81_FR_32039 81 FR 31941 - Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment (the Panel) Meeting on August 22-23, 2016 and Announcement of Transition to One Meeting of the Panel Per Year

81 FR 31941 - Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment (the Panel) Meeting on August 22-23, 2016 and Announcement of Transition to One Meeting of the Panel Per Year

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

Federal Register Volume 81, Issue 98 (May 20, 2016)

Page Range31941-31943
FR Document2016-11949

This notice announces the summer meeting of the Advisory Panel on Hospital Outpatient Payment (the Panel) for 2016. It also announces that the Panel will begin meeting once a year in the summer, beginning in Calendar Year 2017. Currently, the Panel convenes twice yearly. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services (DHHS) (the Secretary) and the Administrator of the Centers for Medicare & Medicaid Services (CMS) (the Administrator) on the clinical integrity of the Ambulatory Payment Classification (APC) groups and their associated weights and hospital outpatient therapeutic services supervision issues.

Federal Register, Volume 81 Issue 98 (Friday, May 20, 2016)
[Federal Register Volume 81, Number 98 (Friday, May 20, 2016)]
[Notices]
[Pages 31941-31943]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-11949]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1665-N]


Medicare Program; Announcement of the Advisory Panel on Hospital 
Outpatient Payment (the Panel) Meeting on August 22-23, 2016 and 
Announcement of Transition to One Meeting of the Panel Per Year

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

ACTION: Notice.

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

SUMMARY: This notice announces the summer meeting of the Advisory Panel 
on Hospital Outpatient Payment (the Panel) for 2016. It also announces 
that the Panel will begin meeting once a year in the summer, beginning 
in Calendar Year 2017. Currently, the Panel convenes twice yearly. The 
purpose of the Panel is to advise the Secretary of the Department of 
Health and Human Services (DHHS) (the Secretary) and the Administrator 
of the Centers for Medicare & Medicaid Services (CMS) (the 
Administrator) on the clinical integrity of the Ambulatory Payment 
Classification (APC) groups and their associated weights and hospital 
outpatient therapeutic services supervision issues.

DATES: Meeting Dates: The second semi-annual meeting in 2016 is 
scheduled for the following dates and times. The times listed in this 
notice are Eastern Daylight Time (EDT) and are approximate times; 
consequently, the meetings may last longer or be shorter than the times 
listed in this notice, but will not begin before the posted times:
     Monday, August 22, 2016, 9 a.m. to 5 p.m. EDT.
     Tuesday, August 23, 2016, 9 a.m. to 5 p.m. EDT.
    Meeting Information Updates: The actual meeting hours and days will 
be posted in the agenda. As information and updates regarding the 
onsite, webcast and teleconference meeting, and agenda become 
available, they will be posted to the CMS Web site at: http://cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.

Deadlines

Deadline for Presentations and Comments

    Presentations or comments and form CMS-20017, (located at http://www.cms.hhs.gov/cmsforms/downloads/cms20017.pdf) must be received by 5 
p.m. EDT, Friday, July 15, 2016. Presentations and comments that are 
not received by the due date and time will be considered late and will 
not be included on the agenda. In commenting, please refer to file code 
CMS-1665-N.
    Meeting Registration Timeframe: Monday, June 27, 2016, through 
Friday, July 29, 2016 at 5 p.m. EDT.
    Participants planning to attend this meeting in person must 
register online, during the above specified timeframe at: https://www.cms.gov/apps/events/default.asp. On this Web page, double click the 
``Upcoming Events'' hyperlink, and then double click the ``HOP Panel'' 
event title link and enter the required information. Include any 
requests for special accommodations.

    Note:  Participants who do not plan to attend the meeting in 
person should not register. No registration is required for 
participants who plan to view the meeting via webcast.

    Because of staff and resource limitations, we cannot accept 
comments and presentations by facsimile (FAX) transmission.

Meeting Location, Webcast, and Teleconference

    The meeting will be held in the Auditorium, CMS Central Office, 
7500 Security Boulevard, Woodlawn, Maryland 21244-1850. Alternately, 
the public may either view this meeting via a webcast or listen by 
teleconference. During the scheduled meeting, webcasting is accessible 
online at: http://cms.gov/live. Teleconference dial-in information will 
appear on the final meeting agenda, which will be posted on the CMS Web 
site when available at: http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.

News Media

    Representatives must contact our Public Affairs Office at (202) 
690-6145.

Advisory Committees' Information Lines

    The phone number for the CMS Federal Advisory Committee Hotline is 
(410) 786-3985.

[[Page 31942]]

Web Sites

    For additional information on the Panel and updates to the Panel's 
activities, we refer readers to view our Web site at: http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.
    Information about the Panel and its membership in the Federal 
Advisory Committee Act (FACA) database are also located at: http://facadatabase.gov/.

