Agency Information Collection Activities: Proposed Collection; Comment Request, 12350-12351 [2024-03294]

Agencies

• Centers for Medicare & Medicaid Services
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 89, Number 33 (Friday, February 16, 2024)]
[Notices]
[Pages 12350-12351]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-03294]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10884 and CMS-855A]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

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

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 60 days for public comment on 
the proposed action. Interested persons are invited to send comments 
regarding our burden estimates 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 must be received by April 16, 2024.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
https://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number: __, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    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: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10884 Prior Authorization Demonstration for Certain Ambulatory 
Surgical Center (ASC) Services
CMS-855A Medicare Enrollment Application for Institutional Providers

    Under the 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 requires Federal agencies 
to publish a 60-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.

Information Collection

    1. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: Prior 
Authorization Demonstration for Certain Ambulatory Surgical Center 
(ASC) Services; Use: Section 402(a)(1)(J) of the Social Security 
Amendments of 1967 (42 U.S.C. 1395b-1(a)(1)(J)) authorizes the 
Secretary to ``develop or demonstrate improved methods for the 
investigation and prosecution of fraud in the provision of care or 
services under the health programs established by the Social Security 
Act (the Act).'' Pursuant to this authority, CMS seeks to develop and 
implement a Medicare demonstration project, which CMS believes will 
assist in developing improved procedures for the identification, 
investigation, and prosecution of Medicare fraud occurring in 
ambulatory surgical centers providing services to Medicare 
beneficiaries.
    The information required for the prior authorization request 
includes all documentation necessary to show that the service meets 
applicable Medicare coverage, coding, and payment rules. Prior to 
rendering the services, ASC providers should submit this information to 
the Medicare Administrative Contractors (MACs). Trained clinical 
reviewers at the MACs will review the information required for this 
collection to determine if the requested services are medically 
necessary and meet Medicare requirements. If an ASC provider does not 
submit a prior authorization request before rendering the service and 
submitting a claim to Medicare for payment, the MAC will request the 
required information from the ASC provider to determine if the service 
meets applicable Medicare coverage, coding, and payment rules before 
the claim is paid. Form Number: CMS-10884 (OMB Control Number: 0938-
NEW); Frequency: Occasionally; Affected Public: Business or other for-
profits; Number of Respondents: 4,038; Number of Responses: 95,579; 
Total Annual Hours: 59,904. (For policy questions regarding this 
collection contact Kelly Wojciechowski at 
[email protected] or Justin Carlisle at 
Justi[email protected]).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Enrollment Application for Institutional Providers; Use: Various 
sections of the Social Security Act (Act), the United States Code 
(U.S.C.), Internal Revenue Service Code (Code) and the Code of Federal 
Regulations (CFR) require providers and suppliers to furnish 
information concerning the amounts due and the identification of 
individuals or entities that furnish medical services to beneficiaries 
before payment can be made.

[[Page 12351]]

    The primary function of the CMS-855A Medicare enrollment 
application is to gather information from a certified provider or 
certified supplier (hereafter occasionally and collectively referenced 
as ``provider(s)'') that tells us who it is, whether it meets certain 
qualifications to be a health care provider, where it practices or 
renders services, the identity of its owners, and other information 
necessary to establish correct claims payments. Form Number: CMS-855A 
(OMB control number: 0938-0685); Frequency: On occasion; Affected 
Public: Business or other for-profits, not-for-profit institutions; 
Number of Respondents: 45,473; Total Annual Responses: 217,493; Total 
Annual Hours: 41,120. (For policy questions regarding this collection 
contact Frank Whelan at 410-786-1302.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-03294 Filed 2-15-24; 8:45 am]
BILLING CODE 4120-01-P