83 FR 28603 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims; Correction
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 83, Issue 119 (June 20, 2018)
Centers for Medicare & Medicaid Services
Federal Register Volume 83, Issue 119 (June 20, 2018)
| Page Range | 28603-28604 | |
| FR Document | 2018-13152 |
[Federal Register Volume 83, Number 119 (Wednesday, June 20, 2018)] [Proposed Rules] [Pages 28603-28604] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-13152] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 412, 413, 424, and 495 [CMS-1694-CN] RIN-0938-AT27 Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims; Correction AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule; correction. ----------------------------------------------------------------------- SUMMARY: This document corrects technical and typographical errors in the proposed rule that appeared in the May 7, 2018 issue of the Federal Register titled ``Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims''. DATES: June 20, 2018. [[Page 28604]] FOR FURTHER INFORMATION CONTACT: James Poyer (410) 786-2261. SUPPLEMENTARY INFORMATION: I. Background In FR Doc. 2018-08705 of May 7, 2018 (83 FR 20164) there were a number of technical and typographical errors that are identified and corrected by the Correction of Errors section of this correcting document. II. Summary of Errors in the Preamble On page 20165, in the For Further Information Contact section, we inadvertently omitted the contact for the Medicaid Promoting Interoperability Program. On pages 20384, 20385, and 20401, we made errors that describe the notice announcing the extension of changes to the payment adjustment for low-volume hospitals and the Medicare-dependent hospital (MDH) program for fiscal year (FY) 2018 (CMS-1677-N) as appearing in the May 7, 2018 issue of the Federal Register in which the proposed rule appeared. This notice appeared in the April 26, 2018 issue of the Federal Register (83 FR 18301). On pages 20483, 20484, and 20492, in our discussion of the Hospital Inpatient Quality Reporting (IQR) Program, we made technical and typographical errors in two website links and in referencing the payment determination year corresponding with the CY 2020 reporting period. On page 20533, in our discussion of the proposed new measure for the Promoting Interoperability Programs, Support Electronic Referral Loops by Receiving and Incorporating Health Information, we made a technical error in our citation to the CEHRT capabilities and standards that eligible hospitals and CAHs must use. We erroneously cited 45 CFR 170.315(g)(1) and (2) instead of 45 CFR 170.315(b)(1) and (2). On page 20557, in our discussion of the information collection requirements for the Hospital IQR Program, we made a technical error by referring to an outdated name of a form in our description of burden estimates for proposed removal of two structural measures. On page 20563, in our discussion of the information collection burden estimates for the Promoting Interoperability Programs, we made a technical error by incorrectly referring to Title 45 instead of Title 42 of the Code of Federal Regulations (CFR) when describing proposed amendments to the prior approval policy applicable in the Medicaid Promoting Interoperability Program. III. Correction of Errors in the Preamble In FR Doc. 2018-08705 of May 7, 2018 (83 FR 20164), we are making the following corrections: 1. On page 20165, first column, after the second full paragraph, the text is corrected by adding the following: ``David Koppel, (214) 767-4403, Medicaid Promoting Interoperability Program Related Issues.'' 2. On page 20384, lower half of the page-- a. Second column, last paragraph, lines 27 and 28, the phrase ``elsewhere in this issue of the Federal Register'' is corrected to read ``in a separate issue of the Federal Register''. b. Third column, last paragraph, lines 11 and 12, the phrase ``elsewhere in this issue of the Federal Register'' is corrected to read ``in a separate issue of the Federal Register''. 