83 FR 48818 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 83, Issue 188 (September 27, 2018)
Centers for Medicare & Medicaid Services
Federal Register Volume 83, Issue 188 (September 27, 2018)
| Page Range | 48818-48819 | |
| FR Document | 2018-20994 |
[Federal Register Volume 83, Number 188 (Thursday, September 27, 2018)] [Notices] [Pages 48818-48819] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-20994] ----------------------------------------------------------------------- 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 AGENCY: Centers for Medicare & Medicaid 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 (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 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 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 on the collection(s) of information must be received by the OMB desk officer by October 29, 2018. 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 [[Page 48819]] 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' website 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: William Parham at (410) 786-4669. 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: Revision of a currently approved collection; 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 Home Health Agencies (HHA) providing services to Medicare beneficiaries. This revised demonstration would help assist in developing improved procedures for the identification, investigation, and prosecution of potential Medicare fraud. The demonstration would help make sure that payments for home health services are appropriate through either pre- claim or postpayment review, thereby working towards the prevention and identification of potential fraud, waste, and abuse; the protection of Medicare Trust Funds from improper payments; and the reduction of Medicare appeals. CMS proposes initially implementing the demonstration in Illinois, Ohio, North Carolina, Florida, and Texas with the option to expand to other states in the Palmetto/JM jurisdiction. CMS proposes starting the demonstration in Illinois on December 10, 2018. Under this demonstration, CMS proposes to offer choices for providers to demonstrate their compliance with CMS' home health policies. Providers in the demonstration states may participate in either 100 percent pre- claim review or 100 percent postpayment review. These providers will continue to be subject to a review method until the HHA reaches the target affirmation or claim approval rate. Once a HHA reaches the target pre-claim review affirmation or post-payment review claim approval rate, it may choose to be relieved from claim reviews, except for a spot check of their claims to ensure continued compliance. Providers who do not wish to participate in either 100 percent pre- claim or postpayment reviews have the option to furnish home health services and submit the associated claim for payment without undergoing such reviews; however, they will receive a 25 percent payment reduction on all claims submitted for home health services and may be eligible for review by the Recovery Audit Contractor. The information required under this collection is required by Medicare contractors to determine proper payment or if there is a suspicion of fraud. Under the pre-claim review option, HHA will send the pre-claim review request along with all required documentation to the Medicare contractor for review prior to submitting the final claim for payment. If a claim is submitted without a pre-claim review decision on file, the Medicare contractor will request the information from the HHA to determine if payment is appropriate. For the postpayment review option, the Medicare contractor will also request the information from the HHA that submitted the claim for payment, to determine if payment was appropriate. Comments were received in response to the 60-day notice. Form Number: CMS-10599 (OMB control number: 0938-1311); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profits and Not-for-profits); Number of Respondents: 941,287; Total Annual Responses: 1,330,980; Total Annual Hours: 670,375. (For questions regarding this collection contact Jennifer McMullen (410) 786-7635). Dated: September 21, 2018. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2018-20994 Filed 9-26-18; 8:45 am] BILLING CODE 4120-01-P
![48818 Federal Register / Vol. 83, No. 188 / Thursday, September 27, 2018 / Notices
CDC announces the following meeting However, it is requested that comments The Chief Operating Officer, Centers
for the Clinical Laboratory Improvement be submitted at least five business days for Disease Control and Prevention, has
Advisory Committee (CLIAC). This prior to the meeting date so that the been delegated the authority to sign
meeting is open to the public, limited comments may be made available to the Federal Register notices pertaining to
only by the space available. The meeting Committee for their consideration and announcements of meetings and other
room accommodates approximately 100 public distribution. Written comments, committee management activities, for
people. The public is also welcome to one hard copy with original signature, both the Centers for Disease Control and
view the meeting by webcast. Check the should be provided to the contact Prevention and the Agency for Toxic
CLIAC website on the day of the person at the mailing or email address Substances and Disease Registry.
meeting for the webcast link http:// below, and will be included in the
Sherri Berger,
cdclabtraining.adobeconnect.com/ meeting’s Summary Report.
cliac/. Chief Operating Officer, Centers for Disease
The CLIAC meeting materials will be Control and Prevention.
