What can be gained from understanding the details around audits? This is an opportunity to discuss what CMS might leverage with regard to the range of audit findings and how to best prepare.
- Prepare for the audit by improving documentation and process management
- Ensure you have everything needed when requested
- Work with outside and inside counsel to potentially refine the scope of a request when appropriate
Documenting decisions regarding transfers of value and supportive reasoning is even more critical in an era of CMS Audits. Benefit from discussion on ways to improve documentation especially for changes in submission to Open Payments.
- Hear different approaches to assumptions documents
- Gain tips for writing annual year end summaries that serve as an internal highlight reel
- Record contextualization of clinical research information for teaching hospitals
Contextualizing clinical research payments, improving provider data matching and ensuring accurate capture of HCP payments in the virtual environment are just a few of the ongoing challenges with Open Payment submissions. Gain tips to strengthen and improve the accuracy and efficiency of your Open Payments compliance reporting program.
- Capture lessons learned from reporting on NPS and Pas and solve potential roadblocks with data matching
- Respond to inquiries about the data which may require revisions and resubmissions
- Identify techniques to capture complete and accurate HCP Payment data in the virtual environment
- Improve detail and contextualization around clinical research data capture
The uptick in state transparency reporting requirements like those in Connecticut has added a new layer of challenges. Hear an update on increasingly complex state reporting requirements and strategies for compliance.
- Envision how to respond to more complex data requirements
- Overcome the challenge of managing compliance with standards that are not uniform state to state
- Determine responsibilities across government affairs, commercial ops and transparency teams since there are elements of HCP payment, samples, sales call volume and length of calls
While seemingly rudimentary, creating a tree illustrating exactly who has responsibility for education items, rep meals, REMS programs, clinical trials and contracts with doctors on particular products and categories is fundamental to the success of your transparency program. Benefit from examples of how peers are successfully managing sub certification.
- Identify which business units are working with which vendors/customers/third parties
- Educate the organization on how transfers of value may tie into pre-approved categories
- Get certification from internal business units so your business partners can help resolve customer disputes
It’s always important to consider how disputes are currently trending across industry. Here is an excellent opportunity to deliberate examples of both commonplace as well as unique disputes and approaches to resolving them.
- Discuss difficulties with disputes related to debt forgiveness
- Review commercial agreements and work with teams to provide context
- Activate pre-notification for customers who dispute everything
- Assess situations where you need to change data after a dispute and CMS questions the change
Overcome Challenges with Global Transparency Reporting
Best Practices for Medical Device Transparency Reporting
Collecting HCP Identifying Information to Improve Acceptance Rates on Submissions
Getting accurate reports and reconciling attendees with outsourced coordinators of speaker programs is only one of the many challenges for ensuring reporting compliance. Gain tips for compliant reporting and risk management.
- Document data gathering practices and get comfortable with the level of accuracy
- Flagging outliers and auditing for repeat attendees
- Managing risk in virtual programs
Staying on top of evolving and varying country, regional and local requirements and codes is time consuming and complex. Learn more about best practices for ensuring data accuracy, overcoming challenges with global reporting systems and managing cross border spend.
- Understand the specifics of Italian Sunshine Law – what exactly is required to capture?
- Benchmark how peers are adapting to data collection to comply with Italian Sunshine
- Manage cross border spend accurately
- Benchmark how data can be reconciled globally and connect with regional teams
This session provides an opportunity to see and discuss industry trends first hand. Session facilitators have developed topical questions which pinpoint the issues most important for managing a successful transparency program. Based on the anonymous polling results, session facilitators help to identify trends, takeaways and best practices surrounding some of the most critical issues involved in compliant transparency reporting.
Your team must be up to date on the latest techniques for strengthening internal policies and processes for transaction monitoring and auditing activities is crucial to the success of your transparency program. Collect innovative practices to compliance monitoring including social media and field team monitoring.
- Use transparency data to inform and target compliance monitoring initiatives
- Improve frameworks for internal audits, existing reporting policies and data capture methods
- Examine recent enforcement efforts and investigations by OIG using transparency data
Do you have questions about which analytics are most helpful for risk identification? This session is an opportunity to ensure your baseline analytics are helpful to the business and ways you can create meaningful and valuable dashboards for sharing with Chief Compliance Officers.
- Assess the need for and implementation of predictive metrics
- Pinpoint HCP engagement risks and avoid potential enforcement actions
- Use analytics to target auditing and monitoring activities
- Use analytics to target auditing and monitoring activities and translate data into informed business decisions