[Federal Register Volume 70, Number 130 (Friday, July 8, 2005)]
[Notices]
[Pages 39514-39516]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-13562]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1288-N]


Medicare Program; Meeting of the Advisory Panel on Ambulatory 
Payment Classification (APC) Groups--August 17, 18, and 19, 2005

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

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SUMMARY: In accordance with section 10(a) of the Federal Advisory 
Committee Act (FACA) (5 U.S.C. Appendix 2), this notice announces the 
second biannual meeting of the APC Panel for 2005.
    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 (HHS) and the Administrator of the Centers 
for Medicare and Medicaid Services (CMS) concerning the clinical 
integrity of the APC groups and their associated weights. The advice 
provided by the Panel will be considered as CMS prepares its annual 
updates of the hospital Outpatient Prospective Payment System (OPPS) 
through rulemaking.

DATES: Meeting Dates: The second biannual meeting for 2005 is scheduled 
for the following dates and times:
     Wednesday, August 17, 2005, 1 p.m. to 5 p.m. (e.d.t.)
     Thursday, August 18, 2005, 8 a.m. to 5 p.m. (e.d.t.)
     Friday, August 19, 2005, 8 a.m. to 12 noon (e.d.t.)
    Deadlines:
    Deadline for Hardcopy Comments/Suggested Agenda Topics--
     5 p.m. (e.d.t.), Monday, August 1, 2005.
    Deadline for Hardcopy Presentations--
     5 p.m. (e.d.t.), Monday, August 1, 2005.
    Deadline for Attendance Registration--
     5 p.m. (e.d.t.), Monday, August 8, 2005.
    Deadline for Special Accommodations--
     5 p.m. (e.d.t.), Monday, August 8, 2005.
    Submittal of Materials to the Designated Federal Officer (DFO): 
Because of staffing and resource limitations, we cannot accept written 
comments and presentations by FAX, nor can we print written comments 
and presentations received electronically for dissemination at the 
meeting.

[[Page 39515]]

    Only hardcopy comments and presentations will be accepted for 
placement in the meeting booklets. All hardcopy presentations must be 
accompanied by Form CMS-20017. The form is now available through the 
CMS Forms Web site. The URL for linking to this form is (http://www.cms.hhs.gov/forms/cms20017.pdf.)
    We are also requiring electronic versions of the written comments 
and presentations (in addition to the hardcopies), to forward to the 
Panel members for their review prior to the meeting.
    Consequently, you must send BOTH electronic and hardcopy versions 
of your presentations and written comments by the prescribed deadlines. 
(Electronic transmission must be sent to the e-mail address below, and 
hardcopies--accompanied by Form CMS-20017--must be mailed to the 
Designated Federal Officer [DFO], as specified in the FOR FURTHER 
INFORMATION CONTACT section of this notice.)

ADDRESSES: The meeting will be held in the Multipurpose Room, 1st 
Floor, CMS Central Office, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.

FOR FURTHER INFORMATION CONTACT: For inquiries regarding the meeting; 
meeting registration; and hardcopy submissions of oral presentations, 
agenda items, and comments, please contact the DFO: Shirl Ackerman-
Ross, DFO, CMS, CMM, HAPG, DOC, 7500 Security Boulevard, Mail Stop C4-
05-17, Baltimore, MD 21244-1850. Phone (410) 786-4474.
     E-mail address for comments, presentations, and 
registration requests is [email protected].
     News media representatives must contact our Public Affairs 
Office at (202) 690-6145.
    Advisory Committees' Information Lines: The CMS Advisory 
Committees' Information Line is 1-877-449-5659 (toll free) and (410) 
786-9379 (local).
    Web Sites:
     For additional information on the APC meeting agenda 
topics and updates to the Panel's activities, search our Web site at: 
http://www.cms.hhs.gov/faca/apc/default.asp.
     To obtain Charter copies, search our Web site at http://www.cms.hhs.gov/faca or e-mail the Panel DFO.

SUPPLEMENTARY INFORMATION:

I. Background

    The Secretary of the Department of Health and Human Services (HHS) 
(the Secretary) is required by section 1833(t)(9)(A) of the Act, as 
amended and redesignated by sections 201(h) and 202(a)(2) of the 
Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 
(BBRA) (Pub. L. 106-113), respectively, to establish and consult with 
an expert, outside advisory panel on APC groups. The APC Panel meets up 
to three times annually to review the APC groups and to provide 
technical advice to the Secretary and the Administrator of the Centers 
for Medicare and Medicaid Services (CMS) (the Administrator) concerning 
the clinical integrity of the groups and their associated weights. All 
members must have technical expertise that will enable them to 
participate fully in the work of the Panel. The expertise encompasses 
hospital payment systems, hospital medical-care delivery systems, 
outpatient payment requirements, APCs, Physicians' Current Procedural 
Terminology Codes (CPTs), the use and payment of drugs and medical 
devices in the outpatient setting, and other forms of relevant 
expertise. It is not necessary that any one member be an expert in all 
areas.
    We will consider the technical advice provided by the Panel as we 
prepare the final rule that updates the OPPS payment rates for the next 
calendar year. The Secretary recently re-chartered the Panel on 
November 8, 2004.
    The Panel may consist of a Chair and up to 15 representatives who 
are full-time employees (not consultants) of Medicare providers, which 
are subject to the OPPS.
    The Administrator selected the Panel membership based upon either 
self-nominations or nominations submitted by providers or interested 
organizations. The Panel presently consists of the following members 
and a Chair:
     Edith Hambrick, M.D., J.D., Chair.
     Marilyn Bedell, M.S., R.N., O.C.N.
     Albert Brooks Einstein, Jr., M.D.
     Sandra J. Metzler, M.B.A., R.H.I.A., C.P.H.Q.
     Frank G. Opelka, M.D., F.A.C.S.
     Louis Potters, M.D., F.A.C.R.
     Lou Ann Schraffenberger, M.B.A., R.H.I.A., C.C.S.-P.
     Judie S. Snipes, R.N., M.B.A., F.A.C.H.E.
     Lynn R. Tomascik, R.N., M.S.N., C.N.A.A.
     Timothy Gene Tyler, Pharm.D.

