[Federal Register Volume 86, Number 149 (Friday, August 6, 2021)]
[Notices]
[Pages 43256-43257]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-16865]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10775]


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 
burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by September 7, 2021.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. 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: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.

[[Page 43257]]


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. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Medicare Severity Diagnosis Related Groups Reclassification Request 
(MS-DRGs); Use: Section 1886(d)(4) of the Act establishes a 
classification system, referred to as DRGs, for inpatient discharges 
and adjusts payments under the IPPS based on appropriate weighting 
factors assigned to each MS-DRG. Section 1886(d)(4)(C)(i) of the Act 
specifies adjustments to the classification and weighting factors shall 
occur ``at least annually to reflect changes in treatment patterns, 
technology, and other factors which may change the relative use of 
hospital resources.''
    The requests are evaluated in the Division of Coding and DRGs 
(DCDRG) by the DRG and Coding Team and the clinical advisors (medical 
officers) in both the Technology, Coding and Pricing Group (TCPG) and 
the Hospital and Ambulatory Policy Group (HAPG), along with the CMS 
contractor(s). This team participates via conference calls in the 
review of MedPAR claims data to analyze and perform clinical review of 
the requested changes. Based on the examination of claims data and 
clinical judgment, the team provides recommendations to CMS and HHS 
leadership for proposed changes. Per the statue, proposed MS-DRG 
changes and payment adjustments must go through notice and comment 
rulemaking giving the opportunity for the public to comment. Finalized 
MS-DRG changes are effective with discharges on and after October 1, 
consistent with the beginning of the fiscal year. CMS makes the updated 
MS-DRG Grouper software and related materials that reflects the changes 
available to the public for free via download at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.
    When an application is submitted in MEARIS<SUP>TM</SUP>, the DRG 
and Coding Team in DCDRG will have instant access to the application 
request and accompanying materials to facilitate a more-timely review 
of the request, including the ability to efficiently inform other team 
members involved in the process that information is available for their 
review and input. Form Number: CMS-10775 (OMB control number 0938-New); 
Frequency: Occasionally; Affected Public: Private Sector, Business or 
other for-profits, Not-for-profits institutions; Number of Respondents: 
50; Total Annual Responses: 50; Total Annual Hours: 48,000. (For policy 
questions regarding this collection contact Marilu Hue at 410-786-
4510.)

    Dated: August 3, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-16865 Filed 8-5-21; 8:45 am]
BILLING CODE 4120-01-P