Open Payments Phase 1 Step-by-Step CMS Enterprise Portal Registration for Physicians and Teaching Hospitals
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1 Open Payments Phase 1 Step-by-Step CMS Enterprise Portal Registration for Physicians and Teaching Hospitals June 2014 CMS Disclaimer: This information is a summary of the final rule implementing Open Payments (Medicare, Medicaid, Children's Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests [CMS-5060-F], codified at 42 CFR Parts 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.
2 Open Payments (the Sunshine Act) Review Who is responsible for reporting? Applicable manufacturers of covered products AND entities under common ownership with applicable manufacturers who also provide assistance and support are required to annually report to CMS: Payments or other transfers of value made to physicians and teaching hospitals. Certain ownership or investment interests held by physician owners or investors or their immediate family members. Applicable group purchasing organizations (GPOs) are required to annually report to CMS: Payments or other transfers of value made to physicians. Certain ownership or investment interests held by physician owners or investors and their immediate family members. 2
3 Open Payments (the Sunshine Act) Review Who is reported on? Covered Recipient Physicians Doctors of medicine or osteopathy practicing medicine or surgery Doctors of dental medicine or dental surgery practicing dentistry Doctors of podiatric medicine Doctors of optometry Chiropractors All legally authorized by the state to practice Covered Recipient Teaching Hospitals The hospitals that CMS has recorded as receiving payment(s) under Medicare direct graduate medical education (GME), indirect medical education (IME) or psychiatric hospitals IME programs Each year, Open Payments publishes a list of affected teaching hospitals; the list is available on the Open Payments website at ments Physician Owners or Investors Physicians who are owners or investors of an applicable manufacturer or GPO Immediate family members who have ownership or investment interest in an applicable manufacturer or GPO: spouse, natural or adoptive parent, child, or sibling, stepparent, stepchild, stepbrother, or stepsister, father-, mother-, daughter-, son-, brother-, or sister-in-law, grandparent or grandchild, spouse of a grandparent or grandchild 3
4 Open Payments (the Sunshine Act) Registration Overview 4
5 Registration Overview Registration is required for physicians and teaching hospitals to review or dispute the following information 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. 5
6 Phase 1 Registration for Physicians and Teaching Hospitals: EIDM Begins June 1, 2014 Physicians and teaching hospitals register in EIDM NOW! Request access to the Open Payments system via EIDM 6
7 Phase 2 Registration for Physicians and Teaching Hospitals: Open Payments System Begins July 2014 Physicians and teaching hospitals use EIDM registration credentials to register in the Open Payments system July 2014 Once physicians and teaching hospitals are registered in the Open Payments system, they are able to participate in the review, dispute, and correction process *Guidance on how to use EIDM registration credentials to register in the Open Payments system, and how to review, dispute, and correct submitted data is forthcoming 7
8 Phase 1 Registration in EIDM: Identity Verification Process 8
9 EIDM Identity Verification Overview CMS Enterprise Identity Management system (EIDM) is how CMS verifies user identities Identity verification is the process of providing information (e.g., identity history, credentials, or documents) for the purpose of proving that a person is the same person he or she claims to be Individuals requesting electronic access to CMS protected information or systems must first have their identities verified 9
10 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 EIDM registrant and the verification service provider, Experian; the information will not be stored in EIDM 10
11 EIDM Identity Verification (cont.) A soft credit inquiry will be made during EIDM registration Soft credit inquiries are visible only to the EIDM registrant and only appear on credit reports produced by Experian (shown as an inquiry made by CMS) Identity proofing does not affect credit score Contact Experian Proofing Support Services for assistance with failed identity proofing:
12 Phase 1 Registration: EIDM New User Registration 12
13 EIDM Registration Overview EIDM registration is required for access to the Open Payments system EIDM registration process is the same for all users You may already have an EIDM account if you use the Health Insurance Oversight System (HIOS), the Medicaid and CHIP Program System (MACPro), or other CMS systems 13
14 Step 1: Go to CMS Enterprise Portal and Select New User Registration 14
15 Step 2: Accept Terms & Conditions 15
16 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 while you are on systems accessed through EIDM PII is information that can be used to uniquely identify, contact, or locate a single person 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 CMS applications Personal information collected will be used for the purposes of verifying your identity only Once you have read the terms and conditions, check the box labeled I agree to the terms and conditions before selecting Next to continue 16
17 Step 3: Enter Personal Information Required fields are marked with an asterisk. Completing all fields, even those that are not required, will speed-up identity verification. 17
18 Step 4: Select User ID, Password, and Challenge Questions 18
19 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 6 passwords Must be changed every 60 days EIDM will prompt for password change when the 60 day deadline approaches 19
20 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 message that contains your user ID and a link to the CMS Enterprise Portal. 20
21 Confirmation 21
22 Unsuccessful EIDM Registration Individuals with addresses outside of the United 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 at 22
23 Using EIDM Registration Credentials to Request Access to the Open Payments System 23
24 Requesting Access to the Open Payments System In Phase 2 registration, this request in EIDM 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 24
25 Step 1: On CMS Enterprise Portal, select Login to CMS Secure Portal 25
26 Step 2: Accept Terms & Conditions 26
27 Step 3: Enter EIDM User ID and Password 27
28 Step 4: Select Request Access Now under Request Application Access After a successful CMS Enterprise Portal login, you will be taken to the CMS Portal home page (shown below). 28
29 Step 5: Select Request New Application Access If you have access to other CMS applications, you will see those applications listed in the View and Manage My Access table. 29
30 Step 6: Select Application and Role Application Description: Open Payments Role: Applicable Manufacturer, GPO, Physician, or Teaching Hospital 30
31 Step 7: Review Identity Verification Information 31
32 Step 8: Accept Terms & Conditions 32
33 Step 9: Confirm Your Information Some fields will be pre-populated with information from your EIDM profile. Confirm its accuracy; edit fields to correct errors. 33
34 Step 9: Confirm Your Information (cont.) 34
35 Step 10: Verify Identity As previously explained, identity proofing questions are pulled from the soft-credit inquiry done during EIDM registration. Out-of-Wallet (OOW) questions are based upon information in your credit report. 35
36 Step 11: Verifying Identity Successful 36
37 Step 12: Requesting Application Access Successful Access may take a few minutes to process Log out of EIDM and log back in to view if it was successful 37
38 Open Payments Access Successful Log back into the CMS Enterprise Portal to see the Open Payments tab in the menu bar at the top of the screen. It may take a few minutes for the Open Payments tab to appear. 38
39 Next Steps 39
40 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: Register on CMS listserv to receive updates about the Open Payments program go to and enter address on the main page, in the " Updates" box 40
41 2014 Open Payments Timeline Feb March April May June July Aug Sept Phase 1 Registration and Submission Applicable manufacturers and applicable GPOs Submission of corporate profile and aggregate data Phase 2 Registration and Submission For Industry Applicable manufacturers and applicable GPOs Step 1 June 1 June 30 Step 2 June 9 June 30 Phase 1 Registration for Physicians and Teaching Hospitals CMS Enterprise Portal (EIDM) Detailed data published on publicfacing CMS website Phase 2 Registration for Physicians and Teaching Hospitals Open Payments system Review, Dispute, and Corrections 41
42 Resources Available CMS Open Payments website: Physician and Teaching Hospital pages of the website Events page: Open Payments technology-focused webinar recordings and materials, plus a schedule of upcoming webinars Program Registration page: Supplemental materials, instruction documents, FAQs & other resources Open Payments Help Desk: openpayments@cms.hhs.gov or
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