federal_register: E7-12677
Data license: Public Domain (U.S. Government data) · Data source: Federal Register API & Regulations.gov API
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| document_number | title | type | abstract | publication_date | pub_year | pub_month | html_url | pdf_url | agency_names | agency_ids | excerpts | regulation_id_numbers |
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| E7-12677 | Privacy Act of 1974; Report of a New System of Records | Notice | In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new system titled, "Medicare Master Death Records File (MMDRF), System No. 09-70-0597." Under the provisions of Sections 1106 (42 U.S.C. 1306 and 205(r) (42 U.S.C. 405(r) of the Social Security Act (the Act), the Social Security Administration (SSA) will provide to CMS the SSA Death Master File including unrestricted State death data. CMS will use this death data to: (1) Ensure that no future payments are made to any physician or individually enrolled practitioner and other individuals for whom CMS has a record of death, and (2) investigate and initiate an appropriate response where a deceased physician's billing number has been found to have been used as the basis for a request for payment for services allegedly rendered after the physician's date of death. Upon independent verification of the facts with respect to specific individuals, the results will be used to update CMS databases and may also be used to support payment recovery operations and or the work of law enforcement. We have provided additional background information about the new system in the "Supplementary Information" section below. The primary purpose of this system is to collect and maintain Social Security Administration death records for physicians, non- physician practitioners and individuals associated with organizational providers and suppliers to ensure payments are not made for services rendered after confirmed date of death and to prevent and/or detect any fraud, waste and abuse. Information retrieved from this system may be disclosed to: (1) Support regulatory, reimbursement, and policy functions performed within the agency or by a contractor, consultant, CMS grantee; (2) assist another Federal or State agency with information to contribute to the accuracy of CMS's proper payment of Medicare benefits, enable such agency to administer a Federal health benefits program, or to enable such agency to fulfill a requirement of Federal statute or regulation that implements a health benefits program funded in whole or in part with Federal funds; (3) support litigation involving the agency; and (4) combat fraud, waste, and abuse in certain Federally-funded health benefits programs. | 2007-07-02 | 2007 | 7 | https://www.federalregister.gov/documents/2007/07/02/E7-12677/privacy-act-of-1974-report-of-a-new-system-of-records | https://www.govinfo.gov/content/pkg/FR-2007-07-02/pdf/E7-12677.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 system titled, "Medicare Master Death Records File (MMDRF), System No. 09-70-0597." Under the provisions of Sections 1106 (42 U.S.C. 1306 and 205(r) (42... |