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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 480 - Acquisition, Protection, and Disclosure of Quality Improvement Organization Information |
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Subpart B - Utilization and Quality Control Quality Improvement Organizations (QIOs) |
| PRO Responsibilities |
| QIO Responsibilities |
| § 480.115 - Requirements for maintaining confidentiality. |
| § 480.116 - Notice to individuals and institutions under review. |
| 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. |
| 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. |
| PRO Access to Information |
| Disclosure of Nonconfidential Information |
| § 480.120 - Information subject to disclosure. |
| § 480.121 - Optional disclosure of nonconfidential information. |
| 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. |