FOR FURTHER INFORMATION CONTACT: Carol Schwartz, Designated Federal 
Official (DFO), 7500 Security Boulevard, Mail Stop: C4-04-25, Woodlawn, 
MD 21244-1850. Phone: (410) 786-3985. Email: [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    The Secretary of the Department of Health and Human Services (DHHS) 
(the Secretary) is required by section 1833(t)(9)(A) of the Social 
Security Act (the Act) and is allowed by section 222 of the Public 
Health Service Act (PHS Act) to consult with an expert outside panel, 
that is, the Advisory Panel on Hospital Outpatient Payment (the Panel) 
regarding the clinical integrity of the Ambulatory Payment 
Classification (APC) groups and relative payment weights. The Panel is 
governed by the provisions of the Federal Advisory Committee Act (Pub. 
L. 92-463), as amended (5 U.S.C. Appendix 2), to set forth standards 
for the formation and use of advisory panels. We consider the technical 
advice provided by the Panel as we prepare the proposed and final rules 
to update the hospital outpatient prospective payment system (OPPS). 
The Panel (formerly the Advisory Panel on Ambulatory Payment 
Classification Groups) was originally chartered on November 21, 2000, 
and most recently re-chartered on November 6, 2014. The Panel Charter 
provides that the Panel shall meet up to 3 times annually. The first 
meeting of the Panel (was in Calendar Year (CY) 2001). For CY 2001 and 
2002, the Panel convened once a year. At that time, the OPPS was new 
and there were many issues where the Panel provided important technical 
advice to the Centers for Medicare & Medicaid (CMS). Agendas for these 
2-day meetings were very full and it was decided that two, 2-day 
meetings per year would be warranted to accommodate the workload of the 
Panel. Beginning in CY 2003, the Panel has convened twice yearly, in 
the summer and in the winter. Over time and as the OPPS has matured, 
policies have become more stable and the volume of issues that the 
Panel has been requested to provide technical advice on has decreased 
significantly. The duration of these meetings has decreased 
significantly, with the most recent four meetings each averaging a half 
day or less in length.
    Beginning in CY 2016, new Current Procedural Terminology (CPT) 
codes (effective on January 1 of the following year) are assigned 
status indicators and APC assignments in the OPPS proposed rule instead 
of being first assigned status indicators and APC assignments in the 
final rule. With this process change, stakeholders now provide their 
comments on the status indicators and APC assignments during the 
proposed rule comment period.

II. Panel Meeting Transition to One Meeting of the Panel Per Year

    Beginning in CY 2003 and through CY 2016, we had 13 consecutive 
years of two Panel meetings a year. However, due to a significant 
decline in the volume of requests for technical advice from the Panel, 
beginning in CY 2017, we will transition back to 1 Panel meeting a 
year, which will be scheduled in the summer. Since the summer meeting 
occurs during the comment period for the OPPS proposed rule, we 
anticipate that there will be more requests for technical advice 
including the CMS treatment of new CPT codes, during this meeting than 
during a winter meeting. The winter Panel meeting is no longer 
necessary as a forum to discuss interim final status indicators and APC 
assignments of new codes because this process no longer exists. In CY 
2017 and thereafter, (unless CMS programmatic need suggests otherwise) 
there will not be a winter Panel meeting; there will be only one Panel 
meeting per year that will occur in the summer.

III. Agenda

    The agenda for the August 22 through August 23, 2016 Panel meeting 
will provide for discussion and comment on the following topics as 
designated in the Panel's Charter:
     Addressing whether procedures within an APC group are 
similar both clinically and in terms of resource use.
     Evaluating APC group structure.
     Reviewing the packaging of OPPS services and costs, 
including the methodology and the impact on APC groups and payment.
     Removing procedures from the inpatient-only list for 
payment under the OPPS.
     Using single and multiple procedure claims data for CMS' 
determination of APC group weights.
     Addressing other technical issues concerning APC group 
structure.
     Recommending the appropriate supervision level (general, 
direct, or personal) for individual hospital outpatient therapeutic 
services.
    The Agenda will be posted on the CMS Web site at http://cms.hhs.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html approximately 
1 week before the meeting.

IV. Presentations

    The subject matter of any presentation and/or comment matter must 
be within the scope of the Panel designated in the Charter. Any 
presentations or comments outside of the scope of this Panel will be 
returned or requested for amendment. Unrelated topics include, but are 
not limited to, the conversion factor, charge compression, revisions to 
the cost report, pass-through payments, correct coding, new technology 
applications (including supporting information/documentation), provider 
payment adjustments, supervision of hospital outpatient diagnostic 
services and the types of practitioners that are permitted to supervise 
hospital outpatient services. The Panel may not recommend that services 
be designated as nonsurgical extended duration therapeutic services.
    The Panel may use data collected or developed by entities and 
organizations other than DHHS and CMS in conducting its review. We 
recommend organizations submit data for CMS staff and the Panel's 
review.
    All presentations are limited to 5 minutes, regardless of the 
number of individuals or organizations represented by a single 
presentation. Presenters may use their 5 minutes to represent either 
one or more agenda items.

