Tag: CMS

CMS Releases New Information About State Medicaid Drug Utilization Review Practices

On July 30, 2013, the Centers for Medicare & Medicaid Services (“CMS”) posted state annual Medicaid DUR reports for fiscal year 2012.  States are required to complete annual Medicaid drug utilization review (“DUR”) surveys outlining prescribing habits, and describing cost savings generated from state Medicaid DUR programs and their Medicaid program’s […]

CMS Publishes FAQs for OPEN PAYMENTS Mobile Apps for Physicians & Industry

As we noted last week, CMS released two mobile apps for tracking reportable payments: one for physicians and one for applicable manufacturers and applicable GPOs. Both are available for download now for iOS (Apple™) and Android™ mobile phones.  New FAQs from CMS provide additional visibility into how CMS envisions physicians and industry using these […]

Sunshine in Your Pocket: CMS Releases Mobile Apps for Tracking and Reviewing OPEN PAYMENTS Data

Industry and physicians preparing to comply with federal sunshine provisions have a new resource available. To facilitate tracking and reviewing OPEN PAYMENTS Data, CMS has released two mobile applications (apps): one for physicians and one for applicable manufacturers and applicable GPOs. Use of the apps is optional and both are available […]

The Countdown until October

On June 19, 2013, the Government Accountability Office (“GAO”) released two reports, Status of CMS Efforts to Establish Federally Facilitated Health Insurance Exchanges and Status of Federal and State Efforts to Establish Health Insurance Exchanges for Small Businesses, that collectively cast doubt on whether the health insurance exchanges (the “exchanges”) […]

Available Now: CMS Templates for Data Collection and Reporting Under the Federal Sunshine Provisions

As the health care industry prepares for data collection beginning August 1, 2013, in accordance with the federal sunshine provisions in Section 6002 of the Affordable Care Act and its implementing regulations, industry must also plan ahead for reporting the data collected. Data collection and reporting are inextricably linked, as […]