GenericAttestationSideBySideComparisonNov2017

GenericAttestationSideBySideComparisonNov2017.pdf

National Practitioner Data Bank (NPDB) Attestation of Reports by Hospitals, Medical Malpractice Payers, Health Plans, and Certain Other Health Care Entities

GenericAttestationSideBySideComparisonNov2017.pdf

OMB: 0906-0028

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Generic Attestation Revisions
Profile form in attestation
In attestation, the user will first see the entity profile form if there is a profile for the type of entity (e.g. hospital). The sections of
attestation will be displayed below the profile form or summary. If the entity has already completed a profile, they will see their
summary page with the option to edit. Edit will display their prefilled entity profile form, but the user will perceive the profile and
attestation as one workflow. This is an option for the presentation of entity profile, but does not affect the form elements collected,
content or the presentation of profile form itself.

Current Content: Intro page

Revised content: Intro page

Hospitals and other authorized health care organizations access
NPDB report information by querying. The query response is used
as part of the professional review process when making decisions
regarding the licensing, credentialing, privileging, or employment of
health care practitioners. These organizations must also report
certain adverse actions they take and payments they make for the
benefit of a health care practitioner in settlement of a malpractice
claim or judgment. These reports are added to the NPDB repository
to benefit all querying organizations.

Section removed. Content is incorporated into the attestation
section.

Why is reporting required?
Federal law requires hospitals, other authorized health care
organizations, and medical malpractice payers to report certain
actions to the NPDB. Your entity may meet the definition of multiple
entity categories. In that case, your entity must comply with all
applicable reporting requirements. Medical malpractice payments
and other required actions must be reported to the NPDB within 30
days of the date the payment was made or the action was taken.
What is attestation?
Your organization should confirm whether or not they have
submitted reports to the NPDB for all actions taken and/or payments
made from (Month dd, yyyy) to (Month dd, yyyy), as required by law.
What reports have been submitted to the NPDB?
Your organization has added a total of "n" reports to the NPDB to
benefit other querying organizations.
Of these, "n" reports were submitted for actions taken or payments
made from (Month dd, yyyy) to (Month dd, yyyy).
What is the deadline for attestation?
An organization's attestation should be submitted to the NPDB no
later than (Month dd, yyyy). If your organization does not complete
the attestation it may be subject to sanctions outlined in 45 CFR
60.12.
Are you ready to attest now?
No, I will submit later

Yes, I am ready to start now

Current Content: Attesting Official

Revised Content: Attesting Official

Identify the person with the authority to attest to compliance
with NPDB reporting requirements on behalf of your
organization.

Section is removed. Content is incorporated into the certification
section similar to state board attestation.

The Data Bank administrator may have the authority to attest. If not,
the Data Bank administrator must identify the attesting official,
advise that person of his or her responsibilities, and submit the form
on behalf of the attesting official.
The attesting official must:

Have access to all reports submitted to the NPDB by your
organization.
Attest as to whether or not all required reports have been submitted
to the NPDB from (Month dd, yyyy) to (Month dd, yyyy).
Who is authorized to attest regarding compliance for NPDB
reporting?
I am authorized

Name
Title
Phone
Email
Exit

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Later

Continue to Next
Step

Current Content: Decisions Affecting Other
s

Current Content: Decisions Affecting Other
s

Is your  responsible for making decisions that govern
other s regarding adverse actions and/or medical
malpractice payments that are reportable to the NPDB?

Section is removed. The information collected is redundant with
entity profile.

 

Exit

Save and Finish

Continue to Next
Step

Current Content: Attestation

Revised Content: Attestation

NPDB Attestation for Required Reports

NPDB Querying and Reporting

Summary of your organization's reports to the NPDB

Hospitals and other authorized health care organizations access
NPDB report information by querying. The query response is used
as part of the professional review process when making decisions
regarding the licensing, credentialing, privileging, or employment of
health care practitioners. These organizations must also report
certain adverse actions they take and payments they make for the
benefit of a health care practitioner in settlement of a malpractice
claim or judgment. These reports are added to the NPDB repository
to benefit all querying organizations.

