[Federal Register Volume 81, Number 249 (Wednesday, December 28, 2016)]
[Notices]
[Pages 95614-95615]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-31183]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10633]
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 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 February 27, 2017.
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:
[[Page 95615]]
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-10633 QIC Demonstration Evaluation Contractor (QDEC): Analyze
Medicare Appeals To Conduct Formal Discussions and Reopenings With
Suppliers
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: QIC
Demonstration Evaluation Contractor (QDEC): Analyze Medicare Appeals to
Conduct Formal Discussions and Reopenings with Suppliers; Use: The
Formal Telephone Discussions Demonstration is designed to improve the
efficiency of Medicare's five-level appeals system for fee-for-service
(FFS) claims, which currently is experiencing a backlog. In the
Demonstration, the Qualified Independent Contractor (QIC) provides
education through a formal telephone discussion process to improve
suppliers' understanding of the reasons for claim denials, and
ultimately improve the quality of future claims submissions. CMS is
interested in determining whether engagement between suppliers and the
QIC will improve the understanding of the cause of Level 2 appeal
denials, and over time, whether this results in increased submission of
accurate and complete claims at the Medicare Administrative Contractor
(MAC) level. The evaluation of the Demonstration will use both
quantitative and qualitative techniques to analyze the outcomes and
impact of the Demonstration. Claims analysis, a web-based supplier
survey, and supplier key informant interviews will inform the
evaluation, and: (1) Focus specifically on outcomes including supplier
satisfaction with the discussions, the rate of claims denials, and the
number of claims that go through appeals Levels 2 and 3; (2) seek to
determine whether further engagement between suppliers and the QIC
improves understanding of the reasons for claim denials; and (3)
support CMS in assessing the QIC's effectiveness in meeting a number of
criteria established by CMS, including how satisfied participating
suppliers were with the formal telephone discussion process. Form
Number: CMS-10633 (OMB control number: 0938-NEW); Frequency: Monthly;
Affected Public: Private Sector Business or other for-profits, Not-for-
Profit Institutions; Number of Respondents: 10,560; Total Annual
Responses: 2,640; Total Annual Hours: 473.3. (For policy questions
regarding this collection contact Lynnsie Doty at 410-786-2175.)
Dated: December 21, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-31183 Filed 12-27-16; 8:45 am]
BILLING CODE 4120-01-P