[Federal Register Volume 70, Number 184 (Friday, September 23, 2005)]
[Notices]
[Pages 55860-55861]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-19068]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document No. CMS-R-232, CMS-9042]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services (CMMS).
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) 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: Medicare
Integrity Program Organizational Conflict of Interest Disclosure
Certificate and Supporting Regulations at 42 CFR 421.300-421.316; Form
Number: CMS-R-232 (OMB: 0938-0723); Use: Section 1893(d)(1) of
the Social Security Act requires CMS to establish a process for
identifying, evaluating, and resolving conflicts of interest. CMS
proposed a process under Section 421.310 to mandate submission of
pertinent information regarding conflicts of interest. The entities
providing the information will be organizations that have been awarded,
or seek award of, a Medicare Integrity Program contract. CMS needs this
information to assess whether contractors who perform, or who seek to
perform, Medicare Integrity Program functions, such as medical review,
fraud review or cost audits, have organizational conflicts of interest
and whether any conflicts have been resolved. Frequency: Reporting--On
occasion; Affected Public: Business or other for-profit; Number of
Respondents: 11; Total Annual Responses: 11; Total Annual Hours: 2,200.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Request for
Accelerated Payments and Supporting Regulations in 42 CFR, sections
412.116, 412.632, 413.64, 413.350, and 484.245; Form Number: CMS-9042
(OMB: 0938-0269); Use: Section 1815(a) of the Social Security
Act describes payment to providers of services. 42 CFR 412.116, 42 CFR
412.632, 42 CFR 413.64, 42 CFR 413.350, and 42 CFR 484.245 define the
conditions under which accelerated payments may be requested. Sections
2412.2 and 2412.3 of the Provider Reimbursement Manual identify the
information that providers must supply to their intermediary to request
an accelerated payment. A request for an accelerated payment can be
made by a hospital, skilled nursing facility, home health agency,
inpatient rehabilitation facility, critical access hospital, or hospice
that is not receiving periodic interim payments. Accelerated payment
request forms are used by fiscal intermediaries to assess a provider's
eligibility for accelerated payments. Frequency: Reporting--On
occasion; Affected Public: Business or
[[Page 55861]]
other for-profit, Not-for-profit institutions; Number of Respondents:
822; Total Annual Responses: 822; Total Annual Hours: 411.
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 [email protected], or call the Reports
Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received at the address below,
no later than 5 p.m. on November 22, 2005. CMS, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations Development,
Attention: Bonnie L. Harkless, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: September 15, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 05-19068 Filed 9-22-05; 8:45 am]
BILLING CODE 4120-01-P