Section 508 Compliance

    For this meeting, we are aiming to have all presentations and 
comments available on the CMS Web site. Materials on the CMS Web site 
must be Section 508 compliant to ensure access to federal employees and 
members of the public with and without disabilities. We encourage 
presenters and commenters to refer to guidance on making documents 
Section 508 compliant as they draft their submissions, and, whenever 
possible, to submit their presentations and comments in a 508 compliant 
form. Such guidance is available at http://www.cms.gov/Research-Statistics-Data-and-Systems/CMS-Information-Technology/Section508/508-Compliant-doc.html. CMS will review

[[Page 31943]]

presentations and comments for 508 compliance, and place compliant 
materials on its Web site. As resources permit, CMS will also convert 
non-compliant submissions to 508 compliant forms, and offer assistance 
to submitters who wish to make their submissions 508 compliant. All 
non-508 compliant presentations and comments will be shared with the 
public onsite and through the webcast and made available to the public 
upon request.
    Those wishing to access such materials should contact the DFO (the 
DFO's address, email and phone number are provided below).
    In order to consider presentations and/or comments, we will need to 
receive the following:
    1. An email copy of the presentation or comments sent to the DFO 
mailbox, [email protected] or, if unable to submit by email, a hard 
copy sent to the DFO at the address noted under FOR FURTHER INFORMATION 
CONTACT.
    2. Form CMS-20017 with complete contact information that includes 
name, address, phone number, and email addresses for all presenters and 
commenters and a contact person that can answer any questions and or 
provide revisions that are requested for the presentation. Presenters 
and commenters must clearly explain the actions that they are 
requesting CMS to take in the appropriate section of the form. A 
presenter's/commenter's relationship with the organization that they 
represent must also be clearly listed.
     The form is now available through the CMS Forms Web site. 
The Uniform Resource Locator (URL) for linking to this form is as 
follows: http://www.cms.hhs.gov/cmsforms/downloads/cms20017.pdf.
     We encourage presenters to make efforts to ensure that 
their presentations and comments are 508 compliant.

V. Oral Comments

    In addition to formal oral presentations, which are limited to 5 
minutes total per presentation, there will be an opportunity during the 
meeting for public oral comments, which will be limited to 1 minute for 
each individual and a total of 3 minutes per organization.

VI. Meeting Attendance

    The meeting is open to the public; however, attendance is limited 
to space available. Priority will be given to those who pre-register 
and attendance may be limited based on the number of registrants and 
the space available.
    Persons wishing to attend this meeting, which is located on Federal 
property, must register by following the instructions in the ``Meeting 
Registration Timeframe'' section of this notice. A confirmation email 
will be sent to the registrants shortly after completing the 
registration process.

VII. Security, Building, and Parking Guidelines

    The following are the security, building, and parking guidelines:
     Persons attending the meeting, including presenters, must 
be pre-registered and on the attendance list by the prescribed date.
     Individuals who are not pre-registered in advance may not 
be permitted to enter the building and may be unable to attend the 
meeting.
     Attendees must present a government-issued photo 
identification to the Federal Protective Service or Guard Service 
personnel before entering the building. Without a current, valid photo 
ID, persons may not be permitted entry to the building.
     Security measures include inspection of vehicles, inside 
and out, at the entrance to the grounds.
     All persons entering the building must pass through a 
metal detector.
     All items brought into CMS including personal items, for 
example, laptops and cell phones are subject to physical inspection.
     The public may enter the building 30 to 45 minutes before 
the meeting convenes each day.
     All visitors must be escorted in areas other than the 
lower and first-floor levels in the Central Building.
     The main-entrance guards will issue parking permits and 
instructions upon arrival at the building.
     Foreign nationals visiting any CMS facility require prior 
approval. If you are a foreign national and wish to attend the meeting 
onsite, in addition to registering for the meeting, you must also send 
a separate email to [email protected] prior to the close of 
registration to request authorization to attend as a foreign national.

VIII. Special Accommodations

    Individuals requiring special accommodations must include the 
request for these services during registration.

IX. Panel Recommendations and Discussions

    The Panel's recommendations at any Panel meeting generally are not 
final until they have been reviewed and approved by the Panel on the 
last day of the meeting, before the final adjournment. These 
recommendations will be posted to the CMS Web site after the meeting.

