Notice2023-01718
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
January 27, 2023
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
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.
Full Text
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<title>Federal Register, Volume 88 Issue 18 (Friday, January 27, 2023)</title>
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[Federal Register Volume 88, Number 18 (Friday, January 27, 2023)]
[Notices]
[Pages 5360-5361]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-01718]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10224 & CMS-10242]
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 March 28, 2023.
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
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. 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: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</a>.
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-10224 CMS HCPCS Modification to Code Set Form
CMS-10242 Emergency Ambulance Transports and Beneficiary Signature
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
[[Page 5361]]
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: Revision of a currently
approved collection; Title of Information Collection: CMS HCPCS
Modification to Code Set Form; Use: The Healthcare Common Procedure
Coding System (HCPCS) Level II code set is one of the standard code
sets used for this purpose. The HCPCS Level II code set, also referred
to as alpha-numeric codes, is a standardized coding system that is used
primarily to identify items, supplies, and services not included in the
HCPCS Level I Current Procedural Terminology (CPT[supreg]) codes, such
as ambulatory services and durable medical equipment, prosthetics,
orthotics, and supplies when used in the home or outpatient setting as
well as certain drugs and biologicals. Because Medicare and other
insurers cover a variety of these services and supplies, HCPCS Level II
codes were established for assignment by insurers to identify items on
claims. HCPCS Level II classifies similar items or services that are
medical in nature into categories for the purpose of efficient claims
processing. For each alpha-numeric HCPCS code, there is descriptive
terminology that identifies a category of like items.
As stated in 42 CFR Sec. 414.40(a) CMS establishes uniform national
definitions of services, codes to represent services, and payment
modifiers to the codes. The HCPCS code set has been maintained and
distributed via modifications of codes, modifiers and descriptions, as
a direct result of data received from applicants. Thus, information
collected in the application is significant to code set maintenance.
The HCPCS code set maintenance is an ongoing process, as changes are
implemented and updated quarterly (for drug and biological products)
and biannual (for non-drug and non-biological items or services);
therefore, the process requires continual collection of information
from applicants on a quarterly and bi-annual basis. As new technology
evolves and new devices, drugs and supplies are introduced to the
market, applicants submit applications to CMS requesting modifications
to the HCPCS Level II code set. Form Number: CMS-10244 (OMB control
number: 0938-1042); Frequency: Quarterly; Affected Public: Private
sector, Business or other for-profit; Number of Respondents: 250; Total
Annual Responses: 250; Total Annual Hours: 2,500. (For policy questions
regarding this collection contact Sundus Ashar at 410-786-0750.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Emergency
Ambulance Transports and Beneficiary Signature; Use: The statutory
authority requiring a beneficiary's signature on a claim submitted by a
provider is located in section 1835(a) and in 1814(a) of the Social
Security Act (the Act), for Part B and Part A services, respectively.
The authority requiring a beneficiary's signature for supplier claims
is implicit in sections 1842(b)(3)(B)(ii) and in 1848(g)(4) of the Act.
Federal regulations at 42 CFR 424.32(a)(3) state that all claims must
be signed by the beneficiary or on behalf of the Beneficiary (in
accordance with 424.36). Section 424.36(a) states that the
beneficiary's signature is required on a claim unless the beneficiary
has died or the provisions of 424.36(b), (c), or (d) apply.
For emergency and nonemergency ambulance transport services, where
the beneficiary is physically or mentally incapable of signing the
claim (and the beneficiary's authorized representative is unavailable
or unwilling to sign the claim), that it is impractical and infeasible
to require an ambulance provider or supplier to later locate the
beneficiary or the person authorized to sign on behalf of the
beneficiary, before submitting the claim to Medicare for payment.
Therefore, an exception was created to the beneficiary signature
requirement with respect to emergency and nonemergency ambulance
transport services, where the beneficiary is physically or mentally
incapable of signing the claim, and if certain documentation
requirements are met. Thus, we added subsection (6) to paragraph (b) of
42 CFR 424.36. The information required in this ICR is needed to help
ensure that services were in fact rendered and were rendered as billed.
Form Number: CMS-10242 (OMB control number: 0938-1049); Frequency:
Occasionally; Affected Public: Private sector, Business or other for-
profit, Not-for-profits institutions; Number of Respondents: 10,233;
Total Annual Responses: 10,954,288; Total Annual Hours: 912,492. (For
policy questions regarding this collection contact Sabrina Teferi at
678-491-0546.)
Dated: January 24, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-01718 Filed 1-26-23; 8:45 am]
BILLING CODE 4120-01-P
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