Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter

ICR 201612-0938-005

OMB: 0938-1083

Federal Form Document

Forms and Documents
ICR Details
0938-1083 201612-0938-005
Historical Inactive 201312-0938-020
HHS/CMS CMS-10311
Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter
Extension without change of a currently approved collection   No
Regular
Improperly submitted and continue 03/13/2017
Retrieve Notice of Action (NOA) 12/23/2016
As submitted, the request is not an "extension without change." Substantive changes are discussed (including one-time costs and overall burden reductions resulting from rulemaking) that are outside the scope of an "extension without change." Such changes must be submitted via a revision request. To avoid a lapse in the current approval, a revision (or a straightforward extension that does not include substantive changes) request must be submitted before the end of March, 2017.
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved 08/31/2017
3,281,452 0 3,281,452
277,384 0 277,384
0 0 0

The Centers for Medicare and Medicaid Services (CMS) require that a physician document the date of the face-to-face encounter and sign every patient's individual plan of care certifying or recertifying that the patient is homebound and the planned services are medically necessary in order for the home health agency to be reimbursed for Medicare covered services as stipulated in 42 CFR 424.22.

US Code: 42 USC 1395x Name of Law: Definitions
   PL: Pub.L. 111 - 148 6407(a) Name of Law: Affordable Care Act
   Statute at Large: 18 Stat. 1814 Name of Statute: null
   Statute at Large: 18 Stat. 1835 Name of Statute: null
   Statute at Large: 18 Stat. 1834 Name of Statute: null
   Statute at Large: 18 Stat. 1861 Name of Statute: null
  
None

Not associated with rulemaking

  81 FR 49985 07/29/2016
81 FR 75409 10/31/2016
Yes

Yes
Changing Regulations
Yes
Changing Regulations
The CY 2015 HH PPS final rule implemented policy changes to the face-to-face encounter requirements at §424.22(1)(1)(v) that result in an estimated net reduction in burden of 207,315 hours or $33,972,401 for certifying physicians (see Tables 3 and 4). The finalized policy changes to the face-to-face encounter requirements at §424.22(a)(1)(v) will result in a one-time burden of 5,664 hours or $388,969 for HHAs to revise the certification form (see Table 2).

$0
No
No
Yes
No
No
Uncollected
Kayla Williams 410 786-5887 [email protected]

  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.
12/23/2016


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