[Federal Register Volume 74, Number 156 (Friday, August 14, 2009)]
[Notices]
[Pages 41141-41142]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-19537]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10050, CMS-1450(UB-04), CMS-276 and CMS-R-
254]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Revision of the
currently approved collection; Title of Information Collection: New
Enrollee Survey; Use: The New Enrollee survey was developed to gather
information from newly enrolled Medicare beneficiaries about their
Medicare knowledge and needs. CMS is seeking understanding about what
types of information new enrollees need and what they know about
Medicare. Included in the survey are questions regarding how well
informed new enrollees are about Medicare and what information they
have received about the Medicare program. Information gathered in this
survey will be used only for purposes of targeting and improving
communications with newly eligible Medicare beneficiaries. Form Number:
CMS-10050 (OMB: 0938-0869); Frequency: Reporting--Quarterly;
Affected Public: Individuals or Households; Number of Respondents:
1200; Total Annual Responses: 1200; Total Annual Hours: 300. (For
policy questions regarding this collection contact Renee Clarke at 410-
786-0006. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare Uniform
Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5;
Use: Section 42 CFR 424.5(a)(5) requires providers of services to
submit a claim for payment prior to any Medicare reimbursement. Charges
billed are coded by revenue codes. The bill specifies diagnoses
according to the International Classification of Diseases, Ninth
Edition (ICD-9-CM) code. Inpatient procedures are identified by ICD-9-
CM codes, and outpatient procedures are described using the CMS Common
Procedure Coding System (HCPCS). These are standard systems of
identification for all major health insurance claims payers. Submission
of information on the CMS-1450 permits Medicare intermediaries to
receive consistent data for proper payment. Form Numbers: CMS-1450 (UB-
04)(OMB: 0938-0997); Frequency: Reporting--On occasion;
Affected Public: Not-for-profit institutions, Business or other for-
profit; Number of Respondents: 53,111; Total Annual Responses:
181,909,654; Total Annual Hours: 1,567,455. (For policy questions
regarding this collection contact Matt Klischer at 410-786-7488. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Prepaid Health
Plan Cost Report; Use: Health Maintenance Organizations and Competitive
Medical Plans (HMO/CMPs) contracting with the Secretary under Section
1876 of the Social Security Act are required to submit a budget and
enrollment forecast, four quarterly reports and a final certified cost
report. Health Care Prepayment Plans (HCPPs) contracting with the
Secretary under Section 1833 of the Social Security Act are required to
submit a budget and enrollment forecast, mid-year report, and final
cost report. An HMO/CMP is a health care delivery system that furnishes
directly or arranges for the delivery of the full spectrum of health
services to an enrolled population. A HCPP is a health care delivery
system that furnishes directly or arranges for the delivery of certain
physician and diagnostics services up to the full spectrum of non-
provider Part B health services to an enrolled population. These
reports will be used to establish the reasonable cost of delivering
covered services furnished to Medicare enrollees by an HMO/CMP or
HCPP.; Form Numbers: CMS-276 (OMB: 0938-0165); Frequency:
Recordkeeping, Reporting--Quarterly and Annually; Affected Public:
Business or other for-profit; Number of Respondents: 35; Total Annual
Responses: 128; Total Annual Hours: 5,285. (For policy questions
regarding this collection contact Temeshia Johnson at 410-786-8692. For
all other issues call 410-786-1326.)
4. Type of Information Collection Request: Reinstatement of a
currently approved collection; Title of
[[Page 41142]]
Information Collection: National Medicare & You Education Program
(NMEP) Survey of Medicare Beneficiaries Use: The Centers for Medicare
and Medicaid Services is requesting a reinstatement of this information
collection request to continue to collect information from Medicare
beneficiaries, caregivers, health care providers, and health
information providers. The collection of information was inadvertently
discontinued in December 2008; however, as stated earlier, we are
currently seeking a reinstatement with change as we have revised the
collection instrument. It is critical for this agency to obtain
feedback from the aforementioned groups so that the agency can
accurately assess the needs of the Medicare audience. Using random
digit dial and/or an administrative sample, members of the Medicare
audience will be called and asked to complete the survey via telephone.
The results of this survey will be compiled and studied so that
communication may be amended to benefit Medicare's audience. The survey
has the following objectives: to assess satisfaction with and knowledge
of the Medicare program; to gather information on health behaviors and
quality of health care; to determine the most used source for Medicare
information; and to gather information from health care provider and
health information providers. Form Number: CMS-R-254 (OMB
0938-0738); Frequency: Once; Affected Public: Individuals and
Households, Private Sector--Business or other for-profits; Number of
Respondents: 7,000; Total Annual Responses: 7,000; Total Annual Hours:
1,750.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
Site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, or
E-mail your request, including your address, phone number, OMB number,
and CMS document identifier, to [email protected], or call the
Reports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on September 14,
2009: OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: August 7, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-19537 Filed 8-13-09; 8:45 am]
BILLING CODE 4120-01-P