Notice2023-07525
Agency Information Collection Activities: Submission for OMB Review; 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
April 11, 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 a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate 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 69 (Tuesday, April 11, 2023)</title>
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[Federal Register Volume 88, Number 69 (Tuesday, April 11, 2023)]
[Notices]
[Pages 21675-21677]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-07525]
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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: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
[[Page 21676]]
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 a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate 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 on the collection(s) of information must be received by
the OMB desk officer by May 11, 2023.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
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 Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(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 (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-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 that
summarizes the following proposed collection(s) of information for
public comment:
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
[[Page 21677]]
contact Sabrina Teferi at 404-562-7251).
Dated: April 5, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-07525 Filed 4-10-23; 8:45 am]
BILLING CODE 4120-01-P
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