80_FR_10729 80 FR 10690 - Medicare Program: Notice of Four Membership Appointments to the Advisory Panel on Hospital Outpatient Payment

80 FR 10690 - Medicare Program: Notice of Four Membership Appointments to the Advisory Panel on Hospital Outpatient Payment

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 80, Issue 39 (February 27, 2015)

Page Range10690-10691
FR Document2015-04175

This notice announces four new membership appointments to the Advisory Panel on Hospital Outpatient Payment (the Panel). The four new appointments to the Panel will each serve a four-year period. The new members have terms that began on January 14, 2015 and continue through January 31, 2019. 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 concerning the clinical integrity of the Ambulatory Payment Classification groups and their relative payment weights. The Panel also addresses and makes recommendations regarding supervision of hospital outpatient services. The advice provided by the Panel will be considered as we prepare the annual updates for the hospital outpatient prospective payment system.

Federal Register, Volume 80 Issue 39 (Friday, February 27, 2015)
[Federal Register Volume 80, Number 39 (Friday, February 27, 2015)]
[Notices]
[Pages 10690-10691]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-04175]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1636-N]


Medicare Program: Notice of Four Membership Appointments to the 
Advisory Panel on Hospital Outpatient Payment

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

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice announces four new membership appointments to the 
Advisory Panel on Hospital Outpatient Payment (the Panel). The four new 
appointments to the Panel will each serve a four-year period. The new 
members have terms that began on January 14, 2015 and continue through 
January 31, 2019. 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 concerning the clinical 
integrity of the Ambulatory Payment Classification groups and their 
relative payment weights. The Panel also addresses and makes 
recommendations regarding supervision of hospital outpatient services. 
The advice provided by the Panel will be considered as we prepare the 
annual updates for the hospital outpatient prospective payment system.

DATES: March 30, 2015.

ADDRESSES: Web site: For additional information on the Panel meeting 
dates, agenda topics, copy of the charter, 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: Designated Federal Official (DFO): 
Carol Schwartz, DFO, 7500 Security Boulevard, Mail Stop: C4-04-25, 
Woodlawn, MD 21244-1850. Phone: (410) 786-3985. Email: 
APCPanel@cms.hhs.gov.

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) (42 U.S.C. 1395l(t)(9)(A)) and is allowed by section 222 
of the Public Health Service Act (PHS Act) (42 U.S.C. 217(a)) to 
consult with an expert outside advisory panel on the clinical integrity 
of the Ambulatory Payment Classification groups and relative payment 
weights, which are major elements 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 Charter provides 
that the Panel shall 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 15 members who are 
full-time employees of hospitals, hospital systems, or other Medicare 
providers. The Secretary or a designee selects the Panel membership 
based upon either self-nominations or nominations submitted by Medicare 
providers and other interested organizations. New appointments are made 
in a manner that ensures a balanced membership under the FACA 
guidelines.
    The Panel presently consists of the following members and a Chair.

 Edith Hambrick, M.D., J.D., Chair, CMS Medical Officer
 Karen Borman, M.D., F.A.C.S.
 Jim Nelson, M.B.A., C.P.A., F.H.F.M.A.
 Leah Osbahr, M.A., M.P.H.
 Jacqueline Phillips
 Johnathan Pregler, M.D.
 Traci Rabine
 Michael Rabovsky, M.D.
 Wendy Resnick, F.H.F.M.A.
 Marianna V. Spanaki-Varelas, M.D., Ph.D., M.B.A.
 Gale Walker
 Kris Zimmer

II. Provisions of the Notice

    We published a notice in the Federal Register on September 23, 
2014, entitled ``Medicare Program; Solicitation of Nominations to the 
Advisory Panel on Hospital Outpatient Payment (79 FR 56808). The notice 
solicited nominations for up to four new members to fill the vacancies 
on the

[[Page 10691]]

Panel beginning September 30, 2014. As a result of that notice, we are 
announcing four new members to the Panel. The Panel currently consists 
of 11 members. The four new Panel members appointments are for four-
year terms beginning on January 14, 2015.

New Appointments to the Panel

    The four new members of the Panel with terms beginning on January 
14, 2015 and continuing through January 31, 2019 are as follows:

 Dawn L. Francis, M.D.
 Ruth Lande
 Michael K. Schroyer
 Norman B. Thomson III, M.D.

