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Open Payments

Creating Public Transparency of Industry-Physician Financial Relationships

The Official Website for Open Payments (the Sunshine Act)

Open Payments creates greater transparency around the financial relationships of manufacturers, physicians, and teaching hospitals. The program requires that the following information is reported annually to CMS:

  • Applicable manufacturers of covered drugs, devices, biologicals, and medical supplies to report payments or other transfers of value they make to physicians and teaching hospitals to CMS.
  • Applicable manufacturers and applicable group purchasing organizations (GPOs) to report to CMS certain ownership or investment interests held by physicians or their immediate family members.
  • Applicable GPOs to report to CMS payments or other transfers of value made to physician owners or investors if they held ownership or an investment interest at any point during the reporting year.

 

Important Information

 

Physician and Teaching Hospital Registration in the Open Payments System
Physicians and teaching hospital representatives can register in Open Payments system. Visit the Physician page or Teaching Hospital page for more information. 

View the instructional videos on Physician and Teaching Hospital Registration and Physician and Teaching Hospital Review and Dispute to learn how to register in the Open Payments system and nominate individuals to perform system actions on your behalf, as well as how to review, affirm, initiate, and withdraw disputes in the system. You can also download instructional PDF's from the Downloads sections, below.

 

Industry, Physicians and Teaching Hospitals: 
The Open Payments review and dispute process ends September 8, 2014. The review, dispute and correction process allows physicians and teaching hospitals to review and initiate any disputes regarding the data reported about them by applicable manufacturers and applicable GPOs before CMS makes the information public on September 30, 2014. Visit the Dispute and Resolution page for more information.


Updated Resource for ALL Open Payments System Users: 
The
Open Payments User Guide has been extensively updated to provide industry, physicians, and teaching hospitals with a comprehensive understanding of the Open Payments system and requirements. New chapters include: physician and teaching hospital registration in the Open Payments system, and review and dispute functionality in the Open Payments system.  It can be downloaded on the Open Payments Fact Sheets and User Guides web page

 

CMS developed multiple Quick Reference Guides.  The Quick Reference Guides are one page documents that provide basic instructional guidance on how to register in the Open Payments system, how to review records in the Open Payments system, how an Authorized Representative can accept or reject a nomination and how to initiate and dispute a record in the Open Payments system. They can be downloaded on the Physician web page, Teaching Hospital web page, and Dispute and Resolution web page.


About this Site

This website is your best resource for information about the Open Payments program. Review the categories in the left navigation to learn about the program, how it works, and the resources available to help you meet the program requirements. Check back often for updated tools and resources, plus announcements of future webinars, calls, and meetings.

 

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The information on this site is a summary of the final rule published February 8, 2013 implementing the National Physician Payment Transparency Program (Medicare, Medicaid, Children's Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests [CMS-5060-F], codified at 42 CFR Parts 402 and 403). The summary is not intended to take the place of the final rule, which is the official source for information on the program.