II. Agenda

    The agenda for the August 2005 meeting will provide for discussion 
and comment on the following topics as designated in the Panel's 
Charter:
     Reconfiguration of APCs (for example, splitting of APCs, 
moving Healthcare Common Procedure Coding System (HCPCS) codes from one 
APC to another and moving HCPCS codes from new technology APCs to 
clinical APCs).
     Evaluation of APC weights.
     Packaging devices and drug costs into APCs: methodology, 
effect on APCs, and need for reconfiguring APCs based upon device and 
drug packaging.
     Removal of procedures from the inpatient list for payment 
under the OPPS.
     Use of single and multiple procedure claims data.
     Packaging of HCPCS codes.
     Other technical issues concerning APC structure.

III. Written Comments and Suggested Agenda Topics

    Hardcopy written comments and suggested agenda topics must be sent 
to the DFO. Such items must be received by the DFO 5 p.m. (e.d.t.), 
Monday, August 8, 2005.
    Additionally, the written comments and suggested agenda topics must 
fall within the subject categories outlined in the Panel's Charter 
listed in the Agenda section of this notice.

IV. Oral Presentations

    Individuals or organizations wishing to make 5-minute oral 
presentations must contact the DFO. The DFO must receive hardcopy 
presentations by 5 p.m. (e.d.t.), on Monday, August 8, 2005, in order 
to be scheduled.
    The number of oral presentations may be limited by the time 
available. Oral presentations must not exceed 5 minutes in length.
    The Chair may further limit time allowed for presentations due to 
the number of oral presentations, if necessary.

V. Presenter and Presentation Criteria

    The additional criteria below must be supplied to the DFO by the 
August 8, 2005, deadline (along with hardcopies of presentations).

 Required personal information regarding presenter(s):
     Name of presenter(s);
     Title(s);
     Organizational affiliation;
     Address;
     E-mail address; and
     Telephone number(s).
 All presentations must contain, at a minimum, the following 
supporting information and data:
     Financial relationship(s) of presenter(s), if any, with 
any company whose products, services, or procedures that are under 
consideration;
     Physicians' Current Procedural Terminology (CPT) codes 
involved;
     APC(s) affected;
     Description of the issue(s);
     Clinical description of the service under discussion (with 
comparison

[[Page 39516]]

to other services within the APC);
     Recommendations and rationale for change;
     Expected outcome of change; and
     Potential consequences of not making the change(s).

VI. Oral Comments

    In addition to formal oral presentations, there will be opportunity 
during the meeting for public oral comments that will be limited to 1 
minute for each individual and a total of 5 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 call or e-mail the Panel DFO to register in advance no 
later than 5 p.m. (e.d.t.), Wednesday, August 10, 2005.
    The following information must be e-mailed or telephoned to the DFO 
by the date and time above:
     Name(s) of attendee(s);
     Title(s);
     Organization;
     E-mail address(es); and
     Telephone number(s).

VIII. Security, Building, and Parking Guidelines

    Persons attending the meeting must present photographic 
identification to the Federal Protective Service or Guard Service 
personnel before they will be allowed to enter the building.
    Security measures will include inspection of vehicles, inside and 
out, at the entrance to the grounds. In addition, all persons entering 
the building must pass through a metal detector. All items brought to 
CMS, including personal items such as desktops, cell phones, palm 
pilots, are subject to physical inspection.
    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 30-45 minutes prior to 
the convening of the meeting each day. (Please note that the meeting on 
Wednesday, August 17, 2005, does not convene until 1 p.m.)
    All visitors must be escorted in areas other than the lower and 
first-floor levels in the Central Building.
    Parking permits and instructions are issued upon arrival by the 
guards at the main entrance.

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.d.t.), Wednesday, August 10, 2005.

    Authority: Section 1833(t) of the Act (42 U.S.C. 1395l(t)). The 
Panel is governed by the provisions of Pub. L. 92-463, as amended (5 
U.S.C. Appendix 2).

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare-Hospital Insurance; and Program No. 93.774, Medicare-
Supplementary Medical Insurance Program)

    Dated: June 21, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 05-13562 Filed 7-7-05; 8:45 am]
BILLING CODE 4120-01-P