31964 Federal Register / Vol. 74, No. 127 / Monday, July 6, 2009 / Notices 

1The times listed in this notice are approximate 

times; consequently, the meetings may last longer 

than listed in this notice—but will not begin before 

the posted times. 

2 If the business of the Panel concludes on 

Thursday, August 6, 2009, there will be no Friday 

(August 7, 2009) meeting. 

Instead, the estimated total annual 

burden is 2,492 hours. 

Dated: July 1, 2009. 

Vivian Horovitch-Kelley, 

NCI Project Clearance Liaison, National 

Institutes of Health. 

[FR Doc. E9–15955 Filed 7–2–09; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1412–N] 

Medicare Program; Second SemiAnnual Meeting of the Advisory Panel 

on Ambulatory Payment Classification 

Groups—August 5–7, 2009 

AGENCY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In accordance with section 

10(a) of the Federal Advisory Committee 

Act (FACA) (5 U.S.C. Appendix 2), this 

notice announces the second semiannual meeting of the Advisory Panel 

on Ambulatory Payment Classification 

(APC) Groups (the Panel) for 2009. The 

purpose of the Panel is to review the 

APC groups and their associated 

weights and to advise the Secretary of 

the Department of Health and Human 

Services (the Secretary) and the 

Administrator of the Centers for 

Medicare & Medicaid Services (CMS) 

(the Administrator) concerning the 

clinical integrity of the APC groups and 

their associated weights. We will 

consider the Panel’s advice as we 

address comments and complete the 

final rule that updates the hospital 

Outpatient Prospective Payment System 

(OPPS) for CY 2010. 

DATES: Meeting Dates: We are 

scheduling the second semi-annual 

meeting in 2009 for the following dates 

and times: 

• Wednesday, August 5, 2009, 1 p.m. 

to 5 p.m. (e.s.t.) 1

• Thursday, August 6, 2009, 8 a.m. to 

5 p.m. (e.s.t.) 1

• Friday, August 7, 2009, 8 a.m. to 12 

noon (e.s.t.) 2

Deadlines: 

Deadline for Hardcopy Comments/ 

Suggested Agenda Topics—5 p.m. 

(e.s.t.), Wednesday, July 22, 2009. 

Deadline for Hardcopy 

Presentations—5 p.m. (e.s.t.), 

Wednesday, July 22, 2009. 

Deadline for Attendance 

Registration—5 p.m. (e.s.t.), Wednesday, 

July 29, 2009. 

Deadline for Special 

Accommodations—5 p.m. (e.s.t.), 

Wednesday, July 29, 2009. 

Submission of Materials to the 

Designated Federal Officer (DFO): 

Because of staffing and resource 

limitations, we cannot accept written 

comments and presentations by FAX, 

nor can we print written comments and 

presentations received electronically for 

dissemination at the meeting. 

Only hardcopy comments and 

presentations can be reproduced for 

public dissemination. All hardcopy 

presentations must be accompanied by 

Form CMS–20017 (revised 01/07). 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. 

Presenters must use the most recent 

copy of CMS–20017 (updated 01/07) at 

the above URL. Additionally, presenters 

must clearly explain the action(s) that 

they are requesting CMS to take in the 

appropriate section of the form. They 

must also clarify their relationship to 

the organization that they represent in 

the presentation. 

Note: Issues that are vague, or that are 

outside the scope of the APC Panel’s 

purpose, will not be considered for 

presentations and comments. There will be 

no exceptions to this rule. We appreciate 

your cooperation on this matter. 

We are also requiring electronic 

versions of the written comments and 

presentations, in addition to the 

hardcopies. 

In summary, presenters and/or 

commenters must do the following: 

• Send both electronic and hardcopy 

versions of their presentations and 

written comments by the prescribed 

deadlines. 

• Send electronic transmissions— 

preferably in PowerPoint presentation 

format—to the e-mail address below. 

• Do not send pictures of patients in 

any of the documents unless their faces 

have been blocked out. 

• Do not send documents 

electronically that have been archived. 

• Mail (or send by courier) to the DFO 

all hardcopies, accompanied by Form 

CMS–20017 (revised 01/07), if they are 

presenting, as specified in the FOR

FURTHER INFORMATION CONTACT section of 

this notice. 

