Peer review organization definition

Peer review organization means a utilization and quality control peer review organization that has a contract with the federal secretary of health and human services pursuant to Tit. XI, part B, of the federal Social Security Act to review health care services paid for in whole or in part under the Medicare program established by Tit. XVIII of the federal Social Security Act, or another organization of licensed health care professionals performing utilization and quality control review functions.

Peer review organization or "organization" means a group of

Peer review organization means an organization qualified by the Centers for Medicare and Medicaid Services in accordance with 42 CFR 462 that reviews health care practitioners, and the health care services they order or furnish, utilizing other practitioners from the same field of practice.

Examples of Peer review organization in a sentence

• Peer review organization members and otherpersons individuals participating in a professional peer review, including the personindividual who is the subject of the professional peer review.b. The term does not include original patient source documents.

• Peer review organization members and other persons participating in a professional peer review, including the person who is the subject of the professional peer review.

• Peer review organization currently under contract with the CAH for this service by analysis of CAH’s internal chart audits, or by examination of external peer review reports.Consulting Hospital shall, upon request of CAH, provide external peer review assistance in accordance with Network policies and procedures.

• Peer review organization - Mandatory reports - Penalty.1. A peer review organization shall report to an investigative panel of the North Dakota board of medical examinersmedicine any information that indicates a probable violation of subsection 4, 5, 16, or 17 of section 43-17-31.

• Al- most a decade later Guidance on uncertainty and use of experts (USNRC 1997) was published, at the time the USNRC-CEC study on Expert judgement and accident consequence uncertainty analysis (Goossens and Kelly 2000) started.

• Correlation of the Agency for Health Care Policy and Research congestive heart failure admission guideline with mortality: Peer review organization voluntary hospital association initiative to decrease events (PROVIDE) for congestive heart failure.

• Peer review organization members and other individuals participating in a professional peer review, including the individual who is the subject of the professional peer review.

• Peer review organization Comment: One commenter requested that the definition for ‘‘peer review organization’’ be modified to remove the exclusion for Medicare Quality Improvement Organizations (QIOs).This commenter stated that excluding QIOs from reporting to the NPDB‘‘* * * is contrary to the statute [Section 1921] these proposed regulations are intended to implement.’’ The argument for changing this definition hinges upon the use of the phrase ‘‘any peer review organization’’ in the statute.

• Peer review organization means, for purposes of this part, an organization with the primary purpose of evaluating the quality of patient care practices or services ordered or performed by health care practitioners measured against objective criteria which define acceptable and adequate practice through an evaluation by a sufficient number of health care practitioners in such an area to ensure adequate peer review.

• Peer review organization review of health maintenance organizations.