Main  |  Next »

Tuesday Apr 04, 2017

The latest Open Payments data is ready for review

Every year, pharmaceutical and medical device manufacturers are required to given the Centers for Medicare & Medicaid Services (CMS) information about the payments or other transfers of value they make to physicians and teaching hospitals. CMS then posts this information on its Open Payments website(www.cms.gov) for the public to see.

Manufacturers are currently submitting data to the Open Payments System on payments or transfers of value made during 2016. Beginning this month, physicians and teaching hospitals have until May 15 to review and dispute records attributed to them. See the Open Payments Registration webpage(www.cms.gov) for more information.

CMS will hold a conference call from 1:30 p.m. to 3 p.m. on April 13 to help physicians and their staffs better understand the Open Payments program and how to review and dispute data submitted about them. CMS will publish the 2016 payment data and updates to the 2013, 2014, and 2015 data on June 30.

To register or for more information on the call, you can visit MLN Connects Event Registration(blh.ier.intercall.com) or refer to the call detail page(www.cms.gov).

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians


Posted at 03:24PM Apr 04, 2017 by David Twiddy | Comments [0]

Friday Apr 08, 2016

Open Payments review and dispute period ends May 15

Physicians and teaching hospitals have until May 15 to review financial information reported about them under the “Open Payments” system and dispute information they believe is incorrect before the information is released to the public on June 30.

The Centers for Medicare & Medicaid Services (CMS) annually asks pharmaceutical and medical device manufacturers and group purchasing organizations to report all payments or other transfers of value they made to physicians and teaching hospitals during the previous year. The June 30 release includes information for 2015, along with updates to the databases for 2013 and 2014.

The review process is voluntary, but to participate and file disputes, you will need to register in both the CMS Enterprise Identity Management System (EIDM)(www.cms.gov) and the Open Payments system itself.

If you registered last year, you don’t have to register again. Go to the CMS Enterprise Portal(portal.cms.gov), log in using your user ID and password, and navigate to the Open Payments system home page. If you haven’t accessed your account in the last 60 days, you will need to answer some challenge questions and then reset your password. If you haven’t visited in more than 180 days, you’ll have to contact openpayments@cms.hhs.gov to reinstate your account.


Posted at 09:53AM Apr 08, 2016 by David Twiddy | Comments [0]

Tuesday Feb 09, 2016

CMS encourages you to register now to review “Open Payments” later

The Centers for Medicare & Medicaid Services (CMS) has given members of the health care industry until March 31 to submit information on all payments and “transfers of value” they made to physicians and teaching hospitals in 2015.

Under the “Open Payments” program, the information from pharmaceutical and medical device manufacturers and group purchasing organizations will be compiled and released later this year in a database available to the public(www.cms.gov).

Once the information is submitted, physicians and teaching hospitals can review any payments or transfers of value attributed to them and dispute items they believe are incorrect before the database is made public. But to do so, physicians must register in the Open Payments system(portal.cms.gov).

If you registered last year, you are not required to do so again. However, if it has been more than 180 days since you logged onto the Enterprise Identity Management System, the account has been deactivated for security purposes.

You can visit the Open Payments Resources webpage(www.cms.gov) for more information, including a fact sheet for physicians(www.cms.gov). For questions, you can contact the related Help Desk at 855-326-8366, Monday through Friday, from 7:30 a.m. to 6:30 p.m. CT.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians


Posted at 11:11AM Feb 09, 2016 by David Twiddy | Comments [0]

Thursday Jan 21, 2016

Open Payments system gets an update – and a time out

The Centers for Medicare & Medicaid Services (CMS) has updated its Open Payments database, which tracks payments and "transfers of value" to physicians and teaching hospitals from pharmaceutical and medical device manufacturers or group purchasing organizations.

CMS typically updates the information at least once a year to address disputed payments and other corrections made since the data was first reported. The database now covers $9.9 billion in financial information submitted during the program's initial two years.

The Open Payments Data website(openpaymentsdata.cms.gov) now has added functionality, allowing visitors to search by name for payments tied to a doctor and view summaries of trends found in the data.

The Open Payments system itself is undergoing maintenance Jan. 21-26. Physicians won’t be able to access the system during this time, but the public website will still be available.

Visit CMS' Open Payments program website(www.cms.gov) for more information and the Resources website(www.cms.gov) if you still haven’t registered. Registration is required before physicians can review payments or transfers of value tied to their name and file a dispute or correction.


