[Federal Register Volume 72, Number 91 (Friday, May 11, 2007)]
[Notices]
[Page 26819]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-9079]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-855]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & 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 & Medicaid 
Services (CMS) 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: Medicare 
Enrollment Application; Form Number: CMS-855 (OMB<greek-i>: 0938-0685); 
Use: The primary function of the Medicare enrollment application is to 
gather information from a provider or supplier that tells us who it is, 
whether it meets certain qualifications to be a health care provider or 
supplier, where it practices or renders its services, the identity of 
the owners of the enrolling entity, and information necessary to 
establish the correct claims payment. The goal of evaluating and 
revising the Medicare enrollment applications is to simplify and 
clarify the information collection without jeopardizing our need to 
collect specific information.
    We are proposing revisions to the CMS-855B to incorporate changes 
adopted in CMS-1321-FC (71 FR 69624), ``Revisions to Payment Policies 
and Five-Year Review of Relative Value Units Under the Physician Fee 
Schedule for CY 2007 and Other Changes to Payment Under Part B; 
Revisions to Ambulance Fee Schedule; Ambulatory Inflation Factor Update 
for CY 2007.'' Specifically, CMS is revising the CMS-855B to:
    <bullet> Add instructions to Attachment 2 that explain the 
independent diagnostic testing facility (IDTF) liability insurance 
requirements in 42 CFR 410.33(g)(6).
    <bullet> Require that an IDTF submit copies of its comprehensive 
liability insurance policy in Section 17.
    <bullet> List all of the new IDTF standards on a separate page in 
Attachment 2.
    <bullet> Remove the supplier type ``Voluntary Health/Charitable 
Agency'' from Section 2A.
    In addition, we are trying to enhance our ability to identify 
whether a hospital qualifies as a ``specialty hospital.'' To this end, 
we propose to revise the CMS-855A to include a specific box that 
specialty hospitals must check when completing the application. 
Instructions explaining the definition of a ``specialty hospital'' will 
also be added to the form. We also provide clarification of the term 
``primary practice location'' in the instructions in Section 4 of the 
CMS-855A. This clarification does not change any data elements on the 
form. We are also removing the data element ``Medicare Year-End Cost 
Report Date'' in Section 2 of the CMS-855A, as this information is no 
longer needed. Frequency: Recordkeeping and Reporting--On occasion; 
Affected Public: Business or other for-profit and Not-for-profit 
institutions; Number of Respondents: 400,000; Total Annual Responses: 
400,000; Total Annual Hours: 1,001,503.33.
    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/PaperworkReductionActof1995, 
or E-mail your request, including your address, phone number, OMB 
number, and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#5f0f3e2f3a2d28302d341f3c322c7137372c71383029"><span class="__cf_email__" data-cfemail="c393a2b3a6b1b4acb1a883a0aeb0edababb0eda4acb5">[email protected]</span></a>, or call 
the Reports Clearance Office on (410) 786-1326.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received at the address below, 
no later than 5 p.m. on July 10, 2007.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--C, Attention: Bonnie L Harkless, 
Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: May 3, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E7-9079 Filed 5-10-07; 8:45 am]
BILLING CODE 4120-01-P


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