[Federal Register Volume 76, Number 58 (Friday, March 25, 2011)]
[Notices]
[Pages 16788-16789]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-6811]


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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.

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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: http://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: [email protected] 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 [email protected], 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