[Code of Federal Regulations]

[Title 45, Volume 1]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 45CFR61.1]



[Page 148]

 

                        TITLE 45--PUBLIC WELFARE

 

                    SUBTITLE A--DEPARTMENT OF HEALTH

                           AND HUMAN SERVICES

 

PART 61_HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL ADVERSE 

INFORMATION ON HEALTH CARE PROVIDERS, SUPPLIERS AND PRACTITIONERS--Table 

of Contents

 

                      Subpart A_General Provisions

 

Sec.  61.1  The Healthcare Integrity and Protection Data Bank.





    (a) Section 1128E of the Social Security Act (the Act) authorizes 

the Secretary of Health and Human Services (the Secretary) to implement 

a national health care fraud and abuse data collection program for the 

reporting and disclosing of certain final adverse actions taken against 

health care providers, suppliers, or practitioners. Section 1128E of the 

Act also directs the Secretary to maintain a database of final adverse 

actions taken against health care providers, suppliers or practitioners. 

This data bank will be known as the Healthcare Integrity and Protection 

Data Bank (HIPDB). Settlements in which no findings or admissions of 

liability have been made will be excluded from being reported. However, 

if another action is taken against the provider, supplier or 

practitioner of a health care item or service as a result of or in 

conjunction with the settlement, that action is reportable to the HIPDB.

    (b) Section 1128E of the Act also requires the Secretary to 

implement the HIPDB in such a manner as to avoid duplication with the 

reporting requirements established for the National Practitioner Data 

Bank (NPDB) (See 45 CFR part 60). In accordance with the statute, the 

reporter responsible for reporting the final adverse actions to both the 

HIPDB and the NPDB will be required to submit only one report, provided 

that reporting is made through the Department's consolidated reporting 

mechanism that will sort the appropriate actions into the HIPDB, NPDB, 

or both.

    (c) The regulations in this part set forth the reporting and 

disclosure requirements for the HIPDB.