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Sunshine Act data now available

By Benjamin Koplin (US), Selina Coleman (US) & Jeff Layne (US) on September 30, 2014
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The “Open Payments” database of transactions reported under the Physician Payments Sunshine Act has launched on its scheduled release date of September 30 and is now available for public review.

Pharmaceutical and medical-device manufacturers reported information about their financial relationships with physicians and teaching hospitals for the second half of 2013 to the Centers for Medicare & Medicaid Services (CMS).

According to CMS’s press release, the data covers 4.4 million payments—totaling nearly $3.5 billion—attributable to over half a million physicians and over a thousand teaching hospitals.

We invite our clients to review the data, available at CMS.gov, and are glad to discuss its implications.

Although CMS has provided context for the reported data—as widely recommended by physician and industry group—the data may give rise to misinterpretation, particularly in light of likely reporting inconsistencies based on unclear guidance in the Sunshine Act regulations and potential errors in the data set.

As we previously reported, CMS has already withheld significant portions of the data based on identified errors.

Photo of Benjamin Koplin (US) Benjamin Koplin (US)
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Photo of Selina Coleman (US) Selina Coleman (US)

Selina practices healthcare law at the Washington, D.C. office of Norton Rose Fulbright.  Focusing on regulatory and litigation matters, Selina provides guidance on compliance questions related to the Physician Payments Sunshine Act, government investigations of Medicare or Medicaid billing, self-disclosures related to fraud-and-abuse…

Selina practices healthcare law at the Washington, D.C. office of Norton Rose Fulbright.  Focusing on regulatory and litigation matters, Selina provides guidance on compliance questions related to the Physician Payments Sunshine Act, government investigations of Medicare or Medicaid billing, self-disclosures related to fraud-and-abuse laws, and appeals related to administrative reimbursement. Her clients include hospitals, pharmaceutical and medical-device manufacturers, and national retail pharmacy chains.  Selina also serves as the Steering Committee Co-Chair for the Health Law Section of the D.C. Bar.

Before joining Norton Rose Fulbright, Selina clerked for the Honorable Rebecca Beach Smith in the United States District Court for the Eastern District of Virginia.

Read more about Selina Coleman (US)Email
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Photo of Jeff Layne (US) Jeff Layne (US)
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  • Posted in:
    Health Care
  • Blog:
    Health Law Pulse
  • Organization:
    Norton Rose Fulbright
  • Article: View Original Source

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