determinations. Interested parties may submit written comments on the
proposed payment determinations by September 23, 2011, to the address
specified in the ADDRESSES section of this notice. Final payment
determinations will be posted on our website in October 2011. Each
determination will include a rationale, data on which the determination
is based, and responses to comments and suggestions received from the
public.
After the final payment determinations have been posted on our Web
site, the public may request reconsideration of the basis for and
amount of payment for a new test as set forth in Sec. 414.509. We also
refer readers to the November 27, 2007 final rule (72 FR 66275 through
66280).
III. Registration Instructions
The Division of Ambulatory Services in CMS is coordinating the
public meeting registration. Beginning June 20, 2011, registration may
be completed on-line at the following Web address: https://www.cms.hhs.gov/ClinicalLabFeeSched. The following information must be
submitted when registering:
Name.
Company name.
Address.
Telephone number(s).
E-mail address(es).
When registering, individuals who want to make a presentation must
also specify on which new clinical laboratory test code(s) they will be
presenting comments. A confirmation will be sent upon receipt of the
registration. Individuals must register by the date specified in the
DATES section of this notice.
[[Page 10602]]
IV. Security, Building, and Parking Guidelines
The meeting will be held in a Federal government building;
therefore, Federal security measures are applicable. In planning your
arrival time, we recommend allowing additional time to clear security.
It is suggested that you arrive at the CMS facility between 8:15 a.m
and 8:30 a.m., E.S.T. so that you will be able to arrive promptly at
the meeting by 9 a.m., E.S.T. Individuals who are not registered in
advance will not be permitted to enter the building and will be unable
to attend the meeting. The public may not enter the building earlier
than 8:15 a.m., E.S.T. (45 minutes before the convening of the
meeting).
Security measures include the following:
Presentation of government-issued photographic
identification to the Federal Protective Service or Guard Service
personnel. Persons without proper identification may be denied access
to the building.
Interior and exterior inspection of vehicles (this
includes engine and trunk inspection) at the entrance to the grounds.
Parking permits and instructions will be issued after the vehicle
inspection.
Passing through a metal detector and inspection of items
brought into the building.
We note that all items brought to CMS, whether personal or for the
purpose of demonstration or to support a demonstration, are subject to
inspection. We cannot assume responsibility for coordinating the
receipt, transfer, transport, storage, set-up, safety, or timely
arrival of any personal belongings or items used for demonstration or
to support a demonstration.
V. Special Accommodations
Individuals attending the meeting who are hearing or visually
impaired and have special requirements, or a condition that requires
special assistance, should provide the information upon registering for
the meeting. The deadline for such registrations is listed in the DATES
section of this notice.
VI. Collection of Information Requirements
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 (44 U.S.C. 35).
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: February 18, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011-4295 Filed 2-24-11; 8:45 am]
BILLING CODE 4120-01-P