• Commenters are not required to 

send Form CMS–20017 with their 

written comments. 

ADDRESSES: The meeting will be held in 

the Auditorium, CMS Central Office, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

FOR FURTHER INFORMATION CONTACT: For 

further information, contact: Shirl 

Ackerman-Ross, DFO, CMS, CMM, 

HAPG, DOC, 7500 Security Boulevard, 

Mail Stop C4–05–17, Baltimore, MD 

21244–1850. Phone: (410) 786–4474. 

Note: We recommend that you advise 

couriers of the following information: When 

delivering hardcopies of presentations to 

CMS, if no one answers at the above phone 

number, please call (410) 786–4532 or (410) 

786–9316. 

E-mail addresses for comments, 

presentations, and registration requests 

are CMS APCPanel@cms.hhs.gov, or 

SAckermanross@cms.hhs.gov. 

Note: There is NO underscore in the APC 

Panel e-mail address; there is a SPACE 

between CMS and APCPanel. 

News media representatives must 

contact our Public Affairs Office at (202) 

690–6145. 

Advisory Committees’ Information 

Lines: The phone numbers for the CMS 

Federal Advisory Committee Hotline are 

1–877–449–5659 (toll free) and (410) 

786–9379 (local). 

Web Sites: The following information 

is available on the CMS Web site at 

http://www.cms.hhs.gov/FACA/05_

AdvisoryPanelonAmbulatoryPayment

ClassificationGroups.asp#TopOfPage in 

order to obtain the following 

information: 

Note: There is an UNDERSCORE after 

FACA/05(like this_); there is no space. 

• Additional information on the APC 

meeting agenda topics, 

• Updates to the Panel’s activities, 

• Copies of the current Charter, and 

• Membership requirements. 

You may also search information 

about the APC Panel and its 

membership in the 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) to consult with an expert, 

outside advisory panel on the clinical 

integrity of the Ambulatory Payment 

Classification (APC) groups and weights 

established under the Medicare hospital 

Outpatient Prospective Payment System 

(OPPS). 

The APC Panel meets up to three 

times annually. The Charter requires 

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Federal Register / Vol. 74, No. 127 / Monday, July 6, 2009 / Notices 31965 

that the Panel must be fairly balanced in 

its membership in terms of the points of 

view represented and the functions to 

be performed. The Panel consists of up 

to 15 members who are representatives 

of providers and a Chair. 

Each Panel member must be 

employed full-time by a hospital, 

hospital system, or other Medicare 

provider subject to payment under the 

OPPS. The Secretary or Administrator 

selects the Panel membership based 

upon either self-nominations or 

nominations submitted by Medicare 

providers and other interested 

organizations. 

All members must have technical 

expertise to enable them to participate 

fully in the Panel’s work. The 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. 

Details regarding membership 

requirements for the APC Panel are 

found on the CMS and FACA Web sites 

as listed above. 

The Panel presently consists of the 

following members: 

• E. L. Hambrick, M.D., J.D., Chair, a 

CMS Medical Officer. 

• Gloryanne Bryant, B.S., RHIA, 

RHIT, CCS. 

• Patrick A. Grusenmeyer, Sc.D., 

FACHE. 

• Kathleen Graham, R.N., MSHA, 

CPHQ, ACM. 

• Judith T. Kelly, B.S.H.A., RHIT, 

RHIA, CCS. 

• Michael D. Mills, Ph.D. 

• Thomas M. Munger, M.D., FACC. 

• Agatha L. Nolen, D.Ph., M.S. 

• Randall A. Oyer, M.D. 

• Beverly Khnie Philip, M.D. 

• Russ Ranallo, M.S., B.S. 

• James V. Rawson, M.D. 

• Michael A. Ross, M.D., FACEP. 

• Patricia Spencer-Cisek, M.S., 

APRN–BC, AOCN®. 

• Kim Allen Williams, M.D., FACC, 

FABC. 

• Robert M. Zwolak, M.D., Ph.D., 

FACS. 

II. Agenda 

The agenda for the August 2009 

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. 

Note: The subject matter before the Panel 

will be limited to these and related topics. 

