[Federal Register Volume 71, Number 121 (Friday, June 23, 2006)]
[Notices]
[Pages 36118-36120]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-9905]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1295-N]


Medicare Program; Second Biannual Meeting of the Advisory Panel 
on Ambulatory Payment Classification (APC) Groups--August 23, 24, and 
25, 2006

AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of 
Health and Human Services (DHHS).

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 Advisory Panel on Ambulatory Payment 
Classification (APC) Groups (the Panel) for 2006. The purpose of the 
Panel is to review the APC groups and their associated weights and to 
advise the Secretary of Health and Human Services (the Secretary) and 
the Administrator of the Centers for Medicare & 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 we prepare the final rule that updates the hospital Outpatient 
Prospective Payment System (OPPS) for CY 2007.

DATES: Meeting Dates: The second biannual meeting for 2006 is scheduled 
for the following dates and times:
     Wednesday, August 23, 2006, 1 p.m. to 5 p.m. (e.d.t.).
     Thursday, August 24, 2006, 8 a.m. to 5 p.m. (e.d.t.).
     Friday, August 25, 2006, 8 a.m. to 12 noon (e.d.t.).


    Note: \1\ We anticipate that there will be a meeting on Friday, 
August 25, 2006. However, if the business of the Panel concludes on 
Thursday, August 24, 2006, the Panel will not meet on August 25, 
2006.
    \2\ The times listed above are approximate times; consequently, 
the meetings may last longer than listed above.


    Deadlines:

Deadline for Hardcopy Comments/Suggested Agenda Topics--5 p.m. 
(e.d.t.), Wednesday, August 2, 2006.
Deadline for Hardcopy Presentations--5 p.m. (e.d.t.), Wednesday, August 
2, 2006.
Deadline for Attendance Registration--5 p.m. (e.d.t.), Wednesday, 
August 9, 2006.
Deadline for Special Accommodations--5 p.m. (e.d.t.), Wednesday, August 
9, 2006.

    Submission 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.
    Only hardcopy comments and presentations can be reproduced for 
public dissemination. 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 as follows: http://www.cms.hhs.gov/cmsforms/downloads/cms20017.pdf.
    We are also requiring electronic versions of the written comments 
and presentations (in addition to the hardcopies), so we can send them 
electronically to the Panel members for their review before 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 FURTHER FURTHER 
INFORMATION CONTACT section of this notice.)

[[Page 36119]]


ADDRESSES: The meeting will be held in the Auditorium, 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.*

(*Note: When delivering hardcopies of presentations, if no one 
answers at the above phone number, please call (410) 786-4532.)

     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 phone numbers for the 
CMS Federal Advisory Committee Hotline are 1-877-449-5659 (toll free) 
and (410) 786-9379 (local).
    Web Sites: Please search the CMS Web site at http://www.cms.hhs.gov/FACA/05_AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage in order to obtain the 
following:
     Additional information on the APC meeting agenda topics,
     Updates to the Panel's activities,
     Copies of the current Charter, and
     Membership requirements.

SUPPLEMENTARY INFORMATION:

I. Background

    The Secretary of the Department of Health and Human Services (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 Ambulatory Payment Classification (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 concerning the clinical integrity of the groups and their 
associated weights. All members must have technical expertise that 
enables 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, Current 
Procedural Terminology (CPT) codes, and the use and payment of drugs 
and medical devices in the outpatient setting, as well as other forms 
of relevant expertise. Details regarding membership requirements for 
the APC Panel can be found on the CMS Web site as listed above under 
Web sites.
    We will consider the technical advice provided by the Panel as we 
prepare the final rule that updates the hospital Outpatient Prospective 
Payment System (OPPS) for CY 2007.
    The Panel presently consists of the following members:

 E.L. Hambrick, M.D., J.D., Chair.
 Marilyn Bedell, M.S., R.N., O.C.N.
 Gloryanne Bryant, B.S., R.H.I.A., R.H.I.T., C.C.S.
 Albert Brooks Einstein, Jr., M.D., F.A.C.P.
 Hazel Kimmel, R.N., C.C.S., C.P.C.
 Sandra J. Metzler, M.B.A., R.H.I.A., C.P.H.Q.
 Thomas M. Munger, M.D., F.A.C.C.
 Frank G. Opelka, M.D., F.A.C.S.
 Louis Potters, M.D., F.A.C.R.
 James V. Rawson, M.D.
 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.
 Kim Allan Williams, M.D., F.A.C.C., F.A.B.C.
 Robert Matthew Zwolak, M.D., Ph.D., F.A.C.S.

II. Agenda

    The agenda for the August 2006 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 device 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.
     Other technical issues concerning APC structure.
    The subject matter before the Panel shall be limited to these and 
related topics. Issues related to calculation of the OPPS conversion 
factor, charge compression, pass-through payments, or wage adjustments 
are not related to the subject matter that the Panel reviews.
    The Panel may use data collected or developed by entities and 
organizations, other than DHHS and CMS, in conducting its review.

III. Written Comments and Suggested Agenda Topics

    Send hardcopy written comments and suggested agenda topics to the 
DFO at the address indicated above. These items must be received by the 
DFO by 5 p.m. (e.d.t.), Wednesday, August 2, 2006.
    Written comments and suggested agenda topics for the August 2006 
APC Panel meeting must fall within the subject categories outlined in 
the Panel's Charter as listed in the Agenda section of this notice.

IV. Oral Presentations

    Individuals or organizations wishing to make 5-minute oral 
presentations must submit hardcopies of their presentations to the DFO 
by 5 p.m. (e.d.t.), Wednesday, August 2, 2006, in order to be 
considered.
    The number of oral presentations may be limited by the time 
available. Oral presentations should 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 Information

    All presenters must submit Form CMS-20017. Hardcopies are required 
for oral presentations; however, electronic submissions of Form CMS-
20017 are optional. The DFO must receive the following information from 
those wishing to make oral presentations:
     Form CMS-20017 completed with all pertinent information 
identified on the first page of the presentation.
     Hardcopy of presentation.
     Electronic copy of presentation.

(Those wishing to submit comments only must send hard-copy and 
electronic versions of their comments, but they are not required to 
submit Form CMS-20017.)

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 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.

[[Page 36120]]

    Persons wishing to attend this meeting, which is located on Federal 
property, must e-mail the Panel DFO to register in advance no later 
than 5 p.m. (e.d.t.), Wednesday, August 9, 2006. A confirmation will be 
sent to the requester(s) via return e-mail.
    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, etc., 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. (Note: 
Presenters must also be registered for attendance at the meeting.) The 
public may enter the building 30-45 minutes before the meeting convenes 
each day. (The meeting on Wednesday, August 23, 2006, convenes at 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 9, 2006.

    Authority: Section 1833(t)(9) of the Act (42 U.S.C. 13951(t)). 
The Panel is governed by the provisions of Public Law 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 16, 2006.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
 [FR Doc. E6-9905 Filed 6-22-06; 8:45 am]
BILLING CODE 4120-01-P