Agency Information Collection Activities: Proposed Collection; Comment Request
| Published date | 16 February 2024 |
| Record Number | 2024-03294 |
| Citation | 89 FR 12350 |
| Court | Centers For Medicare & Medicaid Services |
| Section | Notices |
Federal Register, Volume 89 Issue 33 (Friday, February 16, 2024)
[Federal Register Volume 89, Number 33 (Friday, February 16, 2024)]
[Notices]
[Pages 12350-12351]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-03294]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10884 and CMS-855A]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
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 (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 April 16, 2024.
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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
FOR FURTHER INFORMATION CONTACT: William N. 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).
CMS-10884 Prior Authorization Demonstration for Certain Ambulatory
Surgical Center (ASC) Services
CMS-855A Medicare Enrollment Application for Institutional Providers
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: New collection (Request
for a new OMB control number); Title of Information Collection: Prior
Authorization Demonstration for Certain Ambulatory Surgical Center
(ASC) 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, CMS seeks to develop and
implement a Medicare demonstration project, which CMS believes will
assist in developing improved procedures for the identification,
investigation, and prosecution of Medicare fraud occurring in
ambulatory surgical centers providing services to Medicare
beneficiaries.
The information required for the prior authorization request
includes all documentation necessary to show that the service meets
applicable Medicare coverage, coding, and payment rules. Prior to
rendering the services, ASC providers should submit this information to
the Medicare Administrative Contractors (MACs). Trained clinical
reviewers at the MACs will review the information required for this
collection to determine if the requested services are medically
necessary and meet Medicare requirements. If an ASC provider does not
submit a prior authorization request before rendering the service and
submitting a claim to Medicare for payment, the MAC will request the
required information from the ASC provider to determine if the service
meets applicable Medicare coverage, coding, and payment rules before
the claim is paid. Form Number: CMS-10884 (OMB Control Number: 0938-
NEW); Frequency: Occasionally; Affected Public: Business or other for-
profits; Number of Respondents: 4,038; Number of Responses: 95,579;
Total Annual Hours: 59,904. (For policy questions regarding this
collection contact Kelly Wojciechowski at
[email protected] or Justin Carlisle at
Justi[email protected]).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Enrollment Application for Institutional Providers; Use: Various
sections of the Social Security Act (Act), the United States Code
(U.S.C.), Internal Revenue Service Code (Code) and the Code of Federal
Regulations (CFR) require providers and suppliers to furnish
information concerning the amounts due and the identification of
individuals or entities that furnish medical services to beneficiaries
before payment can be made.
[[Page 12351]]
The primary function of the CMS-855A Medicare enrollment
application is to gather information from a certified provider or
certified supplier (hereafter occasionally and collectively referenced
as ``provider(s)'') that tells us who it is, whether it meets certain
qualifications to be a health care provider, where it practices or
renders services, the identity of its owners, and other information
necessary to establish correct claims payments. Form Number: CMS-855A
(OMB control number: 0938-0685); Frequency: On occasion; Affected
Public: Business or other for-profits, not-for-profit institutions;
Number of Respondents: 45,473; Total Annual Responses: 217,493; Total
Annual Hours: 41,120. (For policy questions regarding this collection
contact Frank Whelan at 410-786-1302.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-03294 Filed 2-15-24; 8:45 am]
BILLING CODE 4120-01-P
