As a result of the Weichardt v.
Leavitt class action lawsuit and in response to public comments,
CMS set forth a final rule in November 2006, CMS-4105-F, for how
hospitals must notify Medicare beneficiaries who are hospital
inpatients about their hospital discharge rights. Notice is
required both for original Medicare beneficiaries and for
beneficiaries enrolled in Medicare Advantage plans and other
Medicare health plans subject to the MA regulations. Under the
final rule, hospitals use a revised version of the Important
Message from Medicare (IM), Form CMS-R-193 to explain discharge
rights. Hospitals must issue the IM within two days of admission,
and must obtain the signature of the beneficiary or his or her
representative. Hospitals must also deliver a copy of the signed
notice to each beneficiary not more than two days before the day of
discharge. This notice was approved in 2007 to fulfill the
regulatory requirement
Statute at
Large: 18
Stat. 1866 Name of Statute: null
The currently approved annual
response burden did not account for delivery of the follow-up copy
of the IM. Since CMS has included an estimate for delivery of the
follow-up notice in this submission, there is a 6,680,000 increase
in annual responses. The currently approved annual hour per
response is 15 minutes and was based on the sum of the minutes
required for initial IM delivery plus the minutes required for the
follow-up IM delivery. A more accurate calculation of average
hourly response was used to determine that the estimated average
response time for delivery of this notice as either the initial IM
or follow-up copy is 9 minutes. Although there is an increase in
the annual response burden as noted above, the more accurate time
estimate allows for a mild reduction in annual hour burden. Please
see section 12. of the Supporting Statement for details of the
above. The addition of a time notation on the collection as noted
in #7 is not expected to affect burden since this collection
already requires an enrollee's signature and date. Adding
documentation of the time of day along with the date is a
negligible change.
$0
No
No
No
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.
Form CMS-R-193 Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges : Important Message From Medicare (CMS-R-193)
Crosswalk Document for Changes to IM final.doc
Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges : Important Message From Medicare (CMS-R-193)