Medicare Program; Second Semi-Annual Meeting of the Advisory Panel on Ambulatory Payment Classification Groups-August 10, 2011 Through August 12, 2011, 37121-37123 [2011-15903]
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srobinson on DSK4SPTVN1PROD with NOTICES
Federal Register / Vol. 76, No. 122 / Friday, June 24, 2011 / Notices
in 2014), including the appropriate use
of public-private partnerships to
leverage the resources of the private
sector in educating beneficiaries,
providers, and stakeholders.
• Expanding outreach to vulnerable
and underserved communities,
including racial and ethnic minorities,
in the context of Medicare, Medicaid,
and CHIP education programs.
• Assembling and sharing an
information base of ‘‘best practices’’ for
helping consumers evaluate health plan
options.
• Building and leveraging existing
community infrastructures for
information, counseling, and assistance.
• Drawing the program link between
outreach and education, promoting
consumer understanding of health care
coverage choices and facilitating
consumer selection/enrollment, which
in turn support the overarching goal of
improved access to quality care,
including prevention services,
envisioned under health care reform.
The current members of the Panel are:
Samantha Artiga, Principal Policy
Analyst, Kaiser Family Foundation;
Joseph Baker, President, Medicare
Rights Center; Marjorie Cadogan,
Executive Deputy Commissioner,
Department of Social Services; Jonathan
Dauphine, Senior Vice President, AARP;
Jason Dollarhide, Deputy Executive
Director, Housing Authority of the
Peoria Tribe of Indians of Oklahoma;
Barbara Ferrer, Executive Director,
Boston Public Health Commission;
Shelby Gonzales, Senior Health
Outreach Associate, Center on Budget &
Policy Priorities; Richard Frank,
Director, Whittingham Cancer Center;
Jan Henning, Benefits Counseling &
Special Projects Coordinator, North
Central Texas Council of Governments’
Area Agency on Aging; Deeana Jang,
Policy Director, Asian and Pacific
Islander American Health Forum;
Warren Jones, Executive Director,
Mississippi Institute for Improvement of
Geographic Minority Health; Madeline
Lawson, President and Chief Executive
Officer, Institute for the Advancement of
Multicultural & Minority Medicine;
John Lui, Executive Director, Stout
Vocational Rehabilitation Institute;
Sandy Markwood, Chief Executive
Officer, National Association of Area
Agencies on Aging; Miriam MobleySmith, Dean, Chicago State University,
College of Pharmacy; Ana NatalePereira, Associate Professor of
Medicine, University of Medicine &
Dentistry of New Jersey; Megan Padden,
Vice President, Sentara Health Plans;
David W. Roberts, Vice-President,
Healthcare Information and
Management System Society; Julie
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19:06 Jun 23, 2011
Jkt 223001
¨
Boden Schmidt, Associate Vice
President, National Association of
Community Health Centers; Winston
Wong, Medical Director, Community
Benefit Director, Kaiser Permanente and
Donna Yee, Chief Executive Officer,
Asian Community Center of Sacramento
Valley.
The agenda for the July 28, 2011
meeting will include the following:
• Welcome and Listening Session
with CMS Leadership.
• Swearing in of new members.
• Recap of the previous (October 13,
2010) meeting.
• Medicare, Medicaid & CHIP
Outreach & Education Strategies.
• An opportunity for public
comment.
• Next steps.
Individuals or organizations that wish to
make a 5-minute oral presentation on an
agenda topic should submit a written
copy of the oral presentation to the DFO
at the address listed in the ADDRESSES
section of this notice by the date listed
in the DATES section of this notice. The
number of oral presentations may be
limited by the time available.
Individuals not wishing to make a
presentation may submit written
comments to the DFO at the address
listed in the ADDRESSES section of this
notice by the date listed in the DATES
section of this notice.
Authority: Sec. 222 of the Public Health
Service Act (42 U.S.C. 217a) and sec. 10(a)
of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 10(a)
and 41 CFR 102–3).
(Catalog of Federal Domestic Assistance
Program No. 93.733, Medicare—Hospital
Insurance Program; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program).
Dated: June 16, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–15613 Filed 6–23–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1584–N]
Medicare Program; Second SemiAnnual Meeting of the Advisory Panel
on Ambulatory Payment Classification
Groups—August 10, 2011 Through
August 12, 2011
Centers for Medicare &
Medicaid Services, Department of
Health and Human Services.
