federal_register: 01-24439
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| document_number | title | type | abstract | publication_date | pub_year | pub_month | html_url | pdf_url | agency_names | agency_ids | excerpts |
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| 01-24439 | Privacy Act of 1974; Report of New System of Records | Notice | In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new SOR titled, "Provider Enrollment, Chain, and Ownership System (PECOS)," HHS/CMS/OFM, System No. 09-70-0532. PECOS will be used to collect and maintain provider/ supplier enrollment information from the Medicare Provider/Supplier Enrollment Application and related forms (Form(s) HCFA-855A, 855B, 855I, 855R, and, 855S). PECOS will collect information provided by the applicant related to identity, qualifications, practice locations, ownership, billing arrangements, reassignment of benefits, surety and bond data, clearinghouses submitting electronic claims, and related organizations. PECOS will also maintain information on business owners, chain home offices and provider/chain associations, managing/directing employees, partners, authorized and delegated representatives, supervising physicians of the supplier, staffing companies, ambulance crew members, and/or interpreting physicians and related technicians. Managing/directing employees include general managers, business managers, administrators, directors, and other individuals who exercise operational or management control over the provider/supplier. The primary purpose of the SOR is to: (1) Collect information for an applying provider/supplier and record the associations between the applicant and those who have an ownership or control interest in the entity; (2) permit informed enrollment decisions to be made based on past and present business history, any reported exclusions, sanctions and felonious behavior at their location or in multiple contractor jurisdictions; and, (3) ensure that correct payments are made under the Medicare program. Information retrieved from this SOR will also be disclosed to: (1) Support regulatory, reimbursement, and policy functions performed within the Agency or by a contractor or consultant; (2) another Federal or state agency, agency of a state government, an agency established by state law, or its fiscal agent; (3) support constituent requests made to a congressional representative; (4) support litigation involving the Agency; and (5) combat fraud and abuse in certain health benefits programs. We have provided background information about the modified system in the "Supplementary Information" section below. Although the Privacy Act requires only that CMS provide an opportunity for interested persons to comment on the proposed routine uses, CMS invites comments on all portions of this notice. See Effective Dates section for comment period. | 2001-10-11 | 2001 | 10 | https://www.federalregister.gov/documents/2001/10/11/01-24439/privacy-act-of-1974-report-of-new-system-of-records | https://www.govinfo.gov/content/pkg/FR-2001-10-11/pdf/01-24439.pdf | Health and Human Services Department; Centers for Medicare & Medicaid Services | 221,45 | In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new SOR titled, "Provider Enrollment, Chain, and Ownership System (PECOS)," HHS/CMS/OFM, System No. 09-70-0532. PECOS will be used to collect and maintain... |