Review of PSRO Medical Cost Control: Hearing Before the Subcommittee on Oversight of the Committee on Ways and Means, House of Representatives, Ninety-sixth Congress, First Session, June 27, 1979U.S. Government Printing Office, 1979 - 237 lappuses |
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1978 Evaluation active PSROS adverse determinations analysis ancillary services Answer appropriate assess assumptions audit basis CBO report CBO's changes claims Colorado comparison areas comparison groups conducted CONGRESS THE LIBRARY Congressional Budget Office cost effective criteria delegated differences disagreement rate effectiveness of PSROs estimate example Federal fiscal intermediary focused review funding GIBBONS HCFA evaluation HCFA's health-care hospital costs hospital stay hospital utilization HSQB identified impact implementation inappropriate included individual PSRO inpatient Kansas/Nebraska length of stay LIBRARY OF CONGRESS long-term Medicaid medical necessity Medicare patients monitoring program number of days OPEL percent post-payment monitoring postpayment review problem procedures Professional Standards Review PSRO activities PSRO areas PSRO determinations PSRO effectiveness PSRO evaluations PSRO program PSRO review PSRO's Question reimbursement REISCHAUER reliable review activities review costs sample savings savings-to-cost ratio Standards Review Organization tion true 20 types utilization review variable York County
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