April 1999 Bulletin

IG to create new fraud, abuse data bank

The Office of the Inspector General of the Department of Health and Human Services is taking steps to create a national health care fraud and abuse data collection program for the reporting and disclosure of certain final adverse actions taken against health care providers, suppliers or practitioners.

The Healthcare Integrity and Protection Data Bank will contain the following information pertaining to a health care provider, supplier or practitioner: civil judgments in federal or state court related to the delivery of a health care item or service; federal or state criminal convictions related to the delivery of a health care item or service; final adverse actions by federal or state agencies responsible for the licensing and certification of practitioners; exclusion from participation in federal or state health care programs; and other actions or decisions which the HHS Secretary establishes by regulation. Settlements in which no findings or admissions of liability have been made would be excluded from reporting.


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