PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS Meaning and
Definition
-
Professional Standards Review Organizations (PSROs) are independent bodies responsible for the evaluation and review of medical services provided to Medicare patients by healthcare providers. They were established in the United States as a result of the Social Security Amendments of 1972, which aimed to improve the quality and efficiency of healthcare delivery.
PSROs are composed of healthcare professionals from various disciplines, such as physicians, nurses, and healthcare administrators. They are tasked with ensuring that healthcare services provided to Medicare patients are medically necessary, appropriate, and of high quality. PSROs review medical records, treatment plans, and billing practices to verify compliance with established standards and guidelines.
The primary function of PSROs is to conduct retrospective reviews, meaning they assess services after they have been provided, to detect any unnecessary or inappropriate medical services or excessive billing. They strive to prevent overutilization of medical services and eliminate medical malpractice by identifying and addressing substandard care. Additionally, they may offer recommendations for improvements in healthcare delivery processes and assist in implementing these changes.
The establishment of PSROs aimed to address the rising healthcare costs and inconsistencies in care quality. By enforcing professional standards and reviewing medical services, PSROs ensure that Medicare beneficiaries receive appropriate and necessary care while avoiding unnecessary expenditures. These organizations play a vital role in maintaining the integrity and effectiveness of the Medicare program and promoting better healthcare outcomes.
Common Misspellings for PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS
- orofessional standards review organizations
- lrofessional standards review organizations
- -rofessional standards review organizations
- 0rofessional standards review organizations
- peofessional standards review organizations
- pdofessional standards review organizations
- pfofessional standards review organizations
- ptofessional standards review organizations
- p5ofessional standards review organizations
- p4ofessional standards review organizations
- prifessional standards review organizations
- prkfessional standards review organizations
- prlfessional standards review organizations
- prpfessional standards review organizations
- pr0fessional standards review organizations
- pr9fessional standards review organizations
- prodessional standards review organizations
- processional standards review organizations
- provessional standards review organizations
- progessional standards review organizations
Infographic
Add the infographic to your website:
