Peer Review Organizations (Pros): According to the Balanced Budget Act of 1997, organizations or groups of practicing physicians and other healthcare professionals paid by the federal government to review and evaluate the services provided by other practitioners and to monitor the quality of care given to Medicare patients.

 

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Peer Review Organizations (Pros): According to the Balanced Budget Act of 1997, organizations or groups of practicing physicians and other healthcare professionals paid by the federal government to review and evaluate the se . . . View Full Definition

Preview Pane: The window in an email client that allows the user to scan message content without actually clicking on the message. See open rate.

Progress Review: A periodic review of a capital investment project to evaluate its continued economic viability.

Preferred Provider Organizations (Ppos): You or your employer receive discounted rates if you use doctors from a pre-selected group. If you use a physician outside the PPO plan, you must pay more for the medical care.

Pre-Admission Review: A review of an individual's health care status or condition, prior to an individual being admitted to an inpatient health care facility, such as a hospital. Pre-admission reviews are often c . . . View Full Definition

Reciprocal Review: An appraisal method where the subordinate and the manager are evaluated by each other based on agreed-upon performance criteria.

Review Hearings: Held by the juvenile and family court to review dispositions (usually every six months) and to determine the need to maintain placement in out-of-home care or court jurisdiction of a child.

Utilization Review Organization (URO): External reviewers who assess the medical appropriateness of suggested courses of treatment for patients, thereby providing the patient and the purchaser increased assurance of the appropria . . . View Full Definition

Utilization Review Committee: Committee that reviews utilization issues brought to it by the medical director, often approving or reviewing policy regarding coverage, reviewing utilization patterns of providers, and appr . . . View Full Definition

Utilization Review (UR): The evaluation of the medical necessity, efficiency, and/or appropriateness of healthcare services and treatment plans.