Medicare Program; Solicitation of Two Nominations to the Advisory Panel on Ambulatory Payment Classification Groups, 16788-16789 [2011-6811]
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Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices
that such radiation doses may have
endangered the health of members of this
class. The Subcommittee for Dose
Reconstruction Reviews was established to
aid the Advisory Board in carrying out its
duty to advise the Secretary, HHS, on dose
reconstruction.
Matters to be Discussed: The agenda for the
Subcommittee meeting includes: Selection of
individual radiation dose reconstruction
cases to be considered for review by the
Procedures Subcommittee to evaluate the
implementation of the Program Evaluation
Report: OCAS–PER–012—Evaluation of
Highly Insoluble Plutonium Compounds;
discussion of dose reconstruction cases
under review (sets 7–9); OCAS dose
reconstruction quality management and
assurance activities.
The agenda is subject to change as
priorities dictate.
In the event an individual cannot attend,
written comments may be submitted. Any
written comments received will be provided
at the meeting and should be submitted to
the contact person below well in advance of
the meeting.
Contact Person for More Information:
Theodore Katz, Executive Secretary, NIOSH,
CDC, 1600 Clifton Road, Mailstop E–20,
Atlanta GA 30333, Telephone (513) 533–
6800, Toll Free 1 (800) CDC–INFO, E-mail
ocas@cdc.gov.
The Director, Management Analysis and
Services Office, has been delegated the
authority to sign Federal Register notices
pertaining to announcements of meetings and
other committee management activities, for
both the Centers for Disease Control and
Prevention, and the Agency for Toxic
Substances and Disease Registry.
Dated: March 21, 2011.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 2011–7075 Filed 3–24–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare and Medicaid
Services
[CMS–1583–N]
Medicare Program; Solicitation of Two
Nominations to the Advisory Panel on
Ambulatory Payment Classification
Groups
Centers for Medicare and
Medicaid Services (CMS), HHS.
ACTION: Notice.
erowe on DSK5CLS3C1PROD with NOTICES
AGENCY:
This notice solicits
nominations of two new members to the
Advisory Panel on Ambulatory Payment
Classification (APC) Groups (the Panel).
There will be two vacancies on the
Panel as of September 30, 2011.
SUMMARY:
VerDate Mar<15>2010
15:16 Mar 24, 2011
Jkt 223001
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.
The Secretary rechartered the Panel in
2010 for a 2-year period effective
through November 21, 2012.
DATES: Submission of Nominations: We
will consider nominations if they are
received no later than 5 p.m. (e.s.t.) May
24, 2011.
ADDRESSES: Please mail or hand deliver
nominations to the following address:
Centers for Medicare & Medicaid
Services; Attn: Paula Smith, Advisory
Panel on APC Groups; Center for
Medicare, Hospital & Ambulatory Policy
Group, Division of Outpatient Care;
7500 Security Boulevard, Mail Stop C4–
05–17; Baltimore, MD 21244–1850.
Web site: For additional information
on the APC Panel and updates to the
Panel’s activities, we refer readers to
view our Web site at the following:
https://www.cms.hhs.gov/FACA/05_
AdvisoryPanelonAmbulatory
PaymentClassification
Groups.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.)
FOR FURTHER INFORMATION CONTACT:
Contact: Persons wishing to nominate
individuals to serve on the Panel or to
obtain further information may also
contact Paula Smith at the following email address: APCPanel@cms.hhs.gov or
call 410–786–3985.
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.
News Media: Representatives should
contact the CMS Press Office at 202–
690–6145.
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
Outpatient Prospective Payment System
(OPPS).
The Charter requires that the Panel
meet up to three times annually. CMS
considers the technical advice provided
by the Panel as we prepare the proposed
PO 00000
Frm 00065
Fmt 4703
Sfmt 4703
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 current Panel members are as
follows: (Note: The asterisk [*] indicates
the Panel members whose terms end on
September 30, 2011.)
• E. L. Hambrick, M.D., J.D., Chair, a
CMS Medical Officer
• Ruth L. Bush, M.D., M.P.H.
• Kari S. Cornicelli, C.P.A., FHFMA
• Dawn L. Francis, M.D., M.H.S.
• Kathleen Graham, R.N., M.S.H.A.
• Patrick A. Grusenmeyer, Sc.D.,
FACHE *
• David A. Halsey, M.D.
• Brain D. Kavanagh, M.D., M.P.H.
• Judith T. Kelly, B.S.H.A., RHIT,
RHIA, CCS
• Scott Manaker, M.D., PhD
• John Marshall, CRA, RCC, RT
• Agatha L. Nolan, D.Ph., M.S.,
FASHP *
• Randall A. Oyer, M.D.
