[Federal Register Volume 84, Number 139 (Friday, July 19, 2019)]
[Notices]
[Pages 34895-34896]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-15424]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-1450 and CMS-10430]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate 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 on the collection(s) of information must be received by 
the OMB desk officer by August 19, 2019.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR, Email: 
[email protected].
    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.

[[Page 34896]]

    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    2. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(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 (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    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.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Information 
Collection Requirements for Compliance with Individual and Group Market 
Reforms under Title XXVII of the Public Health Service Act; Use: 
Sections 2723 and 2761 of the Public Health Service Act (PHS Act) 
direct the Centers for Medicare and Medicaid Services (CMS) to enforce 
a provision (or provisions) of title XXVII of the PHS Act (including 
the implementing regulations in parts 144, 146, 147, and 148 of title 
45 of the Code of Federal Regulations) with respect to health insurance 
issuers when a state has notified CMS that it has not enacted 
legislation to enforce or that it is not otherwise enforcing a 
provision (or provisions) of the group and individual market reforms 
with respect to health insurance issuers, or when CMS has determined 
that a state is not substantially enforcing one or more of those 
provisions. Section 2723 of the PHS Act directs CMS to enforce an 
applicable provision (or applicable provisions) of title XXVII of the 
PHS Act (including the implementing regulations in parts 146 and 147 of 
title 45 of the Code of Federal Regulations) with respect to group 
health plans that are non-Federal governmental plans. This collection 
of information includes requirements that are necessary for CMS to 
conduct compliance review activities. Form Number: CMS-10430 (OMB 
control number: 0938-0702); Frequency: Annually; Affected Public: State 
Governments, Private Sector, State or local governments; Number of 
Respondents: 780; Total Annual Responses: 42,716; Total Annual Hours: 
1,721. (For policy questions regarding this collection contact Usree 
Bandyopadhyay at 410-786-6650.)

    Dated: July 16, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-15424 Filed 7-18-19; 8:45 am]
BILLING CODE 4120-01-P