Medicare Program; Solicitation of Five Nominations to the Advisory Panel on Hospital Outpatient Payment (HOP, the Panel), 65660-65661 [2013-26258]
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emcdonald on DSK67QTVN1PROD with NOTICES
65660
Federal Register / Vol. 78, No. 212 / Friday, November 1, 2013 / Notices
or elect to delegate this task to a
Surrogate. A Surrogate is an individual
or organization identified by an
Individual or Organizational Provider as
someone authorized to access CMS
computer systems, such as Internetbased PECOS, National Provider Plan
and Enumeration System (NPPES) and
the Medicare and Medicaid Electronic
Health Records (EHR) Incentive Program
Registration and Attestation System
(HITECH), on their behalf and to modify
or view any information contained
therein that the Individual or
Organizational Provider may have
permission or right to access in
accordance with Medicare statutes,
regulations, policies, and usage
guidelines for any CMS system.
Surrogates may consist of administrative
staff, independent contractors, 3rd party
consulting companies or credentialing
departments. In order for an Individual
or Organizational Provider to delegate
the Medicare credentialing process to a
Surrogate to access and update their
enrollment information in the above
mentioned CMS systems on their behalf,
it is required that a Security Consent
and Surrogate Authorization Form be
completed, or Individual and
Organizational Providers use an
equivalent online process via the
PECOS Identity and Access
Management (I&A) system. The Security
Consent and Surrogate Authorization
form replicates business service
agreements between Medicare
providers, suppliers or both and
Surrogates providing enrollment
services.
We are proposing one version of the
Security Consent and Surrogate
Authorization Form. The form, once
signed, mailed and approved, grants a
Surrogate access to all current and
future enrollment data for the
Individual or Organization Provider.
Form Number: CMS–10220 (OCN:
0938–1035); Frequency: Occasionally;
Affected Public: Individuals and Private
Sector—Business or other for-profits
and Not-for-profit institutions; Number
of Respondents: 88,650; Total Annual
Responses: 88,650; Total Annual Hours:
22,162. (For policy questions regarding
this collection contact Alisha Banks at
410–786–0671.)
6. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Medicare
Enrollment Application for Registration
of Eligible Entities That Provide Health
Insurance Coverage Complementary to
Medicare Part B; Use: The primary
function of a Medicare enrollment
application is to gather information
from a provider, supplier or other entity
VerDate Mar<15>2010
17:40 Oct 31, 2013
Jkt 232001
that tells us who it is, whether it meets
certain qualifications to be a health care
provider, supplier or entity, where it
practices or renders its services, the
identity of the owners of the enrolling
entity, and information necessary to
establish correct claims payments. We
are adding a new CMS–855 Medicare
Registration Application, the CMS–
855C: Medicare Enrollment Application
for Registration of Eligible Entities That
Provide Health Insurance Coverage
Complementary to Medicare Part B.
This Medicare registration application is
to be completed by all entities that
provide a complimentary health benefit
plan and intend to bill Medicare as an
indirect payment procedure (IPP) biller
and the entity or health plan meets all
Medicare requirements to submit claims
for indirect payments. The entity must
furnish the name of at least one
authorized official, preferably the
administrator of the health plan, who
must sign this registration application
attesting that the registering entity meets
the requirements to register as an
indirect payment procedure biller and
will also abide by the requirements
stated in the Certification & Attestation
Statement in Section 10 of the
application.
The CMS–855C will be submitted at
the time the applicant first requests a
Medicare identification number for the
sole purpose of submitting claims under
the ‘‘Indirect Payment Procedure (IPP)’’
for reimbursement, and when necessary
to report any changes to information
previously submitted. The application
will be used by Medicare contractors to
collect data to ensure the applicant has
the necessary credentials to submit
Medicare claims for reimbursement,
including information that allows
Medicare contractors to ensure that the
entity and its owners and administrators
are not sanctioned from the Medicare
program, or debarred, suspended or
excluded from any other Federal agency
or program. Form Number: CMS–855C
(OCN: 0938—New); Frequency:
Occasionally; Affected Public: Private
sector—Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 440; Total Annual
Responses: 440; Total Annual Hours:
500. (For policy questions regarding this
collection contact Kim McPhillips at
410–786–5374.)
Dated: October 29, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–26107 Filed 10–31–13; 8:45 am]
BILLING CODE 4120–01–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1462–N]
Medicare Program; Solicitation of Five
Nominations to the Advisory Panel on
Hospital Outpatient Payment (HOP, the
Panel)
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice solicits
nominations for five new members to
the Advisory Panel on Hospital
Outpatient Payment (HOP, the Panel).
There are five vacancies on the Panel
effective September 30, 2013.
