Notice of Request for Information on Information and Documentation Required for Clean Claims for Care and Services, 32670-32671 [2019-14527]

Download as PDF 32670 Federal Register / Vol. 84, No. 131 / Tuesday, July 9, 2019 / Proposed Rules paragraphs (i)(4)(i) and (i)(4)(ii) of this AD apply. (i) The steps labeled as RC, including substeps under an RC step and any figures identified in an RC step, must be done to comply with the AD. If a step or substep is labeled ‘‘RC Exempt,’’ then the RC requirement is removed from that step or substep. An AMOC is required for any deviations to RC steps, including substeps and identified figures. (ii) Steps not labeled as RC may be deviated from using accepted methods in accordance with the operator’s maintenance or inspection program without obtaining approval of an AMOC, provided the RC steps, including substeps and identified figures, can still be done as specified, and the airplane can be put back in an airworthy condition. (j) Related Information (1) For more information about this AD, contact Jeffrey W. Palmer, Aerospace Engineer, Systems and Equipment Section, FAA, Los Angeles ACO Branch, 3960 Paramount Boulevard, Lakewood, CA 90712– 4137; phone: 562–627–5351; fax: 562–627– 5210; email: jeffrey.w.palmer@faa.gov. (2) For service information identified in this AD, contact Boeing Commercial Airplanes, Attention: Contractual & Data Services (C&DS), 2600 Westminster Blvd., MC 110 SK57, Seal Beach, CA 90740 5600; telephone 562 797 1717; internet https:// www.myboeingfleet.com. You may view this referenced service information at the FAA, Transport Standards Branch, 2200 South 216th St., Des Moines, WA. For information on the availability of this material at the FAA, call 206–231–3195. Issued in Des Moines, Washington, on June 10, 2019. Michael Kaszycki, Acting Director, System Oversight Division, Aircraft Certification Service. [FR Doc. 2019–14502 Filed 7–8–19; 8:45 am] BILLING CODE 4910–13–P DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 Notice of Request for Information on Information and Documentation Required for Clean Claims for Care and Services Department of Veterans Affairs. Request for information. AGENCY: ACTION: The Department of Veterans Affairs (VA) is requesting information from the public to inform VA’s determination regarding the information and documentation that VA will require certain health care entities and providers to submit with certain claims for payment for hospital care, medical services, or extended care services. Specifically, VA is requesting input regarding what information and khammond on DSKBBV9HB2PROD with PROPOSALS SUMMARY: VerDate Sep<11>2014 16:55 Jul 08, 2019 Jkt 247001 documentation VA should require nonFederal health care entities and providers to submit with certain claims for payment for hospital care, medical services, or extended care services furnished under chapter 17 of title 38, United States Code (U.S.C.) in order for such claims to constitute ‘‘clean claims’’ under section 1703D of title 38 U.S.C. DATES: Comments must be received on or before August 8, 2019. ADDRESSES: Written comments may be submitted through https:// www.regulations.gov; by mail or hand delivery to the Director, Office of Regulation Policy and Management (00REG), Department of Veterans Affairs, 810 Vermont Avenue NW, Room 1064, Washington, DC 20420; or by fax to (202) 273–9026. Comments should indicate that they are submitted in response to ‘‘Notice of Request for Information on Information and Documentation Required for Clean Claims for Care and Services.’’ Copies of comments received will be available for public inspection in the Office of Regulation Policy and Management, Room 1064, between the hours of 8:00 a.m. and 4:30 p.m., Monday through Friday (except Federal holidays). Please call (202) 461–4902 (this is not a tollfree number) for an appointment. During the comment period, comments may also be viewed online through the Federal Docket Management System at www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Joseph Duran, Office of Community Care (10D), Veterans Health Administration (VHA), Department of Veterans Affairs, Ptarmigan at Cherry Creek, Denver, CO 80209; Joseph.Duran2@va.gov, (303) 370–1637 (this is not a toll-free number). SUPPLEMENTARY INFORMATION: The John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (commonly called MISSION Act, Pub. L. 115–182), created new section 1703D of title 38 U.S.C. concerning claims for payment for hospital care, medical services, and extended care services furnished by non-Federal entities and providers under chapter 17 of title 38 U.S.C. Section 1703D(f)(1) requires VA to provide to all nonFederal health care entities and providers participating in a program to furnish such care or services a list of information and documentation that VA requires to establish a clean claim under section 1703D. Section 1703D(f)(2) requires VA to consult with entities in the health care industry, in the public and private sectors, to determine the PO 00000 Frm 00014 Fmt 4702 Sfmt 4702 information and documentation that VA will include in that list. This notice identifies some of the information and documentation that VA proposes including in that list and solicits feedback from the public (in particular entities in the health care industry), to determine if these requirements regarding information and documentation are appropriate. This notice also requests input regarding any other information and/or documentation requirements that entities in the health care industry recommend VA include in that list. Responses to this notice will support VA’s determination of which information and documentation will be required for a claim to be considered clean under section 1703D. This notice is a request for information only. Commenters are encouraged to provide complete, but concise, responses to the specific requests and statements outlined below. VA may choose to contact individual commenters, and such communications would serve to further clarify their written comments. Request for Information: VA requests information that will assist in developing a list of information and documentation, as mandated by section 1703D(f)(1), that will be required to establish a clean claim under section 1703D. The information and documentation identified on that list will be that which is necessary for accurate adjudication of the claim, to include data elements that, at a minimum: Accurately identify the patient; accurately identify the entity or provider that furnished the care and/or services; and accurately identify the care and services furnished. VA’s specific requests for information follow: 1. VA requests information related to the statements below: A. VA proposes that entities and providers must submit paper claims for institutional (facility) charges on the Centers for Medicare and Medicaid Services (CMS)—1450 Form; Form Title: UB–04 Uniform Bill. B. VA proposes that entities and providers must submit paper claims for non-institutional (professional) charges on the CMS–1500 Form; Form Title: Health Insurance Claim Form. C. VA proposes that entities and providers must submit electronic claims for institutional (facility) charges in the American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12N 837I (Institutional) format, the electronic claim version of CMS– 1450. D. VA proposes that entities and providers must submit electronic claims for non-institutional (professional) E:\FR\FM\09JYP1.SGM 09JYP1 Federal Register / Vol. 84, No. 131 / Tuesday, July 9, 2019 / Proposed Rules charges in the ANSI ASC X12N 837P (Professional) format, the electronic claim version of CMS–1500. E. VA proposes that claims must contain the correct member identifier, which, at this time, is the veteran’s or beneficiary’s Social Security Number. F. In 2019, VA will have Electronic Data Interchange (EDI) ASC X12N/ 005010X210 Patient Information (275) transaction attachment capabilities with the implementation of an X12 275 solution. However, a recent Council for Affordable Quality Healthcare (CAQH) report, ‘‘A Report of Healthcare Industry Adoption of Electronic Business Transactions and Cost Savings’’, indicated that there is very little adoption of the 275 electronic administrative transaction type throughout the health care industry (https://www.caqh.org/sites/default/ files/explorations/index/report/2018index-report.pdf). VA is interested in understanding the barriers to and timelines for wider 275 transaction adoption to consider potential complications to broad implementation of an EDI claim submission mandate. 2. In addition to information regarding the specific statements above, VA also requests any other information and/or documentation that entities and providers in the health care industry recommend VA include on the list. Signing Authority The Secretary of Veterans Affairs, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Robert L. Wilkie, Secretary, Department of Veterans Affairs, approved this document on June 26, 2019, for publication. Dated: July 3, 2019. Luvenia Potts, Program Specialist, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2019–14527 Filed 7–8–19; 8:45 am] khammond on DSKBBV9HB2PROD with PROPOSALS BILLING CODE 8320–01–P ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 [EPA–R07–OAR–2019–0339; FRL–9995–60– Region 7] Air Plan Approval; Missouri; Revocation of Kansas City Area Transportation Conformity Requirements Plans Environmental Protection Agency (EPA). ACTION: Proposed rule. AGENCY: The Environmental Protection Agency (EPA) is proposing approval of Missouri’s request to remove the transportation conformity rule for the Kansas City area. DATES: Comments must be received on or before August 8, 2019. ADDRESSES: You may send comments, identified by Docket ID No. EPA–R07– OAR–2019–0339 to https:// www.regulations.gov. Follow the online instructions for submitting comments. Instructions: All submissions received must include the Docket ID No. for this rulemaking. Comments received will be posted without change to https:// www.regulations.gov/, including any personal information provided. For detailed instructions on sending comments and additional information on the rulemaking process, see the ‘‘Written Comments’’ heading of the SUPPLEMENTARY INFORMATION section of this document. FOR FURTHER INFORMATION CONTACT: Jed D. Wolkins, Environmental Protection Agency, Region 7 Office, Air Quality Planning Branch, 11201 Renner Boulevard, Lenexa, Kansas 66219; telephone number (913) 551–7588; email address wolkins.jed@epa.gov. SUPPLEMENTARY INFORMATION: Throughout this document ‘‘we,’’ ‘‘us,’’ and ‘‘our’’ refer to the EPA. SUMMARY: Table of Contents I. Written Comments II. What is being addressed in this document? III. Have the requirements for approval of a SIP revision been met? IV. What action is the EPA taking? V. Incorporation by Reference VI. Statutory and Executive Order Reviews I. Written Comments Submit your comments, identified by Docket ID No. EPA–R07–OAR–2019– 0339, at https://www.regulations.gov. Once submitted, comments cannot be edited or removed from Regulations.gov. The EPA may publish any comment received to its public docket. Do not submit electronically any information VerDate Sep<11>2014 16:55 Jul 08, 2019 Jkt 247001 PO 00000 Frm 00015 Fmt 4702 Sfmt 4702 32671 you consider to be Confidential Business Information (CBI) or other information whose disclosure is restricted by statute. Multimedia submissions (audio, video, etc.) must be accompanied by a written comment. The written comment is considered the official comment and should include discussion of all points you wish to make. The EPA will generally not consider comments or comment contents located outside of the primary submission (i.e., on the web, cloud, or other file sharing system). For additional submission methods, the full EPA public comment policy, information about CBI or multimedia submissions, and general guidance on making effective comments, please visit https://www.epa.gov/dockets/ commenting-epa-dockets. II. What is being addressed in this document? The EPA is proposing to approve the removal of 10 CSR 10–2.390 Kansas City Area Transportation Conformity Requirements. Pursuant to 40 CFR 93.102 (b) transportation conformity must be conducted in all nonattainment and maintenance areas and States must adopt State Plans to conduct transportation conformity. The Kansas City Area, Clay, Jackson, and Platte Counties, were designated nonattainment for the 1979 one hour ozone standard (40 CFR 81.326, March 3, 1978). On July 23, 1992 the Kansas City Area was redesignated as attainment/ maintenance (57 FR 27939, July 23, 1992). Pursuant to CAA Section 175A, the maintenance status lasted for two consecutive ten year periods from the effective date of the EPA’s approval of the first ten-year maintenance plan and redesignation of the area to attainment for the NAAQS. On July 23, 2012, the second maintenance plan ended as did the requirement for transportation conformity in the Kansas City Area. Pursuant to 40 CFR 51.1118, as the Kansas City Area is in attainment for all standards, the Kansas City Area Transportation Conformity Requirements are no longer needed. If in the future, the Kansas City Area was to be determined to be non-attainment with a standard requiring conformity, the State would have to develop new transportation conformity requirements. Furthermore, the Kansas City Area Transportation Conformity Requirements are not relied on in any other maintenance or attainment plan. III. Have the requirements for approval of a SIP revision been met? The state submission has met the public notice requirements for SIP E:\FR\FM\09JYP1.SGM 09JYP1

Agencies

[Federal Register Volume 84, Number 131 (Tuesday, July 9, 2019)]
[Proposed Rules]
[Pages 32670-32671]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-14527]


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DEPARTMENT OF VETERANS AFFAIRS

38 CFR Part 17


Notice of Request for Information on Information and 
Documentation Required for Clean Claims for Care and Services

AGENCY: Department of Veterans Affairs.

ACTION: Request for information.

-----------------------------------------------------------------------

SUMMARY: The Department of Veterans Affairs (VA) is requesting 
information from the public to inform VA's determination regarding the 
information and documentation that VA will require certain health care 
entities and providers to submit with certain claims for payment for 
hospital care, medical services, or extended care services. 
Specifically, VA is requesting input regarding what information and 
documentation VA should require non-Federal health care entities and 
providers to submit with certain claims for payment for hospital care, 
medical services, or extended care services furnished under chapter 17 
of title 38, United States Code (U.S.C.) in order for such claims to 
constitute ``clean claims'' under section 1703D of title 38 U.S.C.

DATES: Comments must be received on or before August 8, 2019.

ADDRESSES: Written comments may be submitted through https://www.regulations.gov; by mail or hand delivery to the Director, Office 
of Regulation Policy and Management (00REG), Department of Veterans 
Affairs, 810 Vermont Avenue NW, Room 1064, Washington, DC 20420; or by 
fax to (202) 273-9026. Comments should indicate that they are submitted 
in response to ``Notice of Request for Information on Information and 
Documentation Required for Clean Claims for Care and Services.'' Copies 
of comments received will be available for public inspection in the 
Office of Regulation Policy and Management, Room 1064, between the 
hours of 8:00 a.m. and 4:30 p.m., Monday through Friday (except Federal 
holidays). Please call (202) 461-4902 (this is not a toll-free number) 
for an appointment. During the comment period, comments may also be 
viewed online through the Federal Docket Management System at 
www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Joseph Duran, Office of Community Care 
(10D), Veterans Health Administration (VHA), Department of Veterans 
Affairs, Ptarmigan at Cherry Creek, Denver, CO 80209; 
[email protected], (303) 370-1637 (this is not a toll-free number).