X. 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. 3501 et seq.).

    Dated: April 28, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2016-11949 Filed 5-19-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                   Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices                                              31941

                                                  not include any sensitive health                        Commission’s privacy policy, at http://               AmbulatoryPaymentClassification
                                                  information, such as medical records or                 www.ftc.gov/ftc/privacy.htm.                          Groups.html.
                                                  other individually identifiable health
                                                                                                          David C. Shonka,                                      Deadlines
                                                  information. In addition, do not include
                                                                                                          Acting General Counsel.                               Deadline for Presentations and
                                                  any ‘‘[t]rade secret or any commercial or
                                                                                                          [FR Doc. 2016–11952 Filed 5–19–16; 8:45 am]           Comments
                                                  financial information which is . . .
                                                                                                          BILLING CODE 6750–01–P
                                                  privileged or confidential,’’ as discussed
                                                                                                                                                                   Presentations or comments and form
                                                  in section 6(f) of the FTC Act, 15 U.S.C.
                                                                                                                                                                CMS–20017, (located at http://www.
                                                  46(f), and FTC Rule 4.10(a)(2), 16 CFR
                                                                                                          DEPARTMENT OF HEALTH AND                              cms.hhs.gov/cmsforms/downloads/
                                                  4.10(a)(2). In particular, do not include
                                                                                                          HUMAN SERVICES                                        cms20017.pdf) must be received by 5
                                                  competitively sensitive information
                                                                                                                                                                p.m. EDT, Friday, July 15, 2016.
                                                  such as costs, sales statistics,                                                                              Presentations and comments that are not
                                                                                                          Centers for Medicare & Medicaid
                                                  inventories, formulas, patterns, devices,                                                                     received by the due date and time will
                                                                                                          Services
                                                  manufacturing processes, or customer                                                                          be considered late and will not be
                                                  names.                                                  [CMS–1665–N]
                                                                                                                                                                included on the agenda. In commenting,
                                                     If you want the Commission to give                   Medicare Program; Announcement of                     please refer to file code CMS–1665–N.
                                                  your comment confidential treatment,                    the Advisory Panel on Hospital                           Meeting Registration Timeframe:
                                                  you must file it in paper form, with a                  Outpatient Payment (the Panel)                        Monday, June 27, 2016, through Friday,
                                                  request for confidential treatment, and                 Meeting on August 22–23, 2016 and                     July 29, 2016 at 5 p.m. EDT.
                                                  you must follow the procedure                           Announcement of Transition to One                        Participants planning to attend this
                                                  explained in FTC Rule 4.9(c), 16 CFR                    Meeting of the Panel Per Year                         meeting in person must register online,
                                                  4.9(c). Your comment will be kept
                                                                                                          AGENCY:  Centers for Medicare &                       during the above specified timeframe at:
                                                  confidential only if the FTC General                                                                          https://www.cms.gov/apps/events/
                                                  Counsel, in his or her sole discretion,                 Medicaid Services (CMS), Department
                                                                                                          of Health and Human Services (HHS).                   default.asp. On this Web page, double
                                                  grants your request in accordance with                                                                        click the ‘‘Upcoming Events’’ hyperlink,
                                                  the law and the public interest. Postal                 ACTION: Notice.
                                                                                                                                                                and then double click the ‘‘HOP Panel’’
                                                  mail addressed to the Commission is                     SUMMARY:    This notice announces the                 event title link and enter the required
                                                  subject to delay due to heightened                      summer meeting of the Advisory Panel                  information. Include any requests for
                                                  security screening. As a result, the                    on Hospital Outpatient Payment (the                   special accommodations.
                                                  Commission encourages you to submit                     Panel) for 2016. It also announces that                  Note: Participants who do not plan to
                                                  your comments online. To make sure                      the Panel will begin meeting once a year              attend the meeting in person should not
                                                  that the Commission considers your                      in the summer, beginning in Calendar                  register. No registration is required for
                                                  online comment, you must file it at                     Year 2017. Currently, the Panel                       participants who plan to view the meeting
                                                  https://ftcpublic.commentworks.com/                     convenes twice yearly. The purpose of                 via webcast.
                                                  ftc/contactlensrulepra by following the                 the Panel is to advise the Secretary of
                                                  instructions on the Web-based form. If                                                                           Because of staff and resource
                                                                                                          the Department of Health and Human
                                                  this Notice appears at http://                                                                                limitations, we cannot accept comments
                                                                                                          Services (DHHS) (the Secretary) and the
                                                  www.regulations.gov, you also may file                                                                        and presentations by facsimile (FAX)
                                                                                                          Administrator of the Centers for
                                                  a comment through that Web site.                                                                              transmission.
                                                                                                          Medicare & Medicaid Services (CMS)
                                                     If you file your comment on paper,                   (the Administrator) on the clinical                   Meeting Location, Webcast, and
                                                  write ‘‘Contact Lens Rule: FTC File No.                 integrity of the Ambulatory Payment                   Teleconference
                                                  P054510’’ on your comment and on the                    Classification (APC) groups and their
                                                                                                          associated weights and hospital                         The meeting will be held in the
                                                  envelope, and mail it to the following
                                                                                                          outpatient therapeutic services                       Auditorium, CMS Central Office, 7500
                                                  address: Federal Trade Commission,
                                                                                                          supervision issues.                                   Security Boulevard, Woodlawn,
                                                  Office of the Secretary, 600                                                                                  Maryland 21244–1850. Alternately, the
                                                  Pennsylvania Avenue NW., Suite CC–                      DATES: Meeting Dates: The second semi-
                                                                                                                                                                public may either view this meeting via
                                                  5610, (Annex J), Washington, DC 20580,                  annual meeting in 2016 is scheduled for
                                                                                                                                                                a webcast or listen by teleconference.
                                                  or deliver your comment to the                          the following dates and times. The times
                                                                                                                                                                During the scheduled meeting,
                                                  following address: Federal Trade                        listed in this notice are Eastern Daylight
                                                                                                                                                                webcasting is accessible online at:
                                                  Commission, Office of the Secretary,                    Time (EDT) and are approximate times;
                                                                                                                                                                http://cms.gov/live. Teleconference dial-
                                                  Constitution Center, 400 7th Street SW.,                consequently, the meetings may last
                                                                                                                                                                in information will appear on the final
                                                  5th Floor, Suite 5610, (Annex J),                       longer or be shorter than the times listed
                                                                                                                                                                meeting agenda, which will be posted
                                                  Washington, DC 20024. If possible,                      in this notice, but will not begin before
                                                                                                                                                                on the CMS Web site when available at:
                                                  submit your paper comment to the                        the posted times:
                                                                                                             • Monday, August 22, 2016, 9 a.m. to               http://www.cms.gov/Regulations-and-
                                                  Commission by courier or overnight                                                                            Guidance/Guidance/FACA/Advisory
                                                  service.                                                5 p.m. EDT.
                                                                                                             • Tuesday, August 23, 2016, 9 a.m. to              PanelonAmbulatoryPayment
                                                     The FTC Act and other laws that the                  5 p.m. EDT.                                           ClassificationGroups.html.
                                                  Commission administers permit the                          Meeting Information Updates: The                   News Media
                                                  collection of public comments to                        actual meeting hours and days will be
mstockstill on DSK3G9T082PROD with NOTICES




