CMS Opens Review Period for Data on Open Payments Website

April 10, 2015 in News

This week, CMS opened a 45-day review period, during which providers can check and dispute the accuracy of information within its physician payment website, AHA News reports (AHA News, 4/9).

Background

In September 2014, CMS launched its Open Payments System, which is required under the Affordable Care Act’s Sunshine Act and aims to boost transparency by making public payments health care providers have received from drugmakers and medical device manufactures.

The first round of data included payments made between Aug. 1, 2013, and Dec. 31, 2013. Overall, the data showed manufacturers made 4.4 million payments to physicians and teaching hospitals during the time frame, valued at $3.5 billion.

In December 2014, CMS updated the website to include about 68,000 new payments. The database now includes payment information for about 500,000 physicians and 1,360 teaching hospitals, totaling $3.7 billion.

Last month, CMS officials said the agency wanted to improve its outreach efforts to encourage more providers to register and review their payment information (iHealthBeat, 3/20).

Details of Review Period

The review period allows physicians and teaching hospitals to check payment data from 2014.

Disputed payments must be resolved within 15 days following the 45-day period, according to AHA News.

Data that are disputed but not resolved within that timeframe will be published to the Open Payments site on June 30. However, the information will be marked as disputed.

Providers may continue to challenge information after the review period, but adjustments will not be reflected on the website until after the reporting cycle (AHA News, 4/9).

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