peer review organization

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Related to peer review organization: Professional Review Organization

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.

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References in periodicals archive ?

Finally, there's a 20-page glossary of unfamiliar terms, as well as lists of peer review organizations by state, Part B carriers, covered durable medical equipment items, state insurance departments, and agencies on aging.

Medicare Made Simple: A Consumer's Guide to the Medicare Program

Only such a measure would roll back the web of controls draped over medicine since the Medicare distortions began, including the Health Care Financing Authority and its DRG codes, innumerable hospital utilization review and government-funded peer review organizations, and souped-up state licensing boards.

Facing the Medicare mess

It also found fault with the Peer Review Organizations (PRO) set up by the federal Health Care Financing Administration (HCFA) which runs Medicare.

Cutting costs, not care; Rochester hospitals try cooperation instead of competition

Medicare peer review organizations must now disclose the results of physician investigations to the beneficiaries who initiate complaints, a federal district court judge has ruled.

DISCLOSING MEDICARE INVESTIGATIONS

HCFA, through peer review organizations (PROs), will give hospitals State and regional summary information on the care given to Medicare patients with heart attacks.