What is the purpose of the NPDB data bank?

What is the purpose of the NPDB data bank?

The National Practitioner Data Bank (NPDB) was established by the Health Care Quality Improvement Act of 1986 (HCQIA) to protect the public by restricting the ability of practitioners to move from State to State or hospital to hospital without disclosing medical malpractice payments or adverse action histories at the …

How do I access National Practitioner Data Bank?

Currently, access to information in the NPDB is not available to the public, but only to state licensing boards, hospitals, and other health care entities involved in either discipline, licensing, or credentialing peer review.

Who can access the National Practitioner Data Bank?

Plaintiff’s Attorney and Individuals Representing Themselves Under certain limited conditions, a plaintiff’s attorney or a plaintiff representing him or herself (pro se) is allowed to obtain information from the National Practitioner Data Bank (NPDB).

What is a databank report?

The NPDB, created by federal law, requires reporting of medical malpractice payments and certain adverse actions related to health care practitioners, providers, and suppliers. Although these reports are not available to the general public, various entities (eg.

What does self query mean?

The Self-Query service searches the NPDB to see if the information an individual or entity provides in a Self-Query request matches any report information stored in the NPDB. If such information is found, the Self-Query response will include a copy of all report information. …

Who can access National Practitioner Data Bank?

What is Hipdb?

The Healthcare Integrity and Protection Data Bank (HIPDB) was established by the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, (HIPDB’s authorizing statute is also referred to as Section 1128E of the Social Security Act).

What happens if reported to NPDB?

Reports in the NPDB do not expire. Information reported to the NPDB is maintained permanently, unless it is corrected or voided from the NPDB by the reporting entity or by the NPDB as a result of the Dispute Resolution process.

How does a report stay in the data bank?

Types of Reports (NPDB) It stays in the Data Bank as the current report unless a correction, void or revision-to-action is submitted. A copy is sent to the practitioner named in the report. Reporters must print and mail a copy of the processed Report Verification Document (RVD) to the appropriate State licensing board.

What do you need to know about the National Practitioner Data Bank?

Federal statutes require certain health care organizations to report specific actions to one or both of the Data Banks. To report you must determine your eligibility and be registered with the Data Bank. Organizations that must report to the NPDB include: Hospitals and other health care entities that follow a formal peer review

Why is the data bank important in health care?

The Data Bank is a federally mandated program that protects the public, improves the quality of health care and combats fraud and abuse in health care delivery by providing specific information. Reporting to the Data Bank is an important element in the comprehensive and continuous review of practitioners’ professional credentials.