Generated by All in One SEO v4.9.9, this is an llms.txt file, used by LLMs to index the site. # National Practitioner Data Bank - Information For Users Healthcare Integrity and Protection ## Sitemaps - [XML Sitemap](https://www.npdb-hipdb.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Pages - [The Data Bank](https://www.npdb-hipdb.com/) - The National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB) are confidential information clearinghouses. - [Section 1128E of the Social Security Act](https://www.npdb-hipdb.com/legislation-and-regulations/section-1128e-of-the-social-security-act/) - (P.L. 104-191, the Health Insurance Portability and Accountability Act of 1996). For more information regarding 1128 a 1 program related conviction, see below. - [Continuous Query (PDS)](https://www.npdb-hipdb.com/healthcare-organisations/querying/continuous-query-pds/) - What does PDS stand for? Continuous query is formerly known as Proactive Disclosure Service (PDS). - [Reporting](https://www.npdb-hipdb.com/healthcare-organisations/reporting/) - What happens if you are reported to the NPDB? Reporting certain adverse information is required by law and fosters quality in health care. - [Data Bank Education and Feedback Forum](https://www.npdb-hipdb.com/data-bank-education-feedback-forum/) - The Division of Practitioner Data Banks (DPDB) created a Data Bank Education Forum, made up of registered users who offer their feedback periodically, to help build a strong Data Banks community. The primary mission of the Forum is to discuss issues regarding the Integrated Querying and Reporting System (IQRS); identify enhancements that make interaction with - [Software](https://www.npdb-hipdb.com/software/) - Does your organization use an in-house credentialing system to manage and store practitioner data? Do you submit a large number of queries and reports to the Data Bank? Do you want to send and receive your data electronically using your in-house system? If so, you can use the software QRXS to query, report, and receive - [Statistical Data](https://www.npdb-hipdb.com/statistical-data/) - Access to Data Bank statistical data is provided to assist in the learning, analysis, and decision making that is vital to your organization. These data provide information about the kinds of organizations that use the Data Bank and the types of reports that are received each year. No personally identifying information is provided. Public Use - [Legislation and Regulations](https://www.npdb-hipdb.com/legislation-and-regulations/) - Federal legislation and regulations are the foundation of the Data Bank. The National Practitioner Data Bank and the Health Integrity and Protection Data Bank were created under different laws and have separate governing regulations. In addition, there are other important Federal laws that play a vital role with the Data Bank. NPDB Title IV of - [Outreach](https://www.npdb-hipdb.com/outreach/) - The Data Bank sponsors many outreach events to help educate user groups and build community cohesion. Events such as trade shows, conferences, speaking engagements, and other activities help Data Bank users learn from and listen to each other, furthering the common goal of improving the quality of health care. Upcoming events are listed below. Upcoming - [Types of Doctors](https://www.npdb-hipdb.com/types-of-doctors/) - The human body is a very complex system that is made up of numerous organs and tissues. Each body contains several major systems, tissues, and vital organs that all work together and contribute to the overall health and well being of the body. We rely upon several different types of doctors to ensure good health - [Resources](https://www.npdb-hipdb.com/resources/) - There are a wide variety of resources available to help you understand and use the Data Bank. Whether you are a new user that wants to learn the basics, a returning user in need of a quick answer, or simply looking to understand a topic on a deeper level, there are resources available that provide - [Healthcare Organizations](https://www.npdb-hipdb.com/healthcare-organisations/) - For healthcare organizations such as hospitals etc., you may submit queries and/or reports on practitioners, providers, and suppliers using the Data Bank. - [When to Search for Your Own Reports](https://www.npdb-hipdb.com/practitioners/when-to-search-for-your-own-reports/) - When should you access the Data Bank to see if there is information on you? What are the steps to finding this information? As a practitioner, provider, or supplier, there are some typical scenarios describing the reasons why you will want to go to the Data Bank Web site and search for reports on you. - [What You Must Report to the Data Bank](https://www.npdb-hipdb.com/healthcare-organisations/reporting/what-you-must-report-to-the-data-bank/) - The Data Bank collects information on and maintains reports on the following: Medical malpractice payments Adverse licensure and certification actions Adverse clinical privilege actions Adverse professional society membership actions Health care-related criminal convictions and civil