Dispute Process Workflow - Final.pdf
PDF 163 KB Posted
- Solicitation number
- Not on record
About this file
This document outlines the workflow process for resolving disputes submitted to the National Practitioner Data Bank. The workflow involves multiple steps including case assignment, information requests, decision drafting, peer and managerial reviews, and final case resolution. Dispute cases are uploaded to a tracking system which notifies various roles as the case progresses through stages of research, analysis, review and final determination. Resolutions include denial, correction or voiding of reports. Reconsideration requests follow a similar process with re-evaluation by a new dispute resolution manager.
The related federal contract opportunity notice announces an upcoming small business forum for 8(a) vendors to learn about a potential National Practitioner Data Bank Disputes Resolution contract solicitation. Documents will be reviewed covering the NPDB program, disputes process and sample case files. The virtual meeting will provide time for vendor questions. Interested 8(a) firms should register by the specified date for the forum hosted by the Health Resources and Services Administration.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
NPDB Disputes Workflow
DISPUTE CASE
UPLOADED TO TRACKER.
SECTION 1 OF DISPUTES
WORKFLOW OVERVIEW
(DPO)
SYSTEM
NOTIFIES
BRANCH CHIEF
SEC. 2 OF DPO
BRANCH CHIEF
ASSIGNS CASE TO
DISPUTE RESOLUTION
MANAGER (DRM)
SEC. 2 OF DPO
SYSTEM
NOTIFIES
DRM OF
ASSIGNMENT
SEC. 3 OF DPO
SeSEC
DRM STARTS
CASE REVIEW
SEC. 3 OF DPO
DRM REVIEWS DOCUMENTS &
IDENTIFIES REPORTING ENTITY
CONTACT AND REGISTRATION STATUS
SEC. 4.1 & 4.2 OF DPO
SOURCES:
DISPUTE REPORT
ENTITY PROFILE
ADD NOTE IN
TRACKER WITH
CONTACT
INFORMATION IF
NECESSARY
DRAFT RFI
SEC. 4.3 OF
DPO
TRACKER NOTES DOCUMENT RFI STATUS
RFI DRAFT, RFI SENT, FOLLOW UP WITH ENTITY, RESPONSE
RECEIVED, ALL EMAILS MUST BE ATTACHED IN NOTES, RFI
RECEIVED, RFI REVIEWED
CNganga-Good Sticky Note Completed set by CNganga-Good
CNganga-Good Sticky Note Completed set by CNganga-Good
CNganga-Good Sticky Note Rejected set by CNganga-Good
CNganga-Good Sticky Note Rejected set by CNganga-Good
PEER
REVIEWER/
MANAGER
APPROVAL –
FOR NEWER
EMPLOYEES
ONLY
RFI SENT
ELECTRONICALLY
THROUGH
TRACKER /
COMPLETE RFI
PROCESS
3 ATTEMPTS
SEC. 4.4-4.5 OF
DPO
SYSTEM NOTIFIES SELECTED ENTITY CONTACT
SYSTEM DISPLAYS VIEWED STATUS OF RFI
ENTITY CAN RESPOND TO RFI VIA IQRS
SYSTEM NOTIFIES DRM OF RESPONSE WITH ATTACHMENT
SEC. 4.5-4.6 OF DPO
RFI REVIEWED
AND
COMPLETE?
SEC. 4.8/5.1
OF DPO
IF COMPLETE, DRM WILL CLICK REVIEW
BUTTON IN TRACKER, ONCE THE MATERIALS
ARE REVIEWED AND DEEMED RESPONSIVE
TO RFI, WITHOUT ANY ADDITIONAL
INFORMATION NEEDED.
SEC. 4.9 OF DPO
IF NOT, FOLLOW
UP WITH ENITITY
IS REQUIRED
SEC. 4.7 OF DPO
DRM GATHERS AND REVIEWS INFO. FOR
DECISION MAKING
SEC 5.2 OF DPO
GATHER ADDITION INFO.
FROM ENTITY OR
PRACTITIONER IF
NECESSARY SEC 5.3 OF DPO
DRM WILL
PERFORM
ANALYSIS TO
DETERMINE A
DECISION:
DENIAL
CORRECTION
VOID
SEC 5.2 OF DPO
DRM DRAFTS
DECISION
LETTER SEC. 5.4
OF DPO
PEER
REVIEW
SEC. 6.1-6.3
OF DPO
SENT VIA TRACKER
TO PEER REVIEWER
DRM
INCORPORATES THE
FEEDBACK
BRANCH CHIEF
REVIEW
SEC. 6.4-6.6 OF
DPO
OGC REVIEW
FOR COMPLEX
CASES
SEC. 6.6 OF
DPO
DEPUTY DIRECTOR
REVIEW FOR
RECONSIDERATIONS
SEC. 7.6 OF DPO
DECISION LETTER IS COMPLETED AND
SIGNED
SEC. 8 OF DPO
IN THE CASE OF THE CORRECTION, THE
SUBJECT MAY OFFER NEW DISPUTE
POINTS TO BE ADDRESSED AND A NEW
RFI MAY BE REQUIRED DEPENDING ON
THE NEW INFORMATION
DECISION LETTER SIGNATURE
NOTE IN TRACKER
DRM SELECTS CASE DECISION
STATUS
SEC. 8 OF DPO
RECONSIDERATION: AFTER THE
INITIAL DECISION THE SUBJECT CAN
REQUEST A RECONSIDERATION. IT
IS ELEVATED AND ASSIGNED TO A
NEW DRM. THERE MAY BE NEW
SUBJECT DOCUMENTS, NEW
DISPUTE POINTS AND ANOTHER RFI
MAY BE REQUIRED.
SEC. 7 of DPO
NPDB OPERATIONS TEAM CLOSES THE
CASE SEC. 9 OF DPO
CORRECTION: IF SUBJECT
WISHES TO CONTINUE WITH
THE DISPUTE RESOLUTION
REVIEW, THE CASE IS RE-
ELEVATED AND THE DRM
DRAFT A DECISION LETTER
BASED ON THE NEW REPORT
AND INFORMATION FROM THE
CORRECTED REPORT
SEC. 8.2 OF DPO
THERE ARE CASES WHERE THE
DECISION IS TO VOID THE REPORT.
SEE DETAILS IN SEC. 8.3 OF DPO
File details come from the government source that posted it. Updated .