Medical Records Review Under PPS and Supporting Regulations at 42 CFR 412.40-412.52

ICR 200202-0938-002

OMB: 0938-0359

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0359 200202-0938-002
Historical Active 199812-0938-011
HHS/CMS
Medical Records Review Under PPS and Supporting Regulations at 42 CFR 412.40-412.52
Extension without change of a currently approved collection   No
Regular
Approved without change 03/13/2002
Retrieve Notice of Action (NOA) 02/07/2002
  Inventory as of this Action Requested Previously Approved
03/31/2005 03/31/2005 03/31/2002
899,340 0 895,419
26,982 0 26,865
0 0 0

The PROs are authorized to conduct medical review activities under the Prospective Payment system (PPS) in order to conduct medical review activities; we depend upon hospitals to make available specific records regarding care provided to Medicare beneficiaries. The Clinical Data Abstraction Centers (CDACs) obtain copies of medical records from which they abstract data to analyze patterns of care and outcomes for the Health Care Quality Improvement Project (HCQIP).

None
None


No

1
IC Title Form No. Form Name
Medical Records Review Under PPS and Supporting Regulations at 42 CFR 412.40-412.52 CMS-R-50

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 899,340 895,419 0 0 3,921 0
Annual Time Burden (Hours) 26,982 26,865 0 0 117 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/07/2002


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