Open payments (aka ‘The Sunshine Act’) dispute period ending for 2017 data

December 3, 2018  //  FOUND IN: Updates & Resources

Physicians and other applicable health care providers have until Dec. 31 to dispute reports made to the Centers for Medicare and Medicaid Services (CMS) of payments or other “transfers of value” they received from biomedical companies in 2017.

It is easy to see what has been reported. Just enter the name of the person whose data you want to see into the CMS search tool. It is helpful to add “Michigan” in the state field; leave other fields blank.

If you find data you believe to have been reported in error and you wish to dispute it, click here for the steps you will need to follow. There is no guarantee that the company which submitted the report will change their determination, but the payment will be flagged as disputed. CMS will not assist in disputes and the regulation leaves the final determination to the company.

At Michigan Medicine, some faculty members have successfully disputed and others who’ve had no success.

The process is somewhat onerous so the magnitude of the error is important to consider. Even if one decides not to dispute, it is recommended that you notify the COI staff so that a note can be added to M-Inform. The organization routinely compare sM-Inform disclosures to Open Payments as a ‘double-check’ on M-Inform disclosures.

CMS does offer a Help Desk service. Submit questions to the Help Desk via email at openpayments@cms.hhs.gov or by calling 1-855-326-8366, Monday through Friday, from 9 a.m. to 5 p.m., excluding federal holidays.

Please contact June Insco at insco@umich.edu if you have questions about what is posted or have trouble with the dispute process. Unfortunately, the organization cannot dispute on behalf of someone.

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