[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]
BILLING CODE 4120-01-P