decisionhealth Newsletters, Part B News - 2014 Issue 10 (October)
Open Payments are online but 40% of records will lack physician data until 2015
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Article Overview
This compliance-focused article reviews the first public release of CMS Open Payments data and explains the general structure of the dataset, why some physician and teaching hospital records may appear without identifying information, and why certain records are not yet published. It is intended for healthcare compliance, reimbursement, billing, and data management audiences that need a broad understanding of the Open Payments reporting process and the challenges of working with the online files. The article also discusses the public data tools available through CMS and the practical issue of handling very large downloads.
Why This Topic Matters
Open Payments data can affect physician and hospital compliance workflows, financial transparency reviews, and internal data analysis. Understanding the public release timing, record status categories, and file-size limitations helps organizations know what to expect when reviewing CMS data.
Article Sections
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Compliance
Introduces the public release of CMS Open Payments data and frames the article’s compliance context.
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Data categories in the initial Open Payments collection
Summarizes the major categories of information included in the first collection period and the general scope of the reported data.
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Your data could be there but ‘de-identified’
Explains that some records may appear without identifying information and describes the broad reasons data can be published in a non-identifiable form or withheld.
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Beware of big files
Covers the size of the downloadable files, available CMS tools for searching and viewing the data, and general file-handling considerations.
What You Will Learn
- How the initial CMS Open Payments release is organized
- Why some records may appear without physician-identifying information
- What general categories of payment and ownership information are included
- What CMS tools are available for searching and reviewing the data
- Why large downloadable files can create technical handling challenges
Who Should Read This
- Healthcare compliance professionals
- Physician practice administrators
- Hospital and health system staff
- Billing and reimbursement teams
- Data and IT teams supporting healthcare reporting review
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