CMS requires hospital inpatient
diagnostic data as well as diagnostic data from ambulatory settings
(hospital outpatient and physician) from Medicare Advantage
organizations to continue making payment under the risk adjustment
methodology as required by the Social Security Act of 1967 as
amended by the Balanced Budget Act of 1997; the Medicare, Medicaid,
and SCHIP Benefits Improvement and Protection Act of 2000; and the
Medicare Prescription Drug Benefit, Improvement, and Modernization
Act of 2003.
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.
Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments Supporting Reg 42 CFR Part 422 & 423 Subparts F and G