[Federal Register: November 15, 2004 (Volume 69, Number 219)]
[Notices]
[Page 65602-65603]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15no04-80]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-R-185, CMS 10131, CMS-10054 and CMS-R-50]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare and Medicaid Services.
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 Collection Request: Extension of a currently
approved collection; Title of Information Collection: Granting and
Withdrawal of Deeming Authority to Private Nonprofit Accreditation
Organizations and of State Exemption Under State Laboratory Programs
and Supporting Regulations in 42 CFR 493.551-493.557; Use: The
information required is necessary to determine whether a private
accreditation organization's or State licensure program's standards and
accreditation/licensure process is equal to or more stringent than
those of CLIA. Form Number: CMS-R-185 (OMB: 0938-0686);
Frequency: Initial application and as needed; Affected Public: Not-for-
profit institutions, Business or other for-profit and State, Local, or
Tribal Government; Number of Respondents: 8; Total Annual Responses:
76; Total Annual Hours: 768.
2. Type of Information Collection Request: New Collection; Title of
Information Collection: Evaluation of Medicare Disease Management
Demonstrations; Form No.: CMS-10131 (OMB 0938-NEW); Use: CMS
contracted with Mathematic Policy Research, Inc. (MPR) for the
evaluation of disease management programs. The purpose of the patient
survey is to assess the impact of disease management and prescription
drug benefits on patient health, functioning status, care satisfaction,
health behaviors and knowledge of condition. Data from the physician
survey will be used to assess physician satisfaction with disease
management services, physician perceptions of the impact of disease
management on patient outcomes, education and service use, and the
impact of disease management programs on physician practices and office
workload.; Frequency: On Occasion; Affected Public: Individuals or
households, Business or other for-profit; Number of Respondents: 5000;
Total Annual Responses: 2500; Total Annual Hours: 1625.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Recognition of
Payment for New Technology Services for Ambulatory Payment
Classifications (APCs) under the Outpatient Prospective Payment System
and Supporting Regulations in 42 CFR, 413.65 and 419.42; Form No.: CMS-
10054 (OMB 0938-0860); Use: Information is necessary to
determine services eligible for payment in new technology ambulatory
payment classifications (APCs) in the outpatient prospective payment
system; Frequency: On Occasion; Affected Public: Business or other for-
profit; Number of Respondents: 15; Total Annual Responses: 15; Total
Annual Hours: 180.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medical Records
Review under PPS and Supporting Regulations in 42 CFR, Sections 412.40-
412.52; Form No.: CMS-R-50 (OMB 0938-0359); Use: The Quality
Improvement Organizations (QIOs) are authorized to conduct medical
review activities under the Prospective Payment System (PPS) . In order
to conduct these review activites, the agency depends upon hospitals to
make available specific records regarding care provided to Medicare
beneficiaries. The Clinical Data Abstraction Centers (CDACs) obtain
copies of medical records from which they abstract data to analyze
patterns of care and outcomes for heart failure/myocardial infarction,
pneumonia, diabetes and surgical infection.; Frequency: Other: when
records are reviewed; Affected Public:
[[Page 65603]]
Business or other for-profit, Not-for-profit institutions, Federal
Government, and State, Local or Tribal Govt.; Number of Respondents:
6,100; Total Annual Responses: 397,500; Total Annual Hours: 11,925.
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.cms.hhs.gov/regulations/pra/, or e-mail
your request, including your address, phone number, OMB number, and CMS
document identifier, to Paperwork@cms.hhs.gov, or call the Reports
Clearance Office on (410) 786-1326.
Written comments and recommendations for the proposed information
collections must be mailed within 60 days of this notice directly to
the CMS Paperwork Clearance Officer designated at the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development and Issuances, Attention: Melissa
Musotto, Room C5-14-03, 7500 Security Boulevard, Baltimore, Maryland
21244-1850.
Dated: November 5, 2004.
John P. Burke, III,
Paperwork Reduction Act Team Leader, Office of Strategic Operations and
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 04-25250 Filed 11-12-04; 8:45 am]
BILLING CODE 4120-03-P