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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 Professional Society
Membership Actions

  1. A professional society expels a member physician because the physician was convicted of health care fraud. Should this expulsion be reported to the NPDB?

    It depends. Professional societies must report professional review actions based on reasons related to professional competence or professional conduct that adversely affects the membership of a physician or dentist. Generally, the professional society determines whether the activity in question is related to professional competence or professional conduct that adversely affects the member's membership. The professional society must make that determination in this case.

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