n order to implement section 6003 of the Affordable Care Act, CMS has proposed to amend 42 C.F.R. 411.355(b). Section 6003 establishes a new disclosure requirement for physicians who refer magnetic resonance imaging, computed tomography, and positron emission tomography (MRI, CT and PET) under the in-office ancillary services exception to the prohibition on physician self-referral (section 1877 of the Social Security Act). Under this new requirement physicians must inform patients in writing, at the time of the referral, that the patient may receive the imaging service from another supplier. The physician must also provide the patient with a list of other suppliers that from whom the patient may obtain the services. The proposed rule provides detail regarding what criteria must be included in the disclosure notifcation and supplier list in order to satisfy this new requirement.
PL:
Pub.L. 111 - 148 6003
Name of Law: Disclosure requirements for in-office ancillary services exception
PL: Pub.L. 111 - 148 6003 Name of Law: Disclosure requirements for in-office ancillary services exception
We have adjusted the disclosure burden for 71,000 physicians since this was a one-time requirement that has been met. We have adjusted the burden to reflect that the requirement now applies to the 7,100 newly enrolled physicians in the Medicare program.
We also adjusted the payment estimates for a healthcare worker in a physician office from $14,68 to $17.23. The revised annual cost burden of creating the disclosure and list of alternative suppliers is now $122,333, a decrease from the previous burden of $1,042,280.
The new annual burden for creating the disclosure forms for each newly enrolled physician is now 7,100 hours, a decrease from the previous burden hours of 71,000 hours. The average hourly rate for general practice physicians in a physician office, increased to $91.25 from $83.79. The revised annual cost burden is estimated to be is $1,053,640, a decrease from the previous estimate of $10,536,400. The estimated annual hour burden for this disclosure requirement is 12,538 hours, a decrease from the previous 125,383 hours.
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.
CMS-10332 - Supporting Statement A [rev 6-23-2014 by OSORA PRA].docx
Disclosure Requirement