Open Payments refresh brings in new categories, adds new provider types

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This compliance-focused article summarizes changes to the federal Open Payments reporting process for the 2019 program year and beyond. It covers who must report, the reporting and review timeline, newly added categories of reportable transfers of value, and the expansion of covered recipient types under CMS rules. The piece is aimed at providers, manufacturers, GPOs, and compliance professionals who need a high-level understanding of the updated reporting landscape.

Why This Topic Matters

Open Payments reporting affects transparency obligations for manufacturers, group purchasing organizations, and covered health care providers. Understanding the expanded reporting categories and newly included provider types helps organizations assess compliance impact and anticipate upcoming guidance.

Article Sections

  1. Compliance

    Overview of the Open Payments reporting cycle, including the reporting window and provider review period for submitted data.

  2. New year brings new values

    Discussion of expanded categories of reportable transfers of value under CMS rules and the broader reporting framework for manufacturers and GPOs.

  3. Now tracking transfers for NPPs

    Coverage of the extension of reporting obligations to additional non-physician practitioner categories and the compliance context behind that change.

What You Will Learn

  • How the Open Payments reporting timeline works for the program year discussed
  • What broad categories of reportable transfers of value were expanded under CMS rules
  • Which additional non-physician practitioner groups are now included as covered recipients
  • Why the changes matter for manufacturers, GPOs, and compliance teams
  • What kinds of follow-up guidance CMS may still issue

Who Should Read This

  • Compliance professionals
  • Medical device and pharmaceutical manufacturers
  • Group purchasing organizations
  • Health care providers
  • Practice administrators
  • Health law and reimbursement professionals

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