Professional Review Organization. An organization that reviews the activities and records of a health care provider, institution, or group. The reviewer is generally a physician if a physician is the subject of the review; a group of administrators, physicians, and allied health care personnel if a hospital is the subject of the review; etc. The PRO can be state-sponsored or independent.
Professional Review Organization. An organization in which practicing physicians assume responsibility for reviewing the propriety and quality of health care services provided under Medicare and Medicaid.
Performing Rights Organization. An organization that administers the performing rights associated with a musical work, on behalf of composers, lyricists, songwriters and music publishers (see SOCAN).
Performing Rights Organization. organizations that license songs for performances and collect royalties for those performances, such as on radio, TV and film. In the U.S., the three PROs are Broadcast Music Inc. (BMI), American Society of Composers, Authors and Publishers (ASCAP), and Society of European Songwriters, Authors and Composers (SESAC).
Peer Review Organization, now Quality Improvement Organization.
Peer Review Organization. An independent, state-based organization that uses local doctors and nurses to assess the quality of care provided to beneficiaries.
See Peer Review Organization.
Peer Review Organization. A professionally sponsored and operated system, usually a physician-directed organization or program, for review of professional judgment about quality or appropriateness (medical necessity) of treatment; PROs arbitrate disagreements between physicians and other providers and third parties.
Peer Review Organization. An organization established by the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) to review quality of care and appropriateness of admissions, readmissions and discharges for Medicare and Medicaid.
Peer Review Organization. A federal program established by the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), which monitors the medical necessity and quality of services provided to Medicare and Medicaid beneficiaries under the prospective payment reimbursement system. PROs also validate provider coding assignments that affect Medicare reimbursement.
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Soon-to-be-activated generic top-level domain. Once established, the domain will be available exclusively for certified professionals, such as accountants, lawyers and physicians.
Professional (Peer) Review Organization. A group ofphysicians and lay people who review appropriateness of outpatient andinpatient health care.
Peer Review Organization. A watchdog group formed by members of the same profession to guard against improper treatment or charges. Sometimes used to review questionable claims.
Peer Review Organization. group paid by the federal government to review hospital treatment of Medicare patients. A patient has the right to appeal to a PRO if there is a question about care or length of stay.
Peer Review Organization. an organization established by an amendment of the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), to provide for the review of medical services furnished primarily in a hospital setting and/or in conjunction with care provided under the Medicare and Medicaid programs. In addition to their review and monitoring functions, these entities can invoke sanctions, penalties, or other corrective actions for noncompliance in organization standards.
Professional Review Organization or Peer Review Organization.
Peer Review Organization. A group of practicing doctors and other health care professionals under contract to the federal government to review the care provided to Medicare patients. Also known as a Quality Review Organization (QRO).
Peer Review Organization. Groups of physicians who are paid by the federal government to conduct pre-admission, continued stay and services reviews provided to Medicare patients by Medicare approved hospitals. (H)
professional review organization. a physician-sponsored organization charged with reviewing the services provided to patients. The purpose of the review is to determine if the services rendered are medically necessary; provided in accordance with professional criteria, norms and standards; and provided in the appropriate setting