judgments and other adjudicated actions Medicare/Medicaid exclusions Other adjudicated actions against practitioners, providers, and suppliers Any negative action or finding - [View Billing History](https://www.npdb-hipdb.com/healthcare-organisations/querying/view-billing-history/) - You can monitor Data Bank charges to your credit card or electronic funds transfer (EFT) account from the Billing History page. On this page, you will find the billing status of your query, the date it was billed, the amount charged, the Data Bank that was queried, and other helpful billing information. To View Your - [Verify and Update Your Address](https://www.npdb-hipdb.com/practitioners/responding-to-reports/verify-and-update-your-address/) - The Report Response Service (RRS) is where you update your home and work addresses as they are maintained within the Data Bank. The Data Bank, by law, must process a report exactly as it is received by the reporting organization, and the reporting organization is responsible for the accuracy of the information reported. To Update - [Use Continuous Query (PDS)](https://www.npdb-hipdb.com/healthcare-organisations/querying/use-continuous-query-pds/) - When using Continuous Query for 24/7 notification of query responses, you can perform the following actions. Click below to learn more. Access Continuous Query Activate Continuous Query Enroll and Receive Continuous Query Notifications Renew a Continuous Query Enrollment Update a Practitioner Profile in Continuous Query Cancel a Continuous Query Enrollment - [Traditional Querying](https://www.npdb-hipdb.com/healthcare-organisations/querying/traditional-querying/) - Submitting a one-time query and receiving a response that includes all Data Bank information on the queried practitioner or organization is called traditional querying. To find out if practitioners have adverse licensure actions, adverse clinical privilege actions, Medicare/Medicaid exclusions, civil and criminal convictions, or medical malpractice payments, you can submit an individual query on a - [Terms Of Service - npdb-hipdb.com](https://www.npdb-hipdb.com/terms-of-service/) - By accessing npdb-hipdb.com, you agree to be bound by the Terms and Conditions and agree that you are responsible for compliance with any applicable laws. - [Submitting a Factually-Sufficient Narrative](https://www.npdb-hipdb.com/healthcare-organisations/reporting/submitting-a-factually-sufficient-narrative/) - Clearly describing the events that led to the reportable action is an extremely important step in submitting a report to the Data Bank. You must describe the action in enough detail so that future queriers have a clear understanding of what the practitioner is alleged to have done and the nature of and reasons for - [Submit a Statement](https://www.npdb-hipdb.com/practitioners/responding-to-reports/submit-a-statement/) - If you are the subject of a Data Bank report, you have the right to add a subject statement to the report at any time. This does not mean that you can change or correct a report, because the reporting organization and the Secretary of HHS are the only ones who can modify or void - [Submit a Report](https://www.npdb-hipdb.com/healthcare-organisations/reporting/submit-a-report/) - To submit a report with the Data Bank, complete the appropriate report form based on the type of action being taken. Provide as much information as possible and explain in detail the actions which lead to the report in the narrative description. Report information received by organizations should be used in conjunction with other relevant - [Submit a Query](https://www.npdb-hipdb.com/healthcare-organisations/querying/submit-a-query/) - As part of a comprehensive review of practitioners' or organizations' credentials, you can query for any adverse action including licensure and privileging actions, Medicare/Medicaid exclusions, and medical malpractice payment reports. If you are a hospital, you must query practitioners when they initially apply for privileges on your medical staff, and then every two years while - [Standard Reporting](https://www.npdb-hipdb.com/healthcare-organisations/reporting/standard-reporting/) - Reporting through the Data Bank Web site is the primary method used by most health care organizations registered with the Data Bank. (The other method is reporting through an external application.) The Web-application through which reporting (and querying) takes place is called the Integrated Querying and Reporting Service (IQRS). The IQRS makes it easy for - [Section 1921 of the Social Security Act](https://www.npdb-hipdb.com/legislation-and-regulations/section-1921-of-the-social-security-act/) - Section 1921 authorizes the National Practitioner Data Bank (NPDB) to expand the information it collects. With this legislation, disciplinary records of allied health care professionals are now accessible to private sector hospitals, nursing homes, and other organizations so that they may be used when making employment, affiliation, certification, or licensure decisions. The intent of this - [Responding to