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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter F - Quality Improvement Organizations |
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Part 476 - Quality Improvement Organization Review |
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Subpart B - XXX |
| Disclosure of Confidential Information |
| § 476.131 - Access to medical records for the monitoring of PROs. |
| § 476.132 - Disclosure of information about patients. |
| § 476.133 - Disclosure of information about practitioners, reviewers and institutions. |
| § 476.134 - Verification and amendment of PRO information. |
| § 476.135 - Disclosure necessary to perform review responsibilities. |
| § 476.136 - Disclosure to intermediaries and carriers. |
| § 476.137 - Disclosure to Federal and State enforcement agencies responsible for the investigation or identification of fraud or abuse of the Medicare or Medicaid programs. |
| § 476.138 - Disclosure for other specified purposes. |
| § 476.139 - Disclosure of PRO deliberations and decisions. |
| § 476.141 - Disclosure of PRO interpretations on the quality of health care. |
| § 476.142 - Disclosure of sanction reports. |
| § 476.143 - PRO involvement in shared health data systems. |
| General Provisions |
| § 476.101 - Scope and definitions. |
| § 476.103 - Statutory bases for disclosure of information. |
| § 476.105 - Notice of disclosures made by a PRO. |
| § 476.106 - Exceptions to PRO notice requirements. |
| § 476.107 - Limitations on redisclosure. |
| § 476.108 - Penalties for unauthorized disclosure. |
| § 476.109 - Applicability of other statutes and regulations. |
| PRO Access to Information |
| § 476.111 - PRO access to records and information of institutions and practitioners. |
| § 476.112 - PRO access to records and information of intermediaries and carriers. |
| § 476.113 - PRO access to information collected for PRO purposes. |
| § 476.114 - Limitation on data collection. |
| Disclosure of Nonconfidential Information |
| § 476.121 - Optional disclosure of nonconfidential information. |
| PRO Responsibilities |
| § 476.115 - Requirements for maintaining confidentiality. |
| § 476.116 - Notice to individuals and institutions under review. |