3. On page 20385, first partial paragraph, lines 5 and 6, the phrase ``elsewhere in this issue of the Federal Register'' is corrected to read ``in a separate issue of the Federal Register''. 4. On page 20401, third column, second full paragraph, lines 15 and 16, the phrase ``elsewhere in this issue of the Federal Register'' is corrected to read ``in a separate issue of the Federal Register''. 5. On page 20483, first column, second footnoted paragraph (footnote 286), lines 1 through 4, the URL ``http:// www.strokassociation.org/STROKEORG/AboutStroke/Impact-of-Stroke-Stroke- statistics_UCM_310728_Article.jsp#.WtDzy42Wzg9.'' is corrected to read ``http://www.strokeassociation.org/STROKEORG/AboutStroke/Impact-of- Stroke-Stroke-statistics_UCM_310728_Article.jsp#.WtDzy42Wzg9.''. 6. On page 20484, top half of the page, first column, second partial paragraph, line 11, the phrase ``CY 2020 reporting period/FY 2021 payment determination'' is corrected to read ``CY 2020 reporting period/FY 2022 payment determination''. 7. On page 20492, lower third of the page, third column, first partial paragraph, the URL ``http://cms.gov/Medicare/Quality- Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/ Measure-Methodology.html.'' is corrected to read ``https://www.cms.gov/ Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/PC- Updates-on-Previous-Comment-Periods.html''. 8. On page 20533, second column, third full paragraph, lines 5 and 6, the citation ``45 CFR 170.315(g)(1) and (g)(2)'' is corrected to read ``45 CFR 170.315(b)(1) and (b)(2).'' 9. On page 20557, first column, first full paragraph, lines 30 and 31, the phrase ``Extraordinary Circumstances Extension/Exemption Request Form'' is corrected to read ``Extraordinary Circumstances Exceptions Request Form''. 10. On page 20563, third column, first paragraph, lines 3 and 4, the CFR citation ``45 CFR 495.324(b)(2) and 495.324(b)(3)'' is corrected to read ``42 CFR 495.324(b)(2) and 495.324(b)(3).'' Dated: June 14, 2018. Ann C. Agnew, Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2018-13152 Filed 6-15-18; 11:15 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 83, No. 119 / Wednesday, June 20, 2018 / Proposed Rules 28603
seek verification from the requester that organizations that disseminate solely on track based on the volume and/or
the request is in furtherance of scholarly the internet. A request for records simplicity of records requested.
research. supporting the news-dissemination Submitter means any person or entity,
Exempt means the record in question, function of the requester shall not be including a corporation, State, or foreign
or a portion thereof, is not subject to considered to be for a commercial use. government, but not including another
disclosure due to one or more of the ‘‘Freelance’’ journalists who Federal Government entity, that
nine statutory FOIA exemptions, found demonstrate a solid basis for expecting provides confidential commercial
at 5 U.S.C. 552(b)(1) through (9). publication through a news media entity information, either directly or indirectly
Exemption refers to one or more of the shall be considered as a representative to the Federal Government.
FOIA’s nine statutory exemptions, of the news media. A publishing [FR Doc. 2018–13105 Filed 6–19–18; 8:45 am]
found at 5 U.S.C. 552(b)(1) through (9). contract would provide the clearest BILLING CODE 6820–FM–P
FOIA Requester Service Center is the evidence that publication is expected;
office that oversees FOIA requests for all however, GSA can also consider a
of GSA. requester’s past publication record in
Interim response is when the agency DEPARTMENT OF HEALTH AND
making this determination. GSA shall HUMAN SERVICES
releases the records on a rolling basis, advise requesters of their placement in
as the records are located and verified. this category.
