[Federal Register Volume 79, Number 65 (Friday, April 4, 2014)]
[Notices]
[Pages 18916-18917]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-07582]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-437 and CMS-10332]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid 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 (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 any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (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.
DATES: Comments must be received by June 3, 2014.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). 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' Web site 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: Reports Clearance Office at (410) 786-
1326.
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-437 Psychiatric Unit Criteria Work Sheet and Supporting Regulations
CMS-10332 Disclosure for the In-Office Ancillary Services Exception
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 with
Change of a currently approved collection; Title of Information
Collection: Psychiatric Unit Criteria Work Sheet and Supporting
Regulations; Use: Certain hospital units are excluded from the Medicare
Prospective Payment System (PPS). The exclusion of units is not
optional on the part of the provider but is required by section
1886(d)(1)(B) of the Social Security Act. That section excludes
psychiatric hospitals, rehabilitation hospitals, hospitals whose
inpatients are predominantly individuals under 18 years of age
(children's hospitals), and psychiatric and rehabilitation units which
are a distinct part of a hospital.
We propose to continue the current process of performing initial
verifications and annual reverifications to determine that psychiatric
units continue to comply with the regulatory criteria at 42 CFR 412.25
and 42 CFR 412.27 of the PPS regulations. These regulations state the
criteria that distinct part units must meet for exclusion.
If, as a result of the regular survey process a hospital is
certified as a psychiatric hospital by the State survey agency (SA),
then it automatically satisfies the regulatory criteria for exclusion.
Thus, no additional
[[Page 18917]]
verification is required for psychiatric hospitals. Some verification
is needed, however, to ensure that other types of hospitals and units
meet the criteria for exclusion. Consequently, we instructed the Fiscal
Intermediaries (FIs) and SAs to perform certain verification
activities, beginning in October 1983 when PPS was implemented. We
originally developed the CMS-437 as an SA Worksheet for verifying
exclusions from PPS for psychiatric units.
Since April 9, 1994, PPS-excluded psychiatric units already
excluded from the PPS have met CMS's annual requirement for PPS-
exclusion by self-attesting that they remain in compliance with the PPS
exclusion criteria. Under the current procedure, all psychiatric units
applying for first-time exclusion are surveyed by the SAs. The SAs also
perform surveys to investigate complaint allegations and conduct annual
sample reverification surveys on 5 percent of all psychiatric units.
The aforementioned exclusions continue to exist and thus we propose to
continue to use the Criteria Worksheet, Forms CMS-437, for verifying
first-time exclusions from the PPS, for complaint surveys, for its
annual 5 percent validation sample, and for facility self-attestation.
These forms are related to the survey and certification and Medicare
approval of the PPS-excluded units. Form Number: CMS-437 (OCN: 0938-
0358); Frequency: Annually; Affected Public: Private sector--Business
or other for-profits; Number of Respondents: 1,614; Total Annual
Responses: 1,614; Total Annual Hours: 404. (For policy questions
regarding this collection contact Donald Howard at 410-786-6764.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Disclosure for
the In-Office Ancillary Services Exception; Use: Physicians who provide
certain imaging services (magnetic resonance imaging, computed
tomography, and positron emission tomography) under the in-office
ancillary services exception to the physician self-referral prohibition
are required to create the disclosure notice as well as the list of
other imaging suppliers to be provided to the patient. The patient will
then be able to use the disclosure notice and list of suppliers in
making an informed decision about his or her course of care for the
imaging service. The physician must maintain a record of the disclosure
in the patient's medical record. If we were investigating the referrals
of a physician providing advanced imaging services under the in-office
ancillary services exception, we would review the written disclosure in
order to determine if the physician satisfied the requirement. Form
Number: CMS-10332 (OCN: 0938-1133); Frequency: Occasionally; Affected
Public: Private sector--Business or other for-profits; Number of
Respondents: 71,000; Total Annual Responses: 71,106; Total Annual
Hours: 125,383. (For policy questions regarding this collection contact
Jacqueline Proctor at 410-786-8852).
Dated: April 1, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-07582 Filed 4-3-14; 8:45 am]
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