                                                  consider and use in this proceeding as                  posted in the agenda. As information                    Representatives must contact our
                                                  appropriate. The Commission will                        and updates regarding the onsite,                     Public Affairs Office at (202) 690–6145.
                                                  consider all timely and responsive                      webcast and teleconference meeting,                   Advisory Committees’ Information Lines
                                                  public comments that it receives on or                  and agenda become available, they will
                                                  before July 19, 2016. You can find more                 be posted to the CMS Web site at: http://               The phone number for the CMS
                                                  information, including routine uses                     cms.gov/Regulations-and-Guidance/                     Federal Advisory Committee Hotline is
                                                  permitted by the Privacy Act, in the                    Guidance/FACA/AdvisoryPanelon                         (410) 786–3985.


                                             VerDate Sep<11>2014   17:40 May 19, 2016   Jkt 238001   PO 00000   Frm 00033   Fmt 4703   Sfmt 4703   E:\FR\FM\20MYN1.SGM   20MYN1


                                                  31942                            Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices

                                                  Web Sites                                               to provide technical advice on has                      • Addressing other technical issues
                                                    For additional information on the                     decreased significantly. The duration of              concerning APC group structure.
                                                  Panel and updates to the Panel’s                        these meetings has decreased                            • Recommending the appropriate
                                                  activities, we refer readers to view our                significantly, with the most recent four              supervision level (general, direct, or
                                                  Web site at: http://www.cms.gov/                        meetings each averaging a half day or                 personal) for individual hospital
                                                  Regulations-and-Guidance/Guidance/                      less in length.                                       outpatient therapeutic services.
                                                                                                             Beginning in CY 2016, new Current                    The Agenda will be posted on the
                                                  FACA/AdvisoryPanelonAmbulatory
                                                                                                          Procedural Terminology (CPT) codes                    CMS Web site at http://cms.hhs.gov/
                                                  PaymentClassificationGroups.html.
                                                    Information about the Panel and its                   (effective on January 1 of the following              Regulations-and-Guidance/Guidance/
                                                  membership in the Federal Advisory                      year) are assigned status indicators and              FACA/AdvisoryPanelonAmbulatory
                                                  Committee Act (FACA) database are also                  APC assignments in the OPPS proposed                  PaymentClassificationGroups.html
                                                  located at: http://facadatabase.gov/.                   rule instead of being first assigned status           approximately 1 week before the
                                                                                                          indicators and APC assignments in the                 meeting.
                                                  FOR FURTHER INFORMATION CONTACT:
                                                  Carol Schwartz, Designated Federal                      final rule. With this process change,                 IV. Presentations
                                                  Official (DFO), 7500 Security Boulevard,                stakeholders now provide their
                                                                                                                                                                  The subject matter of any presentation
                                                  Mail Stop: C4–04–25, Woodlawn, MD                       comments on the status indicators and
                                                                                                                                                                and/or comment matter must be within
                                                  21244–1850. Phone: (410) 786–3985.                      APC assignments during the proposed
                                                                                                                                                                the scope of the Panel designated in the
                                                  Email: APCPanel@cms.hhs.gov.                            rule comment period.
                                                                                                                                                                Charter. Any presentations or comments
                                                  SUPPLEMENTARY INFORMATION:                              II. Panel Meeting Transition to One                   outside of the scope of this Panel will
                                                  I. Background                                           Meeting of the Panel Per Year                         be returned or requested for
                                                                                                            Beginning in CY 2003 and through CY                 amendment. Unrelated topics include,
                                                     The Secretary of the Department of                                                                         but are not limited to, the conversion
                                                  Health and Human Services (DHHS)                        2016, we had 13 consecutive years of
                                                                                                          two Panel meetings a year. However,                   factor, charge compression, revisions to
                                                  (the Secretary) is required by section                                                                        the cost report, pass-through payments,
                                                  1833(t)(9)(A) of the Social Security Act                due to a significant decline in the
                                                                                                          volume of requests for technical advice               correct coding, new technology
                                                  (the Act) and is allowed by section 222                                                                       applications (including supporting
                                                  of the Public Health Service Act (PHS                   from the Panel, beginning in CY 2017,