Noncommercial scientific institution Centers for Medicare & Medicaid
is an institution that is not operated on Review. Examination of a record Services
a ‘‘commercial’’ basis, as defined in this located in response to a request in order
section and that is operated solely for to determine whether any portion of it 42 CFR Parts 412, 413, 424, and 495
the purpose of conducting scientific is exempt from disclosure. Review time
[CMS–1694–CN]
research the results of which are not includes processing any record for
intended to promote any particular disclosure, such as doing all that is RIN–0938–AT27
product or industry. A requester in this necessary to prepare the record for
disclosure, including the process of Medicare Program; Hospital Inpatient
category must show that the request is Prospective Payment Systems for
authorized by and is made under the redacting the record and marking the
appropriate exemptions. Review costs Acute Care Hospitals and the Long-
auspices of a qualifying institution and Term Care Hospital Prospective
that the records are sought to further are properly charged even if a record
ultimately is not disclosed. Review time Payment System and Proposed Policy
scientific research and are not for a Changes and Fiscal Year 2019 Rates;
commercial use. GSA shall advise also includes time spent both obtaining
and considering any formal objection to Proposed Quality Reporting
requesters of their placement in this Requirements for Specific Providers;
category. disclosure made by a confidential
commercial information submitter Proposed Medicare and Medicaid
Perfected FOIA Request. A perfected Electronic Health Record (EHR)
FOIA request is a FOIA request for under § 7 of this subpart, but it does not
include time spent resolving general Incentive Programs (Promoting
records which adequately describes the Interoperability Programs)
records sought, is made in accordance legal or policy issues regarding the
application of exemptions. Requirements for Eligible Hospitals,
with GSA’s regulations, which has been Critical Access Hospitals, and Eligible
received by the GSA FOIA Requester Review Fees. Costs which may be
charged to commercial-use requesters Professionals; Medicare Cost
Service center the FOIA office of the Reporting Requirements; and
agency or agency component in that consist of direct costs incurred
during the initial examination of a Physician Certification and
possession of the records, and for which Recertification of Claims; Correction
there is no remaining question about the document for the purposes of
payment or amount of applicable fees. determining whether the records must AGENCY: Centers for Medicare &
Referral. When an agency locates a be disclosed under the FOIA. Review Medicaid Services (CMS), HHS.
record that originated with, or is of time includes processing the documents ACTION: Proposed rule; correction.
otherwise primary interest to another for disclosure.
agency, it will forward that record to the Search. The process of looking for and SUMMARY: This document corrects
other agency to process the record and retrieving records or information technical and typographical errors in
to provide the final determination responsive to a request. Search time the proposed rule that appeared in the
directly to the requester. This process is includes page-by-page/or line-by-line May 7, 2018 issue of the Federal
called a ‘‘referral.’’ identification of information within Register titled ‘‘Medicare Program;
Representative of the news media. records and the reasonable efforts Hospital Inpatient Prospective Payment
Any person or entity that gathers expended to locate and retrieve Systems for Acute Care Hospitals and
information of potential interest to a information from electronic records. the Long-Term Care Hospital
segment of the public, uses its editorial Search Fees. Charges for document Prospective Payment System and
skills to turn the raw materials into a ‘‘search’’ that include all the time spent Proposed Policy Changes and Fiscal
distinct work and distributes that work looking for responsive material, Year 2019 Rates; Proposed Quality
to an audience. The term ‘‘news’’ means including page-by-page or line-by-line Reporting Requirements for Specific
information that is about current events identification of material within Providers; Proposed Medicare and
or that would be of current interest to documents. GSA may charge for search Medicaid Electronic Health Record
sradovich on DSK3GMQ082PROD with PROPOSALS
the public. Examples of news media time even when it fails to locate records (EHR) Incentive Programs (Promoting
entities include television or radio responsive to request or even if the Interoperability Programs) Requirements
stations that broadcast ‘‘news’’ to the records located are subsequently for Eligible Hospitals, Critical Access
public at large and publishers of determined to be exempt from Hospitals, and Eligible Professionals;
periodicals that disseminate ‘‘news’’ disclosure. Medicare Cost Reporting Requirements;
and make their products available Simple request. A FOIA request that and Physician Certification and
through a variety of means to the an agency using multi-track processing Recertification of Claims’’.
general public, including news places in its fastest (non-expedited) DATES: June 20, 2018.
