82 FR 40831 - Agency Information Collection Activity: Regulation for Submission of Evidence
DEPARTMENT OF VETERANS AFFAIRS Federal Register Volume 82, Issue 165 (August 28, 2017)
Federal Register Volume 82, Issue 165 (August 28, 2017)
| Page Range | 40831-40832 | |
| FR Document | 2017-18158 |
[Federal Register Volume 82, Number 165 (Monday, August 28, 2017)] [Notices] [Pages 40831-40832] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-18158] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0606] Agency Information Collection Activity: Regulation for Submission of Evidence AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: Veterans Health Administration, Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection, and allow 60 days for public comment in response to the notice. DATES: Written comments and recommendations on the proposed collection of information should be received on or before October 27, 2017. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Brian McCarthy, Veterans Health Administration, Office of Regulatory and Administrative Affairs (10B4), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to [email protected]. Please refer to ``OMB Control No. 2900-0606'' in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 461-6345. SUPPLEMENTARY INFORMATION: Under the PRA of 1995, Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA. With respect to the following collection of information, VHA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA's functions, including whether the information will have practical utility; (2) the accuracy of VHA's estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology. Authority: U.S. Code: 38 U.S.C. 1729. Title: Regulation for Submission of Evidence--Title 38 CFR 17.101(a)(4). OMB Control Number: 2900-0606. Type of Review: Renewal of a currently approved collection. Abstract: Under the provisions of 38 CFR, Section 17.101(a)(4), entitled ``Amount of Recovery or Collection--Third Party Liability'', a third-party payer that is liable for reimbursing VA for health care VA provided to Veterans with non- service-connected conditions continues to have the option of paying either the billed charges as described in Section 17.101 or the amount the health plan demonstrates it would pay to providers other than entities of the United States for the same care or services in the same geographic area. If [[Page 40832]] the amount submitted for payment is less than the amount billed, VA will accept the submission as payment, subject to verification at VA's discretion. A VA employee having responsibility for collection of such charges may request that the third party payer submit evidence or information to substantiate the appropriateness of the payment amount (e.g., health plan policies, provider agreements, medical evidence, proof of payment to other providers demonstrating the amount paid for the same care and services VA provided). This information would be needed to determine whether the third-party payer has met the test of properly demonstrating its equivalent private sector provider payment amount for the same care or services and within the same geographic area as provided by VA. This form provides for requesting patient medical records, health plan policies, provider agreements and any type or records that provide evidence of medical services and proof of payments made to others for the same medical care and services. If VA accepts the submitted payment that is less than the billed charges, the third party payer can be subject to rate verification. In the event that rate verification is conducted, the results can be used to negotiate better rates, recoup underpayments, or amend agreements. Absent a third party payer agreement, VA should also be reimbursed billed charges or the amount third party payers would pay to non- government entities. Affected Public: Individuals and households. Estimated Annual Burden: 800 hours. Estimated Average Burden per Respondent: 120 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 400. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer Office of Quality and Compliance, Department of Veterans Affairs. [FR Doc. 2017-18158 Filed 8-25-17; 8:45 am] BILLING CODE 8320-01-P
![Federal Register / Vol. 82, No. 165 / Monday, August 28, 2017 / Notices 40831
seeking input on these and other data Recommendation 6—Given that there collection, and allow 60 days for public
fields to be considered and information are good reasons for both an absolute comment in response to the notice.
on the costs associated with submitting and a relative metric on safety DATES: Written comments and
this information. performance, FMCSA should decide on recommendations on the proposed
Recommendation 4—FMCSA should the carriers that receive SMS alerts collection of information should be
structure a user-friendly version of the using both the SMS percentile ranks and received on or before October 27, 2017.
