FR 2025-05089

Overview

Title

Agency Information Collection Activities: Proposed Collection; Comment Request

Agencies

ELI5 AI

CMS is asking people to help them by telling them what they think about the paperwork CMS needs to collect, which is like filling out forms. They want to make sure the forms are clear and easy to fill out, and they want to know if there are better ways to do it.

Summary AI

The Centers for Medicare & Medicaid Services (CMS) is seeking public comments on its plan to collect information from the public as part of the Paperwork Reduction Act of 1995. The notice invites feedback on the agency's burden estimates and other aspects of information collection, aiming to enhance the utility and clarity of the information gathered. The public can comment electronically or by mail until May 27, 2025. This process involves two specific information collections: one for certification statements related to electronic filings of provider data and another for hospital and healthcare cost reports, both essential for CMS's operations and planning.

Abstract

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Type: Notice
Citation: 90 FR 13751
Document #: 2025-05089
Date:
Volume: 90
Pages: 13751-13753

AnalysisAI

Overview

The Centers for Medicare & Medicaid Services (CMS) is inviting public feedback on its plan to gather information, aligning with the requirements set forth by the Paperwork Reduction Act of 1995. This notice, published in the Federal Register, indicates CMS's aim to refine the processes of information collection by seeking input from the public to enhance clarity, utility, and efficiency.

Key Components of the Proposal

Under this initiative, CMS focuses on two primary information collection efforts. Firstly, there's an extension request for certification statements from Electronic File Interchange Organizations (EFIOs), which submit provider data to the National Plan and Provider Enumeration System (NPPES). Secondly, CMS proposes changes to the forms used for Hospital and Health Care Complex Cost Reports, to facilitate a more accurate determination of healthcare costs and reimbursements. Stakeholders have until May 27, 2025, to submit their comments either electronically or by mail.

Significant Issues and Concerns

One major issue is the complexity of the language used, which may not be accessible to the general public. Technical terms such as EFI process, NPI, and NPPES are not clearly explained, potentially leaving lay readers confused about the document's implications. There is also a lack of detailed information regarding how public comments will be integrated into or influence subsequent policy decisions, leaving the impact of public participation ambiguous.

Another concern is the inconsistency in the contact information provided for queries related to the different aspects of the information collection processes, which could hinder clarity and effective communication between the CMS and stakeholders.

Impact on the Public and Stakeholders

For the general public, this document emphasizes the opportunity to contribute to policy-making by sharing feedback on CMS's information collection methods. However, the technical nature of the document might limit broad public engagement unless further clarified.

For hospitals, healthcare providers, and associated organizations, changes in reporting requirements could imply adjustments in administrative processes and potentially affect financial transactions related to Medicare reimbursements. The proposed updates are aimed at reducing administrative burdens through electronic filing, potentially saving time and resources for these entities.

Conclusion

In summary, CMS's initiative to seek public input on their information collection processes embodies a positive step toward participatory governance. However, to truly engage the public effectively, more effort may be needed to simplify the language and clarify the processes described. Additionally, a more detailed explanation of the potential impact of incorporating public comments would help stakeholders understand the value of their participation.

Issues

  • • The document is generally clear, but the technical language might be difficult for a layperson to fully understand, especially terms like EFI process, NPI, and NPPES without further context.

  • • The document description of the information collection processes and their purposes may benefit from more straightforward language or examples to illustrate its implications.

  • • Potentially unclear context regarding the specific burden estimates mentioned (e.g., '36 respondents with 9 total annual hours' for the EFI process) as their significance isn't fully explained.

  • • The mention of specific contact persons for policy questions only includes the contact detail for one of the collections (CMS-2552-10) while the other (CMS-10175) has a contact for questions about the collection, which could be clearer if it was consistent.

  • • The document could explain more concretely how public comments will impact the proposed actions and what changes might be considered as a result of these comments.

  • • There is no explicit mention of a potential budget impact or cost analysis related to the collection and processing of this information, which could be relevant in evaluating the efficiency or wastefulness of spending.

Statistics

Size

Pages: 3
Words: 1,351
Sentences: 37
Entities: 92

Language

Nouns: 494
Verbs: 113
Adjectives: 41
Adverbs: 12
Numbers: 57

Complexity

Average Token Length:
5.68
Average Sentence Length:
36.51
Token Entropy:
5.47
Readability (ARI):
27.00

Reading Time

about 5 minutes