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

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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
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