[Federal Register: August 25, 2006 (Volume 71, Number 165)]
[Notices]
[Page 50427-50428]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25au06-72]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-2744, CMS-2746, CMS-685, and CMS-10168]
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: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease Medical Information ESRD Facility Survey; Use: The ESRD
Facility Survey is completed by all Medicare-approved ESRD facilities
once a year. The survey was designed to collect information concerning
treatment trends, utilization of services and patterns of practice in
treating ESRD patients. The aggregate patient information is collected
from each Medicare-approved provider of dialysis and kidney transplant
services. The information is used to assess and evaluate the local,
regional and national levels of medical and social impact of ESRD care
and are used extensively by researchers and suppliers of services for
trend analysis. The information is available on the CMS Dialysis
Facility Compare Web site and will enable patients to make informed
decisions about their care by comparing dialysis facilities in their
area. The ESRD Facility Survey Public Use File is also posted at:
http://www.cms.hhs.gov/ESRDGeneralInformation/02_Data.asp#TopOfPage;
Form Number: CMS-2744 (OMB: 0938-0447); Frequency: Reporting--
Annually; Affected Public: Business or other for-profit, not-for-profit
institutions; Number of Respondents: 4,800; Total Annual Responses:
4,800; Total Annual Hours: 38,400.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease Death Notification P.L. 95-292; 42 CFR 405.2133, 45 CFR 5-5b;
20 CFR Parts 401 and 422E Use: The ESRD Death Notification (CMS-2746)
is completed by all Medicare-approved ESRD facilities upon the death of
an ESRD patient. Its primary purpose is to collect fact of death and
cause of death of ESRD patients. Certain other identifying information
(e.g., name, Medicare claim number, and date of birth) is required for
matching purposes. Federal regulations require that the ESRD Networks
examine the mortality rates of every Medicare-approved facility within
its area of responsibility. The Death Form provides the necessary data
to assist the ESRD Networks in making decisions that result in improved
patient care and in cost-effective distribution of ESRD resources. The
data is used by the ESRD Networks to verify facility deaths and to
monitor facility performance.; Form Number: CMS-2746 (OMB:
0938-0448); Frequency: On occasion, weekly; Affected Public: Business
or other for-profit, not-for-profit institutions; Number of
Respondents: 4,719; Total Annual Responses: 75,504; Total Annual Hours:
37,752.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting
Regulations in 42 CFR section 405.2110 and 42 CFR 405.2112; Use:
Section 1881(c) of the Social Security Act establishes End Stage Renal
Disease (ESRD) Network contracts. The regulations found at 42 CFR
405.2110 and 405.2112 designated 18 ESRD Networks which are funded by
renewable contracts. These contracts are on 3-year cycles. To better
administer the program, CMS is requiring contractors to submit semi-
annual cost reports. The purpose of the cost reports is to enable the
ESRD Networks to report costs in a standardized manner. This will allow
CMS to review, compare and project ESRD Network costs during the life
of the contract. Form Number: CMS-685 (OMB: 0938-0657);
Frequency: Reporting--semi-annually; Affected Public: Not-for-profit
institutions; Number of Respondents: 18; Total Annual Responses: 36;
Total Annual Hours: 108.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare Program:
Complex Medical Review; Use: Complex medical review involves the
application of clinical judgment by a licensed medical professional in
order to evaluate medical records to determine whether an item or
service is covered, and is reasonable and necessary. The information
required under this collection is requested by Medicare contractors,
and is requested of providers or suppliers submitting claims for
payment from the Medicare program when data analysis indicates aberrant
billing patterns which may present a vulnerability to the Medicare
program. Form Number: CMS-10168 (OMB: 0938-0969); Frequency:
Recordkeeping and Reporting--As requested; Affected Public: Business or
other for-profit and not-for-profit institutions; Number of
Respondents: 1,169,683; Total Annual Responses: 2,900,000; Total Annual
Hours: 966,666.
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/PaperworkReductionActof1995, or
E-
[[Page 50428]]
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 or faxed within 30 days of this notice
directly to the OMB desk officer: OMB Human Resources and Housing
Branch, Attention: Carolyn Lovett, New Executive Office Building, Room
10235, Washington, DC 20503, Fax Number: (202) 395-6974.
Dated: August 17, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-14043 Filed 8-24-06; 8:45 am]
BILLING CODE 4120-01-P