[Federal Register Volume 75, Number 83 (Friday, April 30, 2010)]
[Notices]
[Pages 22810-22811]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-10038]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10165, CMS-10095 and CMS-10003]
Agency Information Collection Activities: Proposed Collection;
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) 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: Revision of a currently
approved collection; Title of Information Collection: Electronic Health
Records Demonstration System (EHRDS)--practice application and profile
update system; Use: In 2008, the Secretary of the Department of Health
and Human Services directed the Centers for Medicare & Medicaid
Services to develop a new demonstration initiative using Medicare
waiver authority to reward the delivery of high-quality care supported
by the
[[Page 22811]]
adoption and use of electronic health records (EHRs). This continues to
be a critical priority under the current administration. The goal of
this demonstration is to foster the implementation and adoption of EHRs
and health information technology (HIT) more broadly as effective
vehicles to improve the quality of care provided and transform the way
medicine is practiced and delivered. Adoption of HIT has the potential
to provide significant savings to the Medicare program and improve the
quality of care rendered to Medicare beneficiaries.
The new electronic EHR demonstration system was first developed
with the intention of having practices applying to participate in Phase
2 of the demonstration use an on-line application form, rather than the
currently approved paper application form that was used for Phase 1.
However, with the cancellation of Phase 2, the system will not be used
to collect new applications at this time. Instead, existing data on
Phase 1 applications that was collected through the paper form and
manually keyed into a PC based Access database will be transferred to
the new system. Practices participating in Phase 1 of the demonstration
will be requested to use the new system to provide periodic updates to
their practice information. The EHR demonstration system will enable
practices to update critical demonstration information on line in a
secure, Web-enabled environment, thereby facilitating timely and more
accurate updates and processing of information. Thus, the EHR
demonstration system (EHRDS) does not reflect a request for new or
additional data beyond what practices are already providing to CMS and
its contractors. Rather it represents an effort to streamline and
improve what has been a more `ad hoc' process for providing the same
information. Form Number: CMS-10165 (OMB: 0938-0965);
Frequency: Occasionally; Affected Public: Business or other for-profits
and not-for-profit institutions; Number of Respondents: 400; Total
Annual Responses: 313; Total Annual Hours: 52.3 (For policy questions
regarding this collection contact Jody Blatt at 410-786-6921. For all
other issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Detailed
Explanation of Non-Coverage (42 CFR 422.626(e)(1)), and Notice of
Medicare Non-Coverage (42 CFR 422.624(b)(1)); Use: Under section 42 CFR
422.624(b)(1), skilled nursing facilities (SNFs), home health agencies
(HHAs), and comprehensive outpatient rehabilitation facilities (CORFs)
must deliver to Medicare health plan enrollees a 2-day advance notice
of termination of services. Per requirements at 42 CFR 422.626(e)(1),
plans must deliver detailed notices to the Quality Improvement
Organization (QIO) and enrollees whenever an enrollee appeals a
termination of services. The Notice of Medicare Non-Coverage (NOMNC)
and the Detailed Explanation of Non-Coverage (DENC) fulfill these
regulatory requirements. Additionally, 42 CFR 417.600(b) provides that
cost plans must follow these same fast track appeal notification
procedures for their enrollees in SNFs, HHAs and CORFs. Refer to the
crosswalk document for a list of changes. Form Number: CMS-10095
(OMB: 0938-0910); Frequency: Yearly; Affected Public: Business
or other for-profits and not-for-profit institutions; Number of
Respondents: 25,655; Total Annual Responses: 100,785; Total Annual
Hours: 45,353.25 (For policy questions regarding this collection
contact Stephanie Simons at 206-615-2420. For all other issues call
410-786-1326.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Notice of Denial
of Medical Coverage (NDMC) and Notice of Denial of Payment (NDP)--42
CFR 422.568; Use: Medicare health plans, including Medicare Advantage
plans, cost plans, and Health Care Prepayment Plans (HCPPs), are
required to issue the NDMC and NDP when a request for either a medical
service or payment is denied in whole or in part. Additionally, the
notices inform Medicare enrollees of their right to file an appeal. All
Medicare health plans are required to use these standardized notices.
Medicare health plans provide an NDMC to enrollees upon denial, in
whole or in part, of an enrollee's coverage request. This denial may be
subject to a series of administrative review levels, involving defined
steps and timeframes. The NDMC was developed to ensure Medicare
enrollees have access to information needed to navigate the Medicare
beneficiary appeals process. The NDMC meets requirements for both
Medicare's standard and expedited appeals processes.
Medicare health plans provide an NDP to enrollees upon denial, in
whole or in part, of payment for a service or item that the enrollee
received. This denial may be subject to a series of administrative
review levels, involving defined steps and timeframes. The NDP was
developed to ensure Medicare enrollees have access to information
needed to navigate the Medicare beneficiary appeals process. The NDP
meets requirements for Medicare's standard appeals process. Form
Number: CMS-10003 (OMB: 0938-0829); Frequency: Yearly;
Affected Public: Business or other for-profits and not-for-profit
institutions; Number of Respondents: 740; Total Annual Responses:
1,168,368; Total Annual Hours: 194,728 (For policy questions regarding
this collection contact Stephanie Simons at 206-615-2420. For all other
issues call 410-786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site 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.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by June 29, 2010:
1. Electronically. You may submit your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number, Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: April 23, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-10038 Filed 4-29-10; 8:45 am]
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