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MediSpend Immediately Compliant with CMS Final Templates
CMS Released Final Physician Ownership, Research, and General Payments Templates
Today, May 7th, 2013, the Centers for Medicare and Medicaid Services (CMS) released the Physician Ownership, Research, and General Payments templates as required by the implementing rules under the Affordable Care Act.
Section 6002 of the Affordable Care Act added Section 1128G to the Social Security Act, which requires applicable manufacturers of drugs, devices, biological, or medical supplies covered under Medicare or a state plan under Medicaid, or CHIP, to report annually to the Secretary certain payments or other transfers of value to physicians and teaching hospitals. Section 1128G of the Act also requires applicable manufacturers and applicable group purchasing organizations (GPOs) to report certain information regarding the ownership or investment interests held by physicians (or the immediate family members of physicians in such entities).
Read more about Section 1128G in CMS’s Supporting Statement.
Reference the CMS Crosswalk PDF for changes that were made to the draft reporting templates and for the legislative rationale.
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CMS Posts List of Teaching Hospitals on OPEN PAYMENTS Website
On May 3, 2013, the Centers for Medicare and Medicaid Services (CMS) released the Teaching Hospital List as required by the implementing rules under the Sunshine Act.
The Sunshine Act requires manufacturers of drugs, devices, biological, and medical supplies to submit annual reports disclosing certain payments and transfers of value made to physicians and “Teaching Hospitals.”Read more..
Update on Massachusetts Quarterly Meal Reports
As part of the revised Massachusetts Pharmaceutical and Medical Device Manufacturer Code of Conduct, manufacturers can now provide out-of-office meals to health care providers for the purpose of educating and informing attendees about the benefits, risks and appropriate on-label uses of prescription drugs and medical devices. However, companies must submit quarterly reports if they provide out-of-office meals in conjunction with an educational presentation.
OPEN PAYMENT Resources Available Online
On April 18, 2013, as part of The National Physician Payment Transparency Program (OPEN PAYMENTS) initiative, CMS launched a new website to provide an informational resource to stakeholders. Section 6002 of the Affordable Care Act, referred to as OPEN PAYMENTS, has been established to create greater transparency around financial relationships of manufacturers, group purchasing organizations, physicians, and teaching hospitals. The website includes a wealth of information on why OPEN PAYMENTS are important, how they will work, frequently asked questions, and fact sheets for Applicable Manufacturers, GPO’s, Physicians, and Teaching Hospitals.
In addition, CMS has created a continuing medical education (CME) activity for physicians to learn more about OPEN PAYMENTS; steps involved in collecting and reporting physician data, dates for implementation, and actions that they can take to verify physician information in advance of website publication. Physicians can earn a maximum of 1.00 AMA PRA Category 1 Credit by participating in this activity.
Go to www.cms.gov to receive regular updates about OPEN PAYMENTS.
See the following links for more information: