[Federal Register Volume 64, Number 115 (Wednesday, June 16, 1999)]
[Notices]
[Page 32239]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-15206]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-131]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Health Care Financing
Administration (HCFA), Department of Health and Human Services, has
submitted to the Office of Management and Budget (OMB) the following
proposal for the collection of information. Interested persons are
invited to send comments regarding the burden estimate or any other
aspect of this collection of information, including any of the
following subjects: (1) The necessity and utility of the proposed
information collection for the proper performance of the agency's
functions; (2) the accuracy of the estimated burden; (3) ways to
enhance the quality, utility, and clarity of the information to be
collected; and (4) the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
Type of Information Collection Request: Extension of a currently
approved collection.
Title of Information Collection: Information Collection
Requirements in 42 CFR 411.408.
Form No.: HCFA-R-131 (OMB# 0938-0566).
Use: This information will be used by physician's providing written
notice to a beneficiary that Medicare is likely to deny payment for a
specified service. This information will also be used by Medicare Part
B carriers to determine beneficiaries' liability. Section 9332 of the
Omnibus Budget Reconciliation Act of 1986, requires physicians ``who do
not accept payment on an assignment-related basis'' to refund to
patients any amounts they collect for services denied under section
1862(a)(1) of the Social Security Act, as ``not reasonable and
necessary for the treatment of illness or injury or to improve the
functioning of a malformed body member.'' Refunds are not required in
either of two circumstances. First, a refund is not required if the
physician informs the beneficiary, prior to furnishing the service,
that Medicare is unlikely to pay for the service and the beneficiary,
after being so informed, agrees to pay out of his or her pocket.
Second, a refund is not required if the physician did not know, and
could not reasonably have been expected to know, that Medicare would
not pay for the service. In those cases, the beneficiary is liable for
the service.
Frequency: On occasion.
Affected Public: Individuals or Households.
Number of Respondents: 237,322.
Total Annual Responses: 925,904.
Total Annual Hours: 115,738.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS
at http://www.hcfa.gov/regs/prdact95.htm, or E-mail your request,
including your address and phone number, to Paperwork@hcfa.gov, or call
the Reports Clearance Office on (410) 786-1326. Written comments and
recommendations for the proposed information collections must be mailed
within 30 days of this notice directly to the OMB Desk Officer
designated at the following address: OMB Human Resources and Housing
Branch, Attention: Allison Eydt, New Executive Office Building, Room
10235, Washington, D.C. 20503.
Date: May 20, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-15206 Filed 6-15-99; 8:45 am]
BILLING CODE 4120-03-P