Your organization has added a total of "n" reports to the
NPDB. These added reports benefit other querying
organizations.
Of these, "n" reports were submitted for actions taken
and/or payments made from (Month dd, yyyy) to (Month dd,
yyyy).
Your organization's legal requirements for reporting to the
NPDB
Eligible entities must report all required adverse actions and medical
malpractice payments to the NPDB within 30 days of the date the
action became effective or the payment was made. An adverse
action or medical malpractice practice payment must be reported to
the NPDB based on whether or not it satisfies NPDB reporting
requirements.
Attest to your organization's compliance with NPDB reporting
requirements.
Has your organization submitted all reports, as required by law, from
(Month dd, yyyy) to (Month dd, yyyy)?

Your organization's legal requirements for reporting to the
NPDB
Federal law requires s to report certain adverse actions
and medical malpractice payments to the NPDB. These reports
must be submitted within 30 days of the date the action was taken or
the payment was made. An adverse action or medical malpractice
payment must be reported to the NPDB based on whether or not it
satisfies NPDB reporting requirements.
Organizations that fail to submit their required NPDB reports may be
subject to the sanctions outlined in 45 CFR 60. Your  is
responsible for submitting NPDB reports even if an agent is
designated to act on its behalf.



Why didn't your organization submit these required reports to
the NPDB?
Exit

Save and Finish
Later

Continue to Next
Step

What is attestation?
When you attest, you confirm whether or not your  has
submitted all required reports to the NPDB for all actions taken
and/or payments made from (Month dd, yyyy) to (Month dd, yyyy) as
required by law.
Summary of reports submitted to the NPDB
Your organization added a total of "n" report(s) to the NPDB for
actions taken and/or payments made from (Month dd, yyyy) to
(Month dd, yyyy).
Has your organization submitted all NPDB reports required by
law for actions taken or medical malpractice payments made
from (Month dd, yyyy) to (Month dd, yyyy)?


Why didn't your organization submit these required reports to
the NPDB?
Save and Finish Later

Continue to Next Step

Review and Submit: Current Content

Certify and Submit: Revised Content

Please review your attestation. If is is correct, submit your
attestation to the NPDB. If it is not correct, select a section to edit.

Please review your attestation and submit it. If it is not correct,
select a section to edit.

Attestation for  for reports submitted to the
NPDB from (Month dd, yyyy) to (Month dd, yyyy).

Attestation for  for reports submitted to the
NPDB from (Month dd, yyyy) to (Month dd, yyyy).

My organization has not yet fulfilled our NPDB reporting
requirements.

My organization has not yet fulfilled our NPDB reporting
requirements.

The reason why these required reports were not submitted:

The reason why these required reports were not submitted:





Certify Attestation

Certify Attestation

I certify that the attestation regarding NPDB reporting requirements
is true and correct to the best of my knowledge. I certify that my
organization will continue to submit all required reports within 30
days of the date an action was taken or a medical malpractice
payment was made. I further certify that I am authorized to submit
these statements on behalf of our organization.

I certify that I have access to all reports submitted to the NPDB by
my organization as well as all adverse actions taken and medical
malpractice payments made by my organization from (Month dd,
yyyy) to (Month dd, yyyy). I certify that I am authorized to submit
these statements on behalf of my organization and that the
statements are true and correct to the best of my knowledge.

Attested by: 

I further certify that my organization will continue to submit all
required reports to the NPDB within 30 days of the date an action
was taken or a medical malpractice payment was made.

Title: 
Phone: 

I am authorized to certify this attestation

Email Address: 
Certifier's Name
Exit

Save and Finish
Later

Submit
Title
Phone
Email
Save and Finish Later

Submit


File Typeapplication/pdf
File Modified2017-11-30
File Created2017-11-30

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