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

Forms and Documents

Document Name	Status
CMS-10311_Physician Narrative Requirement - Supporting Statement-8-10-17.docx Supporting Statement A	2017-08-10
CMS Response to Public Comments CMS-10242 final.docx Supplementary Document	2016-12-02

IC Document Collections

IC ID	Document Title	Status
195704	Face-to-Face encounter, physician's burden for form completion, Documenting Date of Certification 424.22 (annual)	Unchanged
195703	Face-to-Face encounter, form development (424.22 first year)-One Time Form Revision	Unchanged
191961	Physician's Burden for Form Completion, Elimination of Narrative Requirement 424.22	Unchanged

ICR Details

OMB Control No: 0938-1083	ICR Reference No: 201703-0938-017
Status: Historical Active	Previous ICR Reference No: 201703-0938-015
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-10311
Title: Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/15/2017
	Date Received in OIRA: 03/24/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	08/31/2017
Responses	3,938,294	0	3,281,452
Time Burden (Hours)	225,996	0	277,384
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 6407(a) Name of Law: Affordable Care Act
   US Code: 42 USC 1395x Name of Law: Definitions
   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
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 49985	07/29/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 75409	10/31/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Physician's Burden for Form Completion, Elimination of Narrative Requirement 424.22
Face-to-Face encounter, form development (424.22 first year)-One Time Form Revision
Face-to-Face encounter, physician's burden for form completion, Documenting Date of Certification 424.22 (annual)

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ICR Summary of Burden

	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	3,938,294	3,281,452	0	656,842	0	0
Annual Time Burden (Hours)	225,996	277,384	0	-51,388	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: 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).

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/24/2017

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