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Notice

Medicare Program; Announcement of Five New Members to the Advisory Panel on Ambulatory Payment Classification Groups

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Information about this document as published in the Federal Register.

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AGENCY:

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

ACTION:

Notice.

SUMMARY:

This notice announces five new members selected to serve on the Advisory Panel on Ambulatory Payment Classification (APC) Groups (the Panel). The purpose of the Panel is to review the APC groups and their associated weights and to advise the Secretary of Department of Health and Human Services (the Secretary) and the Administrator of Centers for Medicare & Medicaid Services concerning the clinical integrity of the APC groups and their associated weights. We will consider the Panel's advice as we prepare the annual updates of the hospital outpatient prospective payment system (OPPS).

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FOR FURTHER INFORMATION CONTACT:

For inquiries about the Panel, contact the Designated Federal Official (DFO): Shirl Ackerman-Ross, (410) 786-4474.

APC Panel E-Mail Address: The E-mail address for the Panel is as follows: CMS APCPanel@cms.hhs.gov (Note: There is no underscore in this e-mail address; there is a space between CMS and APCPanel.)

News Media Contact: News media representatives must contact our Public Affairs Office at (202) 690-6145.

CMS Advisory Committees Hotlines: The CMS Federal Advisory Committee Hotline is 1-877-449-5659 (toll free) and (410) 786-9379 (local) for additional Panel information.

Web Sites: For additional information regarding the APC Panel membership, meetings, agendas, and updates to the Panel's activities, search our Web site at the following Uniform Resource Locator (URL): http://www.cms.hhs.gov/​FACA/​05_​AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage. (Note: There is an underscore after FACA/05 (like this_); there is no space.)

The public may also access the following URL for the Federal Advisory Committee Act Web site to obtain APC Panel information: https://www.fido.gov/​facadatabase/​public.asp. A copy of the Panel's Charter and other pertinent information are on both Web sites mentioned above. You may also e-mail the Panel DFO at the above e-mail address for a copy of the Charter.

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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 Social Security Act (the 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 Start Printed Page 51466components of the Medicare hospital outpatient prospective payment system (OPPS).

The APC Panel meets up to three times annually. The Charter requires that the Panel must be fairly balanced in its membership in terms of the points of view represented and the functions to be performed. 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 the Administrator of the Centers for Medicare & Medicaid Services (the 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 work of the Panel. This expertise encompasses hospital payment systems; hospital medical-care delivery systems; provider billing systems; APC groups, Current Procedural Terminology codes, and alpha-numeric Healthcare Common Procedure Coding System codes; and the use of, and payment for, drugs and medical devices in the outpatient setting, as well as other forms of relevant expertise.

The Charter requires that all members have a minimum of 5 years experience in their area(s) of expertise, but it is not necessary that any member be an expert in all of the areas listed above. For purposes of this Panel, consultants and independent contractors are not considered as representatives of providers. A Panel member may serve up to a 4-year term. A member may serve after the expiration of his or her term until a successor has been sworn in. All terms are contingent upon the renewal of the Panel by appropriate action before its termination. The Secretary re-chartered the APC Panel effective November 21, 2008.

II. Announcement of New Members

The Panel may consist of a Chair and up to 15 Panel members who serve without compensation, according to an advance written agreement. Travel, meals, lodging, and related expenses for the meeting are reimbursed in accordance with standard Government travel regulations. We have a special interest in ensuring that women, minorities, representatives from various geographical locations, and the physically challenged are adequately represented on the Panel.

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.

The Panel presently consists of the following 15 members and a Chair: (The asterisk [*] indicates a Panel member whose term expires on September 30, 2010.)

  • Edith Hambrick, M.D., J.D., Chair
  • Ruth L. Bush, M.D., M.P.H.
  • Dawn L. Francis, M.D., M.H.S.
  • Kathleen M. Graham, R.N., M.S.H.A., C.P.H.Q.
  • Patrick Grusenmeyer, Sc.D., M.P.A., F.A.C.H.
  • David Halsey, M.D.
  • Judith T. Kelly, B.S.H.A., R.H.I.T., R.H.I.A., C.C.S.
  • Michael D. Mills, Ph.D., M.S.P.H.*
  • Agatha L. Nolen, D.Ph., M.S., F.A.S.H.P.
  • Randall A. Oyer, M.S.
  • Beverly Khnie Philip, M.D.*
  • Daniel Pothen, M.S., R.H.I.A., CPHIMS, CCS, CCS-P, CHC
  • Gregory J. Przybylski, M.D.
  • Russ Ranallo, M.S.*
  • Michael A. Ross, M.D., F.A.C.E.P.*
  • Patricia Spencer-Cisek, M.S., A.P.R.N.-BC, A.O.C.N.®*

On March 26, 2010, we published a notice in the Federal Register entitled “Medicare Program; Request for Nominations to the Advisory Panel on Ambulatory Payment Classification Groups” (CMS-1570-N) requesting nominations to the Panel replacing Panel members whose terms would expire on September 30, 2010. As a result of that Federal Register notice, we are announcing five new members to the Panel. All five appointments are for 4-year terms commencing on October 1, 2010, as indicated below:

New panel membersTerms
• Kari S. Cornicelli, C.P.A., FHFMA10/1/2010 through 9/30/2014.
• Brian D. Kavanagh, M.D., M.P.H10/1/2010 through 9/30/2014.
• Scott Manaker, M.D., PhD10/1/2010 through 9/30/2014.
• John Marshall, C.R.A., R.C.C., RT ®10/1/2010 through 9/30/2014.
• Neville B. Sarkari, M.D., FACP10/1/2010 through 9/30/2014.

(Note: Dr. Kavanagh replaces Dr. Mills; Dr. Manaker replaces Dr. Philip; Dr. Sarkari replaces Dr. Ross; Ms. Cornicelli replaces Mr. Ranallo; and Mr. Marshall replaces Ms. Spencer-Cisek. They will all take the Oaths of Office at the winter 2011 APC Panel meeting. Therefore, the current APC Panel members are all invited to attend the 2010 late summer meeting since the new members' terms do not begin until October 1, 2010.)

III. 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.

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

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Dated: August 11, 2010.

Donald M. Berwick,

Administrator, Centers for Medicare & Medicaid Services.

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[FR Doc. 2010-20306 Filed 8-19-10; 8:45 am]

BILLING CODE 4120-01-P