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.
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Peer review organization means the Joint Commission on
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Peer review organization or "organization" means a group of
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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.


More Definitions of Peer review organization

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.
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Related to Peer review organization

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • Peer review means evaluation of professional services rendered by a professional practitioner.

  • Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Peer-reviewed medical literature means a scientific study published only after having been critically

  • Professional employer organization means an employee leasing

  • Metropolitan planning organization means the same as that term is defined in Section 72-1-208.5.

  • Business organization means an individual, partnership, association, joint stock company, trust, corporation or other legal business entity or successor thereof.

  • For-profit organization means: a sole-proprietorship, partnership, limited liability company, corporation, or other legal entity that is organized or operated for the profit or financial benefit of its shareholders or other owners. Such organizations also are referred to as “commercial organizations”.

  • Procurement organization means an eye bank, organ procurement organization, or tissue bank.

  • independent review committee means the independent review committee of the investment fund established under National Instrument 81-107 Independent Review Committee for Investment Funds;

  • Evaluation Team means the team appointed by the City; “Information Meeting” has the meaning set out in section 2.2;

  • Nonprofit organization means a university or other institution of higher education or an organization of the type described in section 501(c)(3) of the Internal Revenue Code of 1954 (26 U.S.C. 501(c) and exempt from taxation under section 501(a) of the Internal Revenue Code (25 U.S.C. 501(a)) or any nonprofit scientific or educational organization qualified under a state nonprofit organization statute.

  • Non-profit organization means: (1) a governmental entity of the state of California; or (2) a legal entity that is tax exempt under Internal Revenue Code section 501(c)(3) and California Revenue and Taxation Code section 23701d.

  • Religious organization means a church, ecclesiastical corporation, or group, not organized for pecuniary profit, that gathers for mutual support and edification in piety or worship of a supreme deity.