The Health Care Quality Improvement Act of 1986 (HCQIA), as amended, title IV of Public Law 99-660 (42 U.S.C. 11101 et seq.) (hereinafter referred to as “title IV”), authorizes the Secretary to establish (either directly or by contract) a National Practitioner Data Bank (NPDB) to collect and release certain information relating to the professional competence and conduct of physicians, dentists, and other health care practitioners. Section 1921 of the Social Security Act (hereinafter referred to as “section 1921”), as amended, (42 U.S.C. 1396r-2) expanded the requirements under the NPDB and requires each state to adopt a system of reporting to the Secretary adverse licensure or certification actions taken against health care practitioners, health care entities, providers, and suppliers, as well as certain final adverse actions taken by state law and fraud enforcement agencies against health care practitioners, providers, and suppliers. Section 1128E of the Social Security Act (hereinafter referred to as “section 1128E”), as amended, (42 U.S.C. 1320a-7e) authorizes the Secretary to implement a national healthcare fraud and abuse data collection program for the reporting and disclosing of certain final adverse actions taken by Federal Government agencies and health plans against health care practitioners, providers, and suppliers. Information from section 1921 and section 1128E is to be reported and distributed through the NPDB. The regulations in this part set forth the reporting and disclosure requirements for the NPDB, as well as procedures to dispute the accuracy of information contained in the NPDB.
[78 FR 20484, Apr. 5, 2013, 78 FR 25860, May 6, 2013]
Notes of Decisions
Chadha v. Charlotte Hungerford Hosp., 865 A.2d 1163 (Conn. 2005).
“See 45 C.F.R. § 60.1 (2003). The National Practitioner Data Bank gathers information concerning, inter alia, disciplinary action taken against a physician by a state medical licensing board and *779 the restriction or termination of a physician’s clinical privileges by a health…”
Agee v. United States, 72 Fed. Cl. 284 (Fed. Cl. 2006).
“” 45 C.F.R. § 60.1 . State licensing boards and Boards of Medical Examiners can request information in the NPDB.”
Doe v. Leavitt, 552 F.3d 75 (1st Cir. 2009).
“See 45 C.F.R. § 60.1 . On September 19, Dr. Doe requested administrative review of the Hospital’s filing.”
Doe v. Rodgers, M.H.A., 139 F. Supp. 3d 120 (D.D.C. 2015).
“45 C.F.R. § 60.1 . The National Practitioner Data Bank collects and releases information that the Health Care Quality Improve *128 ment Act requires health care entities to report regarding, the “professional competence and conduct of .”
Klaine v. S. Illinois Hosp. Servs., 2016 IL 118217 (Ill. 2016).
“See 45 C.F.R. § 60.1 et seq. (2013). SIHS argues that this information is privileged pursuant to section 11137(b)(1) of the Health Care Quality Improvement Act, which provides that “[i]nformation reported under this subchapter is considered confidential.”
Teague v. St. Paul Fire & Marine Ins. Co., 10 So. 3d 806 (La. Ct. App. 2009).
“” 45 C.F.R. § 60.1 . Any insurance company which makes a payment under a policy "for the benefit of a physician, dentist or other health care practitioner in settlement of or in satisfaction in whole or in part of a claim or a judgment” for malpractice must report certain…”
Troescher v. Grody, 869 A.2d 1014 (Pa. Super. Ct. 2005).
“The Data Bank is governed by federal regulations, set forth at 45 C.F.R. § 60.1 et seq. ¶ 16 The Data Bank collects data on physicians from a variety of sources.”
Klaine v. S. Illinois Hosp. Servs., 2016 IL 118217 (Ill. 2016).
“See 45 C.F.R. § 60.1 et seq. (2013). SIHS argues that this information is privileged pursuant to section 11137(b)(1) of the Health Care Quality Improvement Act, which provides that “[i]nformation reported under this subchapter is considered confidential.”
Goodrich v. Teets, 510 F. Supp. 2d 130 (D.D.C. 2007).
· cites it 2× “” 45 C.F.R. § 60.1 (2007). Plaintiffs central argument is that Department of Defense Directive (DoDD) 6025.”
Doe v. United States Dep't of Health & Human Servs., 871 F. Supp. 808 (E.D. Pa. 1994).
· cites it 2× “The HCQI Act itself at § 11132(a) sets the “triggering date” as the date of the reporting of the incident, *813 not the date of the incident itself, which renders plaintiffs second argument on this point untenable.”
Med. Soc'y of New Jersey v. Mottola, 320 F. Supp. 2d 254 (D.N.J. 2004).
“45 C.F.R. § 60.1 . The Data Bank created a centralized clearinghouse for state licensing boards, hospitals and other healthcare entities to obtain relevant background information about physicians.”
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