[Federal Register: March 26, 2002 (Volume 67, Number 58)]
[Notices]
[Page 13774]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr26mr02-55]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[CMS-250 through 254, CMS-10008, and CMS-287]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare and Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid
Services (CMS) (formerly known as the Health Care Financing
Administration (HCFA), Department of Health and Human Services, is
publishing the following summary of proposed collections for public
comment. Interested persons are invited to send comments regarding this
burden estimate 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.
(1.) Type of Information Request: Revision of a currently approved
collection; Title of Information Collection: Medicare Secondary Payer
Information Collection and Supporting Regulations in 42 CFR 411.25,
489.2, and 489.20; Form Number: CMS-250 through CMS-254 (OMB# 0938-
0214); Use: Medicare Secondary Payer (MSP) is essentially the same
concept known in the private insurance industry as coordination of
benefits and refers to those situations where Medicare does not have
primary responsibility for paying the medical expenses of a Medicare
beneficiary. CMS contracts with health insuring organizations, herein
referred to as intermediaries and carriers, to process Medicare claims.
CMS charges its Medicare intermediaries and carriers with various tasks
to detect MSP cases; develops and disseminates tools to enable them to
better perform their tasks; and monitors their performance in
achievement of their assigned MSP functions. Because intermediaries and
carriers are also marketing health insurance products that may have
liability when Medicare is secondary, the MSP provisions create the
potential for conflict of interest. Recognizing this inherent conflict,
CMS has taken steps to ensure that its intermediaries and carriers
process claims in accordance with the MSP provisions, regardless of
what other insurer is primary. These information collection
requirements describe the MSP requirements and consist of the
following:
1. Initial enrollment questionnaire
2. MSP claims investigation, which consists of first claim
development, trauma code development, self-reporting MSP liability
development, notice to responsible third party development (411.25
notice), secondary claims development, and ``08'' development
(involving claims where information cannot be obtained from the
beneficiary)
3. Provider MSP development, which requires the provider to request
information from the beneficiary or representative during admission and
other encounters; Frequency: On occasion; Affected Public: Individuals
or households, business or other for-profit, and not-for-profit
institutions; Number of Respondents: 867,863,540; Total Annual
Responses: 867,863,540; Total Annual Hours Requested: 2,779,942.
(2.) Type of Information Collection Request: Revision of a
currently approved collection; Title of Information Collection:
Recognition of Pass-Through Payment for Drugs and Biologicals Under the
Outpatient Prospective Payment System and Supporting Regulations in 42
CFR 419.43 formerly known as ``Recognition of New Technology/Pass-
Through Items Under the Prospective Payment System for Hospital
Outpatient Services''; Form No.: CMS-10008 (OMB# 0938-0802); Use: This
information is necessary to determine items eligible for payment as new
technology within the ambulatory payment classification (APC) system as
well as items eligible for the transitional pass-through payment
provision as required by section 201 of the BBRA. This collection will
enable CMS to implement those special payment provisions; Frequency: On
Occasion; Affected Public: Business or other for-profit; Number of
Respondents: 55; Total Annual Responses: 55; Total Annual Hours: 193.
(3.) Type of Information Collection Request: Extension of a
currently approved collection; Title of Information Collection: Home
Office Cost Statement and Supporting Regulations in 42 CFR 413.17 and
413.20; Form No.: CMS-287 (OMB# 0938-0202); Use: Medicare law permits
components of chain organizations to be reimbursed for certain costs
incurred by the chain home offices. The Home Office Cost Statement is
required by the fiscal intermediary to verify Home Office Costs claimed
by the components. Frequency: Annually; Affected Public: Not-for-profit
institutions and business or other for-profit; Number of Respondents:
1,231; Total Annual Responses: 1,231; Total Annual Hours Requested:
573,646.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or e-mail
your request, including your address, phone number, OMB number, and CMS
document identifier, to Paperwork@hcfa.gov, or call the Reports
Clearance Office on (410) 786-1326. Written comments and
recommendations for the proposed information collections must be mailed
within 30 days of this notice directly to the OMB desk officer:
OMB Human Resources and Housing Branch, Attention: Allison Eydt,
New Executive Office Building, Room 10235, Washington, DC 20503.
Dated: March 12, 2002.
John P. Burke, III,
CMS Reports Clearance Officer, CMS Office of Information Services,
Security and Standards Group, Division of CMS Enterprise Standards.
[FR Doc. 02-7210 Filed 3-25-02; 8:45 am]
BILLING CODE 4120-03-P