C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER F—QUALITY IMPROVEMENT ORGANIZATIONS › PART 480—ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION › Subpart B—Utilization and Quality Control Quality Improvement Organizations (QIOs)

42 C.F.R. § 480.102

Statutory bases for acquisition and maintenance of information

Read at: eCFRecfr.gov CornellLII GovInfogovinfo.gov CasesGoogle Scholar

(a) Section 1154(a)(7)(C) of the Act requires QIOs to the extent necessary and appropriate to examine the pertinent records of any practitioner or provider of health care services for which payment may be made under Title XVIII of the Act.

(b) Section 1154(a)(9) of the Act requires QIOs to collect and maintain information necessary to carry out their responsibilities under the Act.

(c) Section 1156(a)(3) of the Act requires health care practitioners and providers to maintain evidence of the medical necessity and quality of health care services they provide to Medicare patients as required by QIOs.

Notes of Decisions
Cited in 3 cases, 2009–2009 · leading case: Kootenai Med. Ctr. v. Idaho Dep't of Health & Welfare, 216 P.3d 630 (Idaho 2009).
Sort: Relevance Newest Treatment
Kootenai Med. Ctr. v. Idaho Dep't of Health & Welfare, 216 P.3d 630 (Idaho 2009). “Furthermore, 42 C.F.R. § 480.102 (e) requires “health care practitioners and providers to maintain evidence of the medical necessity and quality of health care services they provide to Medicare patients as required by QIOs.”
Kootenai Med. Ctr. v. Idaho Dept. of Health & Welfare (Idaho 2009). “Furthermore, 42 C.F.R. § 480.102 (c) requires “health care practitioners and providers to maintain evidence of the medical necessity and quality of health care services they provide to Medicare patients as required by QIOs.”
Kootenai Med. Ctr. v. Idaho Dept. of Health & Welfare (Idaho 2009). “Furthermore, 42 C.F.R. § 480.102 (c) requires “health care practitioners and providers to maintain evidence of the medical necessity and quality of health care services they provide to Medicare patients as required by QIOs.”
Annotations are extracted automatically from the opinions in the Syfert caselaw corpus and ranked by authority, recency, and treatment. Dots show Syfertize treatment of the citing case itself.