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Policy Corner


Is It Reportable?

A physician's application for surgical privileges was denied because the physician was not board certified in the clinical specialty and subspecialty for which he applied, as required by the hospital to which he applied for surgical privileges. Must this action be reported to the NPDB?

Featured in the March 2025 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

NPDB Technical Assistance: Fraudulent Nursing Degree (Operation Nightingale)

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

Reporting Adverse Clinical Privileges Actions (video - 4:34)


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