Compliance with the CMS Physician Open Payments Rule (Sunshine Act)
Duration: 60 Minutes
Open Payments is a federal program under the Centers for Medicare and Medicaid Services (“CMS”) that collects certain information relating to payments and other items of value provided to physicians from drug and device companies. Examples include: speaking fees, gifts, meals, and covering the cost of travel expenses to name a few. The Open Payments program also includes information on ownership interests a physician may have in a drug or device company.
The CMS Physician Open Payments Rule (sometimes referred to as the “Physician Payment Sunshine Act”) was born out of the Affordable Care Act. This presentation will walk you through the requirements under the regulation and discuss the logistics and strategies for compliance.
Objectives of the Presentation
Why should you Attend
- Understand the regulatory requirements under the CMS Physician Open Payment Rule
- What data needs to be tracked and reported in to CMS?
- Strategies for communication and tracking data
- Strategies and insights for compliance with the CMS Physician Open Payment Rule
- Reporting out payments and other transfers of value
- How to monitoring for compliance
Fraud and abuse in healthcare continues to remain one of the top enforcement concerns. Compliance with the CMS Physician Open Payments Rule is a part of that concern since it governs financial relationships with physicians. This presentation will improve your understanding of the current requirements under the CMS Physician Open Payments Rule, as well as provide you with strategies for compliance.
Who will Benefit
- CMS Physician Open Payment Rule regulatory framework
- Interpreting key provisions of the regulation
- What qualifies as a payment or transfer of value?
- What information must be tracked?
- How is the data reported in to CMS?
- Strategies for monitoring compliance with the regulation
- Questions and Answers
- Physician Groups
- Practice Managers
- Drug Companies
- Finance Officers
- Practice Administrators
- Nurse Leaders
- Quality Directors
- DME suppliers and others in related healthcare fields.