83 FR 3715 - Medicare Program; Request for Nominations to the Advisory Panel on Hospital Outpatient Payment
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 83, Issue 18 (January 26, 2018)
Centers for Medicare & Medicaid Services
Federal Register Volume 83, Issue 18 (January 26, 2018)
| Page Range | 3715-3716 | |
| FR Document | 2018-01474 |
[Federal Register Volume 83, Number 18 (Friday, January 26, 2018)] [Notices] [Pages 3715-3716] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-01474] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-1703-N] Medicare Program; Request for Nominations to the Advisory Panel on Hospital Outpatient Payment AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is requesting nominations to fill vacancies on the Advisory Panel (the Panel) on Hospital Outpatient Payment (HOP). The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services (the Secretary) and the Administrator of the Centers for Medicare & Medicaid Services (the Administrator) on the clinical integrity of the Ambulatory Payment Classification (APC) groups and their associated weights, and supervision of hospital outpatient therapeutic services. DATES: The agency will receive nominations on a continuous basis. ADDRESSES: Please submit nominations electronically to the following email address: [email protected]. FOR FURTHER INFORMATION CONTACT: Persons wishing to nominate individuals to serve on the Panel or to obtain further information may submit an email to the following email address: [email protected]. News Media: Representatives should contact the CMS Press Office at (202) 690-6145. Website: For additional information on the HOP Panel, updates to the Panel's activities, and submission of nominations to the HOP Panel, we refer readers to our website at: http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html. 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), and allowed by section 222 of the Public Health Service Act (PHS Act) to consult with an expert outside panel, that is, the Advisory Panel (the Panel) on Hospital Outpatient Payment (HOP) regarding the clinical integrity of the Ambulatory Payment Classification (APC) groups and relative payment weights that are components of the Medicare Hospital Outpatient Prospective Payment System (OPPS), and the appropriate supervision level for hospital outpatient therapeutic 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 may consider data collected or developed by entities and organizations (other than the Department of Health and Human Services) as part of their deliberations. We consider the technical advice provided by the Panel as we prepare both the proposed and final rulemaking to update the OPPS for the following calendar year (CY). On May 20, 2016, we published a notice in the Federal Register that announced the August 2016 summer [[Page 3716]] panel meeting and the transition to one meeting of the panel per year (81 FR 31941). II. Request for Nominations; Criteria for Nominees 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 that are subject to the OPPS. For supervision deliberations, the Panel shall also include members that represent the interests of Critical Access Hospitals (CAHs), who advise the Centers for Medicare & Medicaid Services (CMS) only regarding the level of supervision for hospital outpatient therapeutic services. (For purposes of the Panel, consultants or independent contractors are not considered to be full- time employees in these organizations.) The HOP Panel currently consists of 13 panel members. Two additional vacancies will occur in CY 2018. The list of HOP Panel members is located in the FACA database, Advisory Panel on Hospital Outpatient Payment Committee page, on the FACA database website at: https://www.facadatabase.gov/committee/committee.aspx?cid=1791&aid=76. Panel members serve on a voluntary basis, without compensation, according to an advance written agreement; however, for the meetings, CMS reimburses travel, meals, lodging, and related expenses in accordance with standard Government travel regulations. CMS has a special interest in ensuring, while taking into account the nominee pool, that the Panel is diverse in all respects of the following: Geography; rural or urban practice; race, ethnicity, sex, and disability; medical or technical specialty; and type of hospital, hospital health system, or other Medicare provider subject to the OPPS. Appointment to the HOP Panel shall be made without discrimination on the basis of age, race, ethnicity, gender, sexual orientation, disability, and cultural, religious, or socioeconomic status. Based upon either self-nominations or nominations submitted by providers or interested organizations, the Secretary, or his or her designee, appoints new members to the Panel from among those candidates determined to have the required expertise. New appointments are made in a manner that ensures a balanced membership under the FACA guidelines. This notice requests nominations for HOP Panel members on a continuous basis. Nominations for a person not serving on the committee may be reconsidered as committee vacancies arise, but should be updated and resubmitted no later than 3 years after the original nomination submittal to continue to be considered for committee vacancies. CMS will consider the nominations submitted in response to the notice published in the Federal Register on December 23, 2016, entitled ``Medicare Program; Renewal of the Advisory Panel on Hospital Outpatient Payment and Solicitation of Nominations to the Advisory Panel on Hospital Outpatient Payment'' (81 FR 94378), unless they are withdrawn or the nominees' qualifications have changed. Nominations will be considered as vacancies occur. The Panel must be balanced in its membership in terms of the points of view represented and the functions to be performed. Each panel member must be employed full-time by a hospital, hospital system, or other Medicare provider subject to payment under the OPPS (except for the CAH members, since CAHs are not paid under the OPPS). All