| Medicare and Medicaid programs; utilization and quality control peer review organization (PRO): assumption of Medicare review functions and coordination with Medicaid--HCFA. Final rule. | |
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MedLine Citation:
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PMID: 10299989 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This rule describes the review functions to be performed by a utilization and quality control peer review organization (PRO). It outlines the relationships that will be established among PROs, Medicare fiscal intermidiaries and carriers, providers, practitioners, and beneficiaries when a PRO assumes its review responsibilities. It also describes the relationship that should exist between PROs and State Medicaid agencies that contract with PROs to perform review. This rule implements portions of the following statutes: Peer Review Improvement Act of 1982 (Title I, Subtitle C of the Tax Equity and Fiscal Responsibility Act of 1982, Pub. L. 97-248), Social Security Amendments of 1983 (Pub. L. 98-21), Deficit Reduction Act of 1984 (Pub. L. 98-369). |
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Authors:
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Federal register Volume: 50 ISSN: 0097-6326 ISO Abbreviation: Fed Regist Publication Date: 1985 Apr |
Date Detail:
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Created Date: 1985-05-21 Completed Date: 1985-05-21 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7808722 Medline TA: Fed Regist Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 15312-35 Citation Subset: H |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Centers for Medicare and Medicaid Services (U.S.) Medicaid / utilization Medicare / utilization* Professional Review Organizations / legislation & jurisprudence* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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