In 1986, Congress passed the Title IV of Public Law 99-660, the Health Care Quality Improvement Act. Included in the law was the establishment of the National Practitioner Data Bank (NPDB), which serves as a federal repository of health care providers in the U.S. The law requires reporting of any hospital, licensure, or professional society actions against doctors, dentists, and other healthcare professionals. It is important for any healthcare professional to be aware of the NPDB and what may be required of them.
What Type of Information Is Reported to the NPDB?
Under the law, the following information is required to by reported to the NPDB by specific health care entities:
Any medical malpractice payments made on a healthcare professional’s behalf, including out-of-court settlements
Any adverse action taken against a healthcare professional’s license or loss of that license
Any punitive finding or action by the state license board or certification authority
Any adverse actions against a healthcare professional’s clinical privileges
Any adverse actions on a healthcare professional’s society membership
Any adverse finding or action by a state or federal licensing agency that is publicly available
Any exclusion from state or federal healthcare programs
Any civil judgments that are healthcare-related
Any criminal convictions that are healthcare-related
Impact of NPDB Reports
NPDB reports are available to healthcare plans, hospitals, licensing boards, and other healthcare entities that may be considering entering into some sort of affiliation with the healthcare professional. Many facilities often use these reports when considering hiring a professional. A report from the NPDB can result in limitation or loss of professional license, denial of credentialing, exclusion in healthcare plans, and an increase in insurance premiums.
Healthcare professionals do have access to any reports that allege the professional has adverse reports against them. The professional also has the right to check to see what entities have received these NPDB reports against them.
If the report is wrong, the professional can take steps to ask the reporting party to correct the report. The professional also has the right to add a statement to the report explaining the incident/events that are contained in the report.
Contact an Illinois Professional License Defense Lawyer
If you have discovered that the NPDB contains reports on you, it is important to contact an Illinois medical license defense attorney to find out what steps you can take to defend yourself. Your career and your future depend on it. Call The Law Offices of Joseph J. Bogdan, LLC at 630-310-1267 to schedule a free consultation.