Implementation of PSRO Legislation, Hearings Before the Subcommittee on Health of ..., 93-2 ... |
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administrative admission certification agency agreement amendment American appropriate approval area designation assistance assure basis challenged legislation Chapter Issue Date conditional PSRO contract costs criteria and standards determination DHEW diagnosis doctor of medicine duties and functions effective Federal fifth amendment guidelines health care facility health care practitioners health care services hospital implementation institutions Manual Chapter Issue medical necessity Medical Society medicare and medicaid meeting membership National Professional Standards non-physician health norms OPSR organiza osteopathy P.S.R.O. Program Manual patients payment peer review performance physicians Plaintiffs practitioner or provider profes Professional Review Organization Professional Standards Review Program Manual Chapter proposed PSRO area PSRO legislation PSRO program PSRO review PSRO's Region regulations review activities Review Organization area Secretary Senate Social Security Act Standards Review Council Standards Review Organization Statewide Professional Standards Subcommittee subsection tion U.S. Senate utilization review
Popular passages
Page 826 - GS-18 of the General Schedule under section 5332 of title 5, United States Code), including traveltime; and while so serving away from their homes or regular places of business, they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 5703 of title 5, United States Code...
Page 499 - Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided...
Page 826 - The president shall designate one of the members of the council to serve as chairman.
Page 959 - ... accrued" interests violative of the Due Process Clause of the Fifth Amendment. II. This is not to say, however, that Congress may exercise its power to modify the statutory scheme free of all constitutional restraint. The interest of a covered employee under the Act is of sufficient substance to fall within the protection from arbitrary governmental action afforded by the Due Process Clause.
Page 524 - Hospitals, which is sponsored by the American Medical Association, the American Hospital Association, the American College of Physicians, and the American College of Surgeons, was also considering the establishment of an accreditation program for inpatient care institutions other than hospitals.
Page 549 - Act for the purpose of determining whether — (A) such services and items are or were medically necessary; (B) the quality of such services meets professionally recognized standards of health care ; and (C) in case such services and items are proposed to be provided in a hospital or other health care facility on an inpatient basis, such services and items could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or more economically in an inpatient...
Page 969 - If a physician is licensed by the State, he is recognized by the State as capable of exercising acceptable clinical judgment. If he fails in this, professional censure and deprivation of his license are available remedies. Required acquiescence by co-practitioners has no rational connection with a patient's needs and unduly infringes on the physician's right to practice.
Page 968 - Few professions require more careful preparation by one who seeks to enter it than that of medicine. It has to deal with all those subtle and mysterious influences upon which health and life depend...
Page 976 - The basic purpose of this Amendment, as recognized in countless decisions of this Court, is to safeguard the privacy and security of individuals against arbitrary invasions by governmental officials.
Page 971 - The man who knows that he must bring forth proof and persuade another of the lawfulness of his conduct necessarily must steer far wider of the unlawful zone than if the State must bear these burdens.