[Federal Register Volume 84, Number 73 (Tuesday, April 16, 2019)]
[Notices]
[Pages 15618-15619]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-07491]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1450]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 June 17, 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

[[Page 15619]]

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 N. 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).

CMS-1045 Medicare Uniform Institutional Provider Bill and Supporting 
Regulations in 42 CFR 424.5

    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: Extension without change 
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, Tenth Edition (ICD-10) code. Inpatient procedures are 
identified by ICD-10 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 UB-04 CMS-1450 permits 
Medicare Part A MACs to receive consistent data for proper payment. 
Medicare receives over 99.97 percent of the claims submitted by 
institutional providers electronically. CMS only accepts electronic 
claims in the Accredited Standards Committee (ASC) Health Insurance 
Portability and Accountability Act (HIPAA) 837 format for institutional 
providers unless the provider meets CMS requirements to submit paper 
claims. With the uniform bill, we have been able to achieve a more 
uniform and a more automated bill processing system for Medicare 
institutional and providers. The UB-04 CMS-1450 is managed by the 
National Uniform Billing Committee (NUBC), sponsored by the American 
Hospital Association. Most payers are represented on this body, and the 
UB-04 is widely used in the industry. Medicare Part A MACs use the 
information on the UB-04 CMS-1450 to determine whether to make Medicare 
payment for the services provided, the payment amount, and whether or 
not to apply deductibles to the claim. The same method is also used by 
other payers. CMS is also a secondary user of data. CMS uses the 
information to develop a database, which is used to update, and revise 
established payment schedules and other payment rates for covered 
services. CMS also uses the information to conduct studies and reports. 
Form Number: CMS-1045 (OMB control number: 0938-0997); Frequency: 
Yearly; Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 53,111; Total Annual Responses: 204,138,881; Total Annual 
Hours: 1,797,958. (For policy questions regarding this collection 
contact Mohammad B Ullah at 410-786-4143.)

    Dated: April 10, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-07491 Filed 4-15-19; 8:45 am]
 BILLING CODE 4120-01-P