Reports](https://www.npdb-hipdb.com/practitioners/responding-to-reports/) - It's time to tell your side of the story. If you or your health care organization are the subject of a report in the Data Bank, you can add or change your statement at any time. Also if you dispute either the factual accuracy of the report or whether it was a reportable event, there - [Registration](https://www.npdb-hipdb.com/healthcare-organisations/registration/) - Registration certifies that your health care organization is eligible to query and/or report to the Data Bank based on the relevant statutes. It also helps the Data Bank maintain the integrity and confidentiality of information, as well as keep in touch with you. You must renew your registration every 2 years in order to continue - [Register Online as an Organization](https://www.npdb-hipdb.com/healthcare-organisations/register-online-as-an-organization/) - By registering with the Data Bank, you certify your organization's eligibility to submit queries and/or reports. Some health care organizations, such as hospitals, are required to register with the Data Bank in order to carry out their mandatory querying and reporting responsibilities. For more information on the specific eligibility requirements for registering with the Data - [Register Online as an Authorized Agent](https://www.npdb-hipdb.com/healthcare-organisations/register-online-as-an-authorized-agent/) - Health care organizations can appoint an authorized agent to query and/or report to the Data Bank on their behalf. To become an authorized agent, you must first register online with the Data Bank. There are guidelines that a health care organization can follow when designating an authorized agent, see Designate an Agent for detailed instructions. - [Querying](https://www.npdb-hipdb.com/healthcare-organisations/querying/) - The Data Bank is a federally mandated program that helps promote quality health care, prevent patient harm, and combat fraud and abuse in health insurance and health care delivery. Querying the Data Bank is an important element in the comprehensive, continuous review of practitioners' professional credentials. Depending on your registration, you can query NPDB, HIPDB, - [Privacy Policy](https://www.npdb-hipdb.com/privacy-policy/) - We have developed this Policy for you to understand how we collect, use, communicate and disclose and make use of personal information. - [Practitioner Database](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/practitioner-database/) - It can be an arduous process to manually enter all the required identifying information when you query or report on practitioners. However, creating and maintaining a practitioner (subject) database can make that process much quicker by automatically pre–populating input forms with identifying information — no need to retype data. How to Get Started To get - [Management Tools](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/) - Management tools are necessary to support the key Data Bank activities of querying and reporting. These tools help Data Bank Administrators and users perform such behind-the-scenes activities as creating and maintaining a practitioner (subject) database, maintaining credit cards, updating profile information, selecting notification preferences, and managing user IDs and passwords. Administrators and Users Querying and - [Information for Attorneys](https://www.npdb-hipdb.com/legislation-and-regulations/information-for-attorneys/) - Attorneys and plaintiffs representing themselves are granted access to NPDB reports under specific conditions, enabling them to collect the information necessary for their case. Because confidentiality and privacy are of the utmost importance, information is made available only under the circumstances listed below. Who Can Access What? Plaintiff's Attorney and Individuals Representing Themselves Under certain - [Has a Report Been Filed on You?](https://www.npdb-hipdb.com/practitioners/has-a-report-been-filed-on-you/) - You want to find out if there is a report on you or your practitioner organization - either for your own interest, at the request of a potential employer, licensor, or insurance provider. Requesting the Data Bank to search for a report on yourself is referred to as doing a self-query, or using the Data - [FAQs - Software Troubleshooting](https://www.npdb-hipdb.com/software/faqs-software-troubleshooting/) - I am an Interface Control Document Transfer (ITP) user and I get an error that I do not recognize when I attempt to submit a file. Is there a list of error codes available? If any status code other than C00 is returned, the overall status should indicate "Not Done." If you receive the error - [Enroll and Receive Continuous Query (PDS) Notifications](https://www.npdb-hipdb.com/healthcare-organisations/querying/use-continuous-query-pds/enroll-and-receive-continuous-query-pds-notifications/) - Once you activate Continuous Query, you must enroll practitioners to begin receiving the benefits of Continuous Query notifications. Enrolling practitioners satisfies accreditation standards for continuous monitoring. Enrolled