Implementation of PSRO Legislation: Hearings Before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-third Congress, Second Session, May 8 and 9, 1974, Part 2U.S. Government Printing Office, 1974 - 999 pages |
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Page 522
... applicant must provide for the broadest possible involvement , as reviewers on ... admission was required and provision of the services was ap- proved by the ... certification would generally be required not later than the point where 50 ...
... applicant must provide for the broadest possible involvement , as reviewers on ... admission was required and provision of the services was ap- proved by the ... certification would generally be required not later than the point where 50 ...
Page 523
... certification at or before the expiration of the period of usual lengths of ... admitted in the first place cannot be and are not taken from him by the PSRO ... admission for unnecessary or avoidable hospitalization . To be effective ...
... certification at or before the expiration of the period of usual lengths of ... admitted in the first place cannot be and are not taken from him by the PSRO ... admission for unnecessary or avoidable hospitalization . To be effective ...
Page 550
... admission of a patient for inpatient care in a health care institution , at which the physician attending such patient shall execute a certification stating that further inpatient care in such institution will be medically neces- sary ...
... admission of a patient for inpatient care in a health care institution , at which the physician attending such patient shall execute a certification stating that further inpatient care in such institution will be medically neces- sary ...
Page 594
... admission certification to indicate the PSRO may suggest appropriate medical consultation in certain instances to certify admissions when concurrent certification of elective admissions failed to prevent medically unnecessary admissions ...
... admission certification to indicate the PSRO