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Policy Corner


Is It Reportable?

A physician was indefinitely excluded from a state Medicaid program because her medical license was suspended in another state. Should this exclusion be reported?

Featured in the July 2019 NPDB Insights


Guidebook Q&As

General Information

Eligible Entities

Subjects of Reports

Queries

Submitting Reports

Medical Malpractice Payments

Clinical Privileges Actions

Professional Society Membership Actions

State Licensure and Certification Actions

Federal Licensure and Certification Actions

Peer Review Organization Negative Actions or Findings

Private Accreditation Organizations Negative Actions or Findings

Exclusions from Federal and State Health Care Programs

Federal or State Health Care-Related Criminal Convictions

Civil Judgments

Other Adjudicated Actions or Decisions

Subject Statements and the Dispute Process

Fees

Policy Guidance

Length of Action Requirement for Reporting Clinical Privileging Actions

When Can Query Responses Be Shared Within a Health Care System?

Medical Malpractice Payments and Sole Shareholder Employees

Medical Malpractice Payment to Non-Patients

Reporting Impaired Practitioners

Reporting Participation in Pretrial Intervention Programs

Use of Private Agreements

Reporting by Non-Licensing Board Agencies

Basis for Action Codes

Resources

NPDB Guidebook

Statutes & Regulations

Information for Attorneys

NPDB Reporting Requirements and Query Access



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