members must have technical expertise to enable them to participate fully in the Panel's work. Such expertise encompasses hospital payment systems; hospital medical care delivery systems; provider billing systems; APC groups; Current Procedural Terminology codes; and alpha-numeric Health Care Common Procedure Coding System codes; and the use of, and payment for, drugs, medical devices, and other services in the outpatient setting, as well as other forms of relevant expertise. For supervision deliberations, the Panel shall have members that represent the interests of CAHs, who advise CMS only regarding the level of supervision for hospital outpatient therapeutic services. It is not necessary for a nominee to possess expertise in all of the areas listed, but each must have a minimum of 5 years of experience and currently have full-time employment in his or her area of expertise. Generally, members of the Panel serve overlapping terms up to 4 years, based on the needs of the Panel and contingent upon the rechartering of the Panel. A member may serve after the expiration of his or her term until a successor has been sworn in. Any interested person or organization may nominate qualified individuals. Self-nominations will also be accepted. Each nomination must include the following:Letter of Nomination stating the reasons why the nominee should be considered. Curriculum vitae or resume of the nominee that includes an email address where the nominee can be contacted. Written and signed statement from the nominee that the nominee is willing to serve on the Panel under the conditions described in this notice and further specified in the Charter. The hospital or hospital system name and address, or CAH name and address, as well as all Medicare hospital and or Medicare CAH billing numbers of the facility where the nominee is employed. Future updates or changes to the panel nomination process may be published in the Federal Register or posted on the CMS Advisory Panel for Hospital Outpatient Payment website, referenced in section II, ``Request for Nominations; Criteria for Nominees,'' of this notice. IV. Copies of the Charter To obtain a copy of the Panel's Charter, we refer readers to our website at: http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html. V. 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: January 12, 2018. Seema Verma, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2018-01474 Filed 1-25-18; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 83, No. 18 / Friday, January 26, 2018 / Notices 3715
other forms of information technology to Medicare Part C and Part D sponsoring Medicare & Medicaid Services (the
minimize the information collection organizations (Medicare Advantage Administrator) on the clinical integrity
burden. Organizations), must submit Medicare of the Ambulatory Payment
DATES: Comments on the collection(s) of Part C, Medicare Part D, or Medicare Classification (APC) groups and their
information must be received by the Part C and Part D data (depending on associated weights, and supervision of
OMB desk officer by February 26, 2018. the type of contracts they have in place hospital outpatient therapeutic services.
with CMS). In order for the reported DATES: The agency will receive
ADDRESSES: When commenting on the
data to be useful for monitoring and nominations on a continuous basis.
proposed information collections,
performance measurement, the data ADDRESSES: Please submit nominations
please reference the document identifier
must be reliable, valid, complete, and electronically to the following email
or OMB control number. To be assured
comparable among sponsoring address: APCPanel@cms.hhs.gov.
consideration, comments and
organizations. To maintain the
recommendations must be received by FOR FURTHER INFORMATION CONTACT:
independence of the validation process,
the OMB desk officer via one of the Persons wishing to nominate
sponsoring organizations are
following transmissions: OMB, Office of individuals to serve on the Panel or to
responsible for hiring external,
Information and Regulatory Affairs; obtain further information may submit
independent data validation contractors
Attention: CMS Desk Officer; Fax an email to the following email address:
(DVCs) who meet a minimum set of
Number: (202) 395–5806 OR Email: APCPanel@cms.hhs.gov.
qualifications and credentials. For the
OIRA_submission@omb.eop.gov. News Media: Representatives should
retrospective review in 2018, the DVCs
To obtain copies of a supporting contact the CMS Press Office at (202)
will review data submitted by
statement and any related forms for the 690–6145.
sponsoring organizations for CY2017.
proposed collection(s) summarized in Website: For additional information
The main changes for the 2018 DV are
this notice, you may make your request on the HOP Panel, updates to the
to eliminate the Part C/D reporting
using one of following: Panel’s activities, and submission of
1. Access CMS’ website address at section Sponsor Oversight of Agents and
nominations to the HOP Panel, we refer
website address at https://www.cms.gov/ adding the Part D reporting section
Improving Drug Utilization Review readers to our website at: http://
Regulations-and-Guidance/Legislation/ www.cms.gov/Regulations-and-
Controls. Form Number: CMS–10305
PaperworkReductionActof1995/PRA- Guidance/Guidance/FACA/Advisory
(OMB control number: 0938–1115);
Listing.html. PanelonAmbulatoryPayment
2. Email your request, including your Frequency: Yearly; Affected Public:
Private sector (Business or other for- ClassificationGroups.html.
address, phone number, OMB number, SUPPLEMENTARY INFORMATION:
and CMS document identifier, to profits); Number of Respondents: 574;
Paperwork@cms.hhs.gov. Total Annual Responses: 574; Total I. Background
3. Call the Reports Clearance Office at Annual Hours: 24,050. (For policy
questions regarding this collection The Secretary of the Department of
(410) 786–1326. Health and Human Services (the
contact Maria Sotirelis at 410–786–
FOR FURTHER INFORMATION CONTACT: Secretary) is required by section
0552.)
