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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 Organization Negative Actions or Findings Reporting Exclusions from Participation in Federal or 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

Q&A: Reporting Civil Judgments

  1. A health plan won a civil judgment against a durable medical equipment supply company for submitting false claims, but the durable medical equipment supply company has indicated its intent to appeal the decision. Should a decision to report this action to the NPDB be withheld until after the outcome of the appeal is known?

    No. The health plan should report the civil judgment at the time of the ruling. When the appeal is filed, the health plan should submit a Notice of Appeal.

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