Form OWCP-1500 is used by OWCP and
contractor bill payment staff to process bills for medical services
provided by medical professionals other than medical services
provided by hospitals, pharmacies and certain other medical
providers. OWCP is adding the data elements National Provider
Identifier (NPI) and taxonomy number, which will be 32a and 33a on
the revised OWCP-1500. This information is required to pay health
care providers for services rendered to injured employees covered
under the Office of Worker's Compensation Programs - administered
programs. Appropriate payment cannot be made without documentation
of the medical services that were provided by the health care
provider that is billing OWCP. The information obtained to complete
claims under these programs is used to identify the patient and
determine their eligibility. It is also used to decide if the
services and supplies received are covered by these programs and to
assure that proper payment is made.
As use of the OWCP-1500 as the
standard billing form for all three programs increases, the total
number of bills submitted on the form also increases. Other factors
also affect use of the OWCP-1500. For example, improved medical
technology has resulted in an increase in outpatient services with
a comparable decrease in inpatient services. This place of service
change has resulted in an increase in the use of the OWCP-1500
because it is the most commonly used billing form for outpatient
services. For these reasons, this collection shows a net adjustment
increase of +16,451 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.