OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201312-0938-020 · OMB 0938-1083 · Historical Active

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-12-24
IC Document Collections
IC ID
Document
Title
Status
195704
Modified
195703
Modified
191961
Modified
ICR Details
0938-1083 201312-0938-020
Historical Active 201012-0938-009
HHS/CMS 21238
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
Approved without change 02/06/2014
Retrieve Notice of Action (NOA) 12/24/2013
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved 03/31/2014
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 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. CMS is relying on physicians to fulfill a role that is sometimes thought of as a "gatekeeper" by requiring the physician to provide a narrative located within the home health certification or recertification when skilled nursing management & evaluation of the plan of care, (PoC) is ordered. The physician's narrative is required when a patient's underlying condition or complication requires a registered nurse to ensure that essential non-skilled care is achieving its purpose, The narrative must be located immediately prior to the physician's signature. If the narrative exists as an addendum to the certification or recertification form, in addition to the physician's signature on the certification or recertification form, the physician must sign immediately following the narrative in the addendum. This change supports Medicare's home health coverage criteria for skilled services as stipulated in the CFR, (see 42 CFR 409.42).The Home Health Prospective Payment System Rate Update for Calendar Year 2011 changes the certification requirements for Home Health Agencies. In the case of a certification made by a physician after January 1, 2010, prior to making such certification, the physician must document that the physician himself or herself or specified non-physician practitioner has had a face-to-face encounter with the patient incident to the services involved
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
  78 FR 61848 10/04/2013
78 FR 77133 12/20/2013
No
  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 3,281,452 3,281,452 0 0 0 0
Annual Time Burden (Hours) 277,384 277,384 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Yes
No
No
Uncollected
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov
  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.
12/24/2013