81 FR 30308 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 94 (May 16, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 94 (May 16, 2016)
| Page Range | 30308-30309 | |
| FR Document | 2016-11499 |
[Federal Register Volume 81, Number 94 (Monday, May 16, 2016)] [Notices] [Pages 30308-30309] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-11499] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-838, CMS-10157 and 10469] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services, Department of Health and Human Services. 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 require; 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 any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) 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 15, 2016. 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' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995. 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: Reports Clearance Office at (410) 786- 1326. 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-838 Medicare Credit Balance Reporting Requirements CMS-10157 HIPPA Eligibility Tracking System CMS-10469 Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology 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. 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare Credit Balance Reporting Requirements; Use: Quarterly credit balance reporting is needed to monitor and control the identification and timely collection of improper payments. Credit balances are mainly attributable to provider billing practices and cannot be eliminated by program functions; they will continue to occur. The OIG issued a Management Advisory Report (MAR) on their extended review of credit balances (See Attachment). They state that approximately 90 percent of credit balances result from providers: (1) Billing Medicare and a private insurer for the same service, (2) submitting duplicate billings for services in a manner which cannot be detected by system edits, and (3) billing for services not performed. The MAR recommends that CMS continue its plan of recovery by requiring hospitals to report Medicare credit balances to contractors on a quarterly basis. Form Number: CMS- 838 (OMB control number: 0938-0600); Frequency: Quarterly; Affected Public: Private sector (Business or other For-profits); Number of Respondents: 52,582; Total Annual Responses: 210,328; Total Annual Hours: 630,984. (For policy questions regarding this collection contact Anita Crosier at 410-786-0217). 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: HIPPA Eligibility Tracking System; Use: Federal law requires that CMS take precautions to minimize the security risk to the federal information system. Federal Information Processing Standards Publication (FIPS PUB) 1( ) 1-2 Paragraph 11.7--Security and Authentication states that: ``Agencies shall employ risk management techniques to determine the appropriate mix of security controls needed to protect specific data and systems. The selection of controls shall take into account procedures required under applicable laws and regulations.'' Accordingly, CMS requires that entities who wish to connect to the HETS application via the CMS Extranet and/or Internet are uniquely identified. CMS is required to verify the identity of the [[Page 30309]] person requesting the Protected Health Information (PHI) and the person's authority to have access to Medicare eligibility information. Furthermore, CMS requires that trading partners who wish to conduct eligibility transactions on a real-time basis with CMS provide certain assurances as a condition of receiving access to the Medicare eligibility information for the purpose of conducting real-time 270/271 inquiry/response transactions. Form Number: CMS-10157 (OMB control number: 0938-0960); Frequency: Quarterly; Affected Public: Private sector (Business or other For-profits and Not-For-Profits); Number of Respondents: 2,000; Total Annual Responses: 2,000; Total Annual Hours: 250. (For policy questions regarding this collection contact Rupinder Singh at 410-786-7484). 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology; Use: Sections 1402 and 1412 of the Affordable Care Act provide for reductions in cost sharing on essential health benefits for low- and moderate-income enrollees in silver level qualified health plans (QHP) on individual market Exchanges. It also provides for reductions in cost sharing for Indians enrolled in QHPs at any metal level. These cost-sharing reductions will help eligible individuals and families afford the out-of-pocket spending associated with health care services provided through Exchange-based QHP coverage. The law directs QHP issuers to notify the Secretary of the Department of Health and Human Services (HHS) of cost-sharing reductions made under the statute for qualified individuals, and directs the Secretary to make periodic and timely payments to the QHP issuer equal to the value of those reductions. Further, the law permits advance payment of the cost-sharing reduction amounts to QHP issuers based upon amounts specified by the Secretary. Under established HHS regulations, QHP issuers will receive advance payments of the cost-sharing reductions throughout the year. Each issuer will then be subject to one of two reconciliation processes after the year to ensure that HHS reimbursed each issuer the correct advance cost-sharing amount. This information collection request establishes the data collection requirements for a QHP issuer to report to HHS which reconciliation reporting option the issuer will be subject to for a given benefit year. Form Number: CMS-10469 (OMB control number: 0938-1214); Frequency: Annually; Affected Public: Private sector (Businesses or other for-profits); Number of Respondents: 575; Total Annual Responses: 575; Total Annual Hours: 13,200. (For policy questions regarding this collection contact Pat Meisol at 410-786- 1917.) Dated: May 11, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-11499 Filed 5-13-16; 8:45 am] BILLING CODE 4120-01-P
![30308 Federal Register / Vol. 81, No. 94 / Monday, May 16, 2016 / Notices
Section C–B, Organization and recommendations must be submitted in concerning each proposed collection of
Functions, is hereby amended as any one of the following ways: information, including each proposed
follows: 1. Electronically. You may send your extension or reinstatement of an existing
Delete in its entirety the title and the comments electronically to http:// collection of information, before
mission and function statements for the www.regulations.gov. Follow the submitting the collection to OMB for
Statistical Support Most Efficient instructions for ‘‘Comment or approval. To comply with this
Organization (CCK3), Division of Submission’’ or ‘‘More Search Options’’ requirement, CMS is publishing this
Surveillance, Hazard Evaluations and to find the information collection notice.
