';


Title 42 Part 480

Title 42 → Chapter IV → Subchapter F → Part 480

Electronic Code of Federal Regulations e-CFR

Title 42 Part 480

Title 42Chapter IVSubchapter FPart 480


TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER F—QUALITY IMPROVEMENT ORGANIZATIONS

PART 480—ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION

rule

Subpart A—[RESERVED]

rule

Subpart B—UTILIZATION AND QUALITY CONTROL QUALITY IMPROVEMENT ORGANIZATIONS (QIOS)

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.

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.

QIO Responsibilities

§480.115
Requirements for maintaining confidentiality.
§480.116
Notice to individuals and institutions under review.

Disclosure of Nonconfidential Information

§480.120
Information subject to disclosure.
§480.121
Optional disclosure of nonconfidential information.

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.

© e-CFR 2019

FR | USC | CFR | eCFR