[Federal Register Volume 77, Number 225 (Wednesday, November 21, 2012)]
[Notices]
[Pages 69847-69848]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-28381]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10451 and CMS-10455]


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: 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. Form Numbers: CMS-1450 (UB-
04) (OMB: 0938-0997); Frequency: Reporting--On occasion; 
Affected Public: Not-for-profit institutions, business or other for-
profit; Number of Respondents: 53,111; Total Annual Responses: 
181,909,654; Total Annual Hours: 1,567,455. (For policy questions

[[Page 69848]]

regarding this collection contact Matt Klischer at 410-786-7488. For 
all other issues call 410-786-1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Report of a Hospital Death Associated with 
Restraint or Seclusion; Use: Executive Order 13563, Improving 
Regulation and Regulatory Review, was signed on January 18, 2011. The 
order recognized the importance of a streamlined, effective, and 
efficient regulatory framework designed to promote economic growth, 
innovation, job creation, and competitiveness. Each agency was directed 
to establish an ongoing plan to reduce or eliminate burdensome, 
obsolete, or unnecessary regulations to create a more efficient and 
flexible structure.
    The regulation that was published on May, 16, 2012 (77 FR 29034) 
included a reduction in the reporting requirement related to hospital 
deaths associated with the use of restraint or seclusion, Sec.  
482.13(g). Hospitals are no longer required to report to CMS those 
deaths where there was no use of seclusion and the only restraint was 
2-point soft wrist restraints. It is estimated that this will reduce 
the volume of reports that must be submitted by 90 percent for 
hospitals. In addition, the final rule replaced the previous 
requirement for reporting via telephone to CMS, which proved to be 
cumbersome for both CMS and hospitals, with a requirement that allows 
submission of reports via telephone, facsimile or electronically, as 
determined by CMS. Finally, the amount of information that CMS needs 
for each death report in order for CMS to determine whether further on-
site investigation is needed has been reduced.
    The Child Health Act (CHA) of 2000 established in Title V, Part H, 
Section 591 of the Public Health Service Act (PHSA) minimum 
requirements concerning the use of restraints and seclusion in 
facilities that receive support with funds appropriated to any Federal 
department or agency. In addition, the CHA enacted Section 592 of the 
PHSA, which establishes minimum mandatory reporting requirements for 
deaths in such facilities associated with use of restraint or 
seclusion. Provisions implementing this statutory reporting requirement 
for hospitals participating in Medicare are found at 42 CFR 482.13(g), 
as revised in the final rule that published on May 16, 2012 (77 FR 
29034). Form Number: CMS-10455 (OCN: 0938-New); Frequency: 
Occasionally; Affected Public: Private Sector. Number of Respondents: 
4,900. Number of Responses: 24,500. Total Annual Hours: 8,085. (For 
policy questions regarding this collection contact Danielle Miller at 
410-786-8818. 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 address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
or Email 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 January 22, 2013:
    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: November 16, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-28381 Filed 11-20-12; 8:45 am]
BILLING CODE 4120-01-P