2.Type of Information Collection Request:Revision of a currently approved collection;Title of Information Collection:Site Investigation for Durable Medical Equipment (DME) Suppliers;Use:The Centers for Medicare and Medicaid Services (CMS) enrolls durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers into the Medicare program via a uniform application, the CMS 855S. Implementation of enhanced procedures for verifying the enrollment information has improved the enrollment process as well as identified and prevented fraudulent DMEPOS suppliers from entering the Medicare program. 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 (NSC) 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.Form Number:CMS-R-263 (OMB# 0938-0749);Frequency:Occasionally;Affected Public:Business or other for-profit and Not-for-profit institutions;Number of Respondents:30,000;Total Annual Responses:30,000;Total Annual Hours:15,000.
3.Type of Information Collection Request:Revision of a currently approved collection;Title of Information Collection:The Annual Medicare Contractor Provider Satisfaction Survey (MCPSS);Use:Medicare Contractors are charged with processing Medicare claims and related activities and providers interact with them on a daily basis. The Medicare Contractor Provider Satisfaction Survey (MCPSS) measures this Provider-Contractor relationship. The Contractors are currently using, and will continue to use, the MCPSS results to implement performance improvement activities within their organizations. The MCPSS questionnaire includes the following topics: Provider inquiries, provider outreach & education, claims processing, appeals, provider enrollment, medical review, and provider audit & reimbursement. The Survey is designed to measure provider satisfaction, attitudes, perceptions and opinions about the services provided by their respective Contractor. The results include quantitative data (a satisfaction score) and qualitative information (comments relevant to specific topics).
The 2009 MCPSS will differ from 2008 in two ways, (refer to the specific documents for additional changes): (1) The questionnaire will be slightly modified, including the net addition of two questions; and (2) the definition of a completed survey will be revised.Form Number:CMS-10097 (OMB# 0938-0915);Frequency:Yearly;Affected Public:Business or other for-profits and Not-for-profit institutions;Number of Respondents:24,279;Total Annual Responses:24,279;Total Annual Hours:8346.
To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS Web site address athttp://www.cms.hhs.gov/PaperworkReductionActof1995,or E-mail your request, including your address, phone number, OMB number, and CMS document identifier, toPaperwork@cms.hhs.gov,or call theReports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the proposed information collections must be received by the OMB desk officer at the address below, no later than 5 p.m. on August 21, 2008.OMB Human Resources and Housing Branch, Attention: OMB Desk Officer, New Executive Office Building, Room 10235, Washington, DC 20503,Fax Number:(202) 395-6974.