1. What is a health oversight agency?
2. What are some of the health oversight agencies?
3. Are JCAHO and other private accrediting bodies considered health oversight agencies?
4. What are a health care provider's duties and obligations when a health oversight agency requests protected health information?
5. Can we disclose protected information whenever one of these health oversight agencies requests it?
6. Is the health oversight agency required to justify and document its need for the information?
7. Are we required to verify the identity/authority of health oversight agencies before disclosing information?
8. Is this the provision we would use in reporting and responding to health care fraud investigations?
9. Can we initiate an investigation or self-report fraud to a health oversight agency using these provisions?
10. When is a disclosure for law enforcement purposes and when is it for health oversight purposes?
11. If an individual requests an accounting of the uses and disclosures of health care providers, are the health care providers required to include disclosures submitted for health oversight purposes?
12. We are a group of health care providers and also serve as a health oversight agency. Can we use the needed information for our oversight activities without consent or authorization?