III. Collection of Information Requirements

    This document does not impose information collection requirements, 
that is, reporting, recordkeeping or third-party disclosure 
requirements. Consequently, there is no need for review by the Office 
of Management and Budget under the authority of the Paperwork Reduction 
Act of 1995 (44 U.S.C. 35).

    Dated: February 18, 2015.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2015-04175 Filed 2-26-15; 8:45 am]
BILLING CODE 4120-01-P



                                                  10690                         Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Notices

                                                  who can represent these interests. Any                   Dated: February 23, 2015.                            I. Background
                                                  interested organization or person may                   Marilyn Tavenner,                                        The Secretary of the Department of
                                                  nominate one or more qualified persons.                 Administrator, Centers for Medicare &                 Health and Human Services (the
                                                     Each nomination must include a letter                Medicaid Services.                                    Secretary) is required by section
                                                  stating that the nominee has expressed                  [FR Doc. 2015–04174 Filed 2–26–15; 8:45 am]           1833(t)(9)(A) of the Social Security Act
                                                  a willingness to serve as a Panel                       BILLING CODE 4120–01–P                                (the Act) (42 U.S.C. 1395l(t)(9)(A)) and
                                                  member and must be accompanied by a                                                                           is allowed by section 222 of the Public
                                                  curricula vitae and a brief biographical                                                                      Health Service Act (PHS Act) (42 U.S.C.
                                                  summary of the nominee’s experience.                    DEPARTMENT OF HEALTH AND                              217(a)) to consult with an expert outside
                                                     While we are looking for experts in a                HUMAN SERVICES                                        advisory panel on the clinical integrity
                                                  number of fields, our most critical needs                                                                     of the Ambulatory Payment
                                                  are for experts in aging, social media,                 Centers for Medicare & Medicaid
                                                                                                                                                                Classification groups and relative
                                                  tribal affairs, matters of labor and                    Services
                                                                                                                                                                payment weights, which are major
                                                  retirement, health economics research,                  [CMS–1636–N]                                          elements of the Medicare Hospital
                                                  behavioral health, health insurers and                                                                        Outpatient Prospective Payment System
                                                  plans, direct patient care, racial/ethnic               Medicare Program: Notice of Four                      (OPPS), and the appropriate supervision
                                                  health/disparities, disability, quality,                Membership Appointments to the                        level for hospital outpatient services.
                                                  pharmacy, social work, rural health,                    Advisory Panel on Hospital Outpatient                 The Panel is governed by the provisions
                                                  CHIP, and state programs/Medicaid.                      Payment                                               of the Federal Advisory Committee Act
                                                     We are requesting that all curricula                 AGENCY:  Centers for Medicare &                       (FACA) (Pub. L. 92–463), as amended (5
                                                  vitae include the following:                            Medicaid Services (CMS), Department                   U.S.C. Appendix 2), which sets forth
                                                  • Date of birth                                         of Health and Human Services (HHS).                   standards for the formation and use of
                                                  • Place of birth                                        ACTION: Notice.
                                                                                                                                                                advisory panels. The Panel Charter
                                                  • Title and current position                                                                                  provides that the Panel shall meet up to
                                                  • Professional affiliation                              SUMMARY:   This notice announces four                 three times annually. We consider the
                                                  • Home and business address                             new membership appointments to the                    technical advice provided by the Panel
                                                                                                          Advisory Panel on Hospital Outpatient                 as we prepare the proposed and final
                                                  • Telephone and fax numbers
                                                                                                          Payment (the Panel). The four new                     rules to update the OPPS for the
                                                  • Email address
                                                                                                          appointments to the Panel will each                   following calendar year.
                                                  • List of areas of expertise                                                                                     The Panel shall consist of a chair and
                                                                                                          serve a four-year period. The new
                                                  Phone interviews of nominees may also                   members have terms that began on                      up to 15 members who are full-time
                                                  be requested after review of the                        January 14, 2015 and continue through                 employees of hospitals, hospital
