[Federal Register Volume 86, Number 60 (Wednesday, March 31, 2021)]
[Notices]
[Pages 16739-16740]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-06642]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10102 and CMS-1984-14]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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 1, 2021.

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: CMS-P-0015A, 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.

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-10102--National Implementation of Hospital Consumer Assessment of 
Healthcare Providers and Systems (HCAHPS)
CMS-1984-14--Hospice Facility Cost Report Form

    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 of a currently 
approved collection; Title of Information Collection: National 
Implementation of Hospital Consumer Assessment of Healthcare Providers 
and Systems (HCAHPS); Use: The HCAHPS (Hospital Consumer Assessment of 
Healthcare Providers and Systems) Survey is the first national, 
standardized, publicly reported survey of patients' perspectives of 
their hospital care. HCAHPS is a 29-item survey instrument and data 
collection methodology for measuring patients' perceptions of their 
hospital experience. Since 2008, HCAHPS has allowed valid comparisons 
to be made across hospitals locally, regionally and nationally.
    The national implementation of HCAHPS is designed to allow third-
party CMS-approved survey vendors to administer HCAHPS using mail-only, 
telephone-only, mixed-mode (mail with telephone follow-up), or active 
IVR (interactive voice response). With respect to a telephone-only or 
mixed-mode survey, the CMS-approved survey vendors use electronic data 
collection or CATI systems. CATI is also used for telephone follow-up 
with mail survey non-respondents. With respect to IVR survey 
administration, the IVR technology gathers information from respondents 
by prompting respondents to answer questions by pushing the numbers on 
a touch-tone telephone. Patients selected for IVR mode are able to opt 
out of the interactive voice

[[Page 16740]]

response system and return to a ``live'' interviewer if they wish to do 
so. Form Number: CMS-10102 (OMB control number: 0938-0981); Frequency: 
Occasionally; Affected Public: Individuals and Households; Number of 
Respondents: 2,843,617; Total Annual Responses: 2,843,617; Total Annual 
Hours: 347,648. (For policy questions regarding this collection contact 
William Lehrman at 410-786-1037.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Hospice Facility 
Cost Report Form; Use: Under the authority of Sec. Sec.  1815(a) and 
1833(e) of the Social Security Act (the Act), CMS requires that 
providers of services participating in the Medicare program submit 
information to determine costs for health care services rendered to 
Medicare beneficiaries. CMS requires that providers follow reasonable 
cost principles under 1861(v)(1)(A) of the Act when completing the 
Medicare cost report (MCR). The regulations at 42 CFR 413.20 and 413.24 
require that providers submit acceptable cost reports on an annual 
basis and maintain sufficient financial records and statistical data, 
capable of verification by qualified auditors. In addition, regulations 
require that providers furnish such Information to the contractor as 
may be necessary to assure proper payment by the program, receive 
program payments, and satisfy program overpayment determinations.
    CMS regulations at 42 CFR 413.24(f)(4) require that each hospice 
submit an annual cost report to their contractor in a standard American 
Standard Code for Information Interchange (ASCII) electronic cost 
report (ECR) format. A hospice submits the ECR file to contractors 
using a compact disk (CD), flash drive, or the CMS approved Medicare 
Cost Report E-filing (MCREF) portal, [URL: https://mcref.cms.gov]. The 
instructions for submission are included in the hospice cost report 
instructions on page 43-3.
    CMS requires the Form CMS-1984-14 to determine a hospice's 
reasonable costs incurred in furnishing medical services to Medicare 
beneficiaries. CMS uses the Form CMS-1984-14 for rate setting; payment 
refinement activities, including developing a market basket; Medicare 
Trust Fund projections; and program operations support. Additionally, 
the Medicare Payment Advisory Commission (MedPAC) uses the hospice cost 
report data to calculate Medicare margins (a measure of the 
relationship between Medicare's payments and providers' Medicare costs) 
and analyze data to formulate Medicare Program recommendations to 
Congress. Form Number: CMS-1984-14 (OMB control number: 0938-0758); 
Frequency: Yearly; Affected Public: Private Sector, Business or other 
for-profits, Not for profits institutions; Number of Respondents: 
4,379; Total Annual Responses: 4,379; Total Annual Hours: 823,252. (For 
policy questions regarding this collection contact Duncan Gail at 410-
786-7278.)

    Dated: March 26, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-06642 Filed 3-30-21; 8:45 am]
BILLING CODE 4120-01-P