MCMIS data file used as input to SMS the SMS measures, and the percentile ADDRESSES: Submit written comments
without any personally identifiable ranks should be computed both on the collection of information through
information to facilitate its use by conditionally within safety event groups Federal Docket Management System
external parties, such as researchers, and over all motor carriers. (FDMS) at www.Regulations.gov or to
and by carriers. In addition, FMCSA FMCSA Comments Brian McCarthy, Veterans Health
should make user-friendly computer Administration, Office of Regulatory
code used to compute SMS elements The Agency has heard from motor and Administrative Affairs (10B4),
available to individuals in accordance carriers with increased measures or Department of Veterans Affairs, 810
with reproducibility and transparency percentiles due to an increase in Vermont Avenue NW., Washington, DC
guidelines. vehicles or clean inspections. Analysis 20420 or email to Brian.McCarthy4@
of the number of carriers that received va.gov. Please refer to ‘‘OMB Control
FMCSA Comments higher measures and percentiles No. 2900–0606’’ in any correspondence.
FMCSA agrees that there could be without a violation or crash indicates During the comment period, comments
benefits from making MCMIS data this happens to a very small number of may be viewed online through FDMS.
available to researchers and carriers. carriers. However, FMCSA agrees that
FOR FURTHER INFORMATION CONTACT:
Through this Federal Register notice, the methodology should be revised so
Brian McCarthy at (202) 461–6345.
FMCSA seeks input on how the MCMIS that a safety event that is not a violation
or a crash is not the sole reason for an SUPPLEMENTARY INFORMATION: Under the
data would be used by researchers and
increased measure or percentile. PRA of 1995, Federal agencies must
others to determine the best method(s)
In addition, FMCSA anticipates obtain approval from the Office of
for providing the data file.
investigating the use of a hybrid Management and Budget (OMB) for each
The Agency is considering developing
measure that combines relative and collection of information they conduct
the programming, screen shots, and
absolute metrics as part of its or sponsor. This request for comment is
preview capacity so that changes from
development of the IRT model. FMCSA being made pursuant to Section
one month to another are explained to
seeks comment from stakeholders on 3506(c)(2)(A) of the PRA.
motor carriers to help carriers With respect to the following
understand the implications of this issue, how it could be
implemented, and when such changes collection of information, VHA invites
violations and crashes on their SMS comments on: (1) Whether the proposed
data. Input on the information that would be appropriate.
collection of information is necessary
would be helpful in reviewing SMS data Issued under the authority delegated in 49 for the proper performance of VHA’s
is requested through this notice. CFR 1.87 on: August 21, 2017. functions, including whether the
Recommendation 5—FMCSA should John Van Steenburg, information will have practical utility;
undertake a study to better understand Assistant Administrator/Chief Safety Officer. (2) the accuracy of VHA’s estimate of
the statistical operating characteristics [FR Doc. 2017–18183 Filed 8–25–17; 8:45 am] the burden of the proposed collection of
of the percentile ranks to support BILLING CODE 4910–EX–P information; (3) ways to enhance the
decisions regarding the usability of quality, utility, and clarity of the
public scores. information to be collected; and (4)
FMCSA Comments ways to minimize the burden of the
DEPARTMENT OF VETERANS
collection of information on
Like NAS, FMCSA has been unable to AFFAIRS
respondents, including through the use
quantify the impacts to motor carriers of of automated collection techniques or
publicly displaying the SMS [OMB Control No. 2900–0606]
the use of other forms of information
percentiles. The Agency has only technology.
Agency Information Collection
anecdotal information about the Authority: U.S. Code: 38 U.S.C. 1729.
Activity: Regulation for Submission of
business impacts of the public Title: Regulation for Submission of
Evidence
percentiles on the SMS Web site. Evidence—Title 38 CFR 17.101(a)(4).