practitioners are continuously queried and you are alerted when a new, revised, corrected, or voided report is received. To Enroll Practitioners First, you must activate Continuous Query. Then, - [Download Query Responses](https://www.npdb-hipdb.com/healthcare-organisations/querying/download-query-responses/) - An official query response from the Data Bank is typically available to you online within 1 to 2 hours after submission. You can use the one-page query response to show compliance with the mandated querying requirements. After your query is successfully processed, download the official response and save or file it. Note: If a query - [Dispute a Report](https://www.npdb-hipdb.com/practitioners/responding-to-reports/dispute-a-report/) - The Data Bank is committed to maintaining accurate information so that you are represented fairly by the reports that are disclosed. However, the Data Bank is legally prohibited from making any changes to the reports. The health care organizations are responsible for providing accurate information in the reports they submit. If you are the subject - [Create and Maintain a Practitioner Database](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/create-and-maintain-a-practitioner-database/) - Creating a practitioner (subject) database offers an easy method for storing and maintaining information that is required when querying and reporting to the Data Bank. Information such as address, date of birth, and licensure data is used to pre-populate input forms for querying and reporting. If you have existing practitioner records in an in-house database, - [Cancel a Continuous Query (PDS) Enrollment](https://www.npdb-hipdb.com/healthcare-organisations/querying/use-continuous-query-pds/cancel-a-continuous-query-pds-enrollment/) - You must cancel a practitioner's enrollment in Continuous Query when they leave your organization. If the practitioner's enrollment is not canceled, your lack of action might result in a civil money penalty. Once an enrollment is canceled it cannot be reactivated; however, a practitioner can be reenrolled at a future time. Enrollments canceled before their - [Billing and Fees](https://www.npdb-hipdb.com/healthcare-organisations/querying/billing-and-fees/) - The Data Bank must charge a minimum fee to recover the costs of operating the Data Bank, according to Federal law. The Data Bank does not receive Federal appropriations; i.e., Federal taxes do not support the Data Bank. Payment is safe, secure, and can be made by major credit card or electronic funds transfer (EFT). - [Authorized Agents](https://www.npdb-hipdb.com/healthcare-organisations/authorized-agents/) - Trying to find the right way for your organization to meet your querying or reporting responsibility? Designate authorized agents to act on your behalf. - [Attorney Information](https://www.npdb-hipdb.com/attorney-information/) - A plaintiff's attorney information or a plaintiff representing themself (pro se) is granted access to NPDB reports under specific conditions. - [Activate Continuous Query (PDS)](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/activate-continuous-query-pds/) - Enroll practitioners in Continuous Query and stay informed. This service meets the legal and accreditation requirements for querying the Data Bank as long as your practitioners remain enrolled. You are notified within 24 hours when a new, revised, voided, or corrected report is received by the Data Bank. To Activate Notifications The Data Bank Administrator - [Activate Continuous Query (PDS)](https://www.npdb-hipdb.com/healthcare-organisations/querying/use-continuous-query-pds/activate-continuous-query-pds/) - Enroll practitioners in Continuous Query and stay informed. This service meets the legal and accreditation requirements for querying the Data Bank as long as your practitioners remain enrolled. You are notified within 24 hours when a new, revised, voided, or corrected report is received by the Data Bank. To Activate Notifications The Data Bank Administrator - [About Us](https://www.npdb-hipdb.com/about-us/) - This website is a collection of information to assist Medical Practitioners and Health Organizations navigate the National Practitioner Data Bank. - [Renew Registration](https://www.npdb-hipdb.com/healthcare-organisations/renew-registration/) - Renewing your registration on time ensures that you have continual access to the Data Bank and that you can continue to submit queries and reports. Every two years, you are required to renew your registration. Thirty days prior to your renewal date, you will receive notification through Data Bank correspondence that it is time to - [Elevate a Report to Secretarial Review](https://www.npdb-hipdb.com/practitioners/responding-to-reports/elevate-a-report-to-secretarial-review/) - The Data Bank is dedicated to providing you with a process to ensure that reports contain accurate, complete, timely, and relevant information and meet the legal requirements. If you have disputed a report and the reporting health care organization has either not responded or has not resolved the matter to your