When Is It Worth Fighting Your NPDB Report?

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When Is It Worth Fighting Your NPDB Report?
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Doctors' NPDB reports follow them throughout their careers, and potential employers will see them when they query the database. Knowing what NPDB considers a reportable scenario can help physicians determine when to dispute their reports.

Doctors get understandably upset when their clinical privileges or medical licenses are suspended, restricted, revoked, or denied and these actions are reported to the National Practitioner Data Bank .

With such high stakes, attorneys recommend that physicians always dispute the databank reports in the hopes of having them corrected or removed. If they get nowhere with the hospital after 60 days, they can contact the NPDB and request a dispute resolution. If the databank staff determine that a report was submitted in error, they will remove it and all related records from the system. NPDB says it then notifies anyone who has queried the system in the past 3 years of the action they took.Knowing what NPDB considers a reportable scenario can help physicians determine when to dispute their reports.

"Any report sent to the NPDB goes to the state licensing board, and then payers are notified. If the state license is restricted, that triggers a report, and then if the physician holds licenses in multiple states, there's a domino effect with more reports," said Coyne. "However, after interviewing the nurse and investigating the situation, the reporting entity believed the conduct could affect patient care in the future since the nurses were afraid to speak up. In that example, the NPDB upheld the report as the entity demonstrated that the unprofessional conduct could affect patient care," Loewenstein said.

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