                                                                                                          we will transition back to 1 Panel                    information/documentation), provider
                                                  Act) to consult with an expert outside                                                                        payment adjustments, supervision of
                                                  panel, that is, the Advisory Panel on                   meeting a year, which will be scheduled
                                                                                                          in the summer. Since the summer                       hospital outpatient diagnostic services
                                                  Hospital Outpatient Payment (the Panel)                                                                       and the types of practitioners that are
                                                  regarding the clinical integrity of the                 meeting occurs during the comment
                                                                                                          period for the OPPS proposed rule, we                 permitted to supervise hospital
                                                  Ambulatory Payment Classification                                                                             outpatient services. The Panel may not
                                                  (APC) groups and relative payment                       anticipate that there will be more
                                                                                                          requests for technical advice including               recommend that services be designated
                                                  weights. The Panel is governed by the                                                                         as nonsurgical extended duration
                                                  provisions of the Federal Advisory                      the CMS treatment of new CPT codes,
                                                                                                          during this meeting than during a                     therapeutic services.
                                                  Committee Act (Pub. L. 92–463), as                                                                              The Panel may use data collected or
                                                  amended (5 U.S.C. Appendix 2), to set                   winter meeting. The winter Panel
                                                                                                                                                                developed by entities and organizations
                                                  forth standards for the formation and                   meeting is no longer necessary as a
                                                                                                                                                                other than DHHS and CMS in
                                                  use of advisory panels. We consider the                 forum to discuss interim final status
                                                                                                                                                                conducting its review. We recommend
                                                  technical advice provided by the Panel                  indicators and APC assignments of new
                                                                                                                                                                organizations submit data for CMS staff
                                                  as we prepare the proposed and final                    codes because this process no longer
                                                                                                                                                                and the Panel’s review.
                                                  rules to update the hospital outpatient                 exists. In CY 2017 and thereafter,                      All presentations are limited to 5
                                                  prospective payment system (OPPS).                      (unless CMS programmatic need                         minutes, regardless of the number of
                                                  The Panel (formerly the Advisory Panel                  suggests otherwise) there will not be a               individuals or organizations represented
                                                  on Ambulatory Payment Classification                    winter Panel meeting; there will be only              by a single presentation. Presenters may
                                                  Groups) was originally chartered on                     one Panel meeting per year that will                  use their 5 minutes to represent either
                                                  November 21, 2000, and most recently                    occur in the summer.                                  one or more agenda items.
                                                  re-chartered on November 6, 2014. The                   III. Agenda
                                                  Panel Charter provides that the Panel                                                                         Section 508 Compliance
                                                  shall meet up to 3 times annually. The                     The agenda for the August 22 through                 For this meeting, we are aiming to
                                                  first meeting of the Panel (was in                      August 23, 2016 Panel meeting will                    have all presentations and comments
                                                  Calendar Year (CY) 2001). For CY 2001                   provide for discussion and comment on                 available on the CMS Web site.
                                                  and 2002, the Panel convened once a                     the following topics as designated in the             Materials on the CMS Web site must be
                                                  year. At that time, the OPPS was new                    Panel’s Charter:                                      Section 508 compliant to ensure access
                                                  and there were many issues where the                       • Addressing whether procedures                    to federal employees and members of
                                                  Panel provided important technical                      within an APC group are similar both                  the public with and without disabilities.
                                                  advice to the Centers for Medicare &                    clinically and in terms of resource use.              We encourage presenters and
                                                  Medicaid (CMS). Agendas for these 2-                       • Evaluating APC group structure.                  commenters to refer to guidance on
                                                  day meetings were very full and it was                     • Reviewing the packaging of OPPS                  making documents Section 508
                                                  decided that two, 2-day meetings per                    services and costs, including the                     compliant as they draft their
                                                  year would be warranted to                              methodology and the impact on APC                     submissions, and, whenever possible, to
mstockstill on DSK3G9T082PROD with NOTICES