William Parham at (410) 786–4669. 1833(t)(9)(A) of the Social Security Act
SUPPLEMENTARY INFORMATION: Under the Dated: January 23, 2018. (the Act), and allowed by section 222 of
Paperwork Reduction Act of 1995 (PRA) William N. Parham, III, the Public Health Service Act (PHS Act)
(44 U.S.C. 3501–3520), federal agencies Director, Paperwork Reduction Staff, Office to consult with an expert outside panel,
must obtain approval from the Office of of Strategic Operations and Regulatory that is, the Advisory Panel (the Panel)
Management and Budget (OMB) for each Affairs. on Hospital Outpatient Payment (HOP)
collection of information they conduct [FR Doc. 2018–01459 Filed 1–25–18; 8:45 am] regarding the clinical integrity of the
or sponsor. The term ‘‘collection of BILLING CODE 4120–01–P Ambulatory Payment Classification
information’’ is defined in 44 U.S.C. (APC) groups and relative payment
3502(3) and 5 CFR 1320.3(c) and weights that are components of the
includes agency requests or DEPARTMENT OF HEALTH AND Medicare Hospital Outpatient
requirements that members of the public HUMAN SERVICES Prospective Payment System (OPPS),
submit reports, keep records, or provide Centers for Medicare & Medicaid and the appropriate supervision level
information to a third party. Section Services for hospital outpatient therapeutic
3506(c)(2)(A) of the PRA (44 U.S.C. services. The Panel is governed by the
3506(c)(2)(A)) requires federal agencies [CMS–1703–N] provisions of the Federal Advisory
to publish a 30-day notice in the Committee Act (FACA) (Pub. L. 92–
Federal Register concerning each Medicare Program; Request for 463), as amended (5 U.S.C. Appendix 2),
proposed collection of information, Nominations to the Advisory Panel on which sets forth standards for the
including each proposed extension or Hospital Outpatient Payment formation and use of advisory panels.
reinstatement of an existing collection AGENCY: Centers for Medicare & The Panel may consider data collected
of information, before submitting the Medicaid Services (CMS), HHS. or developed by entities and
collection to OMB for approval. To ACTION: Notice. organizations (other than the
comply with this requirement, CMS is Department of Health and Human
publishing this notice that summarizes SUMMARY: The Centers for Medicare & Services) as part of their deliberations.
the following proposed collection(s) of Medicaid Services (CMS) is requesting We consider the technical advice
daltland on DSKBBV9HB2PROD with NOTICES
information for public comment: nominations to fill vacancies on the provided by the Panel as we prepare
1. Type of Information Collection Advisory Panel (the Panel) on Hospital both the proposed and final rulemaking
Request: Revision of a currently Outpatient Payment (HOP). The purpose to update the OPPS for the following
approved collection; Title of of the Panel is to advise the Secretary of calendar year (CY).
Information Collection: Medicare Part C the Department of Health and Human On May 20, 2016, we published a
and Part D Data Validation (42 CFR Services (the Secretary) and the notice in the Federal Register that
422.516(g) and 423.514(g)); Use: Administrator of the Centers for announced the August 2016 summer
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![3716 Federal Register / Vol. 83, No. 18 / Friday, January 26, 2018 / Notices
panel meeting and the transition to one and resubmitted no later than 3 years to serve on the Panel under the
meeting of the panel per year (81 FR after the original nomination submittal conditions described in this notice and
31941). to continue to be considered for further specified in the Charter.
committee vacancies. CMS will consider • The hospital or hospital system
II. Request for Nominations; Criteria for
the nominations submitted in response name and address, or CAH name and
Nominees
to the notice published in the Federal address, as well as all Medicare hospital
The Panel shall consist of a chair and Register on December 23, 2016, entitled and or Medicare CAH billing numbers
up to 15 members who are full-time ‘‘Medicare Program; Renewal of the of the facility where the nominee is
employees of hospitals, hospital Advisory Panel on Hospital Outpatient employed.
systems, or other Medicare providers Payment and Solicitation of Future updates or changes to the
that are subject to the OPPS. For Nominations to the Advisory Panel on panel nomination process may be
supervision deliberations, the Panel Hospital Outpatient Payment’’ (81 FR published in the Federal Register or
shall also include members that 94378), unless they are withdrawn or posted on the CMS Advisory Panel for
represent the interests of Critical Access the nominees’ qualifications have Hospital Outpatient Payment website,
Hospitals (CAHs), who advise the changed. Nominations will be referenced in section II, ‘‘Request for
Centers for Medicare & Medicaid considered as vacancies occur. Nominations; Criteria for Nominees,’’ of
Services (CMS) only regarding the level The Panel must be balanced in its this notice.