DATES: The meeting will be held on made available to the Committee and
[FR Doc. 2018–21083 Filed 9–26–18; 8:45 am]
November 7, 2018, 8:30 a.m. to 5:30 the public in electronic format (PDF) on
BILLING CODE 4163–19–P
p.m., EST and November 8, 2018, 8:30 the internet instead of by printed copy.
a.m. to 1:00 p.m., EST. Check the CLIAC website on the day of
ADDRESSES: CDC, 2500 Century Parkway the meeting for materials: https:// DEPARTMENT OF HEALTH AND
NE, Rooms 1200/1201, Atlanta, Georgia wwwn.cdc.gov/cliac/. HUMAN SERVICES
30345 and http://cdclabtraining.adobe Purpose: This Committee is charged
connect.com/ with providing scientific and technical Centers for Medicare & Medicaid
cliac/. advice and guidance to the Secretary of Services
FOR FURTHER INFORMATION CONTACT: Health and Human Services (HHS); the
[Document Identifier: CMS–10599]
Nancy Anderson, MMSc, MT(ASCP), Assistant Secretary for Health; the
Senior Advisor for Clinical Laboratories, Director, Centers for Disease Control Agency Information Collection
Division of Laboratory Systems, Center and Prevention; the Commissioner, Activities: Submission for OMB
for Surveillance, Epidemiology and Food and Drug Administration (FDA); Review; Comment Request
Laboratory Services, Office of Public and the Administrator, Centers for
Health Scientific Services, Centers for Medicare and Medicaid Services (CMS). AGENCY: Centers for Medicare &
Disease Control and Prevention, 1600 The advice and guidance pertain to Medicaid Services, HHS.
Clifton Road NE, Mailstop F–11, general issues related to improvement in ACTION: Notice.
Atlanta, Georgia 30329–4027, telephone clinical laboratory quality and
(404) 498–2741; NAnderson@cdc.gov. laboratory medicine practice and SUMMARY: The Centers for Medicare &
specific questions related to possible Medicaid Services (CMS) is announcing
SUPPLEMENTARY INFORMATION: All people
revision of the Clinical Laboratory an opportunity for the public to
attending the CLIAC meeting in-person
Improvement Amendment (CLIA) comment on CMS’ intention to collect
are required to register for the meeting
standards. Examples include providing information from the public. Under the
online at least five business days in
guidance on studies designed to Paperwork Reduction Act of 1995
advance for U.S. citizens and at least 15
improve safety, effectiveness, efficiency, (PRA), federal agencies are required to
business days in advance for
timeliness, equity, and patient- publish notice in the Federal Register
international registrants. Register at:
centeredness of laboratory services; concerning each proposed collection of
https://wwwn.cdc.gov/cliac/. Register by
revisions to the standards under which information, including each proposed
scrolling down and clicking the
clinical laboratories are regulated; the extension or reinstatement of an existing
‘‘Register for this Meeting’’ button and
impact of proposed revisions to the collection of information, and to allow
completing all forms according to the
standards on medical and laboratory a second opportunity for public
instructions given. Please complete all
practice; and the modification of the comment on the notice. Interested
the required fields before submitting
standards and provision of non- persons are invited to send comments
your registration and submit no later
regulatory guidelines to accommodate regarding the burden estimate or any
than October 30, 2018 for U.S.
technological advances, such as new other aspect of this collection of
registrants and October 20, 2018 for
test methods, the electronic information, including the necessity and
international registrants.
