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Committee Detail

Hide Section - GENERAL INFORMATION

GENERAL INFORMATION

Committee NamePracticing Physicians Advisory CouncilAgency NameDepartment of Health and Human Services
Fiscal Year2010Committee Number998
Original Establishment Date11/5/1990Committee StatusTerminated
Actual Termination Date3/23/2010Committee URLhttp://www.cms.hhs.gov/FACA/03_ppac.asp#TopOfPage
New Committee This FYNoPresidential Appointments*No
Terminated This FYYesMax Number of Members*15
Current Charter Date6/16/2009Designated Fed Officer Position Title*Division of Provider Relations and Evaluations, Center for Medicare Management, Centers for Medicare & Medicaid Services (CMS)
Date Of Renewal Charter Designated Federal Officer Prefix
Projected Termination Date Designated Federal Officer First Name*Kelly
Exempt From Renewal*NoDesignated Federal Officer Middle Name
Specific Termination AuthorityPPACADesignated Federal Officer Last Name*Buchanan
Establishment Authority*Statutory (Congress Created)Designated Federal Officer Suffix
Specific Establishment Authority*42 USC 1395ee; section 1868(a)of the ActDesignated Federal Officer Phone*(410) 786-6132
Effective Date Of Authority*11/5/1990Designated Federal Officer Fax*410-786-0330
Committee Type*ContinuingDesignated Federal Officer Email*kelly.buchanan@cms.hhs.gov
Presidential*No
Committee Function*National Policy Issue Advisory Board
Hide Section - RECOMMENDATION/JUSTIFICATIONS

RECOMMENDATION/JUSTIFICATIONS

Agency Recommendation*Terminate
Legislation to Terminate RequiredYes
Legislation StatusEnacted
How does cmte accomplish its purpose?*The Practicing Physicians Advisory Council (PPAC) advises the Secretary on certain proposed changes in the Medicare regulations and manual instructions relative to physicians' services. The Council has been very instrumental in developing the Centers for Medicare & Medicaid Services (CMS)(formerly the Health Care Financing Administration) policies pertaining to practicing physicians, as identified by the Secretary according to the authority and charter. A number of topics were presented to the Council during the FY 2010 quarterly meetings including the Physicians Regulatory Issues Team(PRIT) Update; Physician Quality Reporting Initiative (PQRI) and E-prescribing Update,Physician Resource Use Measurement and Reporting Program Update,Quality Improvement Initiative, 10th Scope of Work Update, Fraud and Abuse Update,Medicare Physician Fee Schedule (MPFS) Final Rule, OPPS/ASC Fee Schedule Final Rule, Provider Enrollment and Chain Ownership System (PECOS), Electronic Health Record Update, Recovery Audit Contractors(RAC)Update, and other issues of importance to the medical community. Since all of the physicians on the Council are participating physicians in the program, their expertise and comments on said proposals and instructions are most worthy and informative to the Secretary.
How is membership balanced?*The Council currently consists of 11 members, each of whom has submitted at least 250 claims for physicians' services under Title XVIII in the previous year. (The Council officially accommodates 15 seats. Four vacancies currently exist on the Council as four physicians fulfilled their term agreements in 2009. CMS put forth recommendations of four qualified candidates to fill those vacancies. Final appointment of candidates was pending Secretary approval. However, the Affordable Care Act of 2010 (ACA)repealed the Council as of 3/23/2010.) At present, 10 members are, as described in Section 1861r(l), doctors of medicine and osteopathy and one is a limited license practitioner. Physicians on the Council also represent an equitable number of rural and urban physicians. Geographic, minority, and female representation on the Council are also important factors with regards to the physicians selected by the Secretary. Currently, three physicians are minority and three are female.
How frequent & relevant are cmte mtgs?*The quarterly meetings of the Council allow CMS/HHS officials to garner timely input from the Council members on proposed regulatory and contractor manual instruction changes which impact Medicare physician practices. It is this review and comment process, which includes CMS provider partners, that makes the continuing operation of the Council important.
Why advice can't be obtained elsewhere?*Council members are all practicing physicians. Meeting with the Council members and soliciting their recommendations on proposed regulations enables the Secretary and the Department to gain valuable information and insight into the daily operation of physician practices with relation to their participation in the Medicare Program.
Why close or partially close meetings?No formal council meetings have been closed to the public.
Recommendation RemarksDesignated Federal Official: Kelly Buchanan - Division of Provider Relations and Evaluations, Center for Medicare Management, Centers for Medicare & Medicaid Services (CMS)

This committee provides recommendations throughout the year,on a quarterly basis with an annual report following the December meeting. No report will be issued this year since the group was terminated.