                                                  nominations.                                            January 31, 2019. The purpose of the                  systems, or other Medicare providers.
                                                     In order to permit an evaluation of                  Panel is to advise the Secretary of the               The Secretary or a designee selects the
                                                  possible sources of conflict of interest,               Department of Health and Human                        Panel membership based upon either
                                                  potential candidates will be asked to                   Services and the Administrator of the                 self-nominations or nominations
                                                  provide detailed information concerning                 Centers for Medicare & Medicaid                       submitted by Medicare providers and
                                                  such matters as financial holdings,                     Services concerning the clinical                      other interested organizations. New
                                                  consultancies, and research grants or                   integrity of the Ambulatory Payment                   appointments are made in a manner that
                                                  contracts.                                              Classification groups and their relative              ensures a balanced membership under
                                                     Members are invited to serve for 2-                  payment weights. The Panel also                       the FACA guidelines.
                                                  year terms, contingent upon the renewal                 addresses and makes recommendations                      The Panel presently consists of the
                                                  of the APOE by appropriate action prior                 regarding supervision of hospital                     following members and a Chair.
                                                  to its termination. A member may serve                  outpatient services. The advice                       • Edith Hambrick, M.D., J.D., Chair,
                                                  after the expiration of that member’s                   provided by the Panel will be                            CMS Medical Officer
                                                  term until a successor takes office. Any                considered as we prepare the annual                   • Karen Borman, M.D., F.A.C.S.
                                                  member appointed to fill a vacancy for                  updates for the hospital outpatient                   • Jim Nelson, M.B.A., C.P.A.,
                                                  an unexpired term shall be appointed                    prospective payment system.                              F.H.F.M.A.
                                                  for the remainder of that term.                         DATES: March 30, 2015.                                • Leah Osbahr, M.A., M.P.H.
                                                  III. Copies of the Charter                              ADDRESSES: Web site: For additional                   • Jacqueline Phillips
                                                                                                          information on the Panel meeting dates,               • Johnathan Pregler, M.D.
                                                     The Secretary’s Charter for the APOE                 agenda topics, copy of the charter, and               • Traci Rabine
                                                  is available on the CMS Web site at:                    updates to the Panel’s activities, we                 • Michael Rabovsky, M.D.
                                                  http://www.cms.gov/Regulations-and-                     refer readers to our Web site at the                  • Wendy Resnick, F.H.F.M.A.
                                                  Guidance/Guidance/FACA/APOE.html                        following address: https://                           • Marianna V. Spanaki-Varelas, M.D.,
                                                  or you may obtain a copy of the charter                 www.cms.gov/Regulations-and-                             Ph.D., M.B.A.
                                                  by submitting a request to the contact                  Guidance/Guidance/FACA/Advisory                       • Gale Walker
                                                  listed in the FOR FURTHER INFORMATION                   PanelonAmbulatoryPayment                              • Kris Zimmer
                                                  CONTACT section of this notice.
                                                                                                          ClassificationGroups.html.                            II. Provisions of the Notice
                                                    Authority: Sec. 222 of the Public Health              FOR FURTHER INFORMATION CONTACT:
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                                                  Service Act (42 U.S.C. 217a) and sec. 10(a)                                                                     We published a notice in the Federal
                                                                                                          Designated Federal Official (DFO): Carol              Register on September 23, 2014, entitled
                                                  of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 10(a)
                                                                                                          Schwartz, DFO, 7500 Security                          ‘‘Medicare Program; Solicitation of
                                                  and 41 CFR 102–3).
                                                                                                          Boulevard, Mail Stop: C4–04–25,                       Nominations to the Advisory Panel on
                                                  (Catalog of Federal Domestic Assistance                 Woodlawn, MD 21244–1850. Phone:
                                                  Program No. 93.733, Medicare—Hospital                                                                         Hospital Outpatient Payment (79 FR
                                                                                                          (410) 786–3985. Email: APCPanel@                      56808). The notice solicited
                                                  Insurance Program; and Program No. 93.774,
                                                                                                          cms.hhs.gov.                                          nominations for up to four new
                                                  Medicare—Supplementary Medical
                                                  Insurance Program)                                      SUPPLEMENTARY INFORMATION:                            members to fill the vacancies on the


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                                                                                Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Notices                                         10691

