sunshine act overview

8/12/2019 Sunshine Act Overview

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Open Payments Phase 1 Step-by-Step CMS Enterprise Portal Registration for

Physicians and Teaching Hospitals

Ju ne 2014

CMS Disclaimer: This information is a summary of the final rule implementing Open Payments (Medicare, Medicaid, Children's HealthInsurance Programs; Transp arency Reports and Reporting of Physic ian Ownership or Inv estment Interests [ CMS-5060-F], codif ied at 42 CFRParts 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.


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Open Payments (the Sunshine Act)Review

Payments or other transfers of value made

to physicians and teaching hospitals. Certain ownership or investment interestsheld by physician owners or investors ortheir immediate family members.

Applicable manufacturers ofcovered products AND entities

under common ownershipwith applicable manufacturers

who also provide assistanceand support are required to

annually report to CMS:

Payments or other transfers of value madeto physicians.

Certain ownership or investment interestsheld by physician owners or investors andtheir immediate family members.

Applicable group purchasingorganizations (GPOs) are

required to annually report toCMS:

Who is responsible for reporting?


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Registration Overview

Registration is required for physicians and teachinghospitals to review or dispute the followinginformation reported about them by applicable

manufacturers and GPOs: Payments made to physicians and teaching hospitals, Other transfers of value made to physicians and teaching

hospitals, or Ownership or investment interests held by physicians or

their immediate family members Registration will be conducted in two phases this first

reporting year.


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Phase 2 Registration for Physicians andTeaching Hospitals: Open Payments System

Begins July 2014

Physicians and teaching hospitals useEIDM registration credentials to register in

the Open Payments system Once physicians and teaching hospitals are

registered in the Open Payments system,they are able to participate in the review,and dispute process

July2014

*Guidance on how to use EIDM registration credentials to register in the OpenPayments system, and how to review and dispute submitted data is forthcoming


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Phase 1 Registration in EIDM:Identity Verification Process


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EIDM Identity Verification Overview

CMS Enterprise Identity Management system(EIDM) is how CMS verifies user identities

Identity verification is the process of providinginformation (e.g., identity history, credentials, ordocuments) for the purpose of proving that aperson is the same person he or she claims to be

Individuals requesting electronic access to CMSprotected information or systems must first havetheir identities verified


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EIDM Identity Verification (cont.)

All users who register for EIDM have their identities verified EIDM matches information entered by users to information provided

by Experian Out of Wallet (OOW) questions are also used to verify identity OOW questions ask for private data and contain information pulled

from your credit report such as: Mortgage lender name

Previous employer name Auto lender name

OOW questions and answers are shared only between the EIDMregistrant and the verification service provider, Experian; the

information will not be stored in EIDM


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EIDM Identity Verification (cont.)

A soft credit inquiry will be made during EIDMregistration

Soft credit inquiries are visible only to the EIDM

registrant and only appear on credit reportsproduced by Experian (shown as an inquiry made byCMS)

Identity proofing does not affect credit score Contact Experian Proofing Support Services for

assistance with failed identity proofing:1-866-578-5409


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Phase 1 Registration:EIDM New User Registration


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EIDM Registration Overview

EIDM registration is required for accessto the Open Payments system

EIDM registration process is the same forall users You may already have an EIDM account if

you use the Health Insurance OversightSystem (HIOS), the Medicaid and CHIPProgram System (MACPro), or other CMSsystems


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Step 1: Go to CMS Enterprise Portaland Select New User Registration

https://portal.cms.gov
https://portal.cms.gov/https://portal.cms.gov/


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Step 2: Accept Terms & Conditions


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Step 2: Accept Terms & Conditions(cont.)

Two sections are particularly important to read:

1. Consent to monitoring

2. Collection of Personal Identifiable Information or PII

Consent to monitoring means that you agree to allow CMS to monitor you whileyou are on systems accessed through EIDM

PII is information that can be used to uniquely identify, contact, or locate a singleperson or can be used with other sources to uniquely identify a single individual;PII is collected to aid in the identity verification process

Identity verification is required for all users requesting access to any CMSapplication

Personal information collected will be used for the purposes of verifying youridentity only

Once you have read the terms and conditions, check the box labeled I agree tothe terms and conditions before selecting Next to continue


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Step 4: Select User ID, Password, andChallenge Questions


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User ID and Password Criteria User ID

Must be a minimum of 6 and a maximum of 74 characters Special characters permitted: dashes (-), underscores (_), apostrophes

('), periods (.), and at signs (@) Password

Must be a minimum of 8 and a maximum of 20 characters Must contain at least 1 number, 1 uppercase letter, and 1 lowercase

letter

Cannot contain your user ID and must differ from your previous 6passwords

Must be changed every 60 days EIDM will prompt for password change when the 60 day deadline

approaches


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Step 5: Registration Complete

Click on OK to exit and return to the CMS Enterprise Portal home page.

