31558 Federal Register / Vol. 78, No. 101 / Friday, May 24, 2013 / Notices 

Demonstration. Form Number: CMS– 

10471 (OCN: 0938–NEW); Frequency: 

Yearly; Affected Public: Private sector 

(business or other for-profit and not-forprofit institutions) and State and Local 

Governments; Number of Respondents: 

285; Total Annual Responses: 285; Total 

Annual Hours: 324. (For policy 

questions regarding this collection 

contact Andrea Glasgow at 410–786– 

4695. For all other issues call 410–786– 

1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by July 23, 2013: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number ___, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: May 21, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–12469 Filed 5–23–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1458–N] 

Medicare Program; Second SemiAnnual Meeting of the Advisory Panel 

on Hospital Outpatient Payment (HOP 

Panel) August 26–27, 2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: This notice announces the 

second semi-annual meeting of the 

Advisory Panel on Hospital Outpatient 

Payment (HOP, the Panel) for 2013. 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 Date: The second semiannual meeting in 2013 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 than the times listed in this 

notice, but will not begin before the 

posted times: 

• Monday, August 26, 2013, 1 p.m. to 

5 p.m. EDT. 

• Tuesday, August 27, 2013, 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 and 

webcaste meeting, agenda, and 

presentations become available, they 

will be posted on the CMS Web site at: 

http://cms.gov/Regulations-andGuidance/Guidance/FACA/Advisory

PanelonAmbulatoryPayment

ClassificationGroups.html 

Deadlines 

Deadline for Presentations and 

Comments 

The email copy of a presentation or 

comment and form CMS–20017 must be 

in the Designated Federal Official’s 

(DFO’s) email inbox 

(APCPanel@cms.hhs.gov) by 5 p.m. 

EDT, Friday, July, 19, 2013. The 

hardcopy of the presentation must be 

received by the DFO on or before 

Friday, July 26, 2013. Presentations and 

comments not received by the due dates 

will be considered late and will not be 

included on the agenda. (See below for 

submission instructions for both 

hardcopy and electronic submissions.) 

Meeting Registration Timeframe: 

Monday, July 08, 2013 through Friday, 

August 09, 2013 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. 

Participants who do not plan to attend 

this meeting in person should not 

register. No registration is required for 

participants who plan to view the 

meeting via webcast. 

Submission Instructions for 

Presentations and Comments 

Because of staffing and resource 

limitations, we cannot accept written 

comments and or presentations by FAX. 

Meeting Location and Webcast 

The meeting will be held in the CMS 

Central Office, Auditorium, 7500 

Security Boulevard, Woodlawn, 

Maryland 21244–1850. 

Alternately, the public may view this 

meeting via a webcast. During the 

scheduled meeting, webcasting is 

accessible online at: http://cms.gov/live 

or http://www.ustream.tv. Viewers 

interested in receiving the webcast from 

http://www.ustream.tv will need to type 

‘‘CMS Public Events’’ in the search bar 

to access the webcast. 

FOR FURTHER INFORMATION CONTACT: For 

inquiries about the panel, contact the 

DFO: 

Chuck Braver, 7500 Security 

Boulevard, Mail Stop: C4–05–17, 

Woodlawn, MD 21244–1850. Phone: 

(410) 786–3985. Email: 

APCPanel@cms.hhs.gov. 

Mail hardcopies and email copies to 

the following addresses: Chuck Braver, 

DFO, CMS, CM, HAPG, DOC—HOP 

Panel, 7500 Security Blvd. Mail Stop: 

C4–05–17, Woodlawn, MD 21244–1850. 

Email: APCPanel@cms.hhs.gov 

Note: We recommend that you advise 

couriers of the following information: When 

delivering hardcopies of presentations to 

CMS, call (410) 786–4532 or (410) 786–6719 

to ensure receipt of documents by 

appropriate staff. 

News Media: Representatives must 

contact our Public Affairs Office at (202) 

690–6145. 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 78, No. 101 / Friday, May 24, 2013 / Notices 31559 

Advisory Committees’ Information 

Lines: The phone number for the CMS 

Federal Advisory Committee Hotline is 

(410) 786–3985. 

Web sites: For additional information 

on the panel and updates to the panel’s 

activities, we refer readers to view our 

Web site at the following: http://www.

cms.gov/Regulations-and-Guidance/

Guidance/FACA/AdvisoryPanelon

AmbulatoryPaymentClassification

Groups.html. 

