On May 6, 2013, The National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB) merged into one Data Bank. Like any merger, this created a new look and more questions about what was included in the Data Bank reports.
The Data Bank continuous query option continues to be recognized as best practice in the credentialing industry. For further information on the Continuous Query please see the MPR Blog entry Continuous Query Through the National Practitioner Data Bank. The Data Bank posted the following information on their website regarding the merger on May 6, 2013.
- Live Question and Answer Sessions: The Data Bank hosted three live question and answer sessions to address merger topics for Data Bank users. Answers to frequently asked questions can be found in the below Data Bank Merger Q&A Fact Sheet.
- Video Presentation: The Merger of the National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank: What You Need to Know
- NPDB Merger Final Rule
- Data Bank Merger Q&A Fact Sheet This document will be updated regularly as additional merger questions are received.
What Does the Data Bank Merger Mean for Users?
Essentially, there is no change to the reporting workflow or requirements, but users’ query results may include reports that were not previously available to them. The HIPDB information was integrated into the NPDB, meaning that users who only queried the NPDB may receive expanded access to Data Bank information.
All Queriers: Information previously collected and disclosed through the HIPDB will be collected and disclosed through the NPDB. Users may see Federal and health plan actions/decisions in their query results that they were not able to receive before because they were only available through querying the HIPDB.
- Continuous Query Users: Users may receive notifications for reports (specifically, Federal Government agency and health plan actions/decisions) that were previously unavailable to them.
- ITP and QRXS Users: There are new codes for reporting government administrative actions.
- All Reporters: Reporters have not experienced any changes to reporting, as reporting requirements remain essentially the same. The three primary statutes (Title IV of Public Law 99-660, the Healthcare Quality Improvement Act of 1986, as amended, which established the NPDB; Section 1921 of the Social Security Act, which expanded the NPDB; and Section 1128E of the Social Security Act, added by Section 221(a) of the Health Insurance Portability and Accountability Act of 1996, which established the HIPDB) remain in effect, though modified, and the merger simply combines them into one system.
Specific merger questions can be sent to the NPDB Policy Staff at NPDBPolicy@hrsa.gov. For technical assistance or general questions, please contact the NPDB Customer Service Center at 1-800-767-6732 or firstname.lastname@example.org