The National Practitioner Data Bank (NPDB)

The NPDP is a centralized database managed by the United States Department of Health and Human Services that stores reports of malpractice and other complaints against healthcare workers, such as healthcare providers, suppliers, and practitioners (Frieden, 2006). Its main goal is to boost healthcare quality, safeguard the public, and minimize healthcare abuse and fraudulence in the United States by preventing healthcare providers and other institutions from moving from one state to another without disclosing previous incompetent or damaging performance.

Uses of the NPDB.

One of the uses of the NPDP is to protect the public by limiting the ability of healthcare providers to move from one hospital or state to another without disclosing their history of adverse action or medical malpractice at the time of employment, credentialing, monitoring, and licensing. It serves as a flagging or alert system predetermined to facilitate a detailed analysis of the professional credentials of healthcare practitioners (Szalados, 2021). The information in the database directs discrete scrutiny of an inquiry into a practitioner’s clinical privileges, licensure, medical malpractice payment history, and professional society memberships.

Limitations of the NPDB.

The main limitation of the NPDB is that the malpractice payments recorded in the database do not necessarily include a definitive and comprehensive reflection of actual healthcare incompetence (Frieden, 2006). Access to the information in the database is also a concern for healthcare providers.

Relation of NPDB to billing for services.

The NPDB does not obtain financial support from the government to support its operations. Federal law, consequently, provides that the fees imposed by the NPDB must cover its operating costs. The NPDB provides a bill reference number for every charge to an organization’s EFT, debit card, or credit card account for a specific transaction to help reconcile an organization’s payment transactions. The reference number is written on the charge receipt. The NPDB also collects outstanding inquiry fee balances and requests clients to complete an Account Balance Transfer Request form to authorize the settlement of an outstanding balance.

References

Frieden, J. (2006). National practitioner data bank set to change. Internal Medicine News, 39(18), 57. https://doi.org/10.1016/s1097-8690(06)74238-x

Szalados, J. E. (2021). Regulation of provider practice: State oversight, licensing, Credentialing, peer review, and the national practitioner data bank. The Medical-Legal Aspects of Acute Care Medicine, 137-169. https://doi.org/10.1007/978-3-030-68570-6_6

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The National Practitioner Data Bank

Describe the National Practitioner Data Bank (NPDB).
Identify the uses of the NPDB.
Analyze any limitations of the NPDB.
Describe how NPDB relates to billing for services.
Submission Details:
Use your course and textbook readings and the South University Online Library to support your work. As in all assignments, cite your sources in your work and provide references for the citations in APA format.