Periospectives October-December 2013 : Page 12

FOR YOUR PRACTICE Physician Payment Sunshine Act final rule: W h at is it and w h at should y o u k n ow about it ? With the recent addition of the Final Rule to the Physician Payment Sunshine Act, it is important to understand how this law will affect periodontists. Here are some frequently asked questions about the new law, along with their answers. What is the Physician Payment Sunshine Act final rule? The Physician Payment Sunshine Act is a United States law which requires U.S. manufacturers of drugs, biological products, medical supplies, and medical devices covered under Medicare, Medicaid, or State Children’s Health Insurance Program to annually report gifts, meals, and travel, as well as financial compensation, to “covered recipients,” which includes dentists, to the Secretary of the Department of Health and Human Services. The purpose of the Act is to increase patient safety by increasing transparency in conflicts of interest between health care providers and any outside interest. The Act is part of the Patient Protection and Affordable Care Act. Who is considered a “covered recipient?” Covered recipients include teaching hospitals as well as doctors of medicine and osteopathy, dentists, podiatrists, optometrists, and chiropractors who are legally authorized to practice by their state, regardless of whether they are enrolled in Medicare. Medical residents are exempt. Who is required to collect and track information from “covered recipients?” When will this start? As of August 1, 2013, applicable manufacturers and group purchasing organizations have been required to report all payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare and Medicaid Services (CMS). These payments and transfers must be reported to CMS by March 31, 2014. The report will be made available on a public website on September 30, 2014. AAP Perio spectives | 12

Sunshine Act Final Rule

What is it and what should you know about it ?

With the recent addition of the Final Rule to the Physician Payment Sunshine Act, it is important to understand how this law will affect periodontists. Here are some frequently asked questions about the new law, along with their answers.

What is the Physician Payment Sunshine Act final rule?

The Physician Payment Sunshine Act is a United States law which requires U.S. manufacturers of drugs, biological products, medical supplies, and medical devices covered under Medicare, Medicaid, or State Children’s Health Insurance Program to annually report gifts, meals, and travel, as well as financial compensation, to “covered recipients,” which includes dentists, to the Secretary of the Department of Health and Human Services. The purpose of the Act is to increase patient safety by increasing transparency in conflicts of interest between health care providers and any outside interest. The Act is part of the Patient Protection and Affordable Care Act.

Who is considered a “covered recipient?”

Covered recipients include teaching hospitals as well as doctors of medicine and osteopathy, dentists, podiatrists, optometrists, and chiropractors who are legally authorized to practice by their state, regardless of whether they are enrolled in Medicare. Medical residents are exempt.

Who is required to collect and track information from “covered recipients?” When will this start?

As of August 1, 2013, applicable manufacturers and group purchasing organizations have been required to report all payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare and Medicaid Services (CMS). These payments and transfers must be reported to CMS by March 31, 2014. The report will be made available on a public website on September 30, 2014.

What information about the “covered recipient” will be used?

The covered recipient’s name, specialty, primary business street address, national provider identifier (NPI) number, and state professional license number(s) will be reported.

What must be tracked and reported?

Any single item worth $10 or more, as well as items worth less than $10 when the total amount transferred over a year exceeds $100 must be tracked and reported. This includes reporting certain ownership or investment interests in companies. The following list provides examples of the information that must be reported:

Consulting fees

Royalty payments

Research

Licensing fees

Honoraria

Grants

Charitable donations and gifts

Education

Expenses such as a travel, lodging, entertainment, and meals

Compensation for serving as faculty or as a speaker for an unaccredited and non-certified continued education program

Compensation for serving as faculty or as a speaker for an accredited and certified continued education program

Space rental or facility fees

Current or prospective ownership or investment interest

What should periodontists do in light of the final rule?

1. Register with CMS to receive notifications about what information is reported. You will have 45 days to review any data submitted and dispute inaccurate or misleading data and request corrections.

2. Keep track of what payments or value transfers you receive to ensure that the appropriate information is being reported.

3. Consider how accepting gifts or other financial contributions from manufacturers that must be reported could impact your business.

4. Communicate and maintain open dialogue with any applicable manufacturers from whom you anticipate receiving payments.

5. Consider preparing explanations for these payments to communicate to patients who inquire about them.

Perio people on the move

Dr. Maxine Feinberg has been elected to the position of American Dental Association presidentelect. She will serve as president-elect in 2014 and become president of the ADA in 2015. Watch for an in-depth profile in the next issue of Periospectives!

Dr. Vincent Iacono has been named the Tarrson Family Professor of Periodontology at Stony Brook University School of Dental Medicine, the school’s first endowed professorship. Dr. Iacono is the chair of the School of Dental Medicine’s Department of Periodontology.

Dr. Frank Serio has been appointed dean of the new Bluefield College School of Dental Medicine, scheduled to open in August 2015. Dr. Serio was most recently the program director and associate dean for clinical affairs at East Carolina School of Dental Medicine.

Read the full article at http://onlinedigeditions.com/article/Sunshine+Act+Final+Rule/1597972/190369/article.html.

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