[Federal Register Volume 73, Number 188 (Friday, September 26, 2008)]
[Notices]
[Pages 55845-55846]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-22582]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-484 and CMS-846-849, 854, 10125, 10126, 10269
and CMS-R-21]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
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: Revision of a currently
approved collection; Title of Information Collection: Durable Medical
Equipment Regional Carrier, Certificate of Medical Necessity for Oxygen
and Supporting Regulations in 42 CFR 410.38 and 424.5; Use: The oxygen
certificate of medical necessity (CMN) collects information required to
help determine the medical necessity of home oxygen therapy for
Medicare beneficiaries. CMS requires CMNs where items may present a
vulnerability to the Medicare program. Each claim for these items must
have an associated CMN for the beneficiary. In order to determine if a
beneficiary needs home oxygen therapy, a qualifying blood gas study
must be performed and it must comply with the DMERCs Oxygen Medical
Policy on the standards for conducting the test and also be covered
under Medicare Part B. A beneficiary must be seen and evaluated by the
treating physician within specific timeframes as indicated by the
Oxygen Medical Policy in order to complete an Initial CMN
Certification, a Recertification CMN and a Revised CMN Certification.
Form Number: CMS-484 (OMB 0938-0534); Frequency: Occasionally;
Affected Public: Business or other for-profits; Number of Respondents:
15,000; Total Annual Responses: 1,630,000; Total Annual Hours: 326,000.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Durable Medical
Equipment Medicare Administrative Contractors (MAC), Certificates of
Medical Necessity; Use: The certificate of medical necessity (CMN)
collects information required to help determine the medical necessity
of certain items. CMS requires CMNs where there may be a vulnerability
to the Medicare program. Each initial claim for these items must
[[Page 55846]]
have an associated CMN for the beneficiary. Suppliers (those who bill
for the items) complete the administrative information (e.g., patient's
name and address, items ordered, etc.) on each CMN. The 1994 Amendments
to the Social Security Act require that the supplier also provide a
narrative description of the items ordered and all related accessories,
their charge for each of these items, and the Medicare fee schedule
allowance (where applicable). The supplier then sends the CMN to the
treating physician or other clinicians (e.g., physician assistant, LPN,
etc.) who completes questions pertaining to the beneficiary's medical
condition and signs the CMN. The physician or other clinician returns
the CMN to the supplier who has the option to maintain a copy and then
submits the CMN (paper or electronic) to CMS, along with a claim for
reimbursement. Form Number: CMS-846-849, 854, 10125, 10126, 10269
(OMB 0938-0679); Frequency: Occasionally; Affected Public:
Business or other for-profit and Not-for-profit institutions; Number of
Respondents: 59,200; Total Annual Responses: 6,480,000; Total Annual
Hours: 1,296,000.
3. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Withholding Medicare Payments to Recover Medicaid Overpayments and
Supporting Regulations in 42 CFR 44.31; Use: Overpayments may occur in
either the Medicare and Medicaid program, at times resulting in a
situation where an institution or person that provides services owes a
repayment to one program while still receiving reimbursement from the
other. Certain Medicaid providers which are subject to offsets for the
collection of Medicaid overpayments may terminate or substantially
reduce their participation in Medicaid, leaving the State Medicaid
Agency unable to recover the amounts due. These information collection
requirements give CMS the authority to recover Medicaid overpayments by
offsetting payments due to a provider under the program. Form Number:
CMS-R-21 (OMB 0938-0287); Frequency: On occasion; Affected
Public: State, Local or Tribal Governments; Number of Respondents: 54;
Total Annual Responses: 27; Total Annual Hours: 81.
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 [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 by the OMB desk
officer at the address below, no later than 5 p.m. on October 27, 2008:
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: September 18, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-22582 Filed 9-25-08; 8:45 am]
BILLING CODE 4120-01-P