satisfaction, you can choose - [Contact Us](https://www.npdb-hipdb.com/contact-us/) - If you have any questions regarding the National Practitioner Data Bank, just fill out this form and I will contact you as soon as possible. - [Practitioners](https://www.npdb-hipdb.com/practitioners/) - If you are a practitioner, provider, or supplier and you have found your way here, more than likely you have questions: Who and what is the Data Bank? Am I in the right place to get the information my potential employer is requesting? If a report has been filed on me, what am I supposed - [Billing and Fees](https://www.npdb-hipdb.com/practitioners/billing-and-fees/) - The Data Bank must charge a fee to recover its operating costs, according to Federal law. The Data Bank does not receive Federal appropriations; i.e., Federal taxes do not support the Data Bank. Payment is safe and secure and is done through major credit cards (VISA, MasterCard, Discover, or American Express). Any changes to fees - [Glossary](https://www.npdb-hipdb.com/glossary/) - A Adverse Action(1) An action taken against a practitioner's clinical privileges or medical staff membership in a health care organization, (2) a licensure disciplinary action, (3) a Medicare/Medicaid Exclusion action, or (4) any other adjudicated action. Adverse Action CodesThe codes used on reports to identify the adverse action that was taken. They are used when - [Public Use Data File](https://www.npdb-hipdb.com/statistical-data/public-use-data-file/) - The NPDB Public Use Data File contains selected variables from medical malpractice payment and adverse licensure, clinical privileges, professional society membership, and Drug Enforcement Administration (DEA) reports (adverse actions) received by the NPDB concerning physicians, dentists, and other licensed health care practitioners. It also includes reports of Medicare and Medicaid exclusion actions taken by the - [Title IV of Public Law 99-660](https://www.npdb-hipdb.com/legislation-and-regulations/title-iv-of-public-law-99-660/) - The Health Care Quality Improvement Act of 1986, as amended 42 USC Sec. 11101 01/26/98 TITLE 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 117 - ENCOURAGING GOOD FAITH PROFESSIONAL REVIEW ACTIVITIES Sec. 11101. Findings The Congress finds the following: (1) The increasing occurrence of medical malpractice and the need to improve the quality of - [FAQs - Policy Guidance](https://www.npdb-hipdb.com/faqs-policy-guidance/) - How do I report an action taken against a nurse who is licensed in another State but is authorised to practice in our State under the Nurse Licensure Compact (NCL)? The Nurse Multi-State Privilege Adverse Action Classification Codes were developed to allow the reporting of actions taken against a nurse's privilege to practice under the - [Deactivate an Authorized Agent](https://www.npdb-hipdb.com/healthcare-organisations/authorized-agents/deactivate-an-authorized-agent/) - Both health care organizations and their designated agents have the ability to end an authorized agent relationship. The Data Bank Administrator for either organization can terminate the relationship using the appropriate process provided below. Once an administrator deactivates the relationship, an email notification is sent to the other organization's Data Bank Administrator requesting that the - [Designate an Authorized Agent](https://www.npdb-hipdb.com/healthcare-organisations/authorized-agents/designate-an-authorized-agent/) - Health care organizations can use authorized agents to perform their credentialing tasks of querying and reporting to the Data Bank. To establish an authorized agent, both the health care organization and the agent must be properly registered with the Data Bank and have a mutually-written agreement in effect prior to the authorized agent's query or - [Manage User IDs and Passwords](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/manage-user-ids-and-passwords/) - Because the information contained in the Data Bank is sensitive, personal, and not accessible to the general public, registered health care organizations must set up and authorize individual users with user IDs and passwords. Data Bank Administrator Every registered health care organization identifies a Data Bank Administrator, who performs the administrative tasks of establishing individual - [Update Profile Information](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/update-profile-information/) - Updating your profile information gives you the ability to make changes to your payment, notification, and agent-health care organization relationship preferences. It also gives you the chance to keep important profile information up-to-date, such as a change in your point of contact or the name of your health care organization. Some information can be changed - [Maintain Credit Cards](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/maintain-credit-cards/) - To simplify the query payment process, the Data Bank accepts credit cards (VISA, MasterCard, American Express and Discover) for payment of query fees. The Data Bank Administrator can