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[Federal Register: July 16, 2010 (Volume 75, Number 136)]
[Notices]               
[Page 41487-41488]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr16jy10-55]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10165, CMS-10003 and CMS-901A and 901D]

 
Agency Information Collection Activities: Submission for OMB 
Review; 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), Department of Health and Human Services, 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 function; (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: Revision of a currently 
approved collection; Title of Information Collection: Electronic Health 
Records Demonstration System (EHRDS)--practice application and profile 
update system; Use: In 2008, the Secretary of the Department of Health 
and Human Services directed the Centers for Medicare & Medicaid 
Services to develop a new demonstration initiative using Medicare 
waiver authority to reward the delivery of high-quality care supported 
by the adoption and use of electronic health records (EHRs). This 
continues to be a critical priority under the current administration. 
The goal of this demonstration is to foster the implementation and 
adoption of EHRs and health information technology (HIT) more broadly 
as effective vehicles to improve the quality of care provided and 
transform the way medicine is practiced and delivered. Adoption of HIT 
has the potential to provide significant savings to the Medicare 
program and improve the quality of care rendered to Medicare 
beneficiaries.
    The new electronic EHR demonstration system was first developed 
with the intention of having practices applying to participate in Phase 
2 of the demonstration use an on-line application form, rather than the 
currently approved paper application form that was used for Phase 1. 
However, with the cancellation of Phase 2, the system will not be used 
to collect new applications at this time. Instead, existing data on 
Phase 1 applications that was collected through the paper form and 
manually keyed into a PC based Access database will be transferred to 
the new system. Practices participating in Phase 1 of the demonstration 
will be requested to use the new system to provide periodic updates to 
their practice information. The EHR Demonstration system will enable 
practices to update critical demonstration information online in a 
secure, web-enabled environment, thereby facilitating timely and more 
accurate updates and processing of information. Thus, the EHR 
Demonstration system (EHRDS) does not reflect a request for new or 
additional data beyond what practices are already providing to CMS and 
its contractors. Rather it represents an effort to streamline and 
improve what has been a more `ad hoc' process for providing the same 
information. Form Number: CMS-10165 (OMB: 0938-0965); 
Frequency: Occasionally; Affected Public: Business or other for-profits 
and Not-for-profit institutions; Number of Respondents: 400; Total 
Annual Responses: 313; Total Annual Hours: 52.3. (For policy questions 
regarding this collection contact Jody Blatt at 410-786-6921. For all 
other issues call 410-786-1326.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Notice of Denial 
of Medical Coverage (NDMC) and Notice of Denial of Payment (NDP)--42 
CFR 422.568; Use: Medicare health plans, including Medicare Advantage 
plans, cost plans, and Health Care Prepayment Plans (HCPPs), are 
required to issue the NDMC and NDP when a request for either a medical 
service or payment is denied in whole or in part. Additionally, the 
notices inform Medicare enrollees of their right to file an appeal. All 
Medicare health plans are required to use these standardized notices. 
Medicare health plans provide

[[Page 41488]]

an NDMC to enrollees upon denial, in whole or in part, of an enrollee's 
coverage request. This denial may be subject to a series of 
administrative review levels, involving defined steps and timeframes. 
The NDMC was developed to ensure Medicare enrollees have access to 
information needed to navigate the Medicare beneficiary appeals 
process. The NDMC meets requirements for both Medicare's standard and 
expedited appeals processes.
    Medicare health plans provide an NDP to enrollees upon denial, in 
whole or in part, of payment for a service or item that the enrollee 
received. This denial may be subject to a series of administrative 
review levels, involving defined steps and timeframes. The NDP was 
developed to ensure Medicare enrollees have access to information 
needed to navigate the Medicare beneficiary appeals process. The NDP 
meets requirements for Medicare's standard appeals process. Form 
Number: CMS-10003 (OMB: 0938-0829); Frequency: Yearly; 
Affected Public: Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 740; Total Annual Responses: 
1,168,368; Total Annual Hours: 194,728. (For policy questions regarding 
this collection contact Stephanie Simons at 206-615-2420. For all other 
issues call 410-786-1326.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Federal 
Qualification Application (42 CFR 417.140) and Medicare Health Care 
Prepayment Plan Application (42 CFR 417.800); Use: The application is 
the collection form used to obtain information to determine if an 
applicant meets the regulatory requirements to enter into a contract 
with CMS as a Federal Qualified health maintenance organization (HMO) 
or to provide health benefits to Medicare beneficiaries as a Medicare 
Health Care Prepayment Plan contractor. Form Number: CMS-901A & 901D 
(OMB: 0938-0470); Frequency: Once; Affected Public: Business 
or other for-profits and Not-for-profit institutions; Number of 
Respondents: 20; Total Annual Responses: 20; Total Annual Hours: 800. 
(For policy questions regarding this collection contact Heidi Arndt at 
410-786-1607. For all other issues call 410-786-1326.)
    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 Paperwork@cms.hhs.gov, 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 by the OMB desk 
officer at the address below, no later than 5 p.m. on August 16, 2010.

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: OIRA--submission 
@omb.eop.gov.

    Dated: July 9, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-17181 Filed 7-15-10; 8:45 am]
BILLING CODE 4120-01-P
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