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CMS Failed to Report Providers' Adverse Actions, Says OIG

Cheryl Clark, for HealthLeaders Media, September 23, 2010
  • Any civil judgment, including those against a clinical laboratory for fraudulent billing and misleading marketing, against a nursing home for neglect of and failure to clean patient rooms, against a plastic surgeon for misrepresenting claims as noncosmetic procedures in order to receive payment.

The OIG recommended that CMS "should educate staff and contractors about the types of adverse actions to be reported and the timeframes for reporting."

Under provisions of the Patient Protection and Affordable Care Act, the National Practitioner Data Base, which collects information related to the professional competence and conduct of physicians, dentists and other healthcare practitioners, will absorb data from the HIPDB.




Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
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