[Federal Register: June 17, 2005 (Volume 70, Number 116)]
[Notices]
[Page 35255-35256]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17jn05-59]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10143, CMS-10140, CMS-460, CMS-R-65]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & 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 & Medicaid
Services (CMS), 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 function; (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: New collection; Title of
Information Collection: Monthly State File of Medicaid/Medicare Dual
Eligible Enrollees and Supporting Regulations in 42 CFR 423.900 through
423.910; Use: The monthly file of dual eligible enrollees will be used
to determine those duals with drug benefits for the phased-down State
contribution process required by the Medicare Modernization Act of 2003
(MMA). Section 103(a)(2) of the MMA addresses the phased-down state
contribution (PDSC) process for the Medicare program. The reporting of
the Medicare/Medicaid dual eligibles on a monthly basis is necessary to
implement those provisions, and to Support Part D subsidy
determinations and auto-assignment of individuals to Part D plans. The
PDSC is a partial recoupment from the States of ongoing Medicaid drug
costs for dual eligibles assumed by Medicare under MMA, which absent
the MMA would have been paid for by the States; Form Number: CMS-10143
(OMB 0938-NEW); Frequency: Recordkeeping and Monthly
reporting; Affected Public: State, local or tribal government; Number
of Respondents: 51; Total Annual Responses: 612; Total Annual hours:
10,710.
2. Type of Information Collection Request: New Collection; Title of
Information Collection: Claims Error Rate Testing (CERT)/Electronic
Medical Records Exploratory Survey; Form No.: CMS-10140 (OMB
0938-NEW); Use: The Centers for Medicare and Medicaid Services (CMS) is
using a private vendor to conduct market research to assess the value
of electronic patient medical records relative to the Claims Error Rate
Testing (CERT) program and determine what actions CMS can take to
encourage the use of electronic records for the purpose of lowering the
CERT error rate. The proposed effort will test the hypothesis that
increased functionality of electronic records (meaning, greater
connectivity and features), is associated with lower CERT error rates
related to coding, non-response and incomplete documentation. The
project is expected to assist CMS in identifying a strategy to improve
the CERT claims error rate by developing an approach that would both
facilitate and encourage the use of electronic patient medical records
in the health care setting. This research focuses on physician
practices, outpatient hospitals, durable medical equipment (DME)
providers and skilled nursing facilities (SNFs) that have been randomly
sampled as part of the CERT process.; Frequency: On occasion; Affected
Public: Business or other for-profit; Number of Respondents: 1600;
Total Annual Responses: 1600; Total Annual Hours: 454.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Participating Physician or Supplier Agreement; Form No.: CMS-460
(OMB 0938-0373); Use: Form number CMS-460 is completed by
nonparticipating physicians and suppliers if they choose to participate
in Medicare Part B. By signing the agreement, the physician or supplier
agrees to take assignment on all Medicare claims. To take assignment
means to accept the Medicare allowed amount as payment in full for the
services they furnish and to charge the beneficiary no more than the
deductible and coinsurance for the covered service. In exchange for
signing the agreement, the physician or supplier receives a significant
number of program benefits not available to nonparticipating suppliers.
The information associated with this collection is needed to identify
the recipients of the program benefits; Frequency: Other--when starting
a new business; Affected Public: Business or other for-profit; Number
of Respondents: 6000; Total Annual Responses: 6000; Total Annual Hours:
1500.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Information
Collection Requirements in Final Peer Review Organization Regulations,
42 CFR sections 1004.40, 1004.50, 1004.60, 1004.70; Form No.: CMS-R-65
(OMB 0938-0444); Use: This final rule updates the procedures
governing the imposition and adjudication of program sanctions
predicated on the recommendations of Peer Review Organizations (PROs).
These changes are being made as a result of statutory revisions
designed to address health care fraud and abuse issues in the OIG
sanction process. The Peer Review Improvement Act of 1982 amended Title
XI of the Social Security Act, creating the Utilization and Quality
Control Peer Review Organization program. Section 1156 of the Social
Security Act imposes obligations on health care practitioners and other
persons who furnish or order services or items under Medicare. This
section also provides for sanction actions, if the Secretary determines
that the obligations as stated by this section are not met. Quality
Improvement Organizations (QIOs) are responsible for identifying
violations. QIOs may allow practitioners or other persons,
opportunities to submit relevant information before determining that a
violation has occurred. These requirements are used by the QIOs to
collect the information necessary to make their determinations;
Frequency: On occasion; Affected Public: Not-for-profit institutions;
Number of Respondents: 53; Total Annual Responses: 1060; Total Annual
Hours: 22,684.
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/regulations/pra/, or e-mail 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.
Written comments and recommendations for the proposed information
collections must be mailed
[[Page 35256]]
within 30 days of this notice directly to the OMB desk officer:
OMB Human Resources and Housing Branch, Attention: Christopher Martin,
New Executive Office Building, Room 10235, Washington, DC 20503.
Dated: June 10, 2005.
Jim L. Wickliffe,
CMS Reports Clearance Officer, Regulations Development Group, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 05-11929 Filed 6-16-05; 8:45 am]
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