81 FR 40308 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 81, Issue 119 (June 21, 2016)

Page Range		40308-40309
FR Document		2016-14569

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 a 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 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.

Federal Register, Volume 81 Issue 119 (Tuesday, June 21, 2016)

[Federal Register Volume 81, Number 119 (Tuesday, June 21, 2016)]
[Notices]
[Pages 40308-40309]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-14569]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10599]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

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

[[Page 40309]]

information from the public. Under the Paperwork Reduction Act of 1995 
(PRA), federal agencies are required to publish a 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 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 on the collection(s) of information must be received by 
the OMB desk officer by July 21, 2016.

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' 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: 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: Request for a new OMB 
control number; Title of Information Collection: Pre-Claim Review 
Demonstration For Home Health Services; Use: Section 402(a)(1)(J) of 
the Social Security Amendments of 1967 (42 U.S.C. 1395b-1(a)(1)(J)) 
authorizes the Secretary to ``develop or demonstrate improved methods 
for the investigation and prosecution of fraud in the provision of care 
or services under the health programs established by the Social 
Security Act (the Act).'' Pursuant to this authority, the CMS seeks to 
develop and implement a Medicare demonstration project, which CMS 
believes will help assist in developing improved procedures for the 
identification, investigation, and prosecution of Medicare fraud 
occurring among HHAs providing services to Medicare beneficiaries.
    This demonstration would help assure that payments for home health 
services are appropriate before the claims are paid, thereby preventing 
fraud, waste, and abuse. As part of this demonstration, CMS proposes 
performing prior authorization before processing claims for home health 
services in: Florida, Texas, Illinois, Michigan, and Massachusetts. CMS 
would establish a prior authorization procedure that is similar to the 
Prior Authorization of Power Mobility Device (PMD) Demonstration, which 
was implemented by CMS in 2012. This demonstration would also follow 
and adopt prior authorization processes that currently exist in other 
health care programs such as TRICARE, certain state Medicaid programs, 
and in private insurance.
    The information required under this collection is requested by 
Medicare contractors to determine proper payment or if there is a 
suspicion of fraud. Medicare contractors will request the information 
from HHA providers submitting claims for payment from the Medicare 
program in advance to determine appropriate payment. Please note, due 
to the title of ``Prior Authorization'' implying that services will be 
withheld from the beneficiary until an affirmed decision is achieved, 
this demonstration has been renamed from the ``Home Health Prior 
Authorization Demonstration'' to the ``Home Health Pre-Claim Review 
Demonstration,'' as home health services are already being provided to 
the beneficiary when the pre-claim review process begins. Form Number: 
CMS-10599 (OMB Control Number: 0938-NEW); Frequency: Occasionally; 
Affected Public: Private Sector (Business or other for-profits and Not-
for-profits); Number of Respondents: 908,740; Number of Responses: 
908,740; Total Annual Hours: 454,370. (For questions regarding this 
collection contact Kristal Vines (410) 786-0119.)

    Dated: June 15, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-14569 Filed 6-20-16; 8:45 am]
 BILLING CODE 4120-01-P

40308 Federal Register / Vol. 81, No. 119 / Tuesday, June 21, 2016 / Notices

medium (10–24 EPs), and large (25+ medical groups that are part of complex screening call will be an informal
EPs) medical groups from across the systems and payment relationships. conversation in which AHRQ looks to
Unites States. The goal is to recruit These complex organizational learn if the medical group self-identifies
approximately 3 administrators and 2 relationships will require more time to as using measurement for performance
frontline clinicians in each Group, understand in order to understand the improvement and provides consent to
understanding that depending on the place, role, and operation of internal take part. AHRQ will answer any
size and organization of the medical measurement for performance questions the medical group has about
group staff members may operate in improvement within the group. For the study on this call and confirm some
multiple roles. equivalent administrators from medium basic, publicly available background
Based on the pilot study conducted and small groups, AHRQ estimates the
information about the group that AHRQ
for this project, AHRQ estimates that the longest interviews will be 1.25 hours.
recruitment call will average 15 has obtained is accurate and up to date.
For all other administrators and
minutes, and that the longest interviews This background information will help
frontline clinicians, AHRQ estimates the
will be 1.5 hours. These longest interviews will be 1 hour. put the information learned during the
interviews will be with the highest level The total annualized burden is interview in better context. The types of
administrators working on internal estimated to be 295 hours. Again, background information AHRQ is
performance measurement at the most interviews with both frontline clinicians looking at includes medical group size,
complex medical groups. AHRQ and all medical group administrators organizational structure, specialty mix,
believes these will be the largest will use the same protocol. The and payment relationships.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of Hours per Total burden
Form name respondents response hours

Frontline clinicians ....................................................................................................................... 90 1 90
Medical group administrators ...................................................................................................... 235 ........................ ........................
Medical group administrators: Administrator with authority to agree to participate in the study 100 0.25 25
Medical group administrators:Initial, highest level administrators ............................................... 45 1.5 67.5
Medical group administrators: All other administrators ............................................................... 90 1.25 112.5

Total ...................................................................................................................................... 325 NA 295

Exhibit 2 shows the estimated research. The total cost burden is
annualized cost burden associated with estimated to be $27,270.45.
the participants’ time to take part in this

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Average
Total burden Total cost
Interviewee type hourly wage
hours burden
rate *

Frontline clinicians ....................................................................................................................... 90 a $103.54 $9,318.60
Medical group administrators ...................................................................................................... 205 b 87.57 17,951.85

Total ...................................................................................................................................... 295 NA 27,270.45
a Basedon the average hourly wage for one physician (29–1060; $103.54).
b Basedon the average hourly wage for one Chief Executive (11–1011; $87.57).
* National Industry-Specific Occupational Employment and Wage Estimates, May 2014, from the Bureau of Labor Statistics (available at http://
www.bls.gov/oes/current/naics4_621100.htm [for Offices of Physicians, NAICS 622100]).

Request for Comments (d) ways to minimize the burden of the DEPARTMENT OF HEALTH AND
In accordance with the Paperwork collection of information upon the HUMAN SERVICES
Reduction Act, comments on AHRQ’s respondents, including the use of
information collection are requested automated collection techniques or Centers for Medicare & Medicaid
with regard to any of the following: (a) other forms of information technology. Services
Whether the proposed collection of Comments submitted in response to
information is necessary for the proper [Document Identifier: CMS–10599]
this notice will be summarized and
performance of AHRQ health care included in the Agency’s subsequent Agency Information Collection
research and health care information
asabaliauskas on DSK3SPTVN1PROD with NOTICES

request for OMB approval of the Activities: Submission for OMB
dissemination functions, including proposed information collection. All Review; Comment Request
whether the information will have comments will become a matter of
practical utility; (b) the accuracy of public record. ACTION: Notice.
AHRQ’s estimate of burden (including
hours and costs) of the proposed Sharon B. Arnold, SUMMARY: The Centers for Medicare &
collection(s) of information; (c) ways to Deputy Director. Medicaid Services (CMS) is announcing
enhance the quality, utility, and clarity [FR Doc. 2016–14614 Filed 6–20–16; 8:45 am] an opportunity for the public to
of the information to be collected; and BILLING CODE 4160–90–P comment on CMS’ intention to collect

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Document Created: 2016-06-21 01:30:49
Document Modified: 2016-06-21 01:30:49

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 on the collection(s) of information must be received by the OMB desk officer by July 21, 2016.
Contact		Reports Clearance Office at (410) 786- 1326.
FR Citation		81 FR 40308

81 FR 40308 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 81, Issue 119 (June 21, 2016)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services