It is the policy of CLIAC to accept transmission of laboratory information, utility of the proposed information
written public comments and provide a and mechanisms to improve the collection for the proper performance of
brief period for oral public comments on integration of public health and clinical the agency’s functions, the accuracy of
agenda items. Public comment periods laboratory practices. the estimated burden, ways to enhance
for each agenda item are scheduled Matters To Be Considered: The agenda the quality, utility, and clarity of the
immediately prior to the Committee will include agency updates from CDC, information to be collected, and the use
discussion period for that item. In CMS, and FDA. Presentations and of automated collection techniques or
general, each individual or group discussions will focus on an update other forms of information technology to
requesting to make oral comments will from the CDC’s Office of Infectious minimize the information collection
be limited to a total time of five minutes Diseases Board of Scientific Counselors burden.
(unless otherwise indicated). To assure meeting; updates on laboratory DATES: Comments on the collection(s) of
adequate time is scheduled for public interoperability; updates on antibiotic information must be received by the
daltland on DSKBBV9HB2PROD with NOTICES
comments, speakers should notify the resistance activities; the Clinical OMB desk officer by October 29, 2018.
contact person below at least five Laboratory Improvement Amendments ADDRESSES: When commenting on the
business days prior to the meeting date. personnel requirements; the role of the proposed information collections,
For individuals or groups unable to laboratory in the opioid crisis; and the please reference the document identifier
attend the meeting, CLIAC accepts role of the laboratory in improving or OMB control number. To be assured
written comments until the date of the diagnoses. Agenda items are subject to consideration, comments and
meeting (unless otherwise stated). change as priorities dictate. recommendations must be received by
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![Federal Register / Vol. 83, No. 188 / Thursday, September 27, 2018 / Notices 48819
the OMB desk officer via one of the identification, investigation, and review option, the Medicare contractor
following transmissions: OMB, Office of prosecution of Medicare fraud occurring will also request the information from
Information and Regulatory Affairs, among Home Health Agencies (HHA) the HHA that submitted the claim for
Attention: CMS Desk Officer, Fax providing services to Medicare payment, to determine if payment was
Number: (202) 395–5806 OR, beneficiaries. appropriate. Comments were received in
Email: OIRA_submission@ This revised demonstration would response to the 60-day notice. Form
omb.eop.gov. help assist in developing improved Number: CMS–10599 (OMB control
To obtain copies of a supporting procedures for the identification, number: 0938–1311); Frequency:
statement and any related forms for the investigation, and prosecution of Occasionally; Affected Public: Private
proposed collection(s) summarized in potential Medicare fraud. The Sector (Business or other for-profits and
this notice, you may make your request demonstration would help make sure Not-for-profits); Number of
using one of following: that payments for home health services Respondents: 941,287; Total Annual
1. Access CMS’ website address at are appropriate through either pre-claim Responses: 1,330,980; Total Annual
http://www.cms.hhs.gov/ or postpayment review, thereby working Hours: 670,375. (For questions regarding
PaperworkReductionActof1995. towards the prevention and this collection contact Jennifer
2. Email your request, including your identification of potential fraud, waste, McMullen (410) 786–7635).
address, phone number, OMB number, and abuse; the protection of Medicare
Dated: September 21, 2018.
and CMS document identifier, to Trust Funds from improper payments;
and the reduction of Medicare appeals. William N. Parham, III,
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at CMS proposes initially implementing Director, Paperwork Reduction Staff, Office
the demonstration in Illinois, Ohio, of Strategic Operations and Regulatory
(410) 786–1326. Affairs.
