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 MACâs 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