News & Analysis as of

Teaching Hospitals Centers for Medicare & Medicaid Services

Disputing Inaccurate Reports Under the Physician Payment Sunshine Act

by Ruder Ware on

The Affordable Care Act added the Physician Payment Sunshine Act (Sunshine Act) as section 1128G to the Social Security Act. The Sunshine Act requires applicable manufacturers of drugs, devices, biologicals, or medical...more

CMS now auditing Section 5503 slot awards

by Dentons on

Section 5503 of the Affordable Care Act (ACA) required CMS to redistribute 65 percent of each teaching hospital's unused direct graduate medical education (DGME) and indirect medical education (IME) slots to other teaching...more

CMS announces awardees for three rounds of redistributed slots from closed hospitals

by Dentons on

The Centers for Medicare & Medicaid Services (CMS) on January 31 released the awardees of resident cap increases from Rounds 8, 9, and 10 of the Affordable Care Act’s (ACA, P.L. 111-148 and P.L. 111-152) Section 5506 closed...more

CMS Hosts Call on Potential Future Changes to Open Payments/Sunshine Act Reporting Requirements (Aug. 2)

by Reed Smith on

On August 2, 2016, CMS is hosting a Special Open Door Forum Call on potential future changes to Open Payments/Physician Payments Sunshine Act requirements for reporting payments and transfers of value made by drug and device...more

CMS Call on Opportunity to Review Open Payments/Sunshine Act Data (April 12)

by Reed Smith on

CMS is hosting a provider call on April 12, 2016 to discuss the Open Payments program, including the process for physicians and teaching hospitals to review applicable data on payments or transfers of value prior to...more

The Single GME Accreditation System and Medicare GME funding: A new set of challenges

by Dentons on

To date, two major accreditation bodies—the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA)—have accredited the majority of medical residency training programs in...more

Be careful with Resident Rotators: What You Don't Know Might Hurt Your Hospital's Ability to Receive Medicare GME Payments in the...

by Dentons on

Residents participating in a graduate medical education (GME) training program are unlikely to spend 100 percent of their time at a single hospital and its affiliated physician practices, and for good reason. Hospitals and...more

MedPAC Convenes to Discuss Open Payments, Payment for Post-Acute Care, and Other Issues

by King & Spalding on

On September 10-11, 2015, MedPAC held a meeting to discuss several issues related to the Medicare program, including (1) improving the Open Payments program, which makes public the payments from drug and device manufacturers...more

CMS Open Payment Program Data Indicates $6.49 Billion Paid by Manufacturers, GPOs to Physicians and Hospitals in 2014

by King & Spalding on

CMS recently released data collected through the Open Payments Program in accordance with the Affordable Care Act from applicable manufacturers and group purchasing organizations (GPOs) about payments and other transfers that...more

Blog: 2014 Open Payments Infographic

by Cooley LLP on

Policy and Medicine published today an interesting infographic prepared by Open Payments Analytics regarding the 2014 Open Payments data, which contains 11.41 million payments and other transfers of value totaling $6.49...more

2014 CMS Open Payments Data Released

by Saul Ewing LLP on

On June 29, 2015, the Centers for Medicare & Medicaid Services (“CMS”) published detailed information regarding payments made by pharmaceutical and medical device manufacturers to physicians and teaching hospitals during 2014...more

CMS Publishes Open Payments Data Detailing Payments and Transfers of Value Provided by Life Sciences Manufacturers to Physicians...

by King & Spalding on

On September 30, 2014, CMS published data regarding payments and transfers of value that pharmaceutical, biologic, and medical device manufacturers provided to U.S. physicians and teaching hospitals during the period August 1...more

CMS Announces Launch of Open Payments Database: $3.5 Billion Paid to Physicians and Teaching Hospitals

The Open Payments database (the “Database”) is now live, and the first round of data is available to the public on the Centers for Medicare and Medicaid Services (“CMS”) website. This first round of data reflects “nearly 4.4...more

CMS Proposes Elimination of CME Exemption From Sunshine Act

by Faegre Baker Daniels on

Teaching hospitals and physicians who speak at continuing medical education (CME) programs should be interested in a July 11, 2014, announcement by the Centers for Medicare & Medicaid Services (CMS). The announcement proposes...more

CMS Releases Open Payments Registration Information For Physicians And Teaching Hospitals; Phase 2 Timeline For Manufacturers And...

by Cooley LLP on

The Centers for Medicare & Medicaid Services (CMS) released today information regarding registration in the Open Payments system for physicians and teaching hospitals interested in reviewing and verifying data reported by...more

CMS To Publish Financial Relationships Between Physicians and Drug Manufacturers Beginning September 2014

by Dickinson Wright on

Beginning in September 2014, the Centers for Medicare and Medicaid Services (“CMS”) will publish a list of all payments and transfers of value paid by drug manufacturers to physicians and teaching hospitals on a publicly...more

The Sunshine Act Final Rule: CMS Sheds Light on Reporting Physician and Teaching Hospital Payments

On February 1, 2013, the Centers for Medicare & Medicaid Services (CMS) released a final rule implementing the Physician Payment Sunshine Act (the “Act”). The Act requires certain manufacturers of covered drugs, devices, and...more

Here Comes the Sun: Final Rules Implementing the Federal Sunshine Law

by Ropes & Gray LLP on

On February 1, 2013, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited final rule implementing the Federal Sunshine Law (42 U.S.C. 1320a-7h). (The rule was subsequently published in the Federal...more

Physician Payment Sunshine Rule is Finalized

by Baker Donelson on

The Final Rule implementing the Physician Payment Sunshine Act was announced on February 1st and published in the Federal Register on February 8th. The Final Rule establishes procedures for drug and device manufacturers to...more

The Physician Payment Sunshine Act Final Rule A Summary Of Key Provisions

by Foley Hoag LLP on

On February 1, 2013, Centers for Medicare and Medicaid Services (CMS) published the long-awaited Physician Payment Sunshine Act (Sunshine Act) Final Rule, implementing Section 1128G of the Social Security Act. The...more

Recent PRRB and CMS Administrator Decisions: A Summary for Providers

by Baker Donelson on

In recently released decisions, the PRRB and the CMS Administrator addressed a number of issues of interest to many providers. Short summaries of those decisions are provided below. The PRRB and CMS Administrator post their...more

Healthcare Alert: Better Late than Never - The Sunshine Act Final Regulations are Finally Here!: Covered Recipients

“Covered Recipients” - Physicians - The Final Rule retains the proposed definition of “physician” as meaning doctors of medicine and osteopathy, dentists, podiatrists, optometrists, and chiropractors, who are...more

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