42 CFR Part 480 - Subpart B - Utilization and Quality Control Quality Improvement Organizations (QIOs)
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General Provisions (§§ 480.101 - 480.109)
- § 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.
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QIO Access to Information (§§ 480.111 - 480.114)
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QIO Responsibilities (§§ 480.115 - 480.116)
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Disclosure of Nonconfidential Information (§§ 480.120 - 480.121)
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Disclosure of Confidential Information (§§ 480.130 - 480.145)
- § 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.
Source:
50 FR 15359, Apr. 17, 1985, unless otherwise noted. Redesignated at 64 FR 66279, Nov. 24, 1999.