AGENCY:
PO 00000
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Fmt 4703
Sfmt 4703
ACTION:
37121
Notice.
This notice announces the
second 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. We will consider the Panel’s
advice as we prepare the final rule that
would update the hospital Outpatient
Prospective Payment System (OPPS) for
CY 2012.
DATES: Meeting Dates: We are
scheduling the second semi-annual
meeting in 2011 for the following dates
and times:
• Wednesday, August 10, 2011,
1 p.m. to 5 p.m. eastern standard time
(e.s.t.) 1
• Thursday, August 11, 2011, 8 a.m.
to 5 p.m. (e.s.t.) 1
• Friday, August 12, 2011, 8 a.m. to
12 Noon (e.s.t.) 2
SUMMARY:
Note: 1 The times listed in this notice are
approximate times; consequently, the
meetings may last longer than listed in this
notice, but will not begin before the posted
times.
2 If the Panel’s business concludes on
Thursday, August, 11, 2011, there will be no
meeting on Friday, August, 12, 2011.
Deadlines
Deadline for Hardcopy Comments
and electronic format suggested agenda
topics—5 p.m. (e.s.t.), Friday, July 15,
2011.
Deadline for Hardcopy Presentations,
including the required electronic
documents as discussed below—5 p.m.
(e.s.t.), Friday, July 15, 2011.
Deadline for Attendance
Registration—5 p.m. (e.s.t.), Wednesday,
July 27, 2011.
Deadline for Special
Accommodations—5 p.m. (e.s.t.),
Wednesday, July 27, 2011.
ADDRESSES: The meeting will be held in
the Auditorium, the Centers for
Medicare & Medicaid Services (CMS)
Central Office, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
FOR FURTHER INFORMATION CONTACT:
Paula Smith, Designated Federal Officer
(DFO), CMS, CMM, HAPG, DOC, 7500
Security Boulevard, Mail Stop C4–05–
17, Baltimore, MD 21244–1850. Phone:
(410) 786–3985.
Note: We recommend that you advise
couriers of the following information: When
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37122
Federal Register / Vol. 76, No. 122 / Friday, June 24, 2011 / Notices
delivering hardcopies of presentations to
CMS, if no one answers at the above phone
number, please call (410) 786–4532 or (410)
786–7267.
The e-mail address for comments,
presentations, and registration requests
is APCPanel@cms.hhs.gov.
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: For additional information
on the APC Panel and updates to the
Panel’s activities, we refer readers to our
Web site available at: https://
www.cms.hhs.gov/FACA/05_
AdvisoryPanelonAmbulatory
PaymentClassification
Groups.asp#TopOfPage.
Note: There is an UNDERSCORE after
FACA/05; there is no space between the
underscore and the capital A. You may also
search information about the APC Panel and
its membership in the Federal Advisory
Committee Act (FACA) database at the
following URL: https://www.fido.gov/
facadatabase/public.asp.
Submission of Materials to the
Designated Federal Officer (DFO)
srobinson on DSK4SPTVN1PROD with NOTICES
We require electronic versions of the
written comments and presentations, in
addition to hardcopies. 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 May 2011).
The form is now available through the
CMS Forms Web site. To download
Form CMS–20017, visit the following
Web site: https://www.cms.hhs.gov/
cmsforms/downloads/cms20017.pdf.
Additionally, presenters must clearly
explain the action that they are
requesting CMS to take in the
appropriate section of the form. They
must also state their relationship to the
organization that they are representing
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.
In summary, presenters and/or
commenters must do the following:
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19:06 Jun 23, 2011
Jkt 223001
• 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.
• Mail (or send by courier) to the
Designated Federal Officer (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 not presenting at the
APC panel meeting are not required to
send Form CMS–20017 with their
written comments.
• Do not send images of patients in
any of the documents unless their faces
have been covered.
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 APC groups and weights
established under the Medicare Hospital
Outpatient Prospective Payment System
(OPPS).
The APC Panel meets up to three
times annually. 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. The expertise
encompasses hospital payment systems;
hospital medical care delivery systems;
provider billing systems; APC groups;
Current Procedural Terminology (CPT)
codes; and alpha-numeric Health Care
Common Procedure Coding System
(HCPCS) 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. 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: (Note: The asterisk
[*] indicates the Panel members whose
terms end on September 30, 2011.)
• E. L. Hambrick, M.D., J.D., Chair,
CMS Medical Officer.
