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PSRO

   Also found in: Acronyms 0.01 sec.
PSRO Professional Standards Review Organization.
PSRO,
Professional Standards Review Organization (PSRO)
an organization established to monitor health care services paid for through Medicare, Medicaid, and Maternal and Child Health programs to assure that services provided are medically necessary, meet professional standards, and are provided in the most economic medically appropriate health care agency or institution.

The PSROs are an outcome of the Social Security Amendment of 1972 (Public Law 92-603), which requires the setting up of PSROs to monitor health care services paid for, wholly or in part, under provisions of the Social Security Act. Each PSRO serves a specific geographic area and develops or selects its own norms of care, diagnosis, and treatment. The norms are based on typical patterns of practice in the area being served, including typical lengths of stay for institutional care by age and diagnosis.


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On the discharge note, the psychiatrist wrote that Wilson "[d]id well in the program but had to leave early because of pressure from PSRO," referring to the review firm.
Forced upon an unprepared profession in a cultural climate that applauded the discomfiture of all established institutions, medical audit failed to get the professional support it needed, failed in its objectives, and was discarded in 1980 by the PSROs and the JCAH.
PSRO Annual Conference, March 3-5, 2009, Las Vegas, Nev.
 
 
 
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