[Code of Federal Regulations] [Title 12, Volume 1] [Revised as of January 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR1004.90] [Page 1176] TITLE 42--PUBLIC HEALTH HUMAN SERVICES PART 1004--IMPOSITION OF SANCTIONS ON HEALTH CARE PRACTITIONERS AND PROVIDERS OF HEALTH CARE SERVICES BY A QUALITY IMPROVEMENT ORGANIZATION--Table of Contents Subpart C--QIO Responsibilities Sec. 1004.90 Basis for recommended sanction. The QIO's specific recommendation must be based on documentation provided to the OIG showing its consideration of-- (a) The type of offense involved; (b) The severity of the offense; (c) The deterrent value; (d) The practitioner's or other person's previous sanction record; (e) The availability of alternative sources of services in the community; and (f) Any other factors that the QIO considers relevant, such as the duration of the problem.