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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 Other Adjudicated Actions
or Decisions

  1. After an investigation and formal hearing, a State hospital suspended without pay one of its physician employees after discovering that the physician had misrepresented his credentials on his employment application. Is this reportable?

    Yes. Certain State agencies, including State agencies administering State health care programs, must report other adjudicated actions or decisions to the NPDB. Other adjudicated actions or decisions are formal or official final actions taken against a health care practitioner, provider, or supplier that are related to the delivery of a health care item or service and that include the availability of a due process mechanism.

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