CMS Open Payments

What is Open Payments? Click here for background information.

Update 6/30/18: Today, the Centers for Medicare & Medicaid Services (CMS) published Open Payments Program Year 2017 data, along with newly submitted and updated payment records for previous program years. The data is accessible at https://openpaymentsdata.cms.gov/.  Of note, Applicable manufacturers and Group Purchasing Organizations (GPOs) collectively reported $8.40 billion in payments and ownership and investment interests to physicians and teaching hospitals in 2017. 

Update 4/16/18: The CMS Open Payments team, in consultation with the AAMC’s FOCI Steering Committee and AAMC Staff, have developed educational resources for physicians about the Open Payments program. The Open Payments review and dispute period for physicians and teaching hospitals began on April 1 and ends May 15, 2018. The CMS team and AAMC hope that these resources will be useful to you during this time. 

Direct links to slides .ppt or .pdf

Please remember to disclose and update external interests through COI Smart and submit an update within 30 days of any significant financial interests.  For additional information, visit feinsteininstitute.org/coi

Open Payments Physician Registration

We highly recommend that physicians regularly review their information on Open Payments and dispute any reported data discrepancies in a timely fashion. Disputes must be made directly with the company providing information to CMS. Publicly available data posted on CMS.gov are reviewed annually by Northwell Health compliance offices against information submitted on External Interest Disclosure forms.

Physicians must register in the CMS’s Enterprise Identity Management system (EIDM*) and the Open Payments system in order to view, review, and/or dispute data submitted about them. Note that physicians and teaching hospitals are not required to register but are encouraged to do so in order to view payment information reported about them.

* The CMS Enterprise Portal locks accounts if there is no activity for 60 days or more and deactivates accounts if there is no activity for 180 days or more. To unlock an account, go to the CMS Enterprise Portal, enter your user ID, and correctly answer all challenge questions; you’ll then be prompted to enter a new password. To reinstate an account, contact the Open Payments Help Desk.

**Physicians and teaching hospitals who registered last year do not need to register again in the CMS Enterprise Portal or the Open Payments system.

Open Payments Registration Quick Links.

Review Available Educational Materials 

There are a number of useful educational materials available to help physicians and teaching hospitals learn more about the Open Payments registration process. These materials are available on the Resources page of the Open Payments website. For a holistic view of the Open Payments program, you may want to begin by reviewing the 2015 Open Payments Program Overview and Enhancements – PDF .

The Resources page of the Open Payments website is a one-stop-shop for all of these materials.

Questions—Contact Live CMS Help Desk

Submit questions to the CMS Help Desk via email at openpayments@cms.hhs.gov Live Help Desk support is also available at 1-855-326-8366, Monday through Friday, from 9:00 a.m. to 5:00 p.m. (EST), excluding Federal holidays.

PREP Course #5: All About the Physician Sunshine Act/Open Payments

Slides from the September 2014 PREP workshop.

PREP Course #11: Interactions with Industry – What Most Docs Ask About

Slides from the January 2018 PREP presentation.

 

The Affordable Care Act (ACA), through several provisions known as the Physician Payment Sunshine Act, requires applicable manufacturers of drugs, devices, biologicals, or medical supplies covered under Medicare, Medicaid, or CHIP to report annually in electronic format to the Center for Medicare & Medicaid Services (CMS) certain payments or other transfers of value to physicians and teaching hospitals. Applicable manufacturers and applicable group purchasing organizations (GPOs) are subject to civil monetary penalties (CMPs) if they fail to comply with the reporting requirements of the statute. CMS will collect the data annually, aggregate it, and publish it on a public website. CMS must then submit annual reports to the Congress and each State summarizing the data applicable manufacturers have reported.

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