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Title 42
PART 480 SUBPART B
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Subchapter F
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Part 480
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Subpart B
Subpart B - Utilization and Quality Control Quality Improvement Organizations (QIOs)
Source:
50 FR 15359, Apr. 17, 1985, unless otherwise noted. Redesignated at 64 FR 66279, Nov. 24, 1999.
42 U.S.C. 1302 and 1395hh.
Source:
42:4.0.1.4.20.2.191
SUBJGRP 191
General Provisions
42:4.0.1.4.20.2.191.1
SECTION 480.101
480.101 Scope and definitions.
42:4.0.1.4.20.2.191.2
SECTION 480.102
480.102 Statutory bases for acquisition and maintenance of information.
42:4.0.1.4.20.2.191.3
SECTION 480.103
480.103 Statutory bases for disclosure of information.
42:4.0.1.4.20.2.191.4
SECTION 480.104
480.104 Procedures for disclosure by a QIO.
42:4.0.1.4.20.2.191.5
SECTION 480.105
480.105 Notice of disclosures made by a QIO.
42:4.0.1.4.20.2.191.6
SECTION 480.106
480.106 Exceptions to QIO notice requirements.
42:4.0.1.4.20.2.191.7
SECTION 480.107
480.107 Limitations on redisclosure.
42:4.0.1.4.20.2.191.8
SECTION 480.108
480.108 Penalties for unauthorized disclosure.
42:4.0.1.4.20.2.191.9
SECTION 480.109
480.109 Applicability of other statutes and regulations.
42:4.0.1.4.20.2.192
SUBJGRP 192
QIO Access to Information
42:4.0.1.4.20.2.192.10
SECTION 480.111
480.111 QIO access to records and information of institutions and practitioners.
42:4.0.1.4.20.2.192.11
SECTION 480.112
480.112 QIO access to records and information of intermediaries and carriers.
42:4.0.1.4.20.2.192.12
SECTION 480.113
480.113 QIO access to information collected for QIO purposes.
42:4.0.1.4.20.2.192.13
SECTION 480.114
480.114 Limitation on data collection.
42:4.0.1.4.20.2.193
SUBJGRP 193
QIO Responsibilities
42:4.0.1.4.20.2.193.14
SECTION 480.115
480.115 Requirements for maintaining confidentiality.
42:4.0.1.4.20.2.193.15
SECTION 480.116
480.116 Notice to individuals and institutions under review.
42:4.0.1.4.20.2.194
SUBJGRP 194
Disclosure of Nonconfidential Information
42:4.0.1.4.20.2.194.16
SECTION 480.120
480.120 Information subject to disclosure.
42:4.0.1.4.20.2.194.17
SECTION 480.121
480.121 Optional disclosure of nonconfidential information.
42:4.0.1.4.20.2.195
SUBJGRP 195
Disclosure of Confidential Information
42:4.0.1.4.20.2.195.18
SECTION 480.130
480.130 Disclosure to the Department.
42:4.0.1.4.20.2.195.19
SECTION 480.131
480.131 Access to medical records for the monitoring of QIOs.
42:4.0.1.4.20.2.195.20
SECTION 480.132
480.132 Disclosure of information about patients.
42:4.0.1.4.20.2.195.21
SECTION 480.133
480.133 Disclosure of information about practitioners, reviewers and institutions.
42:4.0.1.4.20.2.195.22
SECTION 480.134
480.134 Verification and amendment of QIO information.
42:4.0.1.4.20.2.195.23
SECTION 480.135
480.135 Disclosure necessary to perform review responsibilities.
42:4.0.1.4.20.2.195.24
SECTION 480.136
480.136 Disclosure to intermediaries and carriers.
42:4.0.1.4.20.2.195.25
SECTION 480.137
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.
42:4.0.1.4.20.2.195.26
SECTION 480.138
480.138 Disclosure for other specified purposes.
42:4.0.1.4.20.2.195.27
SECTION 480.139
480.139 Disclosure of QIO deliberations and decisions.
42:4.0.1.4.20.2.195.28
SECTION 480.140
480.140 Disclosure of quality review study information.
42:4.0.1.4.20.2.195.29
SECTION 480.141
480.141 Disclosure of QIO interpretations on the quality of health care.
42:4.0.1.4.20.2.195.30
SECTION 480.142
480.142 Disclosure of sanction reports.
42:4.0.1.4.20.2.195.31
SECTION 480.143
480.143 QIO involvement in shared health data systems.
42:4.0.1.4.20.2.195.32
SECTION 480.144
480.144 Access to QIO data and information.
42:4.0.1.4.20.2.195.33
SECTION 480.145
480.145 Beneficiary authorization of use of confidential information.