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AUA Policy & Advocacy Brief: August 19, 2014  

Open Payments Review Deadline Extended

On August 15, CMS announced that the Open Payments system is once again available for physicians and teaching hospitals to register, review and, as needed, dispute financial payment information received from pharmaceutical and medical device makers. The system was taken offline on August 3 to resolve a technical issue. To account for system down time, CMS has extended the review period to September 8 to provide a full 45 days for review. Physicians and teaching hospitals originally had until August 27 to review and dispute any information included in the database.

A couple of weeks ago, CMS noticed flaws in the data submitted by industry when investigating a physician complaint.  In the process of reviewing that issue, CMS found that some of the data was “intermingled,” meaning physicians were being linked to the wrong state license number or national provider identifier (NPI).

Since then, CMS has implemented system fixes to resolve the issue, and revalidated all data in the system to verify that the physician identifiers used by pharmaceutical and medical device makers are accurate, and that all payment records are attributed to a single physician.

Other healthcare publications are stating that approximately one-third of the payment transactions was removed from the current review and dispute process and will not be published until June 2015. At publication time, CMS had not issued an official notification of this withholding of information.

CMS said it will still make public on September 30 details about provider payments made from August 1, 2013, to December 31, 2013. Physicians are strongly encouraged to review their records before the September 8 deadline and before the data are posted publically to identify any discrepancies.

Learn more about Open Payments.