You may also search information 

about the panel and its membership in 

the Federal Advisory Committee Act 

(FACA) database at the following URL: 

https://www.fido.gov/facadatabase/ 

public.asp. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Secretary is required by section 

1833(t)(9)(A) of the Social Security Act 

(the Act) and section 222 of the Public 

Health Service Act (PHS Act) to consult 

with an expert outside advisory panel 

regarding the clinical integrity of the 

Ambulatory Payment Classification 

(APC) groups and relative payment 

weights. The panel (which was formerly 

known as the Advisory panel on 

Ambulatory Payment Classification 

Groups) 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. 

The Charter provides that the panel 

shall meet up to 3 times annually. We 

consider the technical advice provided 

by the panel as we prepare the proposed 

and final rules to update the outpatient 

prospective payment system (OPPS). 

II. Agenda 

The agenda for the August 2013 

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 weights. 

• Reviewing the packaging of OPPS 

services and costs, including the 

methodology and the impact on APC 

groups and payment. 

• Removing procedures from the 

inpatient 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. 

III. Presentation 

The presentation subject matter must 

be within the scope of the panel 

designated in the Charter. The subject 

matter will be limited to these and 

related topics. 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, hospital 

outpatient supervision of diagnostic 

services and the types of practitioners 

who 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 the DHHS and CMS in 

conducting its review. We recommend 

organizations submit data for the panel’s 

and CMS staff’s review. The Agenda 

will be posted on the CMS Web site 

before the meeting. 

All presentations are limited to 5 

minutes total presentation time, 

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. 

All presentations will be considered 

public information and may be posted 

on the CMS Web site and will be shared 

with the public. Presentations may not 

contain any pictures, illustrations, or 

personally identifiable information. 

To consider presentation and/or 

comment requests, we will need to 

receive the following information: 

• A hardcopy of your presentation; 

only hardcopy comments and 

presentations can be reproduced for 

public dissemination. 

• An email copy of your presentation 

sent to the DFO mailbox, 

APCPanel@cms.hhs.gov. 

• Form CMS–20017 with complete 

contact information that includes name, 

address, phone number, and email 

addresses for all presenters and a 

contact that can answer any questions 

and or provide revisions that are 

requested for the presentation. 

• Presenters must clearly explain the 

actions that they are requesting CMS to 

take in the appropriate section of the 

form. A presenter’s relationship to 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. 

IV. 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. 

V. 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 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. 

VI. Security, Building, and Parking 

Guidelines 

The meeting will be held in a Federal 

government building; therefore, federal 

security measures are applicable. 

The following are the security, 

building, and parking guidelines: 

• Persons attending the meeting, 

including presenters, must be preregistered and on the attendance list by 

the prescribed date. 

• Individuals who are not preregistered in advance may not be 

permitted to enter the building and may 

be unable to attend the meeting. 

• Attendees must present valid 

government-issued photographic 

identification to the Federal Protective 

Service or Guard Service personnel 

before entering the building. Persons 

without proper identification will be 

denied access 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. 

mstockstill on DSK4VPTVN1PROD with NOTICES

31560 Federal Register / Vol. 78, No. 101 / Friday, May 24, 2013 / Notices 

VII. Special Accommodations 

Individuals attending the meeting 

who are hearing or visually impaired 

and have special requirements or other 

special accommodations must include 

the request for these services during 

registration. 

VIII. 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 our Web site after the 

meeting. 

IX. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 35). 

(Catalog of Federal Domestic Assistance 

Program; No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: May 17, 2013. 

Marilyn Tavenner, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2013–12466 Filed 5–23–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1451–N] 

Medicare Program; Public Meeting in 

Calendar Year 2013 for New Clinical 

Laboratory Test Payment 

Determinations 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces a 

public meeting to receive comments and 

recommendations (including 

accompanying data on which 

recommendations are based) from the 

public on the appropriate basis for 

establishing payment amounts for new 

or substantially revised Healthcare 

Common Procedure Coding System 

(HCPCS) codes being considered for 

Medicare payment under the clinical 

laboratory fee schedule (CLFS) for 

calendar year (CY) 2014. 

DATES: Meeting Date: The public 

meeting is scheduled for Wednesday, 

July 10, 2013, from 9:00 a.m. to 3:00 

p.m., Eastern Daylight Savings Time 

(EDST). 

