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Similar words: Rape  Rorippa  

Professional Review Organizations

PRO Professional Review Organizations | PSRO | Peer Review Organizations | Professional Standards Review Organizations | Utilization and Quality Control Peer Review Organizations | Organizations, Peer Review | Organization, Peer Review

Organizations representing designated geographic areas which have contracts under the PRO program to review the medical necessity, appropriateness, quality, and cost-effectiveness of care received by Medicare beneficiaries. Peer Review Improvement Act, PL 97-248, 1982.

Review Literature

State-of-the-Art Review | Literature, Review | State-of-the-Art Reviews | Literatures, Review | Review Literatures | Review, State-of-the-Art | Reviews, State-of-the-Art | State of the Art Review | State of the Art Reviews

Published materials which provide an examination of recent or current literature. Review articles can cover a wide range of subject matter at various levels of completeness and comprehensiveness based on analyses of literature that may include research findings. The review may reflect the state of the art. It also includes reviews as a literary form.

Drug Utilization Review

Utilization Review, Drug | Drug Utilization Evaluation | Drug-Use Review | Evaluation, Drug Utilization | Review, Drug Utilization | Review, Drug-Use | Drug Use Review | Drug Utilization Evaluations | Drug Utilization Reviews | Drug-Use Reviews

Formal programs for assessing drug prescription against some standard. Drug utilization review may consider clinical appropriateness, cost effectiveness, and, in some cases, outcomes. Review is usually retrospective, but some analysis may be done before drugs are dispensed (as in computer systems which advise physicians when prescriptions are entered). Drug utilization review is mandated for Medicaid programs beginning in 1993.

Peer Review, Research

Grants, Peer Review | Peer Review, Grants | Peer Review, Publishing | Grant, Peer Review | Grants Peer Review | Grants Peer Reviews | Peer Review Grant | Peer Review Grants | Peer Reviews, Grants | Peer Reviews, Publishing | Peer Reviews, Research

The evaluation by experts of the quality and pertinence of research or research proposals of other experts in the same field. Peer review is used by editors in deciding which submissions warrant publication, by granting agencies to determine which proposals should be funded, and by academic institutions in tenure decisions.

Concurrent Review

Continued Stay Review | Review, Concurrent | Review, Continued Stay | Concurrent Reviews | Continued Stay Reviews | Reviews, Concurrent | Reviews, Continued Stay

Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment.

Insurance Claim Review

Claims Review | Insurance Audit | Insurance Claims Processing | Analysis, Claims | Claim Review, Insurance | Claims Analysis | Review, Claims | Review, Insurance Claim | Analyses, Claims | Audit, Insurance | Audits, Insurance | Claims Analyses

Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.

Review, Tutorial [Publication Type]

Review, Tutorial | Review, Tutorial (PT)

Work consisting of a type of review, citing literature, that gives a general and reasonably thorough coverage of a subject. It often substitutes as a refresher course for practitioners to update their awareness or as a quick course for a student unfamiliar with the subject.

Review, Academic [Publication Type]

Review, Academic | Review, Academic (PT)

Work consisting of a more or less comprehensive review of the literature on a specific subject, with usually an extensive critical analysis and synthesis of the literature.

Review, Multicase [Publication Type]

Review, Multicase | Review, Multicase (PT)

Work consisting of a review of literature giving demographic, laboratory, and clinical data on a group of persons or animals ranging from most of the known cases of a rare condition in large populations on whom the results of research will lead to the establishing of epidemiological analyses or predictions of the occurrence and natural history of diseases. It is differentiated from REVIEW OF REPORTED CASES in that the latter generally reports a single case as a supplement to a presentation, however brief and limited, of other cases known to have been reported.

Rate Setting and Review

Rate Setting, Review | Review and Rate Setting | Rate Settings, Review | Review Rate Setting | Review Rate Settings | Setting, Review Rate | Settings, Review Rate

A method of examining and setting levels of payments.
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