• Daniel J. Pothen, M.S., RHIA, CHPS,
CPHIMS, CCS, CCS–P, CHC
• Gregory J. Przbylski, M.D.
• Neville B. Sarkari, M.D., FACP
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. CMS has 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 subject to the OPPS.
Based upon either self-nominations or
nominations submitted by providers or
interested organizations, the Secretary,
or his 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 under the
guidelines of the Federal Advisory
Committee Act.
II. Criteria for Nominees
The Panel must be fairly balanced in
its membership in terms of the points of
view represented and the functions to
be performed. Each Panel member must
E:\FR\FM\25MRN1.SGM
25MRN1
Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices
be employed full-time by a hospital,
hospital system, or other Medicare
provider subject to payment under the
OPPS. 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 systems; APC groups;
Current Procedural Terminology codes;
and alpha-numeric Health Care
Common Procedure Coding System
codes; and the use of, and payment for,
drugs, medical devices, and other
services in the outpatient setting, as
well as other forms of relevant expertise.
It is not necessary for a nominee to
possess expertise in all of the areas
listed, but each must have a minimum
of 5 years experience and currently have
full-time employment in his or her area
of expertise. Generally, 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.
• 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
Paula Smith at the address provided in
the ADDRESSES section or by e-mail at
APCPanel@cms.hhs.gov, or by
telephone at 410–786–3985.
IV. Collection of Information
Requirements
erowe on DSK5CLS3C1PROD with NOTICES
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. 93.774, Medicare—
Supplementary Medical Insurance Program)
Dated: March 10, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–6811 Filed 3–24–11; 8:45 am]
BILLING CODE 4120–01–P
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15:16 Mar 24, 2011
Jkt 223001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare and Medicaid
Services
[Document Identifier CMS–10373]
Emergency Clearance: Public
Information Collection Requirements
Submitted to the Office of Management
and Budget (OMB)
Center for Medicare and
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare and Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
We are, however, requesting an
emergency review of the information
collection referenced below. In
compliance with the requirement of
section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, we have
submitted to the Office of Management
and Budget (OMB) the following
requirements for emergency review. We
are requesting an emergency review
because the collection of this
information is needed before the
expiration of the normal time limits
under OMB’s regulations at 5 CFR
1320(a)(2)(ii). This is necessary to
ensure compliance with an initiative of
the Administration.
1. Type of Information Collection
Request: New collection; Title of
Information Collection: Medical Loss
Ratio Quarterly Reporting; Use: Under
Section 2718 of the Affordable Care Act
and implementing regulations at 45 CFR
part 158 (75 FR 74865, December 1,
2010), a health insurance issuer (issuer)
offering group or individual health
insurance coverage must submit a report
to the Secretary concerning the amount
the issuer spends each year on claims,
quality improvement expenses, nonclaims costs, Federal and State taxes
AGENCY:
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Frm 00066
Fmt 4703
Sfmt 4703
16789
and licensing or regulatory fees, and the
amount of earned premium. An issuer
must provide an annual rebate to
enrollees if the amount it spends on
certain costs compared to its premium
revenue (excluding Federal and States
taxes and licensing or regulatory fees)
does not meet a certain ratio, referred to
as the medical loss ratio (MLR). An
interim final rule (IFR) implementing
the MLR was published on December 1,
2010 (75 FR 74865), which added part
158 to Title 45 of the Code of Federal
Regulations. The IFR is effective January
1, 2011. Issuers are required to submit
annual MLR reporting data for each
large group market, small group market,
and individual market within each State
in which the issuer conducts business.
For policies that have a total annual
limit of $250,000 or less (sometimes
referred to as ‘‘mini-med plans’’) and for
policies that primarily cover employees
working outside the United States
(referred to as ‘‘expatriate plans’’), the
IFR applies a special circumstance
adjustment to the MLR data for the 2011
MLR reporting year. In order to evaluate
the appropriateness of this special
circumstance adjustment for years 2012
and beyond, issuers that provide such
policies are required to submit quarterly
MLR data to the Secretary for the 2011
MLR reporting year. Form Number:
CMS–10373; Frequency: Quarterly
submissions for each respondent;
Affected Public: Private Sector: Business
or other for-profits and Not-for-profit
institutions; Number of Respondents:
75; Number of Responses: 1,125; Total
Annual Hours: 70,200. (For policy
questions regarding this collection,
contact Carol Jimenez at (301) 492–
4109. For all other issues call (410) 786–
1326.)
CMS is requesting OMB review and
approval of this collection by May 1,
2011, with a 180-day approval period.