Field Studies (CCK). document(s) that are accepting 1. Type of Information Collection
comments. Request: Extension of a currently
Sherri Berger, approved collection; Title of
2. By regular mail. You may mail
Chief Operating Officer, Centers for Disease written comments to the following Information Collection: Medicare Credit
Control and Prevention. Balance Reporting Requirements; Use:
address: CMS, Office of Strategic
[FR Doc. 2016–11440 Filed 5–13–16; 8:45 am] Operations and Regulatory Affairs, Quarterly credit balance reporting is
BILLING CODE 4160–18–P Division of Regulations Development, needed to monitor and control the
Attention: Document Identifier/OMB identification and timely collection of
Control Number llll, Room C4–26– improper payments. Credit balances are
DEPARTMENT OF HEALTH AND 05, 7500 Security Boulevard, Baltimore, mainly attributable to provider billing
HUMAN SERVICES Maryland 21244–1850. practices and cannot be eliminated by
To obtain copies of a supporting program functions; they will continue to
Centers for Medicare & Medicaid
statement and any related forms for the occur. The OIG issued a Management
Services
proposed collection(s) summarized in Advisory Report (MAR) on their
[Document Identifiers: CMS–838, CMS– this notice, you may make your request extended review of credit balances (See
10157 and 10469] using one of following: Attachment). They state that
1. Access CMS’ Web site address at approximately 90 percent of credit
Agency Information Collection http://www.cms.hhs.gov/ balances result from providers: (1)
Activities: Proposed Collection; PaperworkReductionActof1995. Billing Medicare and a private insurer
Comment Request 2. Email your request, including your for the same service, (2) submitting
AGENCY: Centers for Medicare & address, phone number, OMB number, duplicate billings for services in a
Medicaid Services, Department of and CMS document identifier, to manner which cannot be detected by
Health and Human Services. Paperwork@cms.hhs.gov. system edits, and (3) billing for services
3. Call the Reports Clearance Office at not performed. The MAR recommends
ACTION: Notice.
(410) 786–1326. that CMS continue its plan of recovery
SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT: by requiring hospitals to report
Medicaid Services (CMS) is announcing Reports Clearance Office at (410) 786– Medicare credit balances to contractors
an opportunity for the public to 1326. on a quarterly basis. Form Number:
comment on CMS’ intention to collect CMS–838 (OMB control number: 0938–
SUPPLEMENTARY INFORMATION:
information from the public. Under the 0600); Frequency: Quarterly; Affected
Paperwork Reduction Act of 1995 (the Contents Public: Private sector (Business or other
PRA), federal agencies are require; to This notice sets out a summary of the For-profits); Number of Respondents:
publish notice in the Federal Register use and burden associated with the 52,582; Total Annual Responses:
concerning each proposed collection of following information collections. More 210,328; Total Annual Hours: 630,984.
information (including each proposed detailed information can be found in (For policy questions regarding this
extension or reinstatement of an existing each collection’s supporting statement collection contact Anita Crosier at 410–
collection of information) and to allow and associated materials (see 786–0217).