                                                  Panel beginning September 30, 2014. As                  responses to our specific preliminary                    • April 30, 2015 for the May 7, 2015
                                                  a result of that notice, we are                         recommendations and will include all                  and May 8, 2015 public meetings.
                                                  announcing four new members to the                      items on the public meeting agenda.                      • May 14, 2015 for the May 21, 2015
                                                  Panel. The Panel currently consists of                  (Please note that two of CMS’ 2015                    and May 22, 2015 public meeting dates.
                                                  11 members. The four new Panel                          HCPCS public meetings have a late                        • May 20, 2015 for the May 27, 2015
                                                  members appointments are for four-year                  starting time.)                                       public meeting date.
                                                  terms beginning on January 14, 2015.                    DATES: Meeting Dates: The following are                  Deadlines for Requesting Special
                                                                                                          the 2015 HCPCS public meeting dates:                  Accommodations: Individuals who plan
                                                  New Appointments to the Panel                                                                                 to attend the public meetings and
                                                                                                             1. Thursday, May 7, 2015, 12 p.m.
                                                    The four new members of the Panel                     (noon) to 5 p.m. eastern daylight time                require sign-language interpretation or
                                                  with terms beginning on January 14,                     (e.d.t.) (Drugs/Biologicals/                          other special assistance must request
                                                  2015 and continuing through January                     Radiopharmaceuticals/Radiologic                       these services by the following
                                                  31, 2019 are as follows:                                Imaging Agents).                                      deadlines:
                                                  • Dawn L. Francis, M.D.                                    2. Friday, May 8, 2015, 9 a.m. to 5                   • April 23, 2015 for the May 7, 2015
                                                  • Ruth Lande                                            p.m. eastern daylight time (e.d.t.)                   and May 8, 2015 public meetings.
                                                  • Michael K. Schroyer                                   (Drugs/Biologicals/                                      • May 7, 2015 for the May 21, 2015
                                                  • Norman B. Thomson III, M.D.                           Radiopharmaceuticals/Radiologic                       and May 22, 2015 public meetings.
                                                  III. Collection of Information                          Imaging Agents).                                         • May 13, 2015 for the May 27, 2015
                                                  Requirements                                               3. Thursday, May 21, 2015, 10 a.m..                public meeting.
                                                                                                          to 5 p.m. eastern daylight time (e.d.t.)                 Deadline for Submission of Written
                                                     This document does not impose                        (Supplies and Other).                                 Comments: Written comments and other
                                                  information collection requirements,                       4. Friday, May 22, 2015, 9 a.m. to 5               documentation in response to a
                                                  that is, reporting, recordkeeping or                    p.m. eastern daylight time (e.d.t.)                   preliminary coding or payment
                                                  third-party disclosure requirements.                    (Supplies and Other).                                 determination that are received by no
                                                  Consequently, there is no need for                         5. Wednesday, May 27, 2015, 9 a.m.                 later than the date of the public meeting
                                                  review by the Office of Management and                  to 5 p.m. e.d.t. Durable Medical                      at which the code request is scheduled
                                                  Budget under the authority of the                       Equipment (DME) and Accessories; and                  for discussion, will be considered in
                                                  Paperwork Reduction Act of 1995 (44                     Orthotics and Prosthetics (O&P).                      formulating a final coding decision.
                                                  U.S.C. 35).                                                Deadlines for Primary Speaker                      ADDRESSES:
                                                   Dated: February 18, 2015.                              Registration and Presentation Materials:                 Meeting Location: The public
                                                  Marilyn Tavenner,                                       The deadline for registering to be a                  meetings will be held in the main
                                                  Administrator, Centers for Medicare &                   primary speaker and submitting                        auditorium of the central building of the
                                                  Medicaid Services.                                      materials and writings that will be used              Centers for Medicare and Medicaid
                                                  [FR Doc. 2015–04175 Filed 2–26–15; 8:45 am]             in support of an oral presentation are as             Services, 7500 Security Boulevard,
                                                  BILLING CODE 4120–01–P
                                                                                                          follows:                                              Baltimore, MD 21244–1850.
                                                                                                             • April 22, 2015 for the May 7, 2015                  Submission of Written Comments:
                                                                                                          and May 8, 2015 public meetings.                      Written comments may either be
                                                  DEPARTMENT OF HEALTH AND                                   • May 7, 2015 for the May 21, 2015                 emailed to HCPCS@cms.hhs.gov or sent
                                                  HUMAN SERVICES                                          and May 22, 2015 public meetings.                     via regular mail to Jennifer Carver,
                                                                                                             • May 13, 2015 for the May 27, 2015
