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Healthcare Integrity and Protection Data Bank
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Practitioner, Supplier & Provider Q&A
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Select a question from below:

1. How do I know if the information in a HIPDB report is accurate?

2. How will a report affect my career?

3. How can I get a report changed or removed if it is incorrect?

4. Who will see a report, and how will it be used?

5. How is the information in the HIPDB protected from unauthorized access/use?

6. How long does a report remain in the HIPDB?

7. Can I submit a statement about a report?

8. How can I find out what is in the HIPDB about me?

9. Which law enforcement agencies have access to the HIPDB?

10. Am I allowed to disclose the results of a self-query to another practitioner or provider?

11. Can a health plan or a State Licensing Board require that I give them the results of my self-query?

12. I have been sued for malpractice, and my insurance company wants to settle although I do not. Will the settlement be reported to the HIPDB?

 

1. How do I know if the information in a HIPDB report is accurate?

The reporting entity is responsible for the accuracy of the information in a HIPDB report. When a report is processed by the HIPDB, a Notification of a Report in the Data Bank(s) is mailed to the subject of the report. The subject should examine the report for factual accuracy and, if the information is incorrect or incomplete, contact the reporting entity to ask for a Correction.

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2. How will a report affect my career?

The HIPDB is primarily a flagging system whose function is to alert users that a more comprehensive review of a practitioner's, supplier's, or provider's past actions may be prudent. HIPDB information should not be used as the sole criteria when making a decision about any particular practitioner, supplier, or provider.

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3. How can I get a report changed or removed if it is incorrect?

Only the reporting entity can make changes to a report. If the information in a report is incorrect or incomplete, you should contact the reporting entity to ask for a Correction. If the reporting entity declines your request or fails to take action, you may add a statement to the report, initiate a formal dispute, or both.

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4. Who will see a report, and how will it be used?

Only Federal and State Government agencies and health plans are eligible to see HIPDB information. Such entities use HIPDB information in conjunction with other relevant data for assessing the qualifications of health care practitioners, suppliers, and providers.

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5. How is the information in the HIPDB protected from unauthorized access/use?

Information reported to the HIPDB is considered confidential and may not be disclosed except as specified in the HIPDB regulations. All applicable laws and regulations governing the confidentiality, integrity, and availability of data have been followed.

All Web Based Users are required to sign user registration forms when applying for an account. By signing the form, users agree to comply with the standards established in the NPDB-HIPDB Guidebooks. When accessing the HIPDB Web Site, users are informed that any unauthorized use of the HIPDB information will subject them to fines and/or imprisonment under Federal Statute.

All Internal Users (responsible for the development, maintenance and support of the HIPDB) are required to sign Non-Disclosure Agreements and Rules of Behavior Agreements. Any violation of these agreements will subject the external users to fines and/or imprisonment under Federal Statute. In addition, all External Users are required to undergo an in-depth background investigation.

The HIPDB system is located in a physically and environmentally secured facility. All access to the facility is restricted and continuously monitored.

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6. How long does a report remain in the HIPDB?

Information reported to the HIPDB is maintained permanently unless it is Corrected or Voided from the system. A Correction or Void may be submitted only by the reporting entity or at the direction of the Secretary of HHS.

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7. Can I submit a statement about a report?

Yes. The subject of a report may add a 4,000-character statement to the report at any time using the Report Response Service.

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8. How can I find out what is in the HIPDB about me?

Practitioners, suppliers, and providers may query the HIPDB regarding themselves (self-query) at any time through the Self-Query Service. If you submit a self-query, you will receive in response either a copy of all report information about you submitted by eligible reporting entities or a notification that no reports exist.

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9. Which law enforcement agencies have access to the HIPDB?

The following are examples of law enforcement agencies that are eligible to access the HIPDB: Office of Inspector General in the Department of Health and Human Services, Department of Justice, Federal Bureau of Investigation, State Medicaid Fraud Control the State Attorneys General, District Attorneys, and State law enforcement agencies that are involved in health care investigations. In addition, other Federal Inspectors' General and other Federal law enforcement agencies that are involved in health care investigations are eligible to access the HIPDB.

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10. Am I allowed to disclose the results of a self-query to another practitioner or provider?

Individual health care practitioners, suppliers, and providers who obtain information about themselves from the HIPDB are permitted to share that information with whomever they choose.

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11. Can a health plan or a State Licensing Board require that I give them the results of my self-query?

The response you receive to a self-query is yours to do with as you wish. Various licensing, credentialing, and insuring organizations may require a copy of your self-query response before you may participate in their programs. Any arrangement between you and one of these organizations is voluntary; HHS does not regulate such arrangements.

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12. I have been sued for malpractice, and my insurance company wants to settle although I do not. Will the settlement be reported to the HIPDB?

No. Actions with respect to medical malpractice claims are not reportable under HIPDB regulations. However, medical malpractice payments are reportable to the NPDB.

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