                                                  accommodate the workload of the Panel.                  groups and payment.                                   submit their presentations and
                                                  Beginning in CY 2003, the Panel has                        • Removing procedures from the                     comments in a 508 compliant form.
                                                  convened twice yearly, in the summer                    inpatient-only list for payment under                 Such guidance is available at http://
                                                  and in the winter. Over time and as the                 the OPPS.                                             www.cms.gov/Research-Statistics-Data-
                                                  OPPS has matured, policies have                            • Using single and multiple                        and-Systems/CMS-Information-
                                                  become more stable and the volume of                    procedure claims data for CMS’                        Technology/Section508/508-Compliant-
                                                  issues that the Panel has been requested                determination of APC group weights.                   doc.html. CMS will review


                                             VerDate Sep<11>2014   17:40 May 19, 2016   Jkt 238001   PO 00000   Frm 00034   Fmt 4703   Sfmt 4703   E:\FR\FM\20MYN1.SGM   20MYN1


                                                                                   Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices                                                  31943

                                                  presentations and comments for 508                      property, must register by following the              will be posted to the CMS Web site after
                                                  compliance, and place compliant                         instructions in the ‘‘Meeting                         the meeting.
                                                  materials on its Web site. As resources                 Registration Timeframe’’ section of this
                                                                                                                                                                X. Collection of Information
                                                  permit, CMS will also convert non-                      notice. A confirmation email will be
                                                                                                                                                                Requirements
                                                  compliant submissions to 508 compliant                  sent to the registrants shortly after
                                                  forms, and offer assistance to submitters               completing the registration process.                    This document does not impose
                                                  who wish to make their submissions                                                                            information collection requirements,
                                                                                                          VII. Security, Building, and Parking                  that is, reporting, recordkeeping or
                                                  508 compliant. All non-508 compliant
                                                                                                          Guidelines                                            third-party disclosure requirements.
                                                  presentations and comments will be
                                                  shared with the public onsite and                          The following are the security,                    Consequently, there is no need for
                                                  through the webcast and made available                  building, and parking guidelines:                     review by the Office of Management and
                                                  to the public upon request.                                • Persons attending the meeting,                   Budget under the authority of the
                                                     Those wishing to access such                         including presenters, must be pre-                    Paperwork Reduction Act of 1995 (44
                                                  materials should contact the DFO (the                   registered and on the attendance list by              U.S.C. 3501 et seq.).
                                                  DFO’s address, email and phone                          the prescribed date.                                    Dated: April 28, 2016.
                                                  number are provided below).                                • Individuals who are not pre-
                                                                                                                                                                Andrew M. Slavitt,
                                                     In order to consider presentations                   registered in advance may not be
                                                                                                          permitted to enter the building and may               Acting Administrator, Centers for Medicare
                                                  and/or comments, we will need to                                                                              & Medicaid Services.
                                                  receive the following:                                  be unable to attend the meeting.
                                                     1. An email copy of the presentation                    • Attendees must present a                         [FR Doc. 2016–11949 Filed 5–19–16; 8:45 am]
                                                                                                          government-issued photo identification                BILLING CODE 4120–01–P
                                                  or comments sent to the DFO mailbox,
                                                  APCPanel@cms.hhs.gov or, if unable to                   to the Federal Protective Service or
                                                  submit by email, a hard copy sent to the                Guard Service personnel before entering
                                                                                                          the building. Without a current, valid                DEPARTMENT OF HEALTH AND
                                                  DFO at the address noted under FOR
                                                                                                          photo ID, persons may not be permitted                HUMAN SERVICES
                                                  FURTHER INFORMATION CONTACT.
                                                     2. Form CMS–20017 with complete                      entry to the building.                                Food and Drug Administration
                                                  contact information that includes name,                    • Security measures include
                                                  address, phone number, and email                        inspection of vehicles, inside and out, at            [Docket No. FDA–2016–N–0001]
                                                  addresses for all presenters and                        the entrance to the grounds.
                                                  commenters and a contact person that                       • All persons entering the building                Advisory Committees; Filing of Closed
                                                  can answer any questions and or                         must pass through a metal detector.                   Meeting Reports
                                                  provide revisions that are requested for                   • All items brought into CMS                       AGENCY:   Food and Drug Administration,
