peer review organization

peer review,

n 1. a retrospective consideration or an examination by one or more individuals of equal standing or rank.
n 2. a process established to provide for review by licensed dental professionals of the care by a dental professional for a single patient; disputes regarding fees; cases submitted by carriers and initiated by patients or dental professionals; and quality of care and appropriateness of treatment.

peer review organization (PRO),

n an organization established by an amendment of the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) to provide for the review of medical services furnished primarily in a hospital setting or in conjunction with care provided under the Medicare and Medicaid programs. In addition to their review and monitoring functions, these entities can invoke sanctions, penalties, or other corrective actions for noncompliance in organization standards.

peer review system,

n a professionally sponsored and operated system for the rendering of professional judgment on disagreements between or among dental professionals, patients, or fiscal intermediaries, respecting quality of care and related matters.

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peer review organization

Professional review organization, qualilty improvement organization Managed care An independent or sponsored group of physicians or other appropriate peers–eg, allied health professionals who conduct pre-admission, continued stay, services reviews, for Medicare Pts by Medicare approved hospitals or physicians; PROs also review activities and records of particular health provider, institutions or groups. See Peer review.