Washington, DC (PRWEB) July 15, 2015
The Department of Health and Human Services Office of Inspector General (OIG) may use its new open-payments program for other uses, including enforcement, Atlantic Information Services, Inc.’s Report on Medicare Compliance reports in its July 13 issue. Currently, the Centers for Medicare & Medicaid Services (CMS) verifies the data and puts them into an “actionable format,” Shantanu Agrawal, M.D., director of CMS’s Center for Program Integrity (CPI), said at the American Health Lawyers Association’s annual meeting in Washington, D.C., on June 29, but OIG and CPI plan to look at the information to determine whether it is “useful for other purposes.”
“We are trying to be thoughtful in how we roll out those activities,” Agrawal noted. In the short term, the focus is on whether manufacturers are reporting the data and if that data is complete. Long-term, CMS will look at the quality of the data. If manufacturers fail to report transfers of value, Agrawal added, they could face civil monetary penalties.
The open-payments program, which was established in legislation contained in the Affordable Care Act (ACA), requires medical device and pharmaceutical manufacturers to report certain payments and other “transfers of value” (e.g., travel, grants, speaking fees, food, entertainment) to physicians and teaching hospitals to CMS. That information is available in a public, searchable online database. The database was updated with the first full year of data on June 30.
Visit http://aishealth.com/archive/rmc071315-02 to read the article in its entirety, which also details how the database is being put to use by compliance officers to monitor potential conflicts of interest.
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