60 days for public comment on the 2. Type of Information Collection
ADDRESSES).
proposed action. Interested persons are Request: Extension of a currently
CMS–838 Medicare Credit Balance approved collection; Title of
invited to send comments regarding our Reporting Requirements
burden estimates or any other aspect of Information Collection: HIPPA
CMS–10157 HIPPA Eligibility Tracking Eligibility Tracking System; Use:
this collection of information, including System
any of the following subjects: (1) The Federal law requires that CMS take
CMS–10469 Issuer Reporting
necessity and utility of the proposed precautions to minimize the security
Requirements for Selecting a Cost-
information collection for the proper risk to the federal information system.
Sharing Reductions Reconciliation
performance of the agency’s functions; Federal Information Processing
Methodology
(2) the accuracy of the estimated Standards Publication (FIPS PUB) 1( )
Under the PRA (44 U.S.C. 3501– 1–2 Paragraph 11.7—Security and
burden; (3) ways to enhance the quality,
3520), federal agencies must obtain Authentication states that: ‘‘Agencies
utility, and clarity of the information to
approval from the Office of Management shall employ risk management
be collected; and (4) the use of
and Budget (OMB) for each collection of techniques to determine the appropriate
automated collection techniques or
information they conduct or sponsor. mix of security controls needed to
other forms of information technology to
The term ‘‘collection of information’’ is protect specific data and systems. The
asabaliauskas on DSK3SPTVN1PROD with NOTICES
minimize the information collection
defined in 44 U.S.C. 3502(3) and 5 CFR selection of controls shall take into
burden.
1320.3(c) and includes agency requests account procedures required under
DATES: Comments must be received by or requirements that members of the applicable laws and regulations.’’
July 15, 2016. public submit reports, keep records, or Accordingly, CMS requires that entities
ADDRESSES: When commenting, please provide information to a third party. who wish to connect to the HETS
reference the document identifier or Section 3506(c)(2)(A) of the PRA application via the CMS Extranet and/
OMB control number. To be assured requires federal agencies to publish a or Internet are uniquely identified. CMS
consideration, comments and 60-day notice in the Federal Register is required to verify the identity of the
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![Federal Register / Vol. 81, No. 94 / Monday, May 16, 2016 / Notices 30309
person requesting the Protected Health 0938–1214); Frequency: Annually; the OMB desk officer via one of the
Information (PHI) and the person’s Affected Public: Private sector following transmissions: OMB, Office of
authority to have access to Medicare (Businesses or other for-profits); Information and Regulatory Affairs,
eligibility information. Furthermore, Number of Respondents: 575; Total Attention: CMS Desk Officer, Fax
CMS requires that trading partners who Annual Responses: 575; Total Annual Number: (202) 395–5806 OR, Email:
wish to conduct eligibility transactions Hours: 13,200. (For policy questions OIRA_submission@omb.eop.gov.
on a real-time basis with CMS provide regarding this collection contact Pat To obtain copies of a supporting
certain assurances as a condition of Meisol at 410–786–1917.) statement and any related forms for the
receiving access to the Medicare Dated: May 11, 2016. proposed collection(s) summarized in
eligibility information for the purpose of this notice, you may make your request
William N. Parham, III,
conducting real-time 270/271 inquiry/ using one of following:
response transactions. Form Number: Director, Paperwork Reduction Staff, Office 1. Access CMS’ Web site address at
of Strategic Operations and Regulatory
CMS–10157 (OMB control number: Affairs.
http://www.cms.hhs.gov/
0938–0960); Frequency: Quarterly; PaperworkReductionActof1995.
[FR Doc. 2016–11499 Filed 5–13–16; 8:45 am]
Affected Public: Private sector (Business 2. Email your request, including your
BILLING CODE 4120–01–P
or other For-profits and Not-For-Profits); address, phone number, OMB number,
Number of Respondents: 2,000; Total and CMS document identifier, to
Annual Responses: 2,000; Total Annual Paperwork@cms.hhs.gov.