enter the credit card information, and then assign the card data to individual users who then submit queries for processing. Credit card information is stored securely on - [Notification Preferences](https://www.npdb-hipdb.com/healthcare-organisations/management-tools/notification-preferences/) - Data Bank Administrators (for health care organizations and authorized agents) and users can set up and change preferences on the type and frequency of notifications received. These notifications, received either by email or U.S. mail, are primarily for announcements or updates of report disclosures, change notifications (e.g., name, age, address), and the Data Bank newsletters. - [Retrieve Historical Query and Report Summaries](https://www.npdb-hipdb.com/healthcare-organisations/reporting/retrieve-historical-query-and-report-summaries/) - When you initially submit a Data Bank query or report, the results are available for 45 days for you to print or save to your computer. There may be times, however, when you need to verify or search for specific organizations or individuals on which you previously queried or reported. You may also want to - [Reporting Through an External Application](https://www.npdb-hipdb.com/healthcare-organisations/reporting/reporting-through-an-external-application/) - As an alternative to reporting via the Data Bank Web site, you have the option to report through an external application called the Querying and Reporting XML Service (QRXS). Whether you report to the National Practitioner Data Bank (NPDB), the Healthcare Integrity and Protection Data Bank (HIPDB), or both, reporting through an external application, such - [Data Bank Querying and Reporting Codes](https://www.npdb-hipdb.com/healthcare-organisations/data-bank-querying-and-reporting-codes/) - It is important that all reports and queries you submit are properly completed and contain codes that accurately represent, for example, the type of practitioner, the reportable action, or the purpose of a query. Your accurate reporting and querying result in better information for protecting the public and in fulfilling the mission of the Data - [Retrieve Historical Query and Report Summaries](https://www.npdb-hipdb.com/healthcare-organisations/querying/retrieve-historical-query-and-report-summaries/) - When you initially submit a Data Bank query or report, the results are available for 45 days for you to print or save to your computer. There may be times, however, when you need to verify or search for specific organizations or individuals on which you previously queried or reported. You may also want to - [Update a Practitioner Profile in Continuous Query (PDS)](https://www.npdb-hipdb.com/healthcare-organisations/querying/use-continuous-query-pds/update-a-practitioner-profile-in-continuous-query-pds/) - By updating a practitioner's profile within Continuous Query, you are helping to ensure the accuracy of the reports that are disclosed to you. Updates such as changes in name or licensure information are an important part of identifying each practitioner. You may also view helpful practitioner information, such as enrollment confirmations and reports, while updating - [Renew a Continuous Query (PDS) Enrollment](https://www.npdb-hipdb.com/healthcare-organisations/querying/use-continuous-query-pds/renew-a-continuous-query-pds-enrollment/) - To maintain continuous querying of practitioners, you must renew your Continuous Query enrollments annually. Don't let the benefit lapse. You have the option to renew enrollments manually on an annual basis or renew through the automatic renewal process. If you choose to renew manually, you will receive a reminder email two months before the enrollments - [Access Continuous Query (PDS)](https://www.npdb-hipdb.com/healthcare-organisations/querying/use-continuous-query-pds/access-continuous-query-pds/) - When you enroll practitioners in Continuous Query you improve your credentialing process because you know immediately when reports are filed on your practitioners. It is like performing a query every day on your enrolled practitioners without doing the work. You will receive notice within 24 hours of the Data Bank's receipt of all licensure actions, - [Querying Through an External Application](https://www.npdb-hipdb.com/healthcare-organisations/querying/querying-through-an-external-application/) - As an alternative to querying via the Web site, the Data Bank offers querying through an XML-based application programming interface called the Querying and Reporting XML Service (QRXS), which is an ideal choice if you store and manage practitioner data within your own information or credentialing systems or if you submit a large number of ## Posts - [Attribution](https://www.npdb-hipdb.com/attribution/) - This site has been created with the help of many different people and companies.This site was built on a powerful, Inspirations based web builder called BoldGrid. It is running on WordPress, the most popular content management software online today. Web hosting support is provided by DreamHost. 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