CMS' regulatory authority to require
data validation is described in 42 CFR 422.516(g) and 423.514(g).
Organizations contracted to offer Medicare Part C and Part D
benefits are required to report data to CMS on a variety of
measures. In order for the data to be useful for monitoring and
performance measurement, the data must be reliable, valid,
complete, and comparable among sponsoring organizations. To meet
this goal, CMS has developed reporting standards and data
validation specifications with respect to the Part C and Part D
reporting requirements. These standards provide a review process
for Medicare Advantage Organizations (MAOs), Cost Plans, and Part D
sponsors to use to conduct independent data validation checks on
their reported Part C and Part D data to determine their
reliability, validity, completeness, and comparability in
accordance with specifications developed by CMS.
Statute at
Large: 18
Stat. 1857 Name of Statute: null
Statute at Large: 18
Stat. 1860 Name of Statute: null
The changes in the data
validation program for the annual 2015-2017 data validation cycles
will result in an estimated increase in the level of effort by
23,277 hours (13 percent) and an estimated increase in the cost to
industry of $358,713 (2.4 percent). This increase in burden is
attributed to an increased number of sponsoring organizations and
the average number of contracts per sponsor.. The number of
reporting sections undergoing data validation decreased from 11 to
9, but the level of effort per reporting section increased because
of increases in the number of data elements. Organizations
contracted to offer Medicare Part C and Part D benefits are
required to report data to the Centers for Medicare & Medicaid
Services (CMS) on a variety of measures. In order for the data to
be useful for monitoring and performance measurement, the data must
be reliable, valid, complete, and comparable among sponsoring
organizations. To meet this goal, CMS has developed reporting
standards and data validation specifications with respect to the
Part C and Part D reporting requirements. These standards provide a
review process for Medicare Advantage Organizations (MAOs), Cost
Plans, and Part D sponsors to use to conduct data validation checks
on their reported Part C and Part D data. The current ICR needs to
be revised to reflect decreases in the number of reporting sections
being validated and an increase in the average number of data
elements per reporting section for the period of 2015 -2017.
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.
Response to Comments to OMB CMS_10305 090914.doc
CMS-10305 - Supporting Statement B [rev 9-24-2014 by OSORA PRA].docx
Medicare Part C and Part D Data Validation (42 C.F.R. 422.516g and 423.514g) - (CMS-10305)