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Overview Submitting Reports to the NPDB Reporting Medical Malpractice Payments Reporting Adverse Clinical Privileges Actions Reporting Adverse Professional Society Membership Actions Reporting State Licensure and Certification Actions Reporting Federal Licensure and Certification Actions Reporting Peer Review Organization Negative Actions or Findings Reporting Private Accreditation Organization Negative Actions or Findings Reporting Exclusions from Participation in Federal or State Health Care Programs Reporting Federal or State Health Care-Related Criminal Convictions Reporting Health Care-Related Civil Judgments Reporting Other Adjudicated Actions or Decisions

Q&A: Reporting Clinical Privileges Actions

  1. When a physician surrenders medical staff privileges due to personal reasons, infirmity, or retirement, and such a surrender does not occur in order to avoid an investigation or during an investigation, should it be reported?

    No. The surrender should not be reported to the NPDB because the physician did not surrender clinical privileges while under investigation by a health care entity relating to possible professional incompetence or improper professional conduct, or in return for not conducting such an investigation. However, if an investigation was under way when the physician surrendered privileges, even if the physician was not aware of the investigation, the surrender would have to be reported even if the physician claimed the surrender of privileges for unrelated personal reasons.

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