Professional Standards Review organization

organization /or·ga·ni·za·tion/ (or″gah-nĭ-za´shun)

1. the process of organizing or of becoming organized.

2. an organized body, group, or structure.

3. the replacement of blood clots by fibrous tissue.

Professional Standards Review Organization (PSRO) a regional organization of physicians and in some cases allied health professionals established to monitor health care services paid for by Medicare, Medicaid, and Maternal and Child Health programs.

Professional Standards Review Organization (PSRO),

an organization formed under the U.S. Social Security Act Amendments of 1972 to review the services provided under Medicare, Medicaid, and Maternal Child Health programs. Review is conducted by physicians to ascertain the need for the program and to ensure that it is carried out in accord with certain criteria, norms, and standards and, in institutional situations, in a proper setting. The PSRO requires that regional organizations be formed to conduct these reviews throughout the nation.

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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deemed status health maintenance organization HMO organization peer review 1 PRO PSRO	It is of note that all cosmetic plastic surgical procedures are considered medically unnecessary using the definition of the professional standards review organizations, in which "medical necessity" is defined as a medically necessary service, procedure, or level of care that is absolutely essential and indispensable for ensuring the health and safety of the patient. Improving "medical necessity" acceptance by health care providers and ... by Hepps, S.A. / Physician Executive Congress created Professional Standards Review Organizations in 1972 after deciding that hospital utilization review committees could not effectively restrain Medicare costs. PROs presage tighter squeeze on hospitals and labs by Medical Laboratory Observer In addition, he was a vice president and board member of the Philadelphia Professional Standards Review Organization. American Business Financial Services Appoints Businessman and ... by Business Wire	proelastase proencephalus proenzyme proerythroblast proerythrocyte proestrogen proestrus Profenal profession professional professional assistance program professional autonomy professional board professional boundary professional corporation professional courtesy professional ethics professional herbalist professional homeopath professional image professional liability professional misconduct professional network professional organization Professional Patient Professional Standards Review organization Professional Suicide professional touch Professional Voice professionalism professionalized systems Professor Professor Dick van Velzen Professor Sir Samuel Roy Meadow professorial rounds profibrin profibrinolysin profilaggrin profile Profile of Mood States Profilicollis minutus profiling profilometer profilometry profit profit sharing profitability proflavine Profore four-layer system proformiphen profunda	Professional Sports Car Racing Professional Sports Psychology Group Professional Spring Football League Professional Squash Association Professional Squash Coaches Association of Australia professional staff Professional Staff Association Professional Staff Development Professional Staff Executive Committee Professional Staff Internship Professional Staff Member Professional Staff Organization Professional Staff Union Massachusetts Teachers Association Professional Staff Years Professional Staffs Branch Professional Stamp Expertisers Professional Standard Unit professional standards Professional Standards and Performance Monitoring Professional Standards and Teacher Education Board Professional Standards Commission Professional Standards Division Professional Standards Institute Professional Standards Legislation Professional Standards Review organization Professional Strength Professional Student Exchange Program Professional Student Services Personnel Professional Studies and Continuing Education Professional Studies and Training Professional Success Institute Professional Suicide Professional Support Coordinator Queensland Professional Support Inc. Professional Support Lawyer Professional Surfing Tour of America Professional Surveyor Professional Surveyor and Mapper Professional Switch Vision Suite Professional Systems Network, Inc. Professional Tanning Action Fund Professional Tarpon Tournament Series Professional Tax Preparer Professional Tax Receipt Professional Teacher Education Unit Professional Teachers Education Program Professional Teaching and Learning Center Professional Teaching Practices Commission Professional Teaching Standards Board

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deemed status
health maintenance organization
HMO
organization
peer review 1
PRO
PSRO

It is of note that all cosmetic plastic surgical procedures are considered medically unnecessary using the definition of the professional standards review organizations, in which "medical necessity" is defined as a medically necessary service, procedure, or level of care that is absolutely essential and indispensable for ensuring the health and safety of the patient.

Improving "medical necessity" acceptance by health care providers and ... by Hepps, S.A. / Physician Executive

Congress created Professional Standards Review Organizations in 1972 after deciding that hospital utilization review committees could not effectively restrain Medicare costs.

PROs presage tighter squeeze on hospitals and labs by Medical Laboratory Observer

In addition, he was a vice president and board member of the Philadelphia Professional Standards Review Organization.

American Business Financial Services Appoints Businessman and ... by Business Wire