                                                  the presentation. Presenters and                        including personal items, for example,                HHS.
                                                  commenters must clearly explain the                     laptops and cell phones are subject to
                                                                                                                                                                ACTION:   Notice.
                                                  actions that they are requesting CMS to                 physical inspection.
                                                  take in the appropriate section of the                     • The public may enter the building                SUMMARY:    The Food and Drug
                                                  form. A presenter’s/commenter’s                         30 to 45 minutes before the meeting                   Administration (FDA) is announcing
                                                  relationship with the organization that                 convenes each day.                                    that, as required by the Federal
                                                  they represent must also be clearly                        • All visitors must be escorted in                 Advisory Committee Act, the Agency
                                                  listed.                                                 areas other than the lower and first-floor            has filed with the Library of Congress
                                                     • The form is now available through                  levels in the Central Building.                       the annual reports of those FDA
                                                  the CMS Forms Web site. The Uniform                        • The main-entrance guards will                    advisory committees that held closed
                                                  Resource Locator (URL) for linking to                   issue parking permits and instructions                meetings during fiscal year 2015.
                                                  this form is as follows: http://www.cms.                upon arrival at the building.
                                                                                                                                                                ADDRESSES: Copies are available at the
                                                  hhs.gov/cmsforms/downloads/                                • Foreign nationals visiting any CMS
                                                                                                          facility require prior approval. If you are           Dockets Management Branch (HFA–
                                                  cms20017.pdf.                                                                                                 305), Food and Drug Administration,
                                                     • We encourage presenters to make                    a foreign national and wish to attend the
                                                                                                                                                                5630 Fishers Lane, Rm. 1061, Rockville,
                                                  efforts to ensure that their presentations              meeting onsite, in addition to registering
                                                                                                          for the meeting, you must also send a                 MD 20852, 240–402–7500. You also
                                                  and comments are 508 compliant.                                                                               may access the docket at http://
                                                                                                          separate email to
                                                  V. Oral Comments                                        APCPanel@cms.hhs.gov prior to the                     www.regulations.gov for the annual
                                                    In addition to formal oral                            close of registration to request                      reports of those FDA advisory
                                                  presentations, which are limited to 5                   authorization to attend as a foreign                  committees that held closed meetings
                                                  minutes total per presentation, there                   national.                                             during fiscal year 2015. Insert the
                                                  will be an opportunity during the                                                                             docket number found in brackets in the
                                                                                                          VIII. Special Accommodations                          heading of this document at http://
                                                  meeting for public oral comments,
                                                  which will be limited to 1 minute for                     Individuals requiring special                       www.regulations.gov into the ‘‘Search’’
                                                  each individual and a total of 3 minutes                accommodations must include the                       box, clear filter under Document Type
                                                  per organization.                                       request for these services during                     (left side of screen), and check
                                                                                                          registration.                                         ‘‘Supporting and Related Material,’’
                                                  VI. Meeting Attendance                                                                                        then Sort By Best Match (from the drop-
                                                    The meeting is open to the public;                    IX. Panel Recommendations and                         down menu; top right side of screen),
mstockstill on DSK3G9T082PROD with NOTICES




                                                  however, attendance is limited to space                 Discussions                                           ‘‘ID Number (Z–A)’’ or Sort By Best
                                                  available. Priority will be given to those                The Panel’s recommendations at any                  Match (from the drop-down menu)
                                                  who pre-register and attendance may be                  Panel meeting generally are not final                 ‘‘Title (A–Z),’’ also found in the heading
                                                  limited based on the number of                          until they have been reviewed and                     of this document.
                                                  registrants and the space available.                    approved by the Panel on the last day                 FOR FURTHER INFORMATION CONTACT:
                                                    Persons wishing to attend this                        of the meeting, before the final                      Michael Ortwerth, Director and
                                                  meeting, which is located on Federal                    adjournment. These recommendations                    Committee Management Officer,


                                             VerDate Sep<11>2014   17:40 May 19, 2016   Jkt 238001   PO 00000   Frm 00035   Fmt 4703   Sfmt 4703   E:\FR\FM\20MYN1.SGM   20MYN1



Document Created: 2016-05-20 01:59:58
Document Modified: 2016-05-20 01:59:58
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.
ContactCarol Schwartz, Designated Federal Official (DFO), 7500 Security Boulevard, Mail Stop: C4-04-25, Woodlawn, MD 21244-1850. Phone: (410) 786-3985. Email: [email protected]
FR Citation81 FR 31941 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR