Agency Information Collection Activities: Submission for OMB Review; Comment Request, 54980-54981 [2021-21580]


[Federal Register Volume 86, Number 190 (Tuesday, October 5, 2021)]
[Pages 54980-54981]
From the Federal Register Online via the Government Publishing Office []
[FR Doc No: 2021-21580]



Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10417, CMS-10768 and CMS-R-43]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.


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 

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by November 4, 2021.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to 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, you may make 
your request using one of following:
    1. Access CMS' website address at website address at:

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. Title of Information Collection: Medicare Fee-for-Service 
Prepayment Review of Medical Records; Type of Information Collection 
Request: Revision; Use: The Medical Review program is designed to 
prevent improper payments in the Medicare FFS program. Whenever 
possible, Medicare Administrative Contractors (MACs) are encouraged to 
automate this process; however, it may require the evaluation of 
medical records and related documents to determine whether Medicare 
claims are billed in compliance with coverage, coding, payment, and 
billing policies. Addressing improper payments in the Medicare fee-for-
service (FFS) program and promoting compliance with Medicare coverage 
and coding rules is a top priority for the CMS. Preventing Medicare 
improper payments requires the active involvement of every component of 
CMS and effective coordination with its partners including various 
Medicare contractors and providers. The information required under this 
collection is requested by Medicare contractors to determine proper 
payment, or if there is a suspicion of fraud. Medicare contractors 
request the information from providers/suppliers submitting claims for 
payment when data analysis indicates aberrant billing patterns or other 
information which may present a vulnerability to the Medicare program. 
Form Number: CMS-10417 (OMB control number: 0938-0969); Frequency: 
Occasionally; Affected Public: Private Sector, State, Business, and 
Not-for Profits; Number of Respondents: 485,632; Number of Responses: 
485,632; Total Annual Hours: 242,816. (For questions regarding this 
collection, contact Christine Grose at (410-786-1362).)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: The 
ESRD Network Peer Mentoring Program; Use: The End Stage Renal Disease 
(ESRD) Network Peer Mentoring Program is a voluntary program designed 
to provide patient peer support to people with kidney disease. In part, 
the peer support is beneficial because patients can give each other 
something most practitioners do not have: Lived experience with kidney 
disease. The support and perspective of someone who has ``been there'' 
can help people better cope with their circumstances.
    The ESRD Network Peer Mentoring Program is a partnership between 
dialysis facilities, ESRD Networks, and patient peer mentors and 
mentees that wish to engage in the program. The peer mentoring program 
is organized and published with educational opportunities for peer 
mentors and mentees, provides resources, and includes a complementary 
toolkit for ESRD Networks and dialysis facilities to promote and 
operationalize the program.
    Program applicants are people with ESRD who: (1) Are adults over 
the age of 18; have been receiving in-center or home dialysis or have 
been transplanted for at least six months; actively engage in the care 
plan; consistently demonstrate leadership qualities at facility Quality 
Assurance & Performance Improvement (QAPI) meetings, Lobby Days, and 
other facility

[[Page 54981]]

activities; and wish to be a peer mentor; or (2) are over 18 years of 
age; are newly diagnosed patients but have been on in-center dialysis 
for at least six months; are looking for peer support to help them 
transition to their new reality; and are known as a peer mentee.
    To participate in the ESRD Network Peer Mentoring Program, peer 
mentors and mentees will complete an online application form stored in 
Confluence. The application serves to validate the peer mentor or peer 
mentee interest in the ESRD Network Peer Mentoring Program. Information 
collection is important to the process of pairing peer mentors and 
mentees with similarly lived experience and interests with their kidney 
disease. In addition, the application collects information about the 
peers' interest in kidney disease, treatment modality, age range, 
preferred gender recognition, and attitudes toward their kidney disease 
diagnosis. It also supports aligning hobbies, and genders to support 
best matched peers with each other. Form Number: CMS-10768 (OMB control 
number: 0938-NEW); Frequency: Once; Affected Public: Individuals and 
Households; Number of Respondents: 75; Total Annual Responses: 75; 
Total Annual Hours: 19. (For policy questions regarding this 
collection, contact Lisa Rees at 816-426-6353.)
    3. Type of Information Collection Request: Revision of a previously 
approved collection; Title of Information Collection: Conditions of 
Coverage for Portable X-ray Suppliers and Supporting Regulations; Use: 
The requirements contained in this information collection request are 
classified as conditions of participation or conditions for coverage. 
Portable X-rays are basic radiology studies (predominately chest and 
extremity X-rays) performed on patients in skilled nursing facilities, 
residents of long-term care facilities and homebound patients. The CoPs 
are based on criteria described in the law, and are designed to ensure 
that each portable X-ray supplier has properly trained staff and 
provides the appropriate type and level of care for patients. The 
information collection requirements described below are necessary to 
certify portable X-ray suppliers wishing to participate in the Medicare 
program. There are currently 506 portable X-ray suppliers participating 
in the Medicare program.
    On September 30, 2019 (84 FR 51732), CMS updated the personnel 
requirements for portable X-ray technicians at 42 CFR 486.104(a), to 
focus on the qualifications of the individual performing services 
removing school accreditation requirements and simplifying the 
structure of the requirements. Additionally, CMS also revised the 
requirements for referral of service at 42 CFR 486.106(a) for portable 
X-ray requirements for orders. This change removed the requirement that 
physician or non-physician practitioner's orders for portable X-ray 
services must be written and signed and replacing the specific 
requirements related to the content of each portable X-ray order with a 
cross-reference to the requirements at 42 CFR 410.32, which also apply 
to portable X-ray services. Form Number: CMS-R-43 (OMB Control number: 
0938-0338); Frequency: Yearly; Affected Public: Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 506; 
Total Annual Responses: 1,012; Total Annual Hours: 324. (For policy 
questions regarding this collection contact James Cowher at 410-786-

    Dated: September 29, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-21580 Filed 10-4-21; 8:45 am]