Issues related to calculation of the OPPS 

conversion factor, charge compression, passthrough payments, or wage adjustments are 

not within the scope of the Panel’s purpose. 

Therefore, these issues will not be considered 

for presentations and/or comments. There 

will be no exceptions to this rule. We 

appreciate your cooperation on this matter. 

The Panel may use data collected or 

developed by entities and organizations, 

other than DHHS and CMS, in 

conducting its review. We recommend 

that organizations submit data for the 

Panel’s and CMS staff’s review. 

III. Written Comments and Suggested 

Agenda Topics 

Send hardcopy and electronic written 

comments and suggested agenda topics 

to the DFO at the address indicated 

above. The DFO must receive these 

items by 5 p.m. (e.s.t.), Wednesday, July 

22, 2009. There will be no exceptions. 

We appreciate your cooperation on this 

matter. 

The written comments and suggested 

agenda topics submitted for the August 

2009 APC Panel meeting must fall 

within the subject categories outlined in 

the Panel’s Charter and as listed in the 

Agenda section of this notice. 

IV. Oral Presentations 

Individuals or organizations wishing 

to make 5-minute oral presentations 

must submit hardcopy and electronic 

versions of their presentations to the 

DFO by 5 p.m. (e.s.t.), Wednesday, July 

22, 2009, for consideration. 

Concise PowerPoint presentations, 

not lengthy written statements, are 

easier for the Panel and audience to 

follow. 

The number of oral presentations may 

be limited by the time available. Oral 

presentations should not exceed 5 

minutes in length for an individual or 

an organization. 

The Chair may further limit time 

allowed for presentations due to the 

number of oral presentations, if 

necessary. 

V. Presenter and Presentation 

Information 

All presenters must submit Form 

CMS–20017 (revised 01/07). Hardcopies 

are required for oral presentations; 

however, electronic submissions of 

Form CMS–20017 are optional. The 

DFO must receive the following 

information from those wishing to make 

oral presentations: 

• Form CMS–20017 completed with 

all pertinent information identified on 

the first page of the presentation, 

• One hardcopy of presentation, 

• Electronic copy of presentation, and 

• Personal registration information as 

described in the Meeting Attendance 

section below. 

(Those persons wishing to submit 

comments only must send hardcopy and 

electronic versions of their comments, 

but they are not required to submit 

Form CMS–20017.) 

VI. Oral Comments 

In addition to formal oral 

presentations, there will be 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. 

VII. Meeting Attendance 

The meeting is open to the public; 

however, attendance is limited to space 

available. Attendance will be 

determined on a first-come, first-served 

basis. 

Persons wishing to attend this 

meeting, which is located on Federal 

property, must e-mail the DFO to 

register in advance no later than 5 p.m. 

(e.s.t.), Wednesday, July 29, 2009. A 

confirmation will be sent to the 

requester(s) via return e-mail. 

The following personal information 

must be e-mailed to the DFO by the date 

and time above: 

• Name(s) of attendee(s), 

• Title(s), 

• Organization, 

• E-mail addresses of all attendees, 

and 

• Telephone number(s). 

VIII. Security, Building, and Parking 

Guidelines 

The following are the security, 

building, and parking guidelines: 

• Persons attending the meeting 

including presenters must be registered 

and on the attendance list by the 

prescribed date. 

• Individuals who are not registered 

in advance will not be permitted to 

enter the building and will be unable to 

attend the meeting. 

• Attendees must present U.S. 

Federal Government or State 

mstockstill on PROD1PC66 with NOTICES

31966 Federal Register / Vol. 74, No. 127 / Monday, July 6, 2009 / Notices 

photographic identification (preferably a 

valid driver’s license or passport) to the 

Federal Protective Service or Guard 

Service personnel before entering the 

building. 

• CMS is a tobacco-free campus; 

violators are subject to legal action. 

• Security measures include 

inspection of vehicles, inside and out, at 

the entrance to the grounds. 

• In addition, all persons entering the 

building must pass through a metal 

detector. 

• All items brought into CMS 

including personal items, for example 

laptops, cell phones, and palm pilots, 

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. 

• At CMS, security is a primary 

concern and is taken very seriously. 

