HealthCare Provider Registry Search (HPRS)
BIB's HPRS is a real-time search of various federal and state registries that contain information on healthcare professionals and organizations. This search helps healthcare organizations meet the minimum requirements for screening by the Office of Inspector General's Compliance Program.
Components of BIB's HPRS include:
- Office of Inspector General (OIG) List of Excluded Individuals/Entities (LEIE)
- Government Services Agency (GSA) Excluded Parties List
- Food and Drug Administration (FDA) Debarment List
- FDA Disqualified/Restricted/Assurances List
- State Level Provider Registries
- Nurse Aid Registries
- Adult Abuse Registries
The National Practitioner Data Bank (NPDB)
The NPDB was established through Title IV of Public Law 99-660, the Healthcare Quality Improvement Act of 1986. The NPDB began operations in 1990. The intent of the NPDB was to enhance the quality of health care, encourage greater efforts in professional peer review, and restrict the ability of incompetent health care practitioners to move from State to State without discovery of previous substandard performance or unprofessional conduct. The NPDB collects and discloses certain information related to the professional competence and conduct of physicians, dentists, and other health care practitioners.
The NPDB contains information on the following actions against physicians, dentists, and other healthcare practitioners: (1) adverse licensure actions; (2) clinical privileges actions; (3) professional society membership actions; (4) paid medical malpractice judgments and settlements; (5) exclusions from participation in Medicare/Medicaid programs; and (6) registration actions taken by the U.S. Drug Enforcement Administration (DEA).
Healthcare Integrity and Protection Data Bank (HIPDB)
The intent of the HIPDB is to combat fraud and abuse in health insurance and health care delivery. The HIPDB contains the following types of information: (1) civil judgments against health care providers, suppliers, or practitioners related to the delivery of a health care item or service, (2) Federal or State criminal convictions against health care providers, suppliers, or practitioners related to the delivery of a health care item or service, (3) actions by Federal or State agencies responsible for the licensing and certification of health care providers, suppliers, or practitioners, (4) exclusions of health care providers, suppliers, or practitioners from participation in Federal or State health care programs, and (5) any other adjudicated actions against health care providers, suppliers, or practitioners.
Fraud and Abuse Control Information System (FACIS®)
FACIS® is a comprehensive database containing information on healthcare individuals/entities that have been excluded from federal healthcare programs as well as adverse actions taken by licensing boards of state governments. Results of the FACIS® search includes public information published by approximately 800 state and federal sources.