The purpose of the Panel is to advise
the Secretary of the Department of
Health and Human Services and the
Administrator of the Centers for
Medicare & Medicaid Services on the
clinical integrity of the Ambulatory
Payment Classification (APC) groups
and their associated weights, and
supervision of hospital outpatient
services.
The Secretary rechartered the Panel in
2012 for a 2-year period effective
through November 19, 2014.
DATES: Submission of Nominations: We
will consider nominations if they are
received no later than 5 p.m. (e.s.t.)
December 31, 2013.
ADDRESSES: Please mail or hand deliver
nominations to the following address:
Centers for Medicare & Medicaid
Services; Attn: Chuck Braver, Advisory
Panel on HOP; 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 Panel and updates to the Panel’s
activities, we refer readers to our Web
site at the following address: https://
www.cms.gov/Regulations-andGuidance/Guidance/FACA/
AdvisoryPanelonAmbulatory
PaymentClassificationGroups.html.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Persons wishing to nominate
individuals to serve on the Panel or to
obtain further information may contact
Chuck Braver at the following email
address: APCPanel@cms.hhs.gov or call
(410) 786–3985.
News Media: Representatives should
contact the CMS Press Office at (202)
690–6145.
SUPPLEMENTARY INFORMATION:
E:\FR\FM\01NON1.SGM
01NON1
Federal Register / Vol. 78, No. 212 / Friday, November 1, 2013 / Notices
emcdonald on DSK67QTVN1PROD with NOTICES
I. Background
The Secretary of the Department of
Health and Human Services (the
Secretary) is required by section
1833(t)(9)(A) of the Social Security Act
(the Act), and section 222 of the Public
Health Service Act (PHS Act) to consult
with an expert outside advisory panel
regarding the clinical integrity of the
Ambulatory Payment Classification
(APC) groups and relative payment
weights that are components of the
Medicare Hospital Outpatient
Prospective Payment System (OPPS),
and the appropriate supervision level
for hospital outpatient services. The
Panel is governed by the provisions of
the Federal Advisory Committee Act
(FACA) (Pub. L. 92–463), as amended (5
U.S.C. Appendix 2), which sets forth
standards for the formation and use of
advisory panels. The panel may
consider data collected or developed by
entities and organizations (other than
the Department of Health and Human
Services) as part of their deliberations.
The Charter requires that the Panel
meet up to three times annually. We
consider the technical advice provided
by the Panel as we prepare the proposed
and final rules to update the OPPS for
the following calendar year.
The Panel shall consist of a chair and
up to 19 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
effective September 30, 2013.)
• E.L. Hambrick, M.D., J.D., Chair, a
CMS Medical Officer.
• Karen Borman, M.D.
• Ruth L. Bush, M.D., M.P.H.*
• Lanny Copeland, M.D.
• Kari S. Cornicelli, C.P.A., FHFMA
• Dawn L. Francis, M.D., M.H.S.*
• David A. Halsey, M.D.*
• Brain D. Kavanagh, M.D., M.P.H.
• Scott Manaker, M.D., Ph.D.
• John Marshall, CRA, RCC, RT
• Jim Nelson
• Leah Osbahr
• Jacqueline Phillips
• Daniel J. Pothen, M.S., RHIA, CHPS,
CPHIMS, CCS, CCS–P, CHC*
• Gregory J. Przbylski, M.D.*
• Traci Rabine
• Michael Rabovsky, M.D.
• Marianna V. Spanki-Varelas M.D.,
Ph.D., M.B.A.
• Gale Walker
• Kris Zimmer
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17:40 Oct 31, 2013
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65661
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 ensuring, 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 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 FACA
guidelines.
be accepted. Each nomination must
include the following:
• Letter of Nomination stating the
reasons why the nominee should be
considered.
• Curriculum vitae or resume of the
nominee.
• Written and signed 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.
• The hospital or hospital system
name and address, or CAH name and
address, as well as all Medicare hospital
and or Medicare CAH billing numbers
of the facility where the nominee is
employee.
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
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.
For supervision deliberations, the Panel
shall have members that represent the
interests of Critical Access Hospitals
(CAHs), who advise CMS only regarding
the level of supervision for hospital
outpatient services.
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. A member may serve after the
expiration of his or her term until a
successor has been sworn in.
Any interested person or organization
may nominate one or more qualified
individuals. Self-nominations will also
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).
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
III. Copies of the Charter
To obtain a copy of the Panel’s
Charter, we refer readers to our Web site
at the following: https://www.cms.gov/
Regulations-and-Guidance/Guidance/
FACA/AdvisoryPanelonAmbulatory
PaymentClassificationGroups.html.
(Catalog of Federal Domestic Assistance
Program No. 93.774, Medicare—
Supplementary Medical Insurance Program).
