CPCS National Practitioner Data Bank (NPDB) Querying and Reporting Flashcards
6 cards from real CPCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CPCS National Practitioner Data Bank (NPDB) Querying and Reporting flashcards as text
What is a 'self-query' in the context of the NPDB?
Answer: A query submitted by a practitioner to review their own NPDB report
A self-query allows practitioners to access their own NPDB records to review what information has been reported about them.
Which entities are authorized to query the NPDB as part of the credentialing process?
Answer: Hospitals, other health care entities, and state licensing boards
Authorized queriers include hospitals, other health care entities that engage in formal peer review, and state licensing boards, among others.
A report in the NPDB is disputed by a practitioner. What is the correct process for disputing a report?
Answer: The practitioner files a dispute with the NPDB, which notifies the reporting entity to review it
To dispute an NPDB report, the practitioner submits a dispute directly to the NPDB, which then contacts the reporting entity to review the accuracy of the report.
Which of the following is a permissible use of NPDB information by a hospital?
Answer: Using NPDB data to make credentialing and privileging decisions
NPDB information is confidential and may only be used by hospitals to make credentialing and privileging decisions for medical staff membership.
What category of NPDB report is generated when a state licensing board takes an adverse action against a practitioner's license?
Answer: Adverse Action Report
State licensing boards submit Adverse Action Reports to the NPDB when they take formal disciplinary or adverse actions against a practitioner's license.
A practitioner leaves a hospital while under investigation for quality concerns. What NPDB reporting obligation does the hospital have?
Answer: The hospital must report if privileges would have been reduced or revoked had the practitioner stayed
Hospitals must report to the NPDB when a practitioner resigns or surrenders privileges while under investigation for quality or competence issues, to prevent circumvention of the reporting requirement.