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April 23, 2014

Centers for Medicare & Medicaid Services Officially Launches National Physician Payment Transparency Program Website

The Centers for Medicare & Medicaid Services (“CMS”) recently launched the National Physician Payment Transparency Program: OPEN PAYMENTS website, which provides Sunshine Act compliance resources, including Fact Sheets and Frequently Asked Questions, for pharmaceutical and medical device manufacturers (“applicable manufacturers”), group purchasing organizations (“GPOs”), physicians, and teaching hospitals.   CMS intends to communicate with individuals and entities affected by the Sunshine Act through this website and thus will post additional tools and resources as appropriate and will use the website a way to announce any webinars, calls, and meetings. 

As previously detailed by Mintz Levin in a previous post and in an article in Bloomberg BNA’s Health Care Fraud Report, data collection under the Physician Payment Sunshine Act (the “Sunshine Act”) will begin on August 1, 2013.  Applicable Manufacturers and GPOs – as well as physicians and teaching hospitals who want to review and potentially dispute reported data before publication – will begin registering with CMS through this website sometime next year, but CMS has yet to provide specific details.  CMS is expected to begin posting data for public viewing no later than September 2014.  

Since CMS published the final rule implementing the Sunshine Act earlier this year, Applicable Manufacturers and GPOs have devoted considerable time to determining the extent to which they must report payments or other transfers of value to physicians and teaching hospitals and parsing the meaning of the various reporting requirements and their exceptions.  CMS has left many questions unanswered but hopefully will provide much-needed clarification through the Frequently Asked Questions as well as through webinars, calls, or other meetings with affected parties. 

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About the Author

Karen Lovitch, Health Law, Attorney, Mintz Levin, Law Firm
Member

Karen is the Practice Leader of the firm’s Health Law Practice. She counsels health care clients on regulatory, transactional, and operational issues, including Medicare coverage and reimbursement, the development and implementation of health care compliance programs, and licensure and certification matters. In addition, Karen advises clients on the legal, practical, and fraud and abuse implications of business arrangements and sales and marketing practices. Her experience includes matters related to the anti-kickback statute, the Stark law, state statutes prohibiting kickbacks...

202-434-7324

About the Author

Kate Stewart, Regulatory, Transactional, Attorney, Mintz Levin, Law firm
Associate

Kate’s practice involves a variety of regulatory and transactional matters.

Kate works with hospitals, dialysis providers, retail clinics, clinical laboratories, pharmacies, and third-party administrators. She provides regulatory advice to clients on issues such as HIPAA Privacy Rule compliance, telemedicine requirements, and third-party administrator licensure. In her transactional practice, Kate has served as corporate and regulatory counsel to hospitals and dialysis providers in acquisitions and joint ventures, including due diligence, change of ownership, and...

617-348-4427

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