Medicare Contractor Provider Satisfaction Survey (MCPSS) and Supporting Regulations in 42 CFR 421.120, 421.122 and 421.201

ICR 200909-0938-004

OMB: 0938-0915

Federal Form Document

ICR Details
0938-0915 200909-0938-004
Historical Active 200807-0938-005
HHS/CMS
Medicare Contractor Provider Satisfaction Survey (MCPSS) and Supporting Regulations in 42 CFR 421.120, 421.122 and 421.201
Revision of a currently approved collection   No
Regular
Approved with change 11/13/2009
Retrieve Notice of Action (NOA) 09/15/2009
  Inventory as of this Action Requested Previously Approved
11/30/2012 36 Months From Approved 12/31/2011
25,000 0 24,279
9,349 0 8,346
0 0 0

Each year, CMS obtains completed surveys from Medicare providers and suppliers via a survey about satisfaction, attitudes, and perceptions regarding the services provided by Medicare Fee-for-Service (FFS) Carriers, Fiscal Intermediaries, Regional Home Health Intermediaries, and Medicare Administrative Contractors. The survey focuses on basic business functions provided by the Medicare contractors, including Provider Inquiries, Provider Outreach and Education, Claims Processing, Appeals, Provider Enrollment, Medical Review, and Audit and Reimbursement. CMS uses the survey to monitor its contractors and to provide incentives for improved performance.The survey is conducted yearly and annual reports of the survey results are made available via a secure online reporting system for use by CMS, Medicare contractors, and the general public.

PL: Pub.L. 108 - 173 911(b)(3)(B) Name of Law: Medicare Prescription Drug, Improvement, and Modernization Act of 2003
  
None

Not associated with rulemaking

  74 FR 31738 07/02/2009
74 FR 46774 09/11/2009
Yes

1
IC Title Form No. Form Name
The Annual Medicare Contractor Provider Satisfaction Survey (MCPSS): (CMS-10097) CMS-10097 Medicare Contractor Provider Satisfaction Survey 2010

  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 25,000 24,279 0 721 0 0
Annual Time Burden (Hours) 9,349 8,346 0 1,003 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The increase in burden is due to small changes in the survey instrument.

$178,000,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
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.
09/15/2009


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