Written comments and
recommendations will be considered
from the public if received by the
individuals designated below by April
25, 2011.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web site
address at https://www.cms.hhs.gov/
regulations/pra or E-mail your request,
including your address, phone number,
OMB number, and CMS document
identifier, to Paperwork@cms.hhs.gov,
or call the Reports Clearance Office on
(410) 786–1326.
Interested persons are invited to send
comments regarding the burden or any
other aspect of these collections of
information requirements. However, as
noted above, comments on these
E:\FR\FM\25MRN1.SGM
25MRN1
Agencies
[Federal Register Volume 76, Number 58 (Friday, March 25, 2011)]
[Notices]
[Pages 16788-16789]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-6811]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[CMS-1583-N]
Medicare Program; Solicitation of Two Nominations to the Advisory
Panel on Ambulatory Payment Classification Groups
AGENCY: Centers for Medicare and Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice solicits nominations of two new members to the
Advisory Panel on Ambulatory Payment Classification (APC) Groups (the
Panel). There will be two vacancies on the Panel as of September 30,
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), and the Administrator of the Centers
for Medicare & Medicaid Services (CMS), concerning the clinical
integrity of the APC groups and their associated weights.
The Secretary rechartered the Panel in 2010 for a 2-year period
effective through November 21, 2012.
DATES: Submission of Nominations: We will consider nominations if they
are received no later than 5 p.m. (e.s.t.) May 24, 2011.
ADDRESSES: Please mail or hand deliver nominations to the following
address: Centers for Medicare & Medicaid Services; Attn: Paula Smith,
Advisory Panel on APC Groups; Center for Medicare, Hospital &
Ambulatory Policy Group, Division of Outpatient Care; 7500 Security
Boulevard, Mail Stop C4-05-17; Baltimore, MD 21244-1850.
Web site: For additional information on the APC Panel and updates
to the Panel's activities, we refer readers to view our Web site at the
following: https://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.)
FOR FURTHER INFORMATION CONTACT:
Contact: Persons wishing to nominate individuals to serve on the
Panel or to obtain further information may also contact Paula Smith at
the following e-mail address: APCPanel@cms.hhs.gov or call 410-786-
3985.
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.
News Media: Representatives should contact the CMS Press Office at
202-690-6145.
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 Outpatient
Prospective Payment System (OPPS).
The Charter requires that the Panel meet up to three times
annually. CMS considers the technical advice provided by the Panel 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 current Panel members are as follows: (Note: The asterisk [*]
indicates the Panel members whose terms end on September 30, 2011.)
E. L. Hambrick, M.D., J.D., Chair, a CMS Medical Officer
Ruth L. Bush, M.D., M.P.H.
Kari S. Cornicelli, C.P.A., FHFMA
Dawn L. Francis, M.D., M.H.S.
Kathleen Graham, R.N., M.S.H.A.
Patrick A. Grusenmeyer, Sc.D., FACHE *
David A. Halsey, M.D.
Brain D. Kavanagh, M.D., M.P.H.
Judith T. Kelly, B.S.H.A., RHIT, RHIA, CCS
Scott Manaker, M.D., PhD
John Marshall, CRA, RCC, RT
Agatha L. Nolan, D.Ph., M.S., FASHP *
Randall A. Oyer, M.D.
Daniel J. Pothen, M.S., RHIA, CHPS, CPHIMS, CCS, CCS-P,
CHC
Gregory J. Przbylski, M.D.
Neville B. Sarkari, M.D., FACP
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. CMS has 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 subject to the OPPS.
Based upon either self-nominations or nominations submitted by
providers or interested organizations, the Secretary, or his 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 under the guidelines of the
Federal Advisory Committee Act.
II. Criteria for Nominees
The Panel must be fairly balanced in its membership in terms of the
points of view represented and the functions to be performed. Each
Panel member must
[[Page 16789]]
be employed full-time by a hospital, hospital system, or other Medicare
provider subject to payment under the OPPS. 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 systems; APC groups;
Current Procedural Terminology codes; and alpha-numeric Health Care
Common Procedure Coding System codes; and the use of, and payment for,
drugs, medical devices, and other services in the outpatient setting,
as well as other forms of relevant expertise.
It is not necessary for a nominee to possess expertise in all of
the areas listed, but each must have a minimum of 5 years experience
and currently have full-time employment in his or her area of
expertise. Generally, 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.
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 Paula Smith at the address provided in the ADDRESSES section or by
e-mail at APCPanel@cms.hhs.gov, or by telephone at 410-786-3985.
IV. 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. 93.774,
Medicare--Supplementary Medical Insurance Program)
Dated: March 10, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011-6811 Filed 3-24-11; 8:45 am]
BILLING CODE 4120-01-P