NPDB

Question 1

If the provider wishes to dispute the accuracy of an NPDB - the provider has how many days to do so

Answer 1

60 days

Question 2

How often does the OIG report to the NPDB?

Answer 2

Monthly

Question 3

NPDB is the commonly used source for verifying…

Answer 3

Malpractice history

Question 4

Disciplinary action taken against the license of a dentist is reportable to

Answer 4

the NPDB

Question 5

The DHHS mails a copy of the NPDB report to the named provider. if the provider wishes to dispute the reports accuracy, the provider has how many days to do so?

Answer 5

60 days

Question 6

How many days does a practitioner have to dispute an NPDB report accuracy?

Answer 6

60 Days

Question 7

What is a commonly used source for verifying malpractice history?

Answer 7

NPDB

Question 8

Are payments made by a physician in a malpractice claim reportable to the NPDB?

Answer 8

No

Question 9

Who requires an NPDB?

Answer 9

JC, HFAP, NCQA, AAAHC

Question 10

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB?

Answer 10

Yes

Question 11

The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, the provider has how many days to do so?

Answer 11

60 Days

Question 12

How many days does a practitioner have to dispute an NPDB report accuracy?

Answer 12

60 Days

Question 13

What is a commonly used source for verifying malpractice history?

Answer 13

NPDB

Question 14

Hospitals must query the NPDB when initial appointment, granting of privileges - how often?

Answer 14

every two years

Question 15

Who is required to query the NPDB?

Answer 15

Hospitals

Question 16

Is disciplinary action taken against the license of a dentist reportable to the NPDB?

Answer 16

Yes

Question 17

According to JC, what source may be used to verify malpractice history?

Answer 17

NPDB

Question 18

Is a payment made by an insurance company reportable to the NPDB?

Answer 18

yes

Question 19

Is denial of a medical license application by a state medical board reportable to the NPDB?

Answer 19

Yes

Question 20

How long does a named provider have to dispute the accuracy of an NPDB report?

Answer 20

60 days

Question 21

Are medical malpractice payors required to query the NPDB?

Answer 21

No

Question 22

Within how many days must a medical malpractice payor report payment resulting from written claim or judgement to the NPDB & state licensing board?

Answer 22

30 days

Question 23

What came first - NPDB or HIPDB?

Answer 23

NPDB

Question 24

Professional societies must report adverse actions or payouts within how many days to the NPDB?

Answer 24

15 days

Question 25

Hospitals and healthcare entities must report adverse actions within how many days to the NPDB?

Answer 25

15 days

Question 26

State licensing board must report adverse actions within how many days to the NPDB?

Answer 26

30 days

Question 27

Malpractice payors must report adverse actions or payouts within how many days to the NPDB?

Answer 27

30 days

Question 28

NPDB - JC

Answer 28

The NPDB is to be queried at initial granting of clinical privileges, when a new (additional) privilege(s) is requested, and at the time of renewal of privileges for information on adverse privileging actions taken by other healthcare entities on licensed independent practitioners. The NPDB also provides additional information on malpractice payments, licensure disciplinary actions, adverse actions taken by professional societies against membership, and Medicare/Medicaid Sanctions. the Health Care quality Improvement act of 1986 established the NPDB, thus requiring appropriate agencies to report information related to medical malpractice payments, licensure disciplinary actions, adverse clinical privilege actions taken by a healthcare entity (such as hospitals, ambulatory care centers, health maintenance organizations and group practices) , and adverse actions affecting professional society membership of physicians and dentists. The act allows for organizations to report adverse professional actions taken against other healthcare practitioners other than physicians and dentists, such as podiatrists, psychologists, advanced practice nurses, and physician assistants. The act also requires hospitals and certain other authorized healthcare entities to query the NPDB at initial appointment and when granting clinical privileges an at least every two years thereafter.