[Federal Register Volume 83, Number 218 (Friday, November 9, 2018)]
[Notices]
[Pages 56085-56086]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-24592]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-R-240 and CMS-10164]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by January 8, 2019.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send 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) that are 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.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
[[Page 56086]]
CMS-R-240 Prospective Payments for Hospital Outpatient Services
CMS-10164 Medicare EDI Enrollment Form and EDI Registration
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Reinstatement of a
previously approved collection; Title of Information Collection:
Prospective Payments for Hospital Outpatient Services; Use: Section
1833(t) of the Act, as added by section 4523 of the Balanced Budget Act
of 1997 (the BBA) requires the Secretary to establish a prospective
payment system (PPS) for hospital outpatient services. Successful
implementation of an outpatient PPS requires that CMS distinguish
facilities or organizations that function as departments of hospitals
from those that are freestanding, so that CMS can determine which
services should be paid under the OPPS, the clinical laboratory fee
schedule, or other payment provisions applicable to services furnished
to hospital outpatients. Information from the reports required under
sections 413.65(b)(3) and (c) is needed to make these determinations.
In addition, section 1866(b)(2) of the Act authorizes hospitals and
other providers to impose deductible and coinsurance charges for
facility services, but does not allow such charges by facilities or
organizations which are not provider-based. Implementation of this
provision requires that CMS have information from the required reports,
so it can determine which facilities are provider-based. Form Number:
CMS-R-240 (OMB control number: 0938-0798); Frequency: Yearly; Affected
Public: Private Sector (Business or other for-profits, Not-for-Profit
Institutions); Number of Respondents: 750; Total Annual Responses:
13,649,150; Total Annual Hours: 680,920 (For policy questions regarding
this collection contact Emily Lipkin at 410-786-3633.)
2. Type of Information Collection Request: Reinstatement of a
previously approved collection; Title of Information Collection:
Medicare EDI Enrollment Form and EDI Registration; Use: The Congress,
recognizing the need to simplify the administration of health care
transactions, enacted the Health Insurance Portability and
Accountability Act of 1996 (HIPAA), Public Law 104-191, on August 21,
1996. Title II, Subtitle F of this legislation directs the Secretary of
the Department of Health and Human Services to develop unique standards
for specified electronic transactions and code sets for those
transactions. The purpose of this Subtitle is to improve the Medicare
and Medicaid programs in particular and the efficiency and
effectiveness of the health care industry in general through the
establishment of standards and requirements to facilitate the
electronic transmission of certain health information. This Subtitle
also requires that the Secretary adopt standards for financial and
administrative transactions, and data elements for those transactions
to enable health information to be exchanged electronically. The
Standards for Electronic Transactions final rule, 45 CFR part 162
Subpart K Sec. 162.1101 through Subpart R Sec. 162.1802, (hereinafter
referred to as ``Transactions Rule'') published August 17, 2000 adopted
standards for health care transactions and code sets. Subsequent to the
Transactions Rule, CMS-0003-P and CMS-0005-P proposed modifications to
the adopted standards essential to permit initial implementation of the
standards throughout the entire healthcare industry.
Currently, Medicare contractors have a process in place to enroll
providers for electronic billing and other EDI transactions. In support
of the HIPAA Transactions Rule, the purpose of this Paperwork Reduction
Act (PRA) request is to establish a common form that is sufficient to
address all HIPAA transactions. Form Number: CMS-10164 (OMB control
number: 0938-0983); Frequency: Hourly; Affected Public: Private Sector
(Business or other for-profits, Not-for-Profit Institutions); Number of
Respondents: 193,268; Number of Responses: 193,268; Total Annual Hours:
64,423. (For policy questions regarding this collection, contact Matt
Klischer at 410-786-7488.)
Dated: November 6, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2018-24592 Filed 11-8-18; 8:45 am]
BILLING CODE 4120-01-P