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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

Q&A: Reporting Clinical Privileges Actions

  1. A managed care organization's (MCO's) peer review panel restricts a nurse practitioner's panel membership for 31 days because of concerns about his ability to perform certain procedures. May this be reported?

    Yes. A health plan may elect to report the membership action to the NPDB because adverse panel membership actions taken against health care practitioners other than physicians and dentists may be reported to the NPDB. Adverse panel membership actions taken against physicians and dentists must be reported.

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