VerDate Sep<11>2014 16:51 Jun 19, 2018 Jkt 244001 PO 00000 Frm 00057 Fmt 4702 Sfmt 4702 E:\FR\FM\20JNP1.SGM 20JNP1](https://thefederalregister.org/doc/83_FR_28722/page/1.svg)
![28604 Federal Register / Vol. 83, No. 119 / Wednesday, June 20, 2018 / Proposed Rules
FOR FURTHER INFORMATION CONTACT: III. Correction of Errors in the Preamble 9. On page 20557, first column, first
James Poyer (410) 786–2261. In FR Doc. 2018–08705 of May 7, full paragraph, lines 30 and 31, the
SUPPLEMENTARY INFORMATION: 2018 (83 FR 20164), we are making the phrase ‘‘Extraordinary Circumstances
following corrections: Extension/Exemption Request Form’’ is
I. Background corrected to read ‘‘Extraordinary
1. On page 20165, first column, after Circumstances Exceptions Request
In FR Doc. 2018–08705 of May 7,
the second full paragraph, the text is Form’’.
2018 (83 FR 20164) there were a number
corrected by adding the following: 10. On page 20563, third column, first
of technical and typographical errors
‘‘David Koppel, (214) 767–4403, paragraph, lines 3 and 4, the CFR
that are identified and corrected by the
Medicaid Promoting Interoperability citation ‘‘45 CFR 495.324(b)(2) and
Correction of Errors section of this
Program Related Issues.’’ 495.324(b)(3)’’ is corrected to read ‘‘42
correcting document. 2. On page 20384, lower half of the CFR 495.324(b)(2) and 495.324(b)(3).’’
II. Summary of Errors in the Preamble page—
a. Second column, last paragraph, Dated: June 14, 2018.
On page 20165, in the FOR FURTHER Ann C. Agnew,
lines 27 and 28, the phrase ‘‘elsewhere
INFORMATION CONTACT section, we
in this issue of the Federal Register’’ is Executive Secretary to the Department,
inadvertently omitted the contact for the Department of Health and Human Services.
corrected to read ‘‘in a separate issue of
Medicaid Promoting Interoperability
the Federal Register’’. [FR Doc. 2018–13152 Filed 6–15–18; 11:15 am]
Program. b. Third column, last paragraph, lines BILLING CODE 4120–01–P
On pages 20384, 20385, and 20401, 11 and 12, the phrase ‘‘elsewhere in this
we made errors that describe the notice issue of the Federal Register’’ is
announcing the extension of changes to corrected to read ‘‘in a separate issue of
the payment adjustment for low-volume DEPARTMENT OF COMMERCE
the Federal Register’’.
hospitals and the Medicare-dependent 3. On page 20385, first partial National Oceanic and Atmospheric
hospital (MDH) program for fiscal year paragraph, lines 5 and 6, the phrase Administration
(FY) 2018 (CMS–1677–N) as appearing ‘‘elsewhere in this issue of the Federal
in the May 7, 2018 issue of the Federal Register’’ is corrected to read ‘‘in a 50 CFR Part 679
Register in which the proposed rule separate issue of the Federal Register’’.
appeared. This notice appeared in the [Docket No. 170630613–8489–01]
4. On page 20401, third column,
April 26, 2018 issue of the Federal second full paragraph, lines 15 and 16, RIN 0648–BH02
Register (83 FR 18301). the phrase ‘‘elsewhere in this issue of
On pages 20483, 20484, and 20492, in the Federal Register’’ is corrected to Fisheries of the Exclusive Economic
our discussion of the Hospital Inpatient read ‘‘in a separate issue of the Federal Zone Off Alaska; Yellowfin Sole
Quality Reporting (IQR) Program, we Register’’. Management in the Groundfish
made technical and typographical errors 5. On page 20483, first column, Fisheries of the Bering Sea and
in two website links and in referencing second footnoted paragraph (footnote Aleutian Islands; Correction
the payment determination year 286), lines 1 through 4, the URL ‘‘http://
corresponding with the CY 2020 AGENCY: National Marine Fisheries
www.strokassociation.org/ Service (NMFS), National Oceanic and
reporting period. STROKEORG/AboutStroke/Impact-of-
On page 20533, in our discussion of Atmospheric Administration (NOAA),
Stroke-Stroke-statistics_UCM_310728_ Commerce.
the proposed new measure for the Article.jsp#.WtDzy42Wzg9.’’ is corrected
Promoting Interoperability Programs, ACTION: Proposed rule; request for
to read ‘‘http://
Support Electronic Referral Loops by www.strokeassociation.org/ comments; correction.
