83 FR 56085 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 218 (November 9, 2018)

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 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 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 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.

[Federal Register Volume 83, Number 218 (Friday, November 9, 2018)]
[Notices]
[Pages 56085-56086]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-24592]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-R-240 and CMS-10164]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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 information from the public. Under the Paperwork Reduction 
Act of 1995 (the 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 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 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 must be received by January 8, 2019.

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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    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: 

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).


[[Page 56086]]


CMS-R-240 Prospective Payments for Hospital Outpatient Services
CMS-10164 Medicare EDI Enrollment Form and EDI Registration

    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.

Information Collection

    1. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Prospective Payments for Hospital Outpatient Services; Use: Section 
1833(t) of the Act, as added by section 4523 of the Balanced Budget Act 
of 1997 (the BBA) requires the Secretary to establish a prospective 
payment system (PPS) for hospital outpatient services. Successful 
implementation of an outpatient PPS requires that CMS distinguish 
facilities or organizations that function as departments of hospitals 
from those that are freestanding, so that CMS can determine which 
services should be paid under the OPPS, the clinical laboratory fee 
schedule, or other payment provisions applicable to services furnished 
to hospital outpatients. Information from the reports required under 
sections 413.65(b)(3) and (c) is needed to make these determinations. 
In addition, section 1866(b)(2) of the Act authorizes hospitals and 
other providers to impose deductible and coinsurance charges for 
facility services, but does not allow such charges by facilities or 
organizations which are not provider-based. Implementation of this 
provision requires that CMS have information from the required reports, 
so it can determine which facilities are provider-based. Form Number: 
CMS-R-240 (OMB control number: 0938-0798); Frequency: Yearly; Affected 
Public: Private Sector (Business or other for-profits, Not-for-Profit 
Institutions); Number of Respondents: 750; Total Annual Responses: 
13,649,150; Total Annual Hours: 680,920 (For policy questions regarding 
this collection contact Emily Lipkin at 410-786-3633.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Medicare EDI Enrollment Form and EDI Registration; Use: The Congress, 
recognizing the need to simplify the administration of health care 
transactions, enacted the Health Insurance Portability and 
Accountability Act of 1996 (HIPAA), Public Law 104-191, on August 21, 
1996. Title II, Subtitle F of this legislation directs the Secretary of 
the Department of Health and Human Services to develop unique standards 
for specified electronic transactions and code sets for those 
transactions. The purpose of this Subtitle is to improve the Medicare 
and Medicaid programs in particular and the efficiency and 
effectiveness of the health care industry in general through the 
establishment of standards and requirements to facilitate the 
electronic transmission of certain health information. This Subtitle 
also requires that the Secretary adopt standards for financial and 
administrative transactions, and data elements for those transactions 
to enable health information to be exchanged electronically. The 
Standards for Electronic Transactions final rule, 45 CFR part 162 
Subpart K Sec.  162.1101 through Subpart R Sec.  162.1802, (hereinafter 
referred to as ``Transactions Rule'') published August 17, 2000 adopted 
standards for health care transactions and code sets. Subsequent to the 
Transactions Rule, CMS-0003-P and CMS-0005-P proposed modifications to 
the adopted standards essential to permit initial implementation of the 
standards throughout the entire healthcare industry.
    Currently, Medicare contractors have a process in place to enroll 
providers for electronic billing and other EDI transactions. In support 
of the HIPAA Transactions Rule, the purpose of this Paperwork Reduction 
Act (PRA) request is to establish a common form that is sufficient to 
address all HIPAA transactions. Form Number: CMS-10164 (OMB control 
number: 0938-0983); Frequency: Hourly; Affected Public: Private Sector 
(Business or other for-profits, Not-for-Profit Institutions); Number of 
Respondents: 193,268; Number of Responses: 193,268; Total Annual Hours: 
64,423. (For policy questions regarding this collection, contact Matt 
Klischer at 410-786-7488.)

    Dated: November 6, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-24592 Filed 11-8-18; 8:45 am]
 BILLING CODE 4120-01-P