Credentialing & Privileging

Ask the expert: Is it necessary to query the NPDB for AHPs?

Credentialing Resource Center Connection, September 11, 2008

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There is no National Practitioner Data Bank (NPDB) requirement to query or report on other healthcare practitioners who are not licensed or otherwise authorized by a state to provide healthcare services, unless the individual holds himself or herself to be so authorized. NPDB querying and reporting requirements apply to physicians, dentists, and other licensed healthcare practitioners. Other healthcare practitioners are defined as individuals other than physicians or dentists who are licensed or otherwise authorized (certified or registered) by a state to provide healthcare services; or individuals who, without authority, hold themselves out to be so licensed or authorized.

This week’s answer is from Ready, Set, Credential: Questions, Games, and Strategies to Train Your Staff, Second Edition, by Nancy C. Lian, CPMSM, CPCS. Click here to place your order for this recently updated edition.



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