Confidentiality Flashcards
1
Q
NCQA on Confidentiality
A
MCO: P & P ensure confidentiality of all information obtained through credentialing process, except where prohibited by law
CVO: Protect confidentiality & integrity of credentialing files, written confidentiality statement included in P & P, implemented mechanisms that guard against unauthorized access to or modification of credentialing files
2
Q
Confidentiality
A
- MS use meetings to document functions required by law & accrediting bodies
- HCQIA provides limited immunity from legal action for physicians who enter into good faith peer review
- Courts have ordered hospitals to present peer review documents
- Minutes should be prepared with the understanding that they may later be subjected to legal scrutiny
- Never discuss credentialing or peer review activities outside the actual process
- Minutes can be stored electronically
