On-Site Inspection for
Durable Medical Equipment (DME) Supplier Location and Supporting
Regulations in 42 CFR, Section 424.57 (CMS-R-263)
Reinstatement without change of a previously approved
collection
No
Regular
11/14/2019
Requested
Previously Approved
36 Months From Approved
8,255
0
8,255
0
0
0
CMS is mandated to identify and
implement measures to prevent fraud and abuse in the Medicare
program. To meet this challenge, CMS has moved forward to improve
the quality of the process for enrolling suppliers into the
Medicare program by establishing a uniform application for
enumerating suppliers of durable medical equipment, prosthetics,
orthotics, and supplies (DMEPOS). Implementation of enhanced
procedures for verifying the enrollment information has also
improved the enrollment process. As part of this process,
verification of compliance with supplier standards is necessary.
The site investigation form has been used in the past to aid the
Medicare contractor (the National Supplier Clearinghouse and/or its
subcontractors) in verifying compliance with the required supplier
standards found in 42 CFR 424.57(c). The primary function of the
site investigation form is to provide a standardized, uniform tool
to gather information from a DMEPOS supplier that tells us whether
it meets certain qualifications to be a DMEPOS supplier (as found
in 42 CFR 424.57(c)) and where it practices or renders its
services.
EO: EO
12600 Name/Subject of EO: Predisclosure notification procedures for
confidential commercial information
US Code: 42
USC 1395l Name of Law: Payment of Benefits
PL:
Pub.L. 99 - 272 9202(g) Name of Law: Budget Reconciliation Act
of 1985
US Code: 5
USC 522(b)(4) Name of Law: The Freedom of Information Act
US Code: 42
USC 1395f Name of Law: Conditions of and limitations on payment
for services
The prior renewal of CMS-R-263
estimated 30 minutes to complete a site visit, which totaled 15,000
hours annually. Updated information shows a site visit takes one
hour. The difference in time it takes to complete a site visit is
30 minutes (one hour minus 30 minutes). The prior renewal of the
CMS-R-263 estimated approximately 30,000 DMEPOS suppliers were
visited per year. Updated information shows 8,255 suppliers
received site visits for calendar year 2017. The difference in
respondents is 21,745 (30,000 minus 8,255). Presently, using better
information collection techniques (exact figures from the NSC MAC’s
enrollment systems) which are taken directly from the actual site
visits processed for calendar year 2017, CMS knows the NSC MAC
currently processed 8,255 site visits annually (in calendar year
2017), equaling the decreased figure of 8,255 respondents. The
prior renewal of the CMS-R-263 estimated $225.00 per site visit,
which totaled $6,750,000.00 annually. Updated information shows a
site investigation costs of $200.00 per site visit, equaling
$1,651,000.00 annually. The difference is a decrease in cost burden
of $5,099,000 ($6,750,000.00 minus $1,651,000.00). In conclusion,
there is an overall decrease of burden hours, from 15,000 hours to
8,255 hours. The decrease of 6,745 burden hours is the difference
from the previously estimated 15,000 burden hours in 2015 to the
accurately reported 8,255 total annual hours for processing in
calendar year 2017. Although there was an increase in the time it
takes to conduct a site visit (from 30 minutes to one hour), this
did not increase the burden hours due to the accurate number of
processed site visits being less than previously reported.
$0
No
No
Yes
No
No
No
No
Jamaa Hill 301 492-4190
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-263 On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57
CMS-R-263- Supporting Statement.docx
On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57