Tag: payments

Proposed Rule Issued by CMS re: Expansion of Open Payments Reporting

The Centers for Medicare & Medicaid Services (CMS) issued this week a proposed rule regarding the expansion of Open Payments reporting requirements (Proposed Rule). As we discussed here, the 2018 SUPPORT Act expanded the definition of “covered recipients” to include physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse […]

Federal Sunshine Act Reporting Requirements Expanded to Other Prescribers

Currently, the federal Physician Payments Sunshine Act (Sunshine Act) requires certain manufacturers of drugs, biologics, medical devices and medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health Insurance Program (Applicable Manufacturers) to report annually to the Centers for Medicare and Medicaid Services (CMS) certain payments and transfers […]

CMS Publishes 2016 Open Payments Data

The Centers for Medicare & Medicaid Services (CMS) published today the Open Payments data reported earlier this year by applicable drug, device, biologic and medical supply manufacturers and group purchasing organizations (GPOs) related to payments and transfers of value to physicians and teaching institutions, and ownership or investment interests held by […]

CMS Issues Final MACRA Physician Payment Rule

On Friday, October 14th, the Center for Medicare & Medicaid Services (CMS) released the long-anticipated final rule with 60-day comment period (Rule) for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP). The QPP provides incentive payments for participation in Advanced Alternative Payment Models (Advanced APM).  […]

Connecticut Delays Payment Reporting Until 2017

Under a Connecticut law enacted in 2014, pharmaceutical and medical device manufacturers were required to begin reporting payments made to advanced practice registered nurses (APRNs) on July 1, 2015.  This deadline was delayed until 2017 by recently enacted Public Act 15-4.  Additionally, Public Act 15-4 changed the reporting period from […]

CMS Sunshine Reporting Underway; Additional Resources Available

As previously announced, Phase 2 Sunshine reporting to the Centers for Medicare & Medicaid Services (CMS) of payments and transfers of value provided by pharmaceutical, biotechnology and medical device manufacturers to physicians and teaching hospitals in the Open Payments system is currently underway and available until June 30th.  CMS has released the following three video […]

CMS Announces that Sunshine Phase 2 Reporting Will Begin June 1st; Assumptions Document and Attestation Information Also Released

The Centers for Medicare & Medicaid Services (CMS) announced today that Phase 2 of the Open Payments reporting will begin on Sunday, June 1st and continue through Monday, June 30th.  Instructions from CMS for Phase 2 are available here; additional information regarding CMS data submission resources and Phase 2 tutorials are […]