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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 Exclusions from Federal
and State Health Care Programs

  1. The owner of a medical supply company was found not guilty of violating the False Claims Act in regard to fraudulent Medicare claims, but the OIG excluded the company from participating in the Medicare program. Should the exclusion be reported to the NPDB?

    Yes. Health care practitioners, providers, or suppliers who are excluded from a Federal or State health care program must be reported to the NPDB. Thus, even though the owner of the medical supply company was found not guilty of False Claim Act violations, the OIG must report the company's exclusion from the Medicare program.

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