Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Information Collection Activities: Submission for OMB Review; Comment Request

Periodically, the Health Resources and Services Administration (HRSA) publishes abstracts of information collection requests under review by the Office of Management and Budget, in compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35). To request a copy of the

clearance requests submitted to OMB for review, call the HRSA Reports Clearance Office on (301)-443-1129.

Proposed Project: Healthcare Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers, and Practitioners (OMB No. 0915-0239)—Revision

Section 221(a) of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 specifically directs the Secretary to establish a national health care fraud and abuse data collection program for the reporting and disclosure of certain final adverse actions taken against health care providers, suppliers, and practitioners. A final rule was published October 26, 1999, in the

Federal Register

to implement the statutory requirements of section 1128E of the Social Security Act (The Act) as added by section 221(a) of HIPAA. The Act requires the Secretary to implement the national healthcare fraud and abuse data collection program. This data bank is known as the Healthcare Integrity and Protection Data Bank (HIPDB). It contains the following types of information: (1) Civil judgments against a health care provider, supplier, or practitioner in Federal or State court related to the delivery of a health care item or service; (2) Federal or State criminal convictions against a health care provider, supplier, or practitioner related to the delivery of a health care item or service; (3) Actions by Federal or State agencies responsible for the licensing and certification of health care providers, suppliers, or practitioners; (4) Exclusion of a health care provider, practitioner or supplier from participation in Federal or State health care programs; and (5) Any other adjudicated actions or decisions that the Secretary shall establish by regulations. Access to this data bank is limited to Federal and State government agencies and health plans.

This request is for a revision of reporting and querying forms previously approved on March 15, 2001. The reporting forms and the request for information forms (query forms) must be accessed, completed, and submitted to the HIPDB electronically through the HIPDB Web site at

http://www.npdb-hipdb.com

. All reporting and querying is performed through this secure Web site. Due to overlap in requirements for the HIPDB, some of the National Practitioner Data Bank's burden has been subsumed under the HIPDB.

Estimates of burden are as follows:

Regulation citation

Number of respondents

Frequency of responses

Hours per response

(min.)

Total burden hours

61.6 (a), (b) Errors & Omissions

172

4.3

15

184.9

61.6 Revisions/Appeal Status

107

23.25

30

1,243.9

61.7 Reporting by State Licensure Boards

275

70.3

45

14,499.4

61.8 Reporting of State Criminal Convictions

62

8

45

372

61.9 Reporting of Civil Judgments

54

13

45

526.5

61.10(b) Reporting Exclusions from participating in Federal and State Health Care Programs

10

441.4

45

3,310.5

61.11 Reporting of adjudicated actions/decisions

410

12.5

45

3,843.8

61.12 Request for Information State Licensure Boards

1,000

67.5

5

5,622.8

61.12 Request for Information State Certification Agencies

16

6

5

8

61.12 Request for Information States/District Attorneys & Law Enforcement

2,000

25

5

4,165

61.12 Request for Information State Medicaid Fraud Units

47

50

5

195.8

61.12 Request for Information Health Plans

2,841

263.8

5

62,429.7

61.12 Request for Information Health Care Providers, Suppliers, Practitioners (self-query)

37,925

1

25

15,799.6

61.12(a)(4) Request by Researchers for Aggregate Data

1

1

30

.5

61.15 Place Report in Dispute

459

1

5

38.2

61.15 Add a Statement

238

1

45

178.5

61.15 Request for Secretarial Review

43

1

480

344

Entity Registration

2,500

1

60

2,500

Entity Registration—Update

451

1

5

37.6

Entity Reactivation

450

1

60

450

Authorized Agent Designation

100

1

15

25

Authorized Agent Designation—Update

250

1

5

20.8

Account Discrepancy

1,000

1

15

250

Electronic Funds Transfer Authorization

400

1

15

100

Total

116,146.5

Numbers in the table may not add up exactly due to rounding.

Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice to: Desk Officer, Health Resources and Services Administration, Human Resources and Housing Branch, Office of Management and Budget, New Executive Office Building, Room 10235, Washington, DC 20503.

Dated: March 15, 2004.

Tina M. Cheatham,

Director, Division of Policy Review and Coordination.

[FR Doc. 04-6739 Filed 3-25-04; 8:45 am]

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