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Overview Submitting Reports to the NPDB Reporting Medical Malpractice Payments Reporting Adverse Clinical Privileges Actions Reporting Adverse Professional Society Membership Actions Reporting State Licensure and Certification Actions Reporting Federal Licensure and Certification Actions Reporting Peer Review Organization Negative Actions or Findings Reporting Private Accreditation Organizations Negative Actions or Findings Reporting Exclusions from Participation in Federal and State Health Care Programs Reporting Federal or State Health Care-Related Criminal Convictions Reporting Health Care-Related Civil Judgments Reporting Other Adjudicated Actions or Decisions

Appendix B: Acronym Guide

ACO

Accountable Care Organization

CDS

Controlled Dangerous Substance

CEU

Continuing Education Unit

CFR

Code of Federal Regulations

CLIA

Clinical Laboratory Improvement Amendments

CMS

Centers for Medicare & Medicaid Services

CVO

Credentials Verification Organization

DBID

Data Bank Identification Number

DCN

Data Bank Control Number

DEA

Drug Enforcement Administration

DOD

Department of Defense

DOJ

Department of Justice

DPDB

Division of Practitioner Data Bank

DVA

Department of Veterans Affairs

EFT

Electronic Funds Transfer

EHR

Electronic Health Record

HCQIA

Health Care Quality Improvement Act of 1986

HHS

Department of Health and Human Services

HIPDB

Healthcare Integrity and Protection Data Bank

HMO

Health Maintenance Organization

IQRS

Integrated Querying and Reporting Service

LAE

Loss Adjustment Expense

MCO

Managed Care Organization

MEC

Medical Executive Committee

MMPR

Medical Malpractice Payment Report

NLC

Nurse Licensure Compact

NPDB

National Practitioner Data Bank

OIG

Department of Health and Human Services, Office of Inspector General

PCMH

Patient-Centered Medical Home

PPO

Preferred Provider Organization

QIO

Quality Improvement Organization

QRXS

Querying and Reporting XML Service