[Federal Register: November 21, 2003 (Volume 68, Number 225)]
[Notices]
[Page 65714-65715]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr21no03-74]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-382, CMS-10003 and CMS-10098]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare and Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid
Services (CMS) (formerly known as the Health Care Financing
Administration (HCFA)), Department of Health and Human Services, is
publishing the following summary of proposed collections for public
comment. Interested persons are invited to send comments regarding this
burden estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the agency's functions; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: ESRD Beneficiary
Selection and Supporting Regulations in 42 CFR 414.330; Form No.: CMS-
382 (OMB 0938-0372); Use: ESRD facilities have each new home
dialysis patient select one of two methods to handle Medicare
reimbursement. The intermediaries pay for the beneficiaries selecting
Method I and the carriers pay for the beneficiaries selecting Method
II. This system was developed to avoid duplicate billing by both
intermediaries and carriers; Frequency: Other: One-time only; Affected
Public: Individuals or households, business or other for-profit, not-
for-profit institutions; Number of Respondents: 7,400; Total Annual
Responses: 7,400; Total Annual Hours: 617.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare+Choice
Appeals Notices, ``Notice of Denial of Medical Coverage'', ``Notice of
Denial Payment''; Form No.: CMS-10003 (OMB 0938-0829); Use:
Section 1852(g)(1)(B) requires M+C organizations to provide
determinations to deny coverage (i.e., medical services or payment) in
writing and include a statement in understandable language of the
reasons for the denial and a description of the reconsideration and
appeals processes.
These notices fulfill the statutory requirement.; Frequency: On
occasion and other: distrubution; Affected Public: Individuals or
households, business or other for-profit, not-for-profit institutions;
Number of Respondents: 71,411; Total Annual Responses: 71,411; Total
Annual Hours: 78,290.
3. Type of Information Collection Request: New Collection; Title of
Information Collection: 1-800-Medicare Beneficiary Satisfaction Survey;
Form No.: CMS-10098 (OMB 0938-NEW); Use: The Beneficiary
Satisfaction survey is performed to insure that the CMS 1-800-Medicare
helpline contractor is delivering satisfactory service to the Medicare
beneficiaries. It gathers data on several helpline operations such as
print fulfillment and Web site tools hosted on http://www.medicare.gov.
Respondents to the survey are Medicare beneficiaries that have
contacted the 1-800-Medicare number within the past week for benefits
and services information.; Frequency: On occasion; Affected Public:
Individuals or households; Number of Respondents: 14,400; Total Annual
Responses: 14,400; Total Annual Hours: 1,200.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS's
Web site address at http://cms.hhs.gov/regulations/pra/default.asp, or
E-mail your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@hcfa.gov, or call the Reports
Clearance Office on (410) 786-1326. Written comments and
recommendations for the proposed information collections must be mailed
within 60 days of this notice directly to the CMS Paperwork Clearance
Officer designated at the following address: CMS, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations Development
and Issuances, Attention: Melissa Musotto, Room C5-14-03, 7500 Security
Boulevard, Baltimore, Maryland 21244-1850.
[[Page 65715]]
Dated: November 13, 2003.
Julie Brown,
CMS Reports Clearance Officer, Office of Strategic Operations and
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 03-29138 Filed 11-20-03; 8:45 am]
BILLING CODE 4120-03-P