After clicking on OK, you will receive a confirmation email message that containsyour user ID and a link to the CMS Enterprise Portal.


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Confirmation Email


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Unsuccessful EIDM Registration

Individuals with addresses outside of theUnited States may not register successfully in

EIDM They should contact the Open Payments Help

Desk for assistance with EIDM registration Any additional EIDM issues should be directed

to the Open Payments Help Desk [email protected]
mailto:[email protected]:[email protected]


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Using EIDM Registration Credentials to

Request Access to theOpen Payments System


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Requesting Access to the OpenPayments System

In Phase 2 registration, this request inEIDM will allow the individual access to

the Open Payments system Request for this access can occur only

after EIDM registration is successful Request for this access is made through

the CMS Enterprise Portal


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Step 1: On CMS Enterprise Portal,select Login to CMS Secure Portal


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Step 3: Enter EIDM User ID andPassword


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Step 4: Select Request Access Nowunder Request Application Access

After a successful CMS Enterprise Portal login, you will be taken to the CMS Portalhome page (shown below).


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Step 5: Select Request NewApplication Access

If you have access to other CMS applications, you will see thoseapplications listed in the View and Manage My Access table.


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S i d i ifi i


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Step 7: Review Identity VerificationInformation


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Step 9: Confirm Your Information

Some fields willbe pre-populatedwith information

from your EIDMprofile.

Confirm its

accuracy; editfields to correcterrors.

S 9 C fi Y I f i


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Step 9: Confirm Your Information(cont.)


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Step 10: Verify Identity

As previouslyexplained, identityproofing questionsare pulled from the

soft-credit inquirydone during EIDMregistration.

Out-of-Wallet(OOW) questions arebased uponinformation in yourcredit report.


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Step 11: Verifying Identity Successful

St 12 R ti A li ti


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Step 12: Requesting ApplicationAccess Successful

Access may take a few minutes to process Log out of EIDM and log back in to view if it was successful


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Open Payments Access Successful

Log back into theCMS EnterprisePortal to see theOpen Payments tabin the menu bar atthe top of thescreen.

It may take a fewminutes for theOpen Payments tabto appear.


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Next Steps


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What You Can Do Now

Complete Phase 1 by: Registering for your EIDM user ID and password Requesting access to the Open Payments system via

EIDM Review resources on the CMS Open Payments website:

http://go.cms.gov/openpayments

Register on CMS listserv to receive e-mail updates aboutthe Open Payments program go tohttp://go.cms.gov/openpayments and enter emailaddress on the main page, in the "Email Updates" box
http://go.cms.gov/openpaymentshttp://go.cms.gov/openpaymentshttp://go.cms.gov/openpaymentshttp://go.cms.gov/openpayments


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2014 Open Payments Timeline

Feb March April May June July Aug SeptPhase 1 Registration and

Submission

Applicablemanufacturers andapplicable GPOs

Submission ofcorporate profile andaggregate data

Phase 2 Registration andSubmission For Industry

Applicable manufacturers andapplicable GPOs

Step 1 June 1 June 30

Step 2 June 9 June 30

Detaileddatapublishedon public-facing CMSwebsite

Phase 1 Registration for Physiciansand Teaching Hospitals

CMS Enterprise Portal (EIDM)

Phase 2 Registration forPhysicians and Teaching

Hospitals

Open Payments system

Review, Dispute, and

Corrections


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Resources Available

CMS Open Payments website:http://go.cms.gov/openpayments Physician and Teaching Hospital pages of the website

Events page: Open Payments technology-focusedwebinar recordings and materials, plus a schedule ofupcoming webinars

Program Registration page: Supplemental materials,

instruction documents, FAQs & other resources Open Payments Help Desk:

[email protected] or 855-326-8366
http://go.cms.gov/openpaymentsmailto:[email protected]:[email protected]://go.cms.gov/openpayments

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