• Ruth L. Bush, M.D., M.P.H.
PO 00000
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• Kari S. Cornicelli, C.P.A., FHFMA.
• 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 Halsey, M.D.
• Brian D. Kavanagh, M.D., M.P.H.
• Judith T. Kelly, B.S.H.A., R.H.I.T.,
R.H.I.A., C.C.S.
• Scott Manaker, M.D., PhD
• John Marshall, CRA, RCC, RT.
• Agatha L. Nolen, PhD, M.S.,
F.A.S.H.P.*
• Randall A. Oyer, M.D.
• Daniel Pothen, M.S., R.H.I.A.,
C.P.H.I.M.S., C.C.S.P, C.H.C.
• Gregory Przybylski, M.D.
• Neville B. Sarkari, M.D., FACP.
II. Agenda
The agenda for the August 2011
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.
• Evaluating APC group weights.
• Reviewing packaging the cost of
items and services, including drugs and
devices, into procedures and services,
including the methodology for
packaging and the impact of packaging
the cost of those items and services 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
weights.
• Addressing other technical issues
concerning APC group structure.
Note: The subject matter before the Panel
will be limited to these and related topics.
Issues related to calculation of the OPPS
conversion factor, charge compression,
revisions to the cost report, pass-through
payments, payment adjustments, or correct
code usage are not within the scope of the
Panel’s purpose. Therefore, these issues will
not be considered for presentations 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
that organizations submit data for the
Panel’s and CMS’ 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
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Federal Register / Vol. 76, No. 122 / Friday, June 24, 2011 / Notices
in the ADDRESSES section of this notice.
The DFO must receive these items by
5 p.m. (e.s.t.), Friday, July 15, 2011. We
appreciate your cooperation on this
matter.
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.), Friday, July 15,
2011.
The number of oral presentations may
be limited by the time available. Oral
presentations cannot 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 05/11) that is
required for all oral presentations. The
DFO must receive the following
information from those wishing to make
oral presentations:
• The Form CMS–20017 (Revised 05/
11) with all pertinent information
completed.
• One hardcopy of presentation.
• Electronic copy of presentation.
• Personal registration information as
described in the ‘‘Meeting Attendance’’
section below.
• Those persons wishing to submit
written comments only (and not make a
5 minute oral presentation at the Panel
meeting) must send hardcopy and
electronic versions of their comments,
but they are not required to submit the
Form CMS–20017 (Revised 05/11).
VI. Oral Comments
In addition to formal oral
presentations, there will be opportunity
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.
srobinson on DSK4SPTVN1PROD with NOTICES
VII. 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, July 27, 2011. A
VerDate Mar<15>2010
19:06 Jun 23, 2011
Jkt 223001
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 including address(es).
• E-mail address(es).
• Telephone number(s).
VIII. Security, Building, and Parking
Guidelines
The meeting is open to the public, but
attendance is limited to the space
available. Persons wishing to attend this
meeting must register by contacting the
DFO at the address listed in the
ADDRESSES section of this notice or by
telephone at the number listed in the
FOR FURTHER INFORMATION CONTACT
section of this notice by the date
specified in the DATES section of this
notice.
This meeting will be held in a Federal
government building; therefore, Federal
security measures are applicable. We
recommend that confirmed registrants
arrive reasonably early, but no earlier
than 45 minutes before the start of the
meeting, to allow additional time to
clear security. Security measures
include the following:
• Presentation of government-issued
photographic identification to the
Federal Protective Service or Guard
Service personnel.
• Inspection of vehicle’s interior and
exterior (this includes engine and trunk
inspection) at the entrance to the
grounds. Parking permits and
instructions will be issued after the
vehicle inspection.
• Inspection, via metal detector or
other applicable means of all persons
brought entering the building. We note
that all items brought into CMS,
whether personal or for the purpose of
presentation or to support a
presentation, 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
presentation or to support a
presentation.
Note: 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 45 minutes before the
convening of the meeting.
All visitors must be escorted in areas other
than the lower and first floor levels in the
Central Building.
IX. Special Accommodations
Individuals requiring sign-language
interpretation or other special
PO 00000
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37123
accommodations must send a request
for these services to the DFO by 5 p.m.
(e.s.t.), Wednesday, July 27, 2011.
X. 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
before the final adjournment.
XI. 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. Chapter 35).
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program).