DEPARTMENT OF HEALTH AND 3. Call the Reports Clearance Office at
Hours: 250. (For policy questions
HUMAN SERVICES (410) 786–1326.
regarding this collection contact
Rupinder Singh at 410–786–7484). Centers for Medicare & Medicaid FOR FURTHER INFORMATION CONTACT:
3. Type of Information Collection Services Reports Clearance Office at (410) 786–
Request: Extension of a currently 1326.
approved collection; Title of [Document Identifier: CMS–10409]
Information Collection: Issuer Reporting SUPPLEMENTARY INFORMATION: Under the
Requirements for Selecting a Cost- Agency Information Collection Paperwork Reduction Act of 1995 (PRA)
Sharing Reductions Reconciliation Activities: Submission for OMB (44 U.S.C. 3501–3520), federal agencies
Methodology; Use: Sections 1402 and Review; Comment Request must obtain approval from the Office of
1412 of the Affordable Care Act provide Management and Budget (OMB) for each
ACTION: Notice. collection of information they conduct
for reductions in cost sharing on
essential health benefits for low- and or sponsor. The term ‘‘collection of
SUMMARY: The Centers for Medicare & information’’ is defined in 44 U.S.C.
moderate-income enrollees in silver Medicaid Services (CMS) is announcing
level qualified health plans (QHP) on 3502(3) and 5 CFR 1320.3(c) and
an opportunity for the public to includes agency requests or
individual market Exchanges. It also comment on CMS’ intention to collect
provides for reductions in cost sharing requirements that members of the public
information from the public. Under the submit reports, keep records, or provide
for Indians enrolled in QHPs at any Paperwork Reduction Act of 1995
metal level. These cost-sharing information to a third party. Section
(PRA), federal agencies are required to 3506(c)(2)(A) of the PRA (44 U.S.C.
reductions will help eligible individuals publish a notice in the Federal Register
and families afford the out-of-pocket 3506(c)(2)(A)) requires federal agencies
concerning each proposed collection of to publish a 30-day notice in the
spending associated with health care information, including each proposed
services provided through Exchange- Federal Register concerning each
extension or reinstatement of an existing proposed collection of information,
based QHP coverage. collection of information, and to allow
The law directs QHP issuers to notify including each proposed extension or
a second opportunity for public reinstatement of an existing collection
the Secretary of the Department of comment on the notice. Interested
Health and Human Services (HHS) of of information, before submitting the
persons are invited to send comments collection to OMB for approval. To
cost-sharing reductions made under the regarding the burden estimate or any
statute for qualified individuals, and comply with this requirement, CMS is
other aspect of this collection of publishing this notice that summarizes
directs the Secretary to make periodic information, including any of the
and timely payments to the QHP issuer the following proposed collection(s) of
following subjects: (1) The necessity and information for public comment:
equal to the value of those reductions.
utility of the proposed information 1. Type of Information Collection
Further, the law permits advance
collection for the proper performance of Request: Extension of a currently
payment of the cost-sharing reduction
the agency’s functions; (2) the accuracy approved collection; Title of
amounts to QHP issuers based upon
of the estimated burden; (3) ways to Information Collection: Long Term Care
amounts specified by the Secretary.
Under established HHS regulations, enhance the quality, utility, and clarity Hospital (LCTH) Continuity Assessment
QHP issuers will receive advance of the information to be collected; and Record and Evaluation (CARE) Data Set;
payments of the cost-sharing reductions (4) the use of automated collection Use: Section 3004 of the Affordable Care
throughout the year. Each issuer will techniques or other forms of information Act authorized the establishment of
then be subject to one of two technology to minimize the information quality reporting program for long term
reconciliation processes after the year to collection burden. care hospitals (LTCHs). Beginning in FY
ensure that HHS reimbursed each issuer DATES: Comments on the collection(s) of 2014, LTCHs that fail to submit quality
asabaliauskas on DSK3SPTVN1PROD with NOTICES
the correct advance cost-sharing information must be received by the measure data may be subject to a 2
amount. This information collection OMB desk officer by June 15, 2016: percentage point reduction in their
request establishes the data collection ADDRESSES: When commenting on the annual update to the standard Federal
requirements for a QHP issuer to report proposed information collections, rate for discharges occurring during a
to HHS which reconciliation reporting please reference the document identifier rate year. The LTCH CARE Data Set was
option the issuer will be subject to for or OMB control number. To be assured developed specifically for use in LTCHs
a given benefit year. Form Number: consideration, comments and for data collection of NQF #0678
CMS–10469 (OMB control number: recommendations must be received by Pressure Ulcer measures beginning
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Document Created: 2016-05-14 01:17:08
Document Modified: 2016-05-14 01:17:08
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments must be received by July 15, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 30308 |
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