Dated: October 29, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2013–26258 Filed 10–31–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–1161]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Food Safety
Survey
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA or we) is
announcing an opportunity for public
comment on our proposed collection of
certain information. Under the
Paperwork Reduction Act of 1995 (the
SUMMARY:
E:\FR\FM\01NON1.SGM
01NON1
]]>Agencies
[Federal Register Volume 78, Number 212 (Friday, November 1, 2013)]
[Notices]
[Pages 65660-65661]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-26258]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1462-N]
Medicare Program; Solicitation of Five Nominations to the
Advisory Panel on Hospital Outpatient Payment (HOP, the Panel)
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice solicits nominations for five new members to the
Advisory Panel on Hospital Outpatient Payment (HOP, the Panel). There
are five vacancies on the Panel effective September 30, 2013.
The purpose of the Panel is to advise the Secretary of the
Department of Health and Human Services and the Administrator of the
Centers for Medicare & Medicaid Services on the clinical integrity of
the Ambulatory Payment Classification (APC) groups and their associated
weights, and supervision of hospital outpatient services.
The Secretary rechartered the Panel in 2012 for a 2-year period
effective through November 19, 2014.
DATES: Submission of Nominations: We will consider nominations if they
are received no later than 5 p.m. (e.s.t.) December 31, 2013.
ADDRESSES: Please mail or hand deliver nominations to the following
address: Centers for Medicare & Medicaid Services; Attn: Chuck Braver,
Advisory Panel on HOP; 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 Panel and updates to
the Panel's activities, we refer readers to our Web site at the
following address: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.
FOR FURTHER INFORMATION CONTACT: Persons wishing to nominate
individuals to serve on the Panel or to obtain further information may
contact Chuck Braver at the following email address:
APCPanel@cms.hhs.gov or call (410) 786-3985.
News Media: Representatives should contact the CMS Press Office at
(202) 690-6145.
SUPPLEMENTARY INFORMATION:
[[Page 65661]]
I. Background
The Secretary of the Department of Health and Human Services (the
Secretary) is required by section 1833(t)(9)(A) of the Social Security
Act (the Act), and section 222 of the Public Health Service Act (PHS
Act) to consult with an expert outside advisory panel regarding the
clinical integrity of the Ambulatory Payment Classification (APC)
groups and relative payment weights that are components of the Medicare
Hospital Outpatient Prospective Payment System (OPPS), and the
appropriate supervision level for hospital outpatient services. The
Panel is governed by the provisions of the Federal Advisory Committee
Act (FACA) (Pub. L. 92-463), as amended (5 U.S.C. Appendix 2), which
sets forth standards for the formation and use of advisory panels. The
panel may consider data collected or developed by entities and
organizations (other than the Department of Health and Human Services)
as part of their deliberations.
The Charter requires that the Panel meet up to three times
annually. We consider the technical advice provided by the Panel as we
prepare the proposed and final rules to update the OPPS for the
following calendar year.
The Panel shall consist of a chair and up to 19 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 effective September 30,
2013.)
E.L. Hambrick, M.D., J.D., Chair, a CMS Medical Officer.
Karen Borman, M.D.
Ruth L. Bush, M.D., M.P.H.*
Lanny Copeland, M.D.
Kari S. Cornicelli, C.P.A., FHFMA
Dawn L. Francis, M.D., M.H.S.*
David A. Halsey, M.D.*
Brain D. Kavanagh, M.D., M.P.H.
Scott Manaker, M.D., Ph.D.
John Marshall, CRA, RCC, RT
Jim Nelson
Leah Osbahr
Jacqueline Phillips
Daniel J. Pothen, M.S., RHIA, CHPS, CPHIMS, CCS, CCS-P, CHC*
Gregory J. Przbylski, M.D.*
Traci Rabine
Michael Rabovsky, M.D.
Marianna V. Spanki-Varelas M.D., Ph.D., M.B.A.
Gale Walker
Kris Zimmer
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 ensuring,
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 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 FACA guidelines.
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 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. For
supervision deliberations, the Panel shall have members that represent
the interests of Critical Access Hospitals (CAHs), who advise CMS only
regarding the level of supervision for hospital outpatient services.
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. A member may serve after the expiration of
his or her term until a successor has been sworn in.
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 stating the reasons why the nominee
should be considered.
Curriculum vitae or resume of the nominee.
Written and signed 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.
The hospital or hospital system name and address, or CAH
name and address, as well as all Medicare hospital and or Medicare CAH
billing numbers of the facility where the nominee is employee.
III. Copies of the Charter
To obtain a copy of the Panel's Charter, we refer readers to our
Web site at the following: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.
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: October 29, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2013-26258 Filed 10-31-13; 8:45 am]
BILLING CODE 4120-01-P