These security issues are for your and 

our protection. 

IX. Special Accommodations 

Individuals requiring sign-language 

interpretation or other special 

accommodations must send a request 

for these services to the DFO by 5 p.m. 

(e.s.t.), Wednesday, July 29, 2009. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program.) 

Dated: June 11, 2009. 

Charlene Frizzera, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. E9–15880 Filed 7–2–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Eunice Kennedy Shriver National 

Institute of Child Health and Human 

Development; Notice of Closed 

Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. App.), notice is 

hereby given of the following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National 

Institute of Child Health and Human 

Development Special Emphasis Panel; 

Hormonal signals that regulate ovarian 

differentiation. 

Date: July 30, 2009. 

Time: 1 p.m. to 4 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, 

6100 Executive Boulevard, Room 5B01, 

Rockville, MD 20852, (Telephone 

Conference Call). 

Contact Person: Dennis E. 

Leszczynski, PhD., Scientific Review 

Administrator, Division of Scientific 

Review, National Institute of Child 

Health and Human Development, NIH, 

6100 Executive Blvd., Rm. 5b01, 

Bethesda, MD 20892, (301) 435–6884, 

leszczyd@mail.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.864, Population Research; 

93.865, Research for Mothers and Children; 

93.929, Center for Medical Rehabilitation 

Research; 93.209, Contraception and 

Infertility Loan Repayment Program, National 

Institutes of Health, HHS) 

Dated: June 29, 2009. 

Jennifer Spaeth, 

Director, Office of Federal Advisory 

Committee Policy. 

[FR Doc. E9–15789 Filed 7–2–09; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Heart, Lung, and Blood 

Institute; Notice of Closed Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. App.), notice is 

hereby given of the following meetings. 

The meetings will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Heart, Lung, 

and Blood Institute Special Emphasis Panel. 

Ancillary Studies in Clinical Trials. 

Date: July 22, 2009. 

Time: 8 a.m. to 1:30 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: Hyatt Regency Bethesda, One 

Bethesda Metro Center, 7400 Wisconsin 

Avenue, Bethesda, MD 20814. 

Contact Person: Chang Sook Kim, PhD, 

Scientific Review Officer, Review Branch, 

DERA, National Heart, Lung, and Blood 

Institute, 6701 Rockledge Drive, Room 7190, 

Bethesda, MD 20892. 301–435–0287. 

carolko@mail.nih.gov. 

Name of Committee: National Heart, Lung, 

and Blood Institute Special Emphasis Panel. 

Short-Term Research Training (T35’s). 

Date: July 23, 2009. 

Time: 1 p.m. to 4 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, 6701 

Rockledge Drive, Bethesda, MD 20892. 

(Telephone Conference Call). 

Contact Person: Chang Sook Kim, PhD, 

Scientific Review Officer, Review Branch, 

DERA, National Heart, Lung, and Blood 

Institute, 6701 Rockledge Drive, Room 7190, 

Bethesda, MD 20892. 301–435–0287. 

carolko@mail.nih.gov. 

Name of Committee: National Heart, Lung, 

and Blood Institute Special Emphasis Panel. 

Institutional National Research Service 

Award (T32). 

Date: July 27, 2009. 

Time: 12 p.m. to 3 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, 6701 

Rockledge Drive, Bethesda, MD 20892. 

(Telephone Conference Call). 

Contact Person: Roy L White, PhD, 

Scientific Review Administrator, Review 

Branch/DERA, National Heart, Lung, and 

Blood Institute, 6701 Rockledge Drive, Room 

7176, Bethesda, MD 20892–7924. 301–435– 

0310. whiterl@nhlbi.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.233, National Center for 

Sleep Disorders Research; 93.837, Heart and 

Vascular Diseases Research; 93.838, Lung 

Diseases Research; 93.839, Blood Diseases 

and Resources Research, National Institutes 

of Health, HHS) 

Dated: June 29, 2009. 

Jennifer Spaeth, 

Director, Office of Federal Advisory 

Committee Policy. 

[FR Doc. E9–15793 Filed 7–2–09; 8:45 am] 

BILLING CODE 4140–01–P 

mstockstill on PROD1PC66 with NOTICES