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Home Page > Executive Branch > Code of Federal Regulations > Electronic Code of Federal Regulations
e-CFR Data is current as of February 4, 2010
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER F--QUALITY IMPROVEMENT ORGANIZATIONS
PART 480--ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION
Subpart A--[RESERVED]
Subpart B--UTILIZATION AND QUALITY CONTROL QUALITY IMPROVEMENT ORGANIZATIONS (QIOS)
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| Statutory bases for acquisition and maintenance of information. |
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| Statutory bases for disclosure of information. |
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| Procedures for disclosure by a QIO. |
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| Notice of disclosures made by a QIO. |
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| Exceptions to QIO notice requirements. |
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| Limitations on redisclosure. |
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| Penalties for unauthorized disclosure. |
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| Applicability of other statutes and regulations. |
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| QIO access to records and information of institutions and practitioners. |
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| QIO access to records and information of intermediaries and carriers. |
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| QIO access to information collected for QIO purposes. |
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| Limitation on data collection. |
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| Requirements for maintaining confidentiality. |
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| Notice to individuals and institutions under review. |
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| Information subject to disclosure. |
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| Optional disclosure of nonconfidential information. |
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| Disclosure to the Department. |
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| Access to medical records for the monitoring of QIOs. |
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| Disclosure of information about patients. |
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| Disclosure of information about practitioners, reviewers and institutions. |
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| Verification and amendment of QIO information. |
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| Disclosure necessary to perform review responsibilities. |
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| Disclosure to intermediaries and carriers. |
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| Disclosure to Federal and State enforcement agencies responsible for the investigation or identification of fraud or abuse of the Medicare or Medicaid programs. |
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| Disclosure for other specified purposes. |
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| Disclosure of QIO deliberations and decisions. |
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| Disclosure of quality review study information. |
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| Disclosure of QIO interpretations on the quality of health care. |
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| Disclosure of sanction reports. |
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| QIO involvement in shared health data systems. |
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