[Federal Register Volume 71, Number 37 (Friday, February 24, 2006)]
[Notices]
[Page 9559]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-1767]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1450(UB-04)]


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: New Collection; Title of 
Information Collection: Medicare Uniform Institutional Provider Bill 
and Supporting Regulations in 42 CFR 424.5; Use: Section 42 CFR 
424.5(a)(5) requires providers of services to submit a claim for 
payment prior to any Medicare reimbursement. Charges billed are coded 
by revenue codes. The bill specifies diagnoses according to the 
International Classification of Diseases, Ninth Edition (ICD-9-CM) 
code. Inpatient procedures are identified by ICD-9-CM codes, and 
outpatient procedures are described using the CMS Common Procedure 
Coding System (HCPCS). These are standard systems of identification for 
all major health insurance claims payers. Submission of information on 
the CMS-1450 permits Medicare intermediaries to receive consistent data 
for proper payment. All hardcopy claims processed by Medicare fiscal 
intermediaries must be submitted on the CMS-1450 (UB-04) after May 23, 
2007. Data fields in the X12N 837 data set are consistent with the CMS-
1450 (UB-04) data set.; Form Numbers: CMS-1450 (UB-04) (OMB: 
0938-NEW); Frequency: Reporting--On occasion; Affected Public: Not-for-
profit institutions, Business or other for-profit; Number of 
Respondents: 53,111; Total Annual Responses: 179,489,721; Total Annual 
Hours: 308,237.
    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 at the address below, 
no later than 5 p.m. on April 25, 2006. 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: February 16, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 06-1767 Filed 2-23-06; 8:45 am]
BILLING CODE 4120-01-P