peer-review organization

peer-re·view or·gan·i·za·tion

(PRO) (pēr-rĕ-vyū'ōr'găn-ī-zā'shŭn)
An organization that contracts with the U.S. Centers for Medicare and Medicaid Services (which pays for health care to Medicare patients) to review the need for and quality of care given to Medicare patients, and to monitor the accuracy of assigned diagnosis-related groups submitted by the health care facility as the basis for reimbursement for services provided.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
References in periodicals archive ?
Increasing pneumococcal vaccination rates among residents of longterm-care facilities: provider-based improvement strategies implemented by peer-review organizations in four western states.
Through CIS, HCFA will develop and provide information on choice and use of health-care services to physicians, other health-care providers, consumer-based and professional societies, peer-review organizations, contractors, state health departments, other federal agencies, and to Medicare and Medicaid beneficiaries[5].