Historically, insurance companies and AGENCY: Veterans Health OMB Control Number: 2900–0606.
shippers have been reluctant to share Administration, Department of Veterans Type of Review: Renewal of a
data on how safety data is used to Affairs. currently approved collection.
determine rates. And, while the Agency ACTION: Notice. Abstract: Under the provisions of 38
has been contacted by companies CFR, Section 17.101(a)(4), entitled
advising that they lost business because SUMMARY: Veterans Health ‘‘Amount of Recovery or Collection—
of SMS, these claims have not been Administration, Department of Veterans Third Party Liability’’, a third-party
validated or assimilated into a usable Affairs (VA), is announcing an payer that is liable for reimbursing VA
analysis.
asabaliauskas on DSKBBXCHB2PROD with NOTICES
opportunity for public comment on the for health care VA provided to Veterans
Through this notice, FMCSA seeks proposed collection of certain with non- service-connected conditions
data from motor carriers, insurance information by the agency. Under the continues to have the option of paying
companies, and shippers regarding the Paperwork Reduction Act (PRA) of either the billed charges as described in
impacts of the public display of SMS 1995, Federal agencies are required to Section 17.101 or the amount the health
percentiles and alerts on businesses. publish notice in the Federal Register plan demonstrates it would pay to
This information will be used to concerning each proposed collection of providers other than entities of the
identify next steps for this information, including each proposed United States for the same care or
recommendation. extension of a currently approved services in the same geographic area. If
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![40832 Federal Register / Vol. 82, No. 165 / Monday, August 28, 2017 / Notices
the amount submitted for payment is ACTION: Notice. Title: CHAMP VA Benefits—
less than the amount billed, VA will Application, Claim, Other Health
accept the submission as payment, SUMMARY: Veterans Health Insurance & Potential Liability.
subject to verification at VA’s Administration, Department of Veterans OMB Control Number: 2900–0219.
discretion. A VA employee having Affairs (VA), is announcing an Type of Review: Revision of a
responsibility for collection of such opportunity for public comment on the currently approved collection.
charges may request that the third party proposed collection of certain Titles:
payer submit evidence or information to information by the agency. Under the 1. VA Form 10–10d, Application for
substantiate the appropriateness of the Paperwork Reduction Act (PRA) of CHAMPVA Benefits
payment amount (e.g., health plan 1995, Federal agencies are required to 2. VA Form 10–7959a, CHAMPVA
policies, provider agreements, medical publish notice in the Federal Register Claim Form
evidence, proof of payment to other concerning each proposed collection of 3. VA Form 10–7959c, CHAMPVA
providers demonstrating the amount information, including each proposed Other Health Insurance (OHI)
paid for the same care and services VA revision of a currently approved Certification
provided). This information would be collection, and allow 60 days for public 4. VA Form 10–7959d, CHAMPVA
needed to determine whether the third- comment in response to the notice. Potential Liability Claim
party payer has met the test of properly DATES: Written comments and 5. VA Form 10–7959e, VA Claim for
demonstrating its equivalent private recommendations on the proposed Miscellaneous Expenses
sector provider payment amount for the collection of information should be 6. Payment (beneficially claims)
same care or services and within the received on or before October 27, 2017. 7. Review and Appeal Process
same geographic area as provided by 8. Clinical Review
VA. This form provides for requesting ADDRESSES: Submit written comments
on the collection of information through OMB Control Number: 2900–0219.
patient medical records, health plan Type of Review: Revision of a
policies, provider agreements and any Federal Docket Management System
(FDMS) at www.Regulations.gov or to currently approved collection.
type or records that provide evidence of
medical services and proof of payments Brian McCarthy, Veterans Health Abstracts:
made to others for the same medical Administration, Office of Regulatory
care and services. and Administrative Affairs (10B4), 1. VA Form 10–10d, Application for
If VA accepts the submitted payment Department of Veterans Affairs, 810 CHAMPVA Benefits, is used to determine
Vermont Avenue NW., Washington, DC eligibility of persons applying for healthcare
that is less than the billed charges, the benefits under the CHAMPVA program in
third party payer can be subject to rate 20420 or email to Brian.McCarthy4@
accordance with 38 U.S.C. Sections 501 and
verification. In the event that rate va.gov. Please refer to ‘‘OMB Control 1781.
verification is conducted, the results can No. 2900–0219’’ in any correspondence. 2. VA Form 10–7959a, CHAMPVA Claim
be used to negotiate better rates, recoup During the comment period, comments Form, is used to adjudicate claims for
underpayments, or amend agreements. may be viewed online through FDMS. CHAMPVA benefits in accordance with 38
Absent a third party payer agreement, FOR FURTHER INFORMATION CONTACT: U.S.C. Sections 501 and 1781, and 10 U.S.C.
