[Federal Register Volume 81, Number 94 (Monday, May 16, 2016)]
[Notices]
[Pages 30308-30309]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11499]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-838, CMS-10157 and 10469]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human 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 require; 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 July 15, 2016.
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' 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-838 Medicare Credit Balance Reporting Requirements
CMS-10157 HIPPA Eligibility Tracking System
CMS-10469 Issuer Reporting Requirements for Selecting a Cost-Sharing
Reductions Reconciliation Methodology
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.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare Credit
Balance Reporting Requirements; Use: Quarterly credit balance reporting
is needed to monitor and control the identification and timely
collection of improper payments. Credit balances are mainly
attributable to provider billing practices and cannot be eliminated by
program functions; they will continue to occur. The OIG issued a
Management Advisory Report (MAR) on their extended review of credit
balances (See Attachment). They state that approximately 90 percent of
credit balances result from providers: (1) Billing Medicare and a
private insurer for the same service, (2) submitting duplicate billings
for services in a manner which cannot be detected by system edits, and
(3) billing for services not performed. The MAR recommends that CMS
continue its plan of recovery by requiring hospitals to report Medicare
credit balances to contractors on a quarterly basis. Form Number: CMS-
838 (OMB control number: 0938-0600); Frequency: Quarterly; Affected
Public: Private sector (Business or other For-profits); Number of
Respondents: 52,582; Total Annual Responses: 210,328; Total Annual
Hours: 630,984. (For policy questions regarding this collection contact
Anita Crosier at 410-786-0217).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: HIPPA Eligibility
Tracking System; Use: Federal law requires that CMS take precautions to
minimize the security risk to the federal information system. Federal
Information Processing Standards Publication (FIPS PUB) 1( ) 1-2
Paragraph 11.7--Security and Authentication states that: ``Agencies
shall employ risk management techniques to determine the appropriate
mix of security controls needed to protect specific data and systems.
The selection of controls shall take into account procedures required
under applicable laws and regulations.'' Accordingly, CMS requires that
entities who wish to connect to the HETS application via the CMS
Extranet and/or Internet are uniquely identified. CMS is required to
verify the identity of the
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person requesting the Protected Health Information (PHI) and the
person's authority to have access to Medicare eligibility information.
Furthermore, CMS requires that trading partners who wish to conduct
eligibility transactions on a real-time basis with CMS provide certain
assurances as a condition of receiving access to the Medicare
eligibility information for the purpose of conducting real-time 270/271
inquiry/response transactions. Form Number: CMS-10157 (OMB control
number: 0938-0960); Frequency: Quarterly; Affected Public: Private
sector (Business or other For-profits and Not-For-Profits); Number of
Respondents: 2,000; Total Annual Responses: 2,000; Total Annual Hours:
250. (For policy questions regarding this collection contact Rupinder
Singh at 410-786-7484).
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Issuer Reporting
Requirements for Selecting a Cost-Sharing Reductions Reconciliation
Methodology; Use: Sections 1402 and 1412 of the Affordable Care Act
provide for reductions in cost sharing on essential health benefits for
low- and moderate-income enrollees in silver level qualified health
plans (QHP) on individual market Exchanges. It also provides for
reductions in cost sharing for Indians enrolled in QHPs at any metal
level. These cost-sharing reductions will help eligible individuals and
families afford the out-of-pocket spending associated with health care
services provided through Exchange-based QHP coverage.
The law directs QHP issuers to notify the Secretary of the
Department of Health and Human Services (HHS) of cost-sharing
reductions made under the statute for qualified individuals, and
directs the Secretary to make periodic and timely payments to the QHP
issuer equal to the value of those reductions. Further, the law permits
advance payment of the cost-sharing reduction amounts to QHP issuers
based upon amounts specified by the Secretary.
Under established HHS regulations, QHP issuers will receive advance
payments of the cost-sharing reductions throughout the year. Each
issuer will then be subject to one of two reconciliation processes
after the year to ensure that HHS reimbursed each issuer the correct
advance cost-sharing amount. This information collection request
establishes the data collection requirements for a QHP issuer to report
to HHS which reconciliation reporting option the issuer will be subject
to for a given benefit year. Form Number: CMS-10469 (OMB control
number: 0938-1214); Frequency: Annually; Affected Public: Private
sector (Businesses or other for-profits); Number of Respondents: 575;
Total Annual Responses: 575; Total Annual Hours: 13,200. (For policy
questions regarding this collection contact Pat Meisol at 410-786-
1917.)
Dated: May 11, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-11499 Filed 5-13-16; 8:45 am]
BILLING CODE 4120-01-P