42 CFR Part 480
PART 480—ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION
- PART 480—ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter F—Quality Improvement Organizations
- Subpart A [Reserved]
- Subpart B—Utilization and Quality Control Quality Improvement Organizations (QIOs)
- General Provisions
- § 480.101 Scope and definitions.
- § 480.102 Statutory bases for acquisition and maintenance of information.
- § 480.103 Statutory bases for disclosure of information.
- § 480.104 Procedures for disclosure by a QIO.
- § 480.105 Notice of disclosures made by a QIO.
- § 480.106 Exceptions to QIO notice requirements.
- § 480.107 Limitations on redisclosure.
- § 480.108 Penalties for unauthorized disclosure.
- § 480.109 Applicability of other statutes and regulations.
- QIO Access to Information
- § 480.111 QIO access to records and information of institutions and practitioners.
- § 480.112 QIO access to records and information of intermediaries and carriers.
- § 480.113 QIO access to information collected for QIO purposes.
- § 480.114 Limitation on data collection.
- QIO Responsibilities
- § 480.115 Requirements for maintaining confidentiality.
- § 480.116 Notice to individuals and institutions under review.
- Disclosure of Nonconfidential Information
- § 480.120 Information subject to disclosure.
- § 480.121 Optional disclosure of nonconfidential information.
- Disclosure of Confidential Information
- § 480.130 Disclosure to the Department.
- § 480.131 Access to medical records for the monitoring of QIOs.
- § 480.132 Disclosure of information about patients.
- § 480.133 Disclosure of information about practitioners, reviewers and institutions.
- § 480.134 Verification and amendment of QIO information.
- § 480.135 Disclosure necessary to perform review responsibilities.
- § 480.136 Disclosure to intermediaries and carriers.
- § 480.137 Disclosure to Federal and State enforcement agencies responsible for the investigation or identification of fraud or abuse of the Medicare or Medicaid programs.
- § 480.138 Disclosure for other specified purposes.
- § 480.139 Disclosure of QIO deliberations and decisions.
- § 480.140 Disclosure of quality review study information.
- § 480.141 Disclosure of QIO interpretations on the quality of health care.
- § 480.142 Disclosure of sanction reports.
- § 480.143 QIO involvement in shared health data systems.
- § 480.144 Access to QIO data and information.
- § 480.145 Beneficiary authorization of use of confidential information.
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