VA should also be reimbursed billed Sections 1079 and 1086. This information is
Brian McCarthy at (202) 461–6345. required for accurate adjudication and
charges or the amount third party payers
SUPPLEMENTARY INFORMATION: processing of beneficiary submitted claims.
would pay to non-government entities. The claim form is also instrumental in the
Affected Public: Individuals and Under the PRA of 1995, Federal
detection and prosecution of fraud. In
households. agencies must obtain approval from the addition, the claim form is the only
Estimated Annual Burden: 800 hours. Office of Management and Budget mechanism to obtain, on an interim basis,
Estimated Average Burden per (OMB) for each collection of other health insurance (OHI) information.
Respondent: 120 minutes. information they conduct or sponsor. 3. Except for Medicaid and health
Frequency of Response: Annually. This request for comment is being made insurance policies that are purchased
Estimated Number of Respondents: pursuant to Section 3506(c)(2)(A) of the exclusively for the purpose of supplementing
400. PRA. CHAMPVA benefits, CHAMPVA is always
the secondary payer of healthcare benefits
By direction of the Secretary. With respect to the following (38 U.S.C. Sections 501 and 1781, and 10
Cynthia Harvey-Pryor,
collection of information, VHA invites U.S.C. Section 1086). VA Form 10–7959c,
comments on: (1) Whether the proposed CHAMPVA—Other Health Insurance (OHI)
Department Clearance Officer Office of
Quality and Compliance, Department of
collection of information is necessary Certification, is used to systematically obtain
Veterans Affairs. for the proper performance of VHA’s OHI information and to correctly coordinate
functions, including whether the benefits among all liable parties.
[FR Doc. 2017–18158 Filed 8–25–17; 8:45 am]
information will have practical utility; 4. The Federal Medical Care Recovery Act
BILLING CODE 8320–01–P (42 U.S.C. 2651–2653), mandates recovery of
(2) the accuracy of VHA’s estimate of
the burden of the proposed collection of costs associated with healthcare services
related to an injury/illness caused by a third
DEPARTMENT OF VETERANS information; (3) ways to enhance the party. VA Form 10–7959d, CHAMPVA
AFFAIRS quality, utility, and clarity of the Potential Liability Claim, provides basic
information to be collected; and (4) information from which potential liability
[OMB Control No. 2900–0219] ways to minimize the burden of the
asabaliauskas on DSKBBXCHB2PROD with NOTICES
can be assessed. Additional authority
collection of information on includes 38 U.S.C. Section 501; 38 CFR 1.900
Agency Information Collection respondents, including through the use et seq.; 10 U.S.C. Sections 1079 and 1086; 42
Activity: CHAMP VA Benefits— of automated collection techniques or U.S.C. Sections 2651–2653; and Executive
Application, Claim, Other Health the use of other forms of information Order 9397.
Insurance & Potential Liability technology. 5. VA Form 10–7959e, VA Claim for
Miscellaneous Expenses, information
AGENCY: Veterans Health Authority: 38 U.S.C. Sections 501 and collection is needed to carry out the health
Administration, Department of Veterans 1781, 10 U.S.C. Sections 1079 and 1086, care programs for certain children of Korea
Affairs. 42 U.S.C. Sections 2651, 2652 and 2653. and/or Vietnam veterans authorized under 38
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Document Created: 2017-08-28 11:30:24
Document Modified: 2017-08-28 11:30:24
| 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 | Written comments and recommendations on the proposed collection of information should be received on or before October 27, 2017. | |
| Contact | Brian McCarthy at (202) 461-6345. | |
| FR Citation | 82 FR 40831 |
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