Deadline for Registration of Presenters 

and Submission of Presentations: All 

presenters for the public meeting must 

register and submit their presentations 

electronically to Glenn McGuirk at 

Glenn.McGuirk@cms.hhs.gov by June 

28, 2013 (EDST). 

Deadline for Submitting Requests for 

Special Accommodations: Requests for 

special accommodations must be 

received no later than 5:00 p.m. on June 

28, 2013 (EDST). 

Deadline for Submission of Written 

Comments: We intend to publish our 

proposed determinations for new and 

reconsidered codes for CY 2014 by early 

September. Interested parties may 

submit written comments on these 

proposed determinations by September 

27, 2013 (EDST), to the address 

specified in the ADDRESSES section of 

this notice or electronically to Glenn 

McGuirk at 

Glenn.McGuirk@cms.hhs.gov. 

ADDRESSES: The public meeting will be 

held in the main auditorium of the 

Centers for Medicare & Medicaid 

Services (CMS), Central Building, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

FOR FURTHER INFORMATION CONTACT: 

Glenn McGuirk, (410) 786–5723. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 531(b) of the Medicare, 

Medicaid, and SCHIP Benefits 

Improvement and Protection Act of 

2000 (BIPA) (Pub. L. 106–554) requires 

the Secretary to establish procedures for 

coding and payment determinations for 

new clinical diagnostic laboratory tests 

under Part B of title XVIII of the Social 

Security Act (the Act) that permit public 

consultation in a manner consistent 

with the procedures established for 

implementing coding modifications for 

International Classification of Diseases 

(ICD–9–CM). The procedures and public 

meeting announced in this notice for 

new tests are in accordance with the 

procedures published in the November 

23, 2001 notice (66 FR 58743) to 

implement section 531(b) of BIPA. 

Section 942(b) of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA) (Pub. 

L. 108–173) added section 1833(h)(8) of 

the Act. Section 1833(h)(8)(A) of the Act 

requires the Secretary to establish by 

regulation procedures for determining 

the basis for, and amount of, payment 

for any clinical diagnostic laboratory 

test with respect to which a new or 

substantially revised Healthcare 

Common Procedure Coding System 

(HCPCS) code is assigned on or after 

January 1, 2005 (hereinafter referred to 

as ‘‘new tests’’). A code is considered to 

be substantially revised if ‘‘there is a 

substantive change to the definition of 

the test or procedure to which the code 

applies (such as a new analyte or a new 

methodology for measuring an existing 

analyte-specific test).’’ (See section 

1833(h)(8)(E)(ii) of the Act.) 

Section 1833(h)(8)(B) of the Act sets 

forth the process for determining the 

basis for, and the amount of, payment 

for new tests. Section 1833(h)(8)(B)(i) 

and (ii) of the Act requires the Secretary 

to make available to the public a list that 

includes any such test for which 

establishment of a payment amount is 

being considered for a year and on the 

same day the list is made available, 

cause to have published in the Federal 

Register notice of a meeting to receive 

comments and recommendations 

(including accompanying data, which 

recommendations are based) from the 

public on the appropriate basis for 

establishing payment amounts for the 

tests on such list. This list of codes for 

which the establishment of a payment 

amount under the clinical laboratory fee 

schedule (CLFS) is being considered for 

calendar year (CY) 2014 is posted on the 

CMS Web site at http://www.cms.hhs.

gov/ClinicalLabFeeSched. 

Section 1833(h)(8)(B)(iii) of the Act 

requires that we convene a public 

meeting not less than 30 days after 

publication of the notice in the Federal 

Register. These requirements are 

codified at 42 CFR part 414, subpart G. 

Two methods are used to establish 

payment amounts for new tests. The 

first method called ‘‘crosswalking’’ is 

used when a new test is determined to 

be comparable to an existing test code, 

multiple existing test codes, or a portion 

of an existing test code. The new test 

code is assigned the local fee schedule 

amounts and the national limitation 

amount of the existing test. Payment for 

the new test is made at the lesser of the 

local fee schedule amount or the 

national limitation amount (See 42 CFR 

414.508(a)). 

The second method called 

‘‘gapfilling’’ is used when no 

comparable existing test is available. 

When using this method, instructions 

are provided to each Medicare carrier or 

Part A and Part B Medicare 

Administrative Contractor (MAC) to 

determine a payment amount for its 

carrier geographic area for use in the 

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