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If a physician's initial application for clinical privileges is denied or the privileges granted are more limited than those requested, must this be reported to the NPDB?
It depends. If the denial or limitation of privileges is the result of a professional review action and is related to the practitioner's professional competence or professional conduct, then the action must be reported to the NPDB. If the denial or limitation of privileges occurs solely because a practitioner does not meet a health care institution's established eligibility threshold criteria for that particular privilege (e.g., lacks the required number of clinical hours in a specialty), it should not be reported to the NPDB.
Other Questions You May Find Helpful
- How do I submit a report?
- Are healthcare organizations at the risk of lawsuits when a report is made to NPDB?
- What is considered an investigation for NPDB reporting purposes?