Posted at 04:51PM Jan 21, 2016 by David Twiddy | Comments [0]

Wednesday Jul 15, 2015

CMS opens up 2014 Open Payments data to the public

On June 30, CMS published Open Payments data(openpaymentsdata.cms.gov) for 2014 that detail transfers of value, such as direct payments, honoraria, or research grants, by drug and medical device makers to physicians and other health care providers. The data include information about 11.4 million financial transactions, attributed to more than 600,000 physicians and more than 1,100 teaching hospitals, totaling $6.49 billion. The Open Payments program is a product of the Affordable Care Act.  

With this data release, both the 2014 and 2013 financial records are now available to the public. CMS will continue to update the Open Payments website annually to incorporate data collected from the previous year and to include updates to data disputes and other data corrections made since the initial publication. For more information about the program, including how physicians can register so they can review payments tied to them and report potential errors, please visit the Open Payments page(www.cms.gov) on the CMS website.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians


Posted at 01:10PM Jul 15, 2015 by David Twiddy | Comments [0]

Tuesday Apr 07, 2015

Open Payments review period begins

The Centers for Medicare & Medicaid Services (CMS) this week kicked off a 45-day review and dispute period for its Open Payment system (formerly known as the Sunshine Act).

During this process, physicians and teaching hospitals have a chance to look at financial information reported about them by pharmaceutical and medical device manufacturers and group purchasing organizations and point out any errors before CMS makes the information publicly available on June 30. After the review period ends, the CMS will continue to review disputed payments but won’t update the public records until next year.

This is the second year for Open Payments, and the records will cover payments made to physicians and teaching hospitals in 2014.

The review process is voluntary, but to participate and file disputes, you will need to register in both the CMS Enterprise Identity Management System (EIDM)(www.cms.gov) and the Open Payments system itself.

If you registered last year, you don’t have to register again. Just go to the CMS Enterprise Portal(portal.cms.gov), log in using your user ID and password, and navigate to the Open Payments system home page.

Note, however, that the CMS Enterprise Portal locks your account if there has been no activity for 60 days or more and deactivates it if there has been no activity for 180 days or more. If your account is locked, go to the CMS Enterprise Portal, enter your user ID and answer all challenge questions, and you’ll  be asked to reset your password. To reinstate a deactivated account, contact the Open Payments Help Desk at openpayments@cms.hhs.gov.

CMS is also holding a national provider call discussing the review period, entitled “Open Payments (Sunshine Act) 2015: Prepare to Review Reported Data – Registration Now Open.” The call is scheduled from 2 p.m. to 3:30 p.m. (EDT) on Wednesday, April 15. To register – and CMS says space may be limited – go to the CMS web page for upcoming calls(www.eventsvc.com).

CMS has more information, including educational materials, on its Open Payments website(www.cms.gov). It also can field questions during normal business hours at openpayments@cms.hhs.gov or by calling 1-855-326-8366.

– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians


Posted at 01:51PM Apr 07, 2015 by David Twiddy | Comments [0]

Monday Feb 09, 2015

Open Payments system ready for 2014 physician payment data

The Open Payments system (created under the Sunshine Act), which gathers and publicly discloses information on all payments or transfers of value from medical manufacturers and group purchasing organizations (GPOs) to individual physicians, is entering its second year.

Between now and March 31, pharmaceutical or medical device manufacturers and GPOs must register or recertify their registration with the Open Payments system and begin submitting payment data for 2014 and corrected data for 2013.

Physicians aren’t directly involved in the manufacturers’ data submission. But they should register with the system (or make sure they’re still registered from last year) so they can be ready to review any information submitted about them and make sure it is correct. The process for reviewing and disputing any information for physicians is expected to begin in April.

The Centers for Medicare & Medicaid Services plan to publish the 2014 payment data, as well as updated 2013 data, in June. Of course, last year’s process was far from smooth and saw some delays.

More information is available on the Open Payments website(www.cms.gov).


Posted at 03:54PM Feb 09, 2015 by David Twiddy | Comments [0]

Friday Aug 15, 2014

Open Payments program reopens after two-week glitch

The online database for a new federal program designed to track financial relationships between physicians and medical suppliers has reopened after a technical glitch forced officials to close it down almost two weeks ago.

Physicians will also have more time to check the database for errors.

The Centers for Medicare & Medicaid Services (CMS) announced Friday(www.cms.gov) that physicians and teaching hospitals were again allowed to access the Open Payments system (formerly called the Sunshine Act). The initiative will eventually disclose financial payments or other transfers of value that pharmaceutical or medical device manufacturers and group purchasing organizations have made to individual physicians.