SUPPLEMENTARY INFORMATION: The John S. McCain III, Daniel K. Akaka, and 
Samuel R. Johnson VA Maintaining Internal Systems and Strengthening 
Integrated Outside Networks Act of 2018 (commonly called MISSION Act, 
Pub. L. 115-182), created new section 1703D of title 38 U.S.C. 
concerning claims for payment for hospital care, medical services, and 
extended care services furnished by non-Federal entities and providers 
under chapter 17 of title 38 U.S.C. Section 1703D(f)(1) requires VA to 
provide to all non-Federal health care entities and providers 
participating in a program to furnish such care or services a list of 
information and documentation that VA requires to establish a clean 
claim under section 1703D. Section 1703D(f)(2) requires VA to consult 
with entities in the health care industry, in the public and private 
sectors, to determine the information and documentation that VA will 
include in that list. This notice identifies some of the information 
and documentation that VA proposes including in that list and solicits 
feedback from the public (in particular entities in the health care 
industry), to determine if these requirements regarding information and 
documentation are appropriate. This notice also requests input 
regarding any other information and/or documentation requirements that 
entities in the health care industry recommend VA include in that list. 
Responses to this notice will support VA's determination of which 
information and documentation will be required for a claim to be 
considered clean under section 1703D.
    This notice is a request for information only. Commenters are 
encouraged to provide complete, but concise, responses to the specific 
requests and statements outlined below. VA may choose to contact 
individual commenters, and such communications would serve to further 
clarify their written comments.
    Request for Information: VA requests information that will assist 
in developing a list of information and documentation, as mandated by 
section 1703D(f)(1), that will be required to establish a clean claim 
under section 1703D. The information and documentation identified on 
that list will be that which is necessary for accurate adjudication of 
the claim, to include data elements that, at a minimum: Accurately 
identify the patient; accurately identify the entity or provider that 
furnished the care and/or services; and accurately identify the care 
and services furnished. VA's specific requests for information follow:
    1. VA requests information related to the statements below:
    A. VA proposes that entities and providers must submit paper claims 
for institutional (facility) charges on the Centers for Medicare and 
Medicaid Services (CMS)--1450 Form; Form Title: UB-04 Uniform Bill.
    B. VA proposes that entities and providers must submit paper claims 
for non-institutional (professional) charges on the CMS-1500 Form; Form 
Title: Health Insurance Claim Form.
    C. VA proposes that entities and providers must submit electronic 
claims for institutional (facility) charges in the American National 
Standards Institute (ANSI) Accredited Standards Committee (ASC) X12N 
837I (Institutional) format, the electronic claim version of CMS-1450.
    D. VA proposes that entities and providers must submit electronic 
claims for non-institutional (professional)

[[Page 32671]]

charges in the ANSI ASC X12N 837P (Professional) format, the electronic 
claim version of CMS-1500.
    E. VA proposes that claims must contain the correct member 
identifier, which, at this time, is the veteran's or beneficiary's 
Social Security Number.
    F. In 2019, VA will have Electronic Data Interchange (EDI) ASC 
X12N/005010X210 Patient Information (275) transaction attachment 
capabilities with the implementation of an X12 275 solution. However, a 
recent Council for Affordable Quality Healthcare (CAQH) report, ``A 
Report of Healthcare Industry Adoption of Electronic Business 
Transactions and Cost Savings'', indicated that there is very little 
adoption of the 275 electronic administrative transaction type 
throughout the health care industry (https://www.caqh.org/sites/default/files/explorations/index/report/2018-index-report.pdf). VA is 
interested in understanding the barriers to and timelines for wider 275 
transaction adoption to consider potential complications to broad 
implementation of an EDI claim submission mandate.
    2. In addition to information regarding the specific statements 
above, VA also requests any other information and/or documentation that 
entities and providers in the health care industry recommend VA include 
on the list.

Signing Authority

    The Secretary of Veterans Affairs, or designee, approved this 
document and authorized the undersigned to sign and submit the document 
to the Office of the Federal Register for publication electronically as 
an official document of the Department of Veterans Affairs. Robert L. 
Wilkie, Secretary, Department of Veterans Affairs, approved this 
document on June 26, 2019, for publication.

    Dated: July 3, 2019.
Luvenia Potts,
Program Specialist, Office of Regulation Policy & Management, Office of 
the Secretary, Department of Veterans Affairs.
[FR Doc. 2019-14527 Filed 7-8-19; 8:45 am]
BILLING CODE 8320-01-P
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