CMS updates two programs

May 3, 2021

CMS updates two programs

The Open Payments Program is expanding in 2021 and new resources are available on the QPP site.

Open Payments Program
The Centers for Medicare & Medicaid Services developed Open Payments, a national disclosure program to promote financial transparency and accountability in the health care system.

Drug and medical device companies must report payments or transfers of value made to health care providers and teaching hospitals for research, meals, travel, gifts, speaking fees, and more. The nonbiased data is made available to the public annually for their use and interpretation.

Between now and June 30, you can review and dispute any 2020 payment data, before it is published on the CMS website. Sign in or register in the Open Payments system to review your data. To learn more about review and dispute activities, visit the Review and Dispute section on the Open Payments Resources page.

2021 Expansion
The Open Payments Program is expanding in 2021 to include certain payments or transfers of value by company(ies) that meet the definition of a reporting entity (applicable manufacturer or applicable GPO). Learn more about the types of data reported on the Natures of Payment category page. Data for 2021 submitted to CMS will be published in 2022.

The program has also been extended to include five new provider types:

  • Physician assistants
  • Nurse practitioners
  • Clinical nurse specialists
  • Certified registered nurse anesthetists & anesthesiologist assistants
  • Certified nurse-midwives

Don’t wait! Review your data before it becomes public on July 1.

New resources available on the QPP website
CMS has recently added new resources to the Quality Payment Program (QPP) Resource Library. The following resources have been added for 2021:

  • MIPS User Guides, which provide details on a variety of topics to help participants understand the 2021 MIPS performance year requirements.
  • MIPS Measures and Activities Specialty Guides.
  • Medicare Promoting Interoperability Program vs. MIPS Promoting Interoperability Performance Category Infographic.
  • Facility-based Quick Start Guide.
  • Quality Benchmarks.
  • MIPS Data Validation criteria.

The Advocacy Council – we have you covered.

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