CMS shut down the system on Aug. 3 after discovering that some manufacturers and group purchasing organizations had mixed up records for physicians who have similar names, which allowed the physicians to see information that was not their own. The agency said it has worked to fix the problem, including making sure that all payment records are connected to a single physician and that the erroneous information is not published.

Despite the delay, and lingering concerns from some medical societies(www.ama-assn.org) about releasing the data, CMS said it will still release the financial information to the public as scheduled on Sept. 30.

However, CMS has extended the 45-day period during which physicians who have registered with CMS can review and dispute data attributed to them. Originally scheduled to end on Aug. 27, the review and dispute period will now end on Sept. 8.

CMS asked physicians to make sure the National Plan and Provider Enumeration System(nppes.cms.hhs.gov) (NPPES) and the Provider Enrollment, Chain, and Ownership System(pecos.cms.hhs.gov) (PECOS) have their correct first name, last name, National Provider Identifier (NPI), and license information. CMS uses these programs to verify payments. The agency also said physicians should provide complete and accurate information when registering for Open Payments so that CMS can accurately match records reported about them by manufacturers and group purchasing organizations.


Posted at 03:41PM Aug 15, 2014 by David Twiddy | Comments [0]

Tuesday Jul 08, 2014

CMS looks to tweak Open Payments reporting for CME events

The Centers for Medicare & Medicaid Services (CMS) Open Payment initiative hasn't truly gone into effect yet and its framers already want to change it.

The Open Payment program, which tracks and discloses financial relationships between physicians and drug and device manufacturers, will begin releasing that information by the end of September. Physicians will be able later this month to review the information reported about them and report any errors.

But in the 2015 Physician Fee Schedule proposed rule(s3.amazonaws.com) announced on July 3, CMS proposed some changes to the program based on feedback from stakeholders since the original rules were introduced last year.

Chief among those changes is a proposal requiring that applicable manufacturers disclose any payments or other transfers of value made to speakers at continuing education programs.

These types of payments had been excluded under the current rules, assuming they met three criteria:

• The speaker is appearing at a program accredited or certified by the ACCME, AAFP, ADA, AMA, or AOA,
• The manufacturer does not pay the speaker directly,
• The manufacturer does not choose the speaker or provide the third-party organizer with a list of preferred speakers.

CMS said commenters have argued that limiting the exemption to speakers at events tied to just those five organizations made the reporting requirements inconsistent and appeared to give continuing education events held by those five organizations CMS's "endorsement or support."

The agency said this was an "unintended consequence" and proposed removing the exemption language in its entirety.

Open Payments already has a general exemption for indirect payments or transfers of value where the manufacturer does not know the identity of the recipient, so payments and transfers of value to speakers would remain exempt under that rule, provided the manufacturer doesn't directly pay the speaker or provide the third-party organizers with a list of preferred speakers.


Posted at 11:18AM Jul 08, 2014 by David Twiddy | Comments [0]

Friday May 23, 2014

Opportunity to review Open Payments data is approaching

The release in April of Medicare payments made to individual physicians caused its share of headaches and hand-wringing among practitioners who claimed that some of the information was incorrect or could be interpreted poorly by the public without the proper context.

Later this summer, another round of public filings could make life difficult. The Centers for Medicare & Medicaid Services (CMS) will begin releasing data from pharmaceutical and medical device manufacturers and group purchasing organizations on all financial interactions they've had with individual physicians and teaching hospitals.

Open Payments (you may remember it when it was called the Sunshine Act) is scheduled to release data for the final five months of 2013 by the end of September this year. Described as a way to provide more transparency to the financial relationships between physicians and their suppliers, the program tracks any payment or transfer of value of more than $10 from an applicable vendor to a physician. Beginning next year and thereafter, the Open Payments releases will cover an entire year.

Unlike the Medicare payments release, physicians will have a shot at reviewing the information submitted by manufacturers and attempting to correct any errors before publication.

Beginning June 1, eligible practitioners will be able to register(www.cms.gov) for the CMS Enterprise Portal. This is considered the first step and must be completed before physicians, beginning in July, can register in the Open Payments system itself. That registration will gain the physician access to any manufacturer information reported about him or her, as well as allow the physician to dispute(www.cms.gov) any payments he or she believes are inaccurate.

For more information on the Open Payments program, the CMS has a web site(www.cms.gov), complete with a downloadable user's guide(www.cms.gov).


Posted at 03:15PM May 23, 2014 by David Twiddy | Comments [0]

Main  |  Next »


CURRENT ISSUE

RECENT POSTS

SEARCH THIS BLOG


TOPICS

DISCLAIMER

The views expressed here do not necessarily reflect the opinions of FPM or the AAFP. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.

FEEDS