                                                                                                                                                                HCPCS Public Meeting Coordinator,
                                                  Centers for Medicare & Medicaid                         public meeting.
                                                                                                                                                                Centers for Medicare & Medicaid
                                                  Services                                                   Registration Deadline for Attendees
                                                                                                                                                                Services, 7500 Security Boulevard, Mail
                                                                                                          That are Foreign Nationals: Attendees
                                                  [CMS–1465–N]                                                                                                  Stop C5–08–27, Baltimore, MD 21244–
                                                                                                          that are foreign nationals (as described
                                                                                                                                                                1850.
                                                                                                          in section IV. of this notice) are required
                                                  Medicare Program; Public Meetings in                                                                             Registration and Special
                                                                                                          to identify themselves as such, and
                                                  Calendar Year 2015 for All New Public                                                                         Accommodations: Individuals wishing
                                                                                                          provide the necessary information for
                                                  Requests for Revisions to the                                                                                 to participate or who need special
                                                                                                          security clearance (as described in
                                                  Healthcare Common Procedure Coding                                                                            accommodations or both must register
                                                                                                          section IV. of this notice) to the public
                                                  System (HCPCS) Coding and Payment                                                                             by completing the on-line registration
                                                                                                          meeting coordinator at least 12 business
                                                  Determinations                                                                                                located at www.cms.hhs.gov/
                                                                                                          days in advance of the date of the public
                                                                                                                                                                medhcpcsgeninfo or by contacting
                                                  AGENCY: Centers for Medicare &                          meeting the individual plans to attend.
                                                                                                                                                                Jennifer Carver at (410) 786–6610 or
                                                  Medicaid Services (CMS), HHS.                           Therefore, the registration deadlines for
                                                                                                                                                                Jennifer.Carver@cms.hhs.gov.
                                                  ACTION: Notice.                                         attendees that are foreign nationals are
                                                                                                          as follows:                                           FOR FURTHER INFORMATION CONTACT:
                                                  SUMMARY:   This notice announces the                       • April 20, 2015 for the May 7, 2015               Jennifer Carver at (410)786–6610 or
                                                  dates, time, and location of the                        and May 8, 2015 public meetings.                      Jennifer.Carver@cms.hhs.gov.
                                                  Healthcare Common Procedure Coding                         • May 5, 2015 for the May 21, 2015                 SUPPLEMENTARY INFORMATION:
                                                  System (HCPCS) public meetings to be                    and May 22, 2015 public meetings.
                                                  held in calendar year 2015 to discuss                      • May 11, 2015 for the May 27, 2015                I. Background
                                                  our preliminary coding and payment                      public meeting.                                         On December 21, 2000, the Congress
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  determinations for all new public                          Registration Deadlines for all Other               passed the Medicare, Medicaid, and
                                                  requests for revisions to the HCPCS.                    Attendees: All individuals who are not                SCHIP Benefits Improvement and
                                                  These meetings provide a forum for                      foreign nationals who plan to enter the               Protection Act of 2000 (BIPA) (Pub. L.
                                                  interested parties to make oral                         building to attend the public meeting                 106–554). Section 531(b) of BIPA
                                                  presentations or to submit written                      must register for each date that they                 mandated that we establish procedures
                                                  comments in response to preliminary                     plan on attending. The registration                   that permit public consultation for
                                                  coding and payment determinations.                      deadlines are different for each meeting.             coding and payment determinations for
                                                  The discussion will be focused on                       Registration deadlines are as follows:                new durable medical equipment (DME)


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Document Created: 2015-12-18 13:14:21
Document Modified: 2015-12-18 13:14:21
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesMarch 30, 2015.
ContactDesignated Federal Official (DFO): Carol Schwartz, DFO, 7500 Security Boulevard, Mail Stop: C4-04-25, Woodlawn, MD 21244-1850. Phone: (410) 786-3985. Email: [email protected]
FR Citation80 FR 10690 

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