decisionhealth Newsletters, Part B News - 2016 Issue 12 (December)
OIG to open up Open Payments data, compare Medicare cost, doctor payments
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Article Overview
This article explains a federal compliance initiative focused on Open Payments reporting and related Medicare data analysis. It is relevant to physicians, practice compliance staff, and coding/billing professionals who monitor manufacturer-reported payments, review data for accuracy, and understand the broad categories of reportable transfers of value and the timing of data review under CMS and OIG oversight.
Why This Topic Matters
It helps practices understand why Open Payments records should be checked for accuracy and how federal oversight may connect reported financial interests with Medicare utilization. The article also highlights reporting thresholds, data review timing, and the importance of compliance monitoring.
Article Sections
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Compliance
Introduces the federal compliance focus of the article and frames the general oversight context.
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What gets reported
Summarizes the broad categories of reportable transfers of value and related financial interests under Open Payments.
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Review, dispute data by Dec. 31
Discusses data review timing, the importance of checking reported information, and the general process for accessing and disputing records.
What You Will Learn
- How Open Payments reporting is being reviewed by federal oversight agencies
- Why physicians and practices should verify manufacturer-reported data
- What broad types of transfers of value are included in reporting
- When reported data should be reviewed and disputed
- How Open Payments data relates to Medicare payment analysis
Who Should Read This
- Physicians
- Medical practice compliance staff
- Billing and coding professionals
- Healthcare administrators
- Compliance officers
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