[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR480.111]



[Page 486]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 480_ACQUISITION, PROTECTION, AND DISCLOSURE QUALITY IMPROVEMENT 

 

     Subpart B_Utilization and Quality Control Quality Improvement 

                          Organizations (QIOs)

 

Sec.  480.111  QIO access to records and information of institutions 



and practitioners.



    (a) A QIO is authorized to have access to and obtain records and 

information pertinent to the health care services furnished to Medicare 

patients, held by any institution or practitioner in the QIO area. The 

QIO may require the institution or practitioner to provide copies of 

such records or information to the QIO.

    (b) A QIO may obtain non-Medicare patient records relating to review 

performed under a non-Medicare QIO contract if authorized by those 

patients in accordance with State law.

    (c) In accordance with its quality review responsibilities under the 

Act, a QIO may have access to and obtain information from, the records 

of non-Medicare patients if authorized by the institution or 

practitioner.

    (d) A QIO may reimburse for requested information at the rate of 

$.10 per page for photocopying plus first class postage. The 

photocopying amount includes the cost of labor, supplies, equipment, and 

overhead.



[50 FR 15359, Apr. 17, 1985; 50 FR 41887, Oct. 16, 1985. Redesignated at 

64 FR 66279, Nov. 24, 1999, as amended at 65 FR 83154, Dec. 29, 2000]