Receiving and Incorporating Health STROKEORG/AboutStroke/Impact-of- SUMMARY: NMFS is correcting a
Information, we made a technical error Stroke-Stroke-statistics_UCM_310728_ proposed rule that published on June 6,
in our citation to the CEHRT capabilities Article.jsp#.WtDzy42Wzg9.’’. 2018, that would limit access to the
and standards that eligible hospitals and 6. On page 20484, top half of the page, Bering Sea and Aleutian Islands (BSAI)
CAHs must use. We erroneously cited first column, second partial paragraph, Trawl Limited Access Sector (TLAS)
45 CFR 170.315(g)(1) and (2) instead of line 11, the phrase ‘‘CY 2020 reporting yellowfin sole directed fishery by
45 CFR 170.315(b)(1) and (2). period/FY 2021 payment vessels that deliver their catch of
On page 20557, in our discussion of determination’’ is corrected to read ‘‘CY yellowfin sole to motherships for
the information collection requirements 2020 reporting period/FY 2022 payment processing. Two paragraphs in the
for the Hospital IQR Program, we made determination’’. preamble and two tables in the
a technical error by referring to an 7. On page 20492, lower third of the proposed regulatory text contained
outdated name of a form in our page, third column, first partial errors.
description of burden estimates for paragraph, the URL ‘‘http://cms.gov/
proposed removal of two structural Medicare/Quality-Initiatives-Patient- DATES: Comments on the proposed rule
measures. Assessment-Instruments/Hospital must be submitted on or before July 6,
On page 20563, in our discussion of QualityInits/Measure- 2018.
the information collection burden Methodology.html.’’ is corrected to read ADDRESSES: You may submit comments
estimates for the Promoting ‘‘https://www.cms.gov/Medicare/ on this document, identified by FDMS
sradovich on DSK3GMQ082PROD with PROPOSALS
Interoperability Programs, we made a Quality-Initiatives-Patient-Assessment- Docket Number NOAA–NMFS–2017–
technical error by incorrectly referring Instruments/MMS/PC-Updates-on- 0083, by any of the following methods:
to Title 45 instead of Title 42 of the Previous-Comment-Periods.html’’. • Electronic Submission: Submit all
Code of Federal Regulations (CFR) when 8. On page 20533, second column, electronic public comments via the
describing proposed amendments to the third full paragraph, lines 5 and 6, the Federal e-Rulemaking Portal. Go to
prior approval policy applicable in the citation ‘‘45 CFR 170.315(g)(1) and www.regulations.gov/
Medicaid Promoting Interoperability (g)(2)’’ is corrected to read ‘‘45 CFR #!docketDetail;D=NOAA-NMFS-2017-
Program. 170.315(b)(1) and (b)(2).’’ 0083, click the ‘‘Comment Now!’’ icon,
VerDate Sep<11>2014 16:51 Jun 19, 2018 Jkt 244001 PO 00000 Frm 00058 Fmt 4702 Sfmt 4702 E:\FR\FM\20JNP1.SGM 20JNP1](https://thefederalregister.org/doc/83_FR_28722/page/2.svg)
Document Created: 2018-06-20 00:19:14
Document Modified: 2018-06-20 00:19:14
| 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 | Proposed Rules | |
| Action | Proposed rule; correction. | |
| Dates | June 20, 2018. | |
| Contact | James Poyer (410) 786-2261. | |
| FR Citation | 83 FR 28603 | |
| CFR Citation | 42
CFR
412 42 CFR 413 42 CFR 424 42 CFR 495 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR