tci Medicare Compliance & Reimbursement - 2017 Issue 8
Industry Notes: Review Your Open Payments Data Before It's Too Late
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Article Overview
This brief industry update explains two CMS-related compliance topics for physicians and other providers: the annual Open Payments data review window and a new reporting option connected to the Self-Referral Disclosure Protocol. It is relevant to compliance, billing, and coding professionals who track federal transparency and fraud-and-abuse reporting requirements. The article gives a high-level overview of what is changing, the agencies involved, and where providers can find official guidance.
Why This Topic Matters
Providers need to know when federal review windows are open and when CMS changes reporting processes so they can monitor submitted data, address disputes, and stay current with compliance obligations.
What You Will Learn
- How CMS describes the annual Open Payments review period
- What kinds of provider payment information are included in the transparency program
- That CMS released a new self-referral disclosure form and related guidance
- Where the article points readers for official CMS resources
Who Should Read This
- Physicians
- Provider compliance staff
- Medical coders
- Billing staff
- Practice managers
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