OMB files this
comment in accordance with 5 CFR 1320.11( c ). This OMB action is
not an approval to conduct or sponsor an information collection
under the Paperwork Reduction Act of 1995. This action has no
effect on any current approvals. If OMB has assigned this ICR a new
OMB Control Number, the OMB Control Number will not appear in the
active inventory. For future submissions of this information
collection, reference the OMB Control Number provided. OMB is
withholding approval at this time. Prior to publication of the
final rule, the agency should provide a summary of any comments
related to the information collection and their response, including
any changes made to the ICR as a result of comments. In addition,
the agency must enter the correct burden estimates.
Inventory as of this Action
Requested
Previously Approved
04/30/2018
36 Months From Approved
04/30/2018
1,407,576
0
1,407,576
367,711
0
367,711
0
0
0
Sections 109(b) of the Tax Relief and
Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section
1833(i) of the Social Security Act by re-designating clause (iv) as
clause (v) and adding new clause (iv) to paragraph (2)(D) and
adding new paragraph (7). Section 1833(i)(2)(D)(iv) of the Act
authorizes, but does not require, the Secretary to implement the
revised ASC payment system “in a manner so as to provide for a
reduction in any annual update for failure to report on quality
measures in accordance with paragraph (7).” Section 1833(i)(7)(B)
of the Social Security Act provides that, except as the Secretary
may otherwise provide, the hospital outpatient quality data
provisions of subparagraphs (B) through (E) of section 1833(t)(17)
of the Act shall apply to ASCs in a similar manner to the manner in
which they apply under these paragraphs to hospitals under the
Hospital Outpatient Quality Reporting Program. Importantly, section
1833(t)(17)(B) of the Act requires that hospitals (or in this
instance, ambulatory surgical centers) submit quality data in a
form and manner, and at a time, that the Secretary specifies, or
incur a reduction in their annual payment update by 2.0 percentage
points.
In the CY 2018 OPPS/ASC
proposed rule, CMS is proposing to remove three measures from the
ASCQR Program beginning with the CY 2019 payment determination;
suspend the five survey-based measures beginning with the CY 2020
payment determination; adopt one new measure beginning with the CY
2021 payment determination; and adopt two new measures beginning
with the CY 2022 payment determination. We anticipate that the
removal of ASC-6 and ASC-7 will reduce burden and that the adoption
of ASC-16 will increase burden. Additionally, we have reduced the
estimated number of eligible ASCs from 5,360 to 3,937. We estimate
a total reduction in burden of 88,650 hours and total program
burden hours of 279,061 (367,711 hours currently approved -88,650
hours).
$9,500,000
No
No
No
Yes
No
No
Uncollected
Denise King 410 786-1013
Denise.King@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.
CMS-10530 ASCQR PRA Package (CY 2018) 8.18.2017_Clean.docx
Ambulatory Surgical Center Quality Reporting (ASCQR) Program