[Federal Register Volume 88, Number 84 (Tuesday, May 2, 2023)]
[Notices]
[Pages 27517-27518]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-09198]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10853]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
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 July 3, 2023.
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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
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
[[Page 27518]]
and associated materials (see ADDRESSES).
CMS 10853 Patient Provider Dispute Resolution Requirements Related to
Surprise Billing: Part II
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: New collection (Request
for a new OMB control number); Title of Information Collection: Patient
Provider Dispute Resolution Requirements Related to Surprise Billing:
Part II; Use: The Consolidated Appropriations Act, 2021 (CAA), which
includes the No Surprises Act provides Federal protections against
surprise billing and limits out-of-network cost sharing under many of
the circumstances in which surprise bills arise most frequently.
The Act adds a new Part E of title XXVII of the Public Health
Service Act establishing requirements applicable to providers, and
facilities. These include provisions at new PHS Act sections 2799B-6
which requires providers and facilities to furnish a good faith
estimate of expected charges upon request or upon scheduling an item or
service for an individual. Providers and facilities are required to
inquire if an individual is enrolled in a group health plan, group or
individual health insurance coverage, a Federal Employees Health
Benefits (FEHB) plan, or a Federal health care program and if enrolled
in a group health plan, or group or individual health insurance
coverage, or a health benefits plan under chapter 89 of title 5,
whether the individual is seeking to have a claim for such item or
service submitted to such plan or coverage (hereafter referred to as an
``uninsured (or self-pay) individual''). In the case that an uninsured
(or self-pay) individual requesting a good faith estimate for an item
or service or schedules an item or service to be furnished, PHS Act
section 2799B-6(2)(B) and the October 2021 interim final rules at 45
CFR 149.610 require providers and facilities to furnish the good faith
estimate to the uninsured (or self-pay) individual.
No Surprises Act section 112 also adds PHS Act section 2799B-7 as
added by the interim final rules at 45 CFR 149.620 which directs the
Secretary of HHS to establish a process under which an uninsured (or
self-pay) individual can avail themselves of a patient-provider dispute
resolution (PPDR) process if their billed charges after receiving an
item or service are substantially in excess of the expected charges
listed in the good faith estimate furnished by the provider or
facility, pursuant to PHS Act section 2799B-6. This information
collection request (ICR) focuses on the patient-provider dispute
resolution process requirements under the October 2021 interim final
rules (October 7, 2021, 86 FR 55980).
Dated: April 26, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-09198 Filed 5-1-23; 8:45 am]
BILLING CODE P