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LSDefine
Simple English definitions for legal terms
peer-review organization
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A quick definition of peer-review organization:
A peer-review organization, also known as PRO, is a group that checks if private hospitals are following the rules set by the government to receive public funds like Medicare payments. They make sure that the hospitals are providing good quality care to their patients.
A more thorough explanation:
PEER-REVIEW ORGANIZATION
A peer-review organization is a government agency that checks if private hospitals are following health regulations when they ask for public funds, like Medicare payments. It is abbreviated as PRO.
- A private hospital wants to receive Medicare payments for the services they provided to a patient. Before they can get the payment, a peer-review organization will check if the hospital followed all the health regulations.
- A peer-review organization may also check if a hospital is providing quality care to patients and meeting certain standards.
The examples illustrate how a peer-review organization works. It is responsible for ensuring that private hospitals are following health regulations and providing quality care to patients before they receive public funds. This helps to protect patients and ensure that public funds are being used appropriately.