Because it is very difficult to obtain
a beneficiary's signature (or the signature of a person authorized
to sign on behalf of the beneficiary) on a claim when the
beneficiary is being transported by ambulance in emergency
situations, we are proposing that, for emergency ambulance
transport services, an ambulance provider or supplier may submit
the claim without a beneficiary's signature, as long as certain
documentation requirements are met.
Statute at
Large: 18
Stat. 1835 Name of Statute: null
Statute at Large: 18
Stat. 1814 Name of Statute: null
Statute at Large: 18
Stat. 1842 Name of Statute: null
Statute at Large: 18
Stat. 1848 Name of Statute: null
CMM is adding 424.36(b)(6), so
that, in certain emergency ambulance transport situations, an
ambulance provider or supplier may submit a claim to Medicare
without the beneficiary's signature if certain documentation
requirements are met.
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Bonnie Harkless
4107865666
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.