peer review organization

peer review organization
peer re·view organization 'pir-ri-'vyü- n any of a group of organizations staffed by local practicing physicians that were established by the Tax Equity and Fiscal Responsibility Act of 1982 to evaluate the quality, necessity, cost, and adherence to professional standards of medical care provided to Medicare patients as a prerequisite for payment of the medical services by Medicare abbr. PRO

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Professional Review Organization (PRO) an organization of health care professionals, in a designated area, state, or community, established to monitor health care services paid for through Medicare, Medicaid, and Maternal and Child Health programs to assure that services provided are medically necessary, meet professional standards, and are provided in the most economic medically appropriate health care agency or institution.

Medical dictionary. 2011.

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