Quarterly Zone

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Did you register in the Open Payments System yet??

Physician registration is completely voluntary but this is the only way to review and possibly dispute the data submitted about you before it is made public on September 30, 2014. This affects any actively licensed doctors of medicine, osteopathy, podiatry, optometry, dental medicine or dental surgery practicing dentistry and chiropractors. This does not depend on

Have you reviewed the focus areas in the 2014 OIG Workplan?

As part of the Health Care Fraud Prevention and Enforcement Action Team’s success, the Medicare Fraud Strike Force teams will continue to report potential fraud to the OIG.  Payment suspensions may occur while the investigation of credible fraud allegations proceeds.  CMS focuses on false claims related to inappropriate coding, performance of medically unnecessary services, quality-of-care

Does The Sunshine Act Apply To You?

Are you a licensed physician in the US? If the answer is yes and you are not a medical resident then The Physician Payments Sunshine Act applies to you. Beginning August 1, 2013, The Physician Payments Sunshine Act OPEN PAYMENTS program requires transparency of any financial interactions between physicians or hospitals with any applicable manufacturers