42 CFR §480.131 — Access to medical records for the monitoring of QIOs.
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
CMS or any person, organization or agency authorized by the Department or Federal statute to monitor a QIO will have access to medical records maintained by institutions or health care practitioners on Medicare patients. The monitor can require copies of the records.