"Open Payment" for Physicians and Teaching Hospitals

The Centers for Medicare and Medicaid Services (CMS) will begin publishing data on payments that drug and device manufacturers have made to physicians under the Open Payments Program (the Sunshine Act), by September 30, 2014.  The manufacturers of covered drugs, devices, biologicals, and medical supplies have been reporting ‘transfers of value’ to CMS under this program since August 2013. The information reported will be posted on the CMS Open Payments website for public review by September 30, 2014.

Physicians do not need to submit any data to CMS under the Open Payments program but are encouraged to review the payment data submitted in their name for accuracy.  Registration and review and dispute notification must occur by August 27.

The Physician Payments Sunshine Act requires a two-step registration process before you can review your information.

  • Phase 1: Register in CMS Enterprise Portal. You need an Enterprise Identity Management System (EIDM) account. This is different from PECOS and NPI.
  • Phase 2: Now Open – Use your EIDM registration information to complete the second registration step before reviewing your data.
  • Review your data between July 14 and August 27.

Resources and suggestions to help the registration process go easier:

  • Gather as much information as you can before you begin the registration process:
  • View the Quick Reference Guide for Physicians. The full and complete Open Payments User Guide also has instructions for Physicians and Teaching Hospitals beginning in Part IV, Chapter 8 (p. 205 of the PDF).
  • Physicians must register themselves; staff members cannot register for the physician but the physician may designate a staff member to access their report during the review period.
  • Credit Report ‘Out of Wallet’ (OOW) questions may be used to verify identity such as: mortgage lender name, previous employer name, auto lender name, etc.
  • You will need your NPI number. If you don’t know the number, you can search the NPI Registry.
  • You will also need your DEA number.
  • You will need all of your license numbers to view all of your data.
  • Find your specialty code from the list below or access the Taxonomy Crosswalk:
     
MEDICARE SPECIALTY CODE MEDICARE PROVIDER/ SUPPLIER TYPE DESCRIPTION PROVIDER TAXONOMY CODE PROVIDER TAXONOMY DESCRIPTION: TYPE, CLASSIFICATION, SPECIALIZATION

16

Physician/ Obstetrics & Gynecology

207V00000X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology

   

207VB0002X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Bariatric Medicine

   

207VC0200X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Critical Care Medicine

   

207VX0201X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Gynecologic Oncology

   

207VG0400X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Gynecology

   

207VH0002X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Hospice and Palliative

   

207VM0101X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Maternal & Fetal Medicine

   

207VX0000X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Obstetrics

   

207VE0102X

Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Reproductive Endocrinology

After you have reviewed the data reported in your name by drug and device manufacturers, you may want to dispute some of the information there. Use the Quick Reference Guide to Review and Dispute Functions for information on the dispute process.

Questions can be submitted by email to the Help Desk at openpayments@cms.hhs.gov or call 855-326-8366 for live Help Desk support Monday through Friday, from 7:30am to 6:30pm CT.

Contact:

Anne Diamond
Senior Director
adiamond@acog.org