[Federal Register Volume 62, Number 161 (Wednesday, August 20, 1997)]
[Notices]
[Pages 44283-44284]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-22255]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Form #HCFA-1500, OMB #0938-0008]


Emergency Clearance: Public Information Collection Requirements 
Submitted to the Office of Management and Budget (OMB)

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Health Care Financing 
Administration (HCFA), Department of Health and Human Services (DHHS), 
has submitted to the Office of Management and Budget (OMB) the 
following request for Emergency review. We are requesting an emergency 
review because the collection of this information is needed prior to 
the expiration of the normal time limits under OMB's regulations at 5 
CFR Part 1320. The HCFA-1500 is used to determine proper payment for 
certain Medicare services rendered to Medicare beneficiaries. Without 
this information HCFA would not be able to obtain the information 
necessary to reimburse providers. The Agency cannot reasonably comply 
with the normal clearance procedures because public harm is likely to 
result due to the possibility of providers not rendering services to 
Medicare beneficiaries due to the possibility of non-payment.
    HCFA is requesting OMB review and approval of this collection by 
09/01/97, with a 180-day approval period. During this 180-day period 
HCFA will publish a separate Federal Register notice announcing the 
initiation of an extensive 60-day agency review and public comment 
period on these requirements. Then HCFA will submit the requirements 
for OMB review and an extension of this emergency approval. In this 
submission HCFA will respond as appropriate to the public comments 
received in response to the 10/24/97 Federal Register notice requesting 
public comment on the continued use of the HCFA-1500 and related data.
    1. Type of Information Collection Request: Extension of a currently 
approved collection, without change; Title of Information Collection: 
Medicare/Medicaid Health Insurance Common Claim Form and Instructions, 
and Supporting Regulations 42 CFR 424.32 (Basic Requirements for all 
Claims) and 42 CFR 414.40 (Coding and Ancillary Policies); Form No.: 
HCFA-1500 (OMB #0938-0008); Use: This form and instructions are 
standardized for use in the Medicare/Medicaid programs to apply for 
reimbursement for covered

[[Page 44284]]

services. HCFA does not require exclusive use of this form for 
Medicaid. 42 CFR 424.32 and 42 CFR 414.40 are regulations underlying 
the use of the form HCFA-1500 and the information captured on the form 
HCFA-1500, including the use of diagnostic and procedural coding 
systems. HCFA solicits comments on any and all aspects of the HCFA-
1500, and the use of diagnostic and procedural coding systems: HCFA 
currently uses the most current version of the ICD-9-CM and CPT/HCPCS; 
Frequency: On occasion; Affected Public: Business or other for profit, 
not for profit institutions, State, local or tribal government; Number 
of Respondents: 976,239; Total Annual Responses: 644,802,413; Total 
Annual Hours: 46,797,008.
    To obtain copies of the supporting statement and any related forms 
and instructions for the proposed paperwork collection referenced 
above, E-mail your request, including your address and phone number, to 
JR<a href="/cdn-cgi/l/email-protection#aedbcac1c2dec6eec6cdc8cf80c9c1d8"><span class="__cf_email__" data-cfemail="0376676c6f736b436b6065622d646c75">[email protected]</span></a>, or call the Reports Clearance Office on (410) 786-
1324.
    Written comments and recommendations for the proposed information 
collection should be faxed (202) 395-6974 or sent directly to the OMB 
Desk Officer designated at the following address, by 08/28/97: OMB 
Human Resources and Housing Branch, Attention: Allison Eydt, New 
Executive Office Building, Room 10235, Washington, D.C. 20503.

    Dated: August 18, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Office of Information Services, 
Information Technology Investment Management Group, Division of HCFA 
Enterprise Standards, Health Care Financing Administration.
[FR Doc. 97-22255 Filed 8-19-97; 8:45 am]
BILLING CODE 4120-03-M


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