42 C.F.R. PART 480--ACQUISITION, PROTECTION, AND DISCLOSURE QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION
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 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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