FOR FURTHER INFORMATION CONTACT: North Carolina, Florida, and Texas with
the option to expand to other states in [FR Doc. 2018–20994 Filed 9–26–18; 8:45 am]
William Parham at (410) 786–4669.
the Palmetto/JM jurisdiction. CMS BILLING CODE 4120–01–P
SUPPLEMENTARY INFORMATION: Under the
proposes starting the demonstration in
Paperwork Reduction Act of 1995 (PRA)
Illinois on December 10, 2018. Under
(44 U.S.C. 3501–3520), federal agencies this demonstration, CMS proposes to DEPARTMENT OF HEALTH AND
must obtain approval from the Office of offer choices for providers to HUMAN SERVICES
Management and Budget (OMB) for each demonstrate their compliance with
collection of information they conduct Food and Drug Administration
CMS’ home health policies. Providers in
or sponsor. The term ‘‘collection of the demonstration states may participate [Docket No. FDA–2012–N–0280]
information’’ is defined in 44 U.S.C. in either 100 percent pre-claim review
3502(3) and 5 CFR 1320.3(c) and or 100 percent postpayment review. Agency Information Collection
includes agency requests or These providers will continue to be Activities; Proposed Collection;
requirements that members of the public subject to a review method until the Comment Request; Financial
submit reports, keep records, or provide HHA reaches the target affirmation or Disclosure by Clinical Investigators
information to a third party. Section claim approval rate. Once a HHA
3506(c)(2)(A) of the PRA (44 U.S.C. AGENCY: Food and Drug Administration,
reaches the target pre-claim review HHS.
3506(c)(2)(A)) requires federal agencies affirmation or post-payment review
to publish a 30-day notice in the claim approval rate, it may choose to be ACTION: Notice.
Federal Register concerning each relieved from claim reviews, except for
proposed collection of information, SUMMARY: The Food and Drug
a spot check of their claims to ensure Administration (FDA or Agency) is
including each proposed extension or continued compliance. Providers who
reinstatement of an existing collection announcing an opportunity for public
do not wish to participate in either 100 comment on the proposed collection of
of information, before submitting the percent pre-claim or postpayment
collection to OMB for approval. To certain information by the Agency.
reviews have the option to furnish home Under the Paperwork Reduction Act of
comply with this requirement, CMS is health services and submit the
publishing this notice that summarizes 1995 (PRA), Federal Agencies are
associated claim for payment without required to publish notice in the
the following proposed collection(s) of undergoing such reviews; however, they
information for public comment: Federal Register concerning each
will receive a 25 percent payment proposed collection of information,
1. Type of Information Collection reduction on all claims submitted for
Request: Revision of a currently including each proposed extension of an
home health services and may be existing collection of information, and
approved collection; Title of eligible for review by the Recovery
Information Collection: Pre-Claim to allow 60 days for public comment in
Audit Contractor. response to the notice. This notice
Review Demonstration for Home Health The information required under this
Services; Use: Section 402(a)(1)(J) of the solicits comments on information
collection is required by Medicare
Social Security Amendments of 1967 collections regarding financial
contractors to determine proper
(42 U.S.C. 1395b–1(a)(1)(J)) authorizes payment or if there is a suspicion of disclosure by clinical investigators.
the Secretary to ‘‘develop or fraud. Under the pre-claim review DATES: Submit either electronic or
demonstrate improved methods for the option, HHA will send the pre-claim written comments on the collection of
investigation and prosecution of fraud review request along with all required information by November 26, 2018.
in the provision of care or services documentation to the Medicare ADDRESSES: You may submit comments
daltland on DSKBBV9HB2PROD with NOTICES
under the health programs established contractor for review prior to submitting as follows. Please note that late,
by the Social Security Act (the Act).’’ the final claim for payment. If a claim untimely filed comments will not be
Pursuant to this authority, the CMS is submitted without a pre-claim review considered. Electronic comments must
seeks to develop and implement a decision on file, the Medicare contractor be submitted on or before November 26,
Medicare demonstration project, which will request the information from the 2018. The https://www.regulations.gov
CMS believes will help assist in HHA to determine if payment is electronic filing system will accept
developing improved procedures for the appropriate. For the postpayment comments until midnight Eastern Time
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Document Created: 2018-09-27 01:04:13
Document Modified: 2018-09-27 01:04:13
| 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 October 29, 2018. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 83 FR 48818 |
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