[Federal Register: March 9, 2007 (Volume 72, Number 46)]
[Notices]
[Page 10765-10766]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09mr07-81]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-265-94 and CMS-460]
Agency Information Collection Activities: Proposed Collection;
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) 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: Independent Renal
Dialysis Facility Cost Report and supporting regulations 42 CFR 413.20
and 42 CFR 413.24; Form No.: CMS-265-94 (OMB 0938-0236); Use:
Providers of services participating in the Medicare program are
required under sections 1815(a), 1833(e), 1861(v)(1)(A) and
1881(b)(2)(B) of the Social Security Act to submit annual information
to achieve reimbursement for health care services rendered to Medicare
beneficiaries. The Form CMS-265-94 cost report is needed to determine
the amount of reasonable cost due to the providers for furnishing
medical services to Medicare beneficiaries.
The data collected will be used for the following additional
purposes: (a) Determination of reimbursements rates for renal dialysis
treatments, self-dialysis training, and other reasonable and medically
necessary services rendered in connection with these treatments; (b)
justification of requests for adjustments or exceptions in the
reimbursements rates; and, (c) accumulation of data for overall
evaluation. Worksheet B, Worksheet C
[[Page 10766]]
and Worksheet D have been modified to implement provisions of the
Medicare Prescription Drug Improvement and Modernization Act of 2003.
On Worksheet B, the allocation of Administrative and General cost to
Separately Billable Drugs was eliminated. On Worksheet C, two columns
were sub-divided to identify services before, on or after 4/1/2005. A
line was added to Worksheet D to report bad debts for dual eligible
beneficiaries. None of these changes request new information; rather,
the changes require reporting of data in greater detail than was
previously reported. Frequency: Reporting--Annually; Affected Public:
Business or other for-profit, Not-for-profit institutions; Number of
Respondents: 4,885; Total Annual Responses: 4,885; Total Annual Hours:
957,460.
2. 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: The CMS-460 is the agreement a
physician, supplier or their authorized official signs to participate
in Medicare Part B. By signing the agreement to participate in
Medicare, the physician, supplier or their authorized official agrees
to accept the Medicare-determined payment for Medicare covered services
as payment in full and to charge the Medicare Part B beneficiary no
more than the applicable deductible or coinsurance for the covered
services. For purposes of this explanation, the term a supplier means
any person or entity that may bill Medicare for Part B services (e.g.
DME supplier, nurse practitioner, supplier of diagnostic tests) except
a Medicare provider of services (e.g. hospital), which must participate
to be paid by Medicare for covered care.
There are additional benefits associated with payment for services
paid under the Medicare fee schedule. Payments made under the Medicare
fee schedule for physician services to participating physicians and
suppliers are based on 100 percent of the Medicare fee schedule amount,
while the Medicare fee schedule payment for physician services by
nonparticipating physicians and suppliers is based on 95 percent of the
fee schedule amount. Physicians and suppliers who do not participate in
Medicare are subject to limits on their actual charges for unassigned
claims for physician services. These limits, known as limiting charges,
cannot exceed 115 percent of the non-participant fee schedule, which is
set at 95 percent of the full fee schedule amount. In addition, if a
physician or supplier does not accept assignment on a claim for
Medicare payment, the physician or supplier must collect payment from
the beneficiary. If the physician or supplier accepts assignment on the
claim, Medicare pays its share of the payment directly to the physician
or supplier, resulting in faster and more certain payment. Frequency:
Reporting, 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.
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-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.
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 May 8, 2007. CMS, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations
Development--B, Attention: William N. Parham, III, Room C4-26-05, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: March 2, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E7-4235 Filed 3-8-07; 8:45 am]
BILLING CODE 4120-01-P