NOTE: The Patient Protection and Affordable Care Act mandates the dissolution of the Council. The Secretary, DHHS, signed the decision memo to disband the Council immediately.

18 (2) FOCUSING CMS RESOURCES ON POTENTIALLY
19 OVERVALUED CODES.—Section 1868(a) of the Social
20 Security Act (42 U.S.C. 1395ee(a)) is repealed.
Hide Section - PERFORMANCE MEASURES

PERFORMANCE MEASURES

Outcome Improvement To Health Or Safety*NoAction Reorganize Priorities*No
Outcome Trust In GovernmentNoAction Reallocate ResourcesNo
Outcome Major Policy ChangesYesAction Issued New RegulationsYes
Outcome Advance In Scientific ResearchNoAction Proposed LegislationNo
Outcome Effective Grant MakingNoAction Approved Grants Or Other PaymentsNo
Outcome Improved Service DeliveryNoAction OtherNo
Outcome Increased Customer SatisfactionNoAction CommentNA
Outcome Implement Laws/Reg RequirementsYesGrants Review*No
Outcome OtherNoNumber Of Grants Reviewed0
Outcome CommentNANumber Of Grants Recommended0
Cost Savings*NoneDollar Value Of Grants Recommended$0.00
Cost Savings CommentIt is difficult to apply specific savings as Council recommendations more aptly influence cost avoidance.Grants Review CommentNA
Number Of Recommendations*25Access Contact Designated Fed. Officer*Yes
Number Of Recommendations CommentOf approximately twelve topics presented through March 8, 2010, the Council offered multiple separate and distinct recommendations for each.Access Agency WebsiteYes
% of Recs Fully Implemented*48.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentApproximately 48% of all Council recommendations were either fully accepted or were in full agreement with the direction CMS had already taken in developing regulations or instructions for a particular initiative.Access GSA FACA WebsiteYes
% of Recs Partially Implemented*25.00%Access PublicationsNo
% of Recs Partially Implemented CommentApproximately 25% of the Council's recommendations were accepted in part. Full acceptance in some instances was precluded by statutory restrictions and/or Program requirements.Access OtherNo
Agency Feedback*YesAccess CommentN/A
Agency Feedback CommentCMS prepared responses to each specific recomendation made by the Council. These responses were compiled in a Response Report and submitted to the Council within one meeting cycle. Responses were presented during the following quarterly meeting both orally and in written format.Narrative Description*The Council advises the Secretary and the Administrator of the Centers for Medicare and Medicaid Services (CMS)on certain proposed changes in Medicare regulations and contractor manual instructions related to physician services.
Hide Section - COSTS

COSTS

Payments to Non-Federal Members*$0.00Est Payments to Non-Fed Members Next FY*$0.00
Payments to Federal Members*$0.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$62,750.00Estimated Payments to Federal Staff*$0.00
Payments to Consultants*$0.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$6,170.00Est Travel Reimb Non-Fed Members nextFY*$0.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$200.00Est. Travel Reimb to Fed Staff Next FY*$0.00
Travel Reimb. For Consultants*$0.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$6,952.00Est. Other Costs Next FY*$0.00
Total Costs$76,072.00Est. Total Next FY*$0.00
Federal Staff Support (FTE)*2.00Est. Fed Staff Support Next FY*0.00
Hide Section - Custom Links

Custom Links

     Committee Level Reports               
Hide Section - MEMBERS,MEETINGS AND ADVISORY REPORTS

MEMBERS,MEETINGS AND ADVISORY REPORTS

To View all the members, meetings and advisory reports for this committee please click here
Hide Section - CHARTERS AND RELATED DOCS

CHARTERS AND RELATED DOCS

No Documents Found
Hide Section - DATA FROM PREVIOUS YEARS

DATA FROM PREVIOUS YEARS

Committee

Data from Previous Years

 
ActionCommittee System IDCommittee NameFiscal Year
 COM-010386Practicing Physicians Advisory Council2009
 COM-010674Practicing Physicians Advisory Council2008
 COM-012169Practicing Physicians Advisory Council2007
 COM-012903Practicing Physicians Advisory Council2006
 COM-013751Practicing Physicians Advisory Council2005
 COM-014523Practicing Physicians Advisory Council2004
 COM-015830Practicing Physicians Advisory Council2003
 COM-016772Practicing Physicians Advisory Council2002
 COM-017574Practicing Physicians Advisory Council2001
 COM-018544Practicing Physicians Advisory Council2000
 COM-019532Practicing Physicians Advisory Council1999
 COM-020630Practicing Physicians Advisory Council1998
 COM-021474Practicing Physicians Advisory Council1997