of supervision for hospital outpatient membership in terms of the points of
therapeutic services. (For purposes of view represented and the functions to IV. Copies of the Charter
the Panel, consultants or independent be performed. Each panel member must To obtain a copy of the Panel’s
contractors are not considered to be full- be employed full-time by a hospital, Charter, we refer readers to our website
time employees in these organizations.) hospital system, or other Medicare at: http://www.cms.gov/Regulations-
The HOP Panel currently consists of provider subject to payment under the and-Guidance/Guidance/FACA/
13 panel members. Two additional OPPS (except for the CAH members, AdvisoryPanelonAmbulatoryPayment
vacancies will occur in CY 2018. The since CAHs are not paid under the ClassificationGroups.html.
list of HOP Panel members is located in OPPS). All members must have
the FACA database, Advisory Panel on V. Collection of Information
technical expertise to enable them to
Hospital Outpatient Payment Committee Requirements
participate fully in the Panel’s work.
page, on the FACA database website at: Such expertise encompasses hospital This document does not impose
https://www.facadatabase.gov/ payment systems; hospital medical care information collection requirements,
committee/committee.aspx?cid= delivery systems; provider billing that is, reporting, recordkeeping or
1791&aid=76. systems; APC groups; Current third-party disclosure requirements.
Panel members serve on a voluntary Procedural Terminology codes; and Consequently, there is no need for
basis, without compensation, according alpha-numeric Health Care Common review by the Office of Management and
to an advance written agreement; Procedure Coding System codes; and Budget under the authority of the
however, for the meetings, CMS the use of, and payment for, drugs, Paperwork Reduction Act of 1995 (44
reimburses travel, meals, lodging, and medical devices, and other services in U.S.C. 3501 et seq.).
related expenses in accordance with the outpatient setting, as well as other Dated: January 12, 2018.
standard Government travel regulations. forms of relevant expertise. For Seema Verma,
CMS has a special interest in ensuring, supervision deliberations, the Panel
while taking into account the nominee Administrator, Centers for Medicare &
shall have members that represent the Medicaid Services.
pool, that the Panel is diverse in all interests of CAHs, who advise CMS only
respects of the following: Geography; [FR Doc. 2018–01474 Filed 1–25–18; 8:45 am]
regarding the level of supervision for
rural or urban practice; race, ethnicity, hospital outpatient therapeutic services.
BILLING CODE 4120–01–P
sex, and disability; medical or technical It is not necessary for a nominee to
specialty; and type of hospital, hospital possess expertise in all of the areas
health system, or other Medicare DEPARTMENT OF HEALTH AND
listed, but each must have a minimum HUMAN SERVICES
provider subject to the OPPS. of 5 years of experience and currently
Appointment to the HOP Panel shall be have full-time employment in his or her Centers for Medicare & Medicaid
made without discrimination on the area of expertise. Generally, members of Services
basis of age, race, ethnicity, gender, the Panel serve overlapping terms up to
sexual orientation, disability, and [CMS–9106–N]
4 years, based on the needs of the Panel
cultural, religious, or socioeconomic and contingent upon the rechartering of
status. Medicare and Medicaid Programs;
the Panel. A member may serve after the Quarterly Listing of Program
Based upon either self-nominations or expiration of his or her term until a
nominations submitted by providers or Issuances—October Through
successor has been sworn in. December 2017
interested organizations, the Secretary, Any interested person or organization
or his or her designee, appoints new may nominate qualified individuals. AGENCY: Centers for Medicare &
members to the Panel from among those Self-nominations will also be accepted. Medicaid Services (CMS), HHS.
candidates determined to have the Each nomination must include the ACTION: Notice.
required expertise. New appointments following:
are made in a manner that ensures a • Letter of Nomination stating the SUMMARY: This quarterly notice lists
daltland on DSKBBV9HB2PROD with NOTICES
balanced membership under the FACA reasons why the nominee should be CMS manual instructions, substantive
guidelines. This notice requests considered. and interpretive regulations, and other
nominations for HOP Panel members on • Curriculum vitae or resume of the Federal Register notices that were
a continuous basis. Nominations for a nominee that includes an email address published from October through
person not serving on the committee where the nominee can be contacted. December 2017, relating to the Medicare
may be reconsidered as committee • Written and signed statement from and Medicaid programs and other
vacancies arise, but should be updated the nominee that the nominee is willing programs administered by CMS.
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Document Created: 2018-10-26 10:05:41
Document Modified: 2018-10-26 10:05:41
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | The agency will receive nominations on a continuous basis. | |
| Contact | Persons wishing to nominate individuals to serve on the Panel or to obtain further information may | |
| FR Citation | 83 FR 3715 |
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