Dated: June 15, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–15903 Filed 6–23–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2010–N–0536]
Agency Information Collection
Activities; Announcement of Office of
Management and Budget Approval;
Guidance for Industry on
Pharmacogenomic Data Submissions
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing
that a collection of information entitled
‘‘Guidance for Industry on
Pharmacogenomic Data Submissions’’
has been approved by the Office of
Management and Budget (OMB) under
the Paperwork Reduction Act of 1995.
FOR FURTHER INFORMATION CONTACT:
Elizabeth Berbakos, Office of
Information Management, Food and
Drug Administration, 1350 Piccard Dr.,
PI50–400B, Rockville, MD 20850, 301–
796–3792,
Elizabeth.Berbakos@fda.hhs.gov.
SUPPLEMENTARY INFORMATION: In the
Federal Register of February 7, 2011 (76
SUMMARY:
E:\FR\FM\24JNN1.SGM
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Agencies
[Federal Register Volume 76, Number 122 (Friday, June 24, 2011)]
[Notices]
[Pages 37121-37123]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15903]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1584-N]
Medicare Program; Second Semi-Annual Meeting of the Advisory
Panel on Ambulatory Payment Classification Groups--August 10, 2011
Through August 12, 2011
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces the second 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. We will consider the Panel's advice as we
prepare the final rule that would update the hospital Outpatient
Prospective Payment System (OPPS) for CY 2012.
DATES: Meeting Dates: We are scheduling the second semi-annual meeting
in 2011 for the following dates and times:
Wednesday, August 10, 2011, 1 p.m. to 5 p.m. eastern
standard time (e.s.t.) \1\
Thursday, August 11, 2011, 8 a.m. to 5 p.m. (e.s.t.) \1\
Friday, August 12, 2011, 8 a.m. to 12 Noon (e.s.t.) \2\
Note: \1\ The times listed in this notice are approximate times;
consequently, the meetings may last longer than listed in this
notice, but will not begin before the posted times.
\2\ If the Panel's business concludes on Thursday, August, 11,
2011, there will be no meeting on Friday, August, 12, 2011.
Deadlines
Deadline for Hardcopy Comments and electronic format suggested
agenda topics--5 p.m. (e.s.t.), Friday, July 15, 2011.
Deadline for Hardcopy Presentations, including the required
electronic documents as discussed below--5 p.m. (e.s.t.), Friday, July
15, 2011.
Deadline for Attendance Registration--5 p.m. (e.s.t.), Wednesday,
July 27, 2011.
Deadline for Special Accommodations--5 p.m. (e.s.t.), Wednesday,
July 27, 2011.
ADDRESSES: The meeting will be held in the Auditorium, the Centers for
Medicare & Medicaid Services (CMS) Central Office, 7500 Security
Boulevard, Baltimore, Maryland 21244-1850.
FOR FURTHER INFORMATION CONTACT: Paula Smith, Designated Federal
Officer (DFO), CMS, CMM, HAPG, DOC, 7500 Security Boulevard, Mail Stop
C4-05-17, Baltimore, MD 21244-1850. Phone: (410) 786-3985.
Note: We recommend that you advise couriers of the following
information: When
[[Page 37122]]
delivering hardcopies of presentations to CMS, if no one answers at
the above phone number, please call (410) 786-4532 or (410) 786-
7267.
The e-mail address for comments, presentations, and registration
requests is APCPanel@cms.hhs.gov.
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: For additional information on the APC Panel and updates
to the Panel's activities, we refer readers to our Web site available
at: https://www.cms.hhs.gov/FACA/05_AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage.
Note: There is an UNDERSCORE after FACA/05; there is no space
between the underscore and the capital A. You may also search
information about the APC Panel and its membership in the Federal
Advisory Committee Act (FACA) database at the following URL: https://www.fido.gov/facadatabase/public.asp.
Submission of Materials to the Designated Federal Officer (DFO)
We require electronic versions of the written comments and
presentations, in addition to hardcopies. 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 May 2011). The form is now available through the CMS
Forms Web site. To download Form CMS-20017, visit the following Web
site: https://www.cms.hhs.gov/cmsforms/downloads/cms20017.pdf.
Additionally, presenters must clearly explain the action that they are
requesting CMS to take in the appropriate section of the form. They
must also state their relationship to the organization that they are
representing 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.
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.
Mail (or send by courier) to the Designated Federal
Officer (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 not presenting at the APC panel meeting are not
required to send Form CMS-20017 with their written comments.
Do not send images of patients in any of the documents
unless their faces have been covered.
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 APC groups and weights
established under the Medicare Hospital Outpatient Prospective Payment
System (OPPS).
The APC Panel meets up to three times annually. 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. The expertise encompasses
hospital payment systems; hospital medical care delivery systems;
provider billing systems; APC groups; Current Procedural Terminology
(CPT) codes; and alpha-numeric Health Care Common Procedure Coding
System (HCPCS) 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. 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: (Note: The
asterisk [*] indicates the Panel members whose terms end on September
30, 2011.)
E. L. Hambrick, M.D., J.D., Chair, 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., C.P.H.Q., A.C.M.
Patrick A. Grusenmeyer, Sc.D., F.A.C.H.E.*
David Halsey, M.D.
Brian D. Kavanagh, M.D., M.P.H.
Judith T. Kelly, B.S.H.A., R.H.I.T., R.H.I.A., C.C.S.
Scott Manaker, M.D., PhD
John Marshall, CRA, RCC, RT.
Agatha L. Nolen, PhD, M.S., F.A.S.H.P.*
Randall A. Oyer, M.D.
Daniel Pothen, M.S., R.H.I.A., C.P.H.I.M.S., C.C.S.P,
C.H.C.
Gregory Przybylski, M.D.
Neville B. Sarkari, M.D., FACP.
II. Agenda
The agenda for the August 2011 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.
Evaluating APC group weights.
Reviewing packaging the cost of items and services,
including drugs and devices, into procedures and services, including
the methodology for packaging and the impact of packaging the cost of
those items and services 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 weights.
Addressing other technical issues concerning APC group
structure.
Note: The subject matter before the Panel will be limited to
these and related topics. Issues related to calculation of the OPPS
conversion factor, charge compression, revisions to the cost report,
pass-through payments, payment adjustments, or correct code usage
are not within the scope of the Panel's purpose. Therefore, these
issues will not be considered for presentations 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 that
organizations submit data for the Panel's and CMS' 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
[[Page 37123]]
in the ADDRESSES section of this notice. The DFO must receive these
items by 5 p.m. (e.s.t.), Friday, July 15, 2011. We appreciate your
cooperation on this matter.
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.), Friday, July 15, 2011.
The number of oral presentations may be limited by the time
available. Oral presentations cannot 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 05/11) that is
required for all oral presentations. The DFO must receive the following
information from those wishing to make oral presentations:
The Form CMS-20017 (Revised 05/11) with all pertinent
information completed.
One hardcopy of presentation.
Electronic copy of presentation.
Personal registration information as described in the
``Meeting Attendance'' section below.
Those persons wishing to submit written comments only (and
not make a 5 minute oral presentation at the Panel meeting) must send
hardcopy and electronic versions of their comments, but they are not
required to submit the Form CMS-20017 (Revised 05/11).
VI. Oral Comments
In addition to formal oral presentations, there will be opportunity
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.
VII. 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, July 27, 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 including address(es).
E-mail address(es).
Telephone number(s).
VIII. Security, Building, and Parking Guidelines
The meeting is open to the public, but attendance is limited to the
space available. Persons wishing to attend this meeting must register
by contacting the DFO at the address listed in the ADDRESSES section of
this notice or by telephone at the number listed in the FOR FURTHER
INFORMATION CONTACT section of this notice by the date specified in the
DATES section of this notice.
This meeting will be held in a Federal government building;
therefore, Federal security measures are applicable. We recommend that
confirmed registrants arrive reasonably early, but no earlier than 45
minutes before the start of the meeting, to allow additional time to
clear security. Security measures include the following:
Presentation of government-issued photographic
identification to the Federal Protective Service or Guard Service
personnel.
Inspection of vehicle's interior and exterior (this
includes engine and trunk inspection) at the entrance to the grounds.
Parking permits and instructions will be issued after the vehicle
inspection.
Inspection, via metal detector or other applicable means
of all persons brought entering the building. We note that all items
brought into CMS, whether personal or for the purpose of presentation
or to support a presentation, 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 presentation or to support a presentation.
Note: 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 45
minutes before the convening of the meeting.
All visitors must be escorted in areas other than the lower and
first floor levels in the Central Building.
IX. 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, July 27, 2011.
X. 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 before the final adjournment.
XI. 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. Chapter 35).
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program).
Dated: June 15, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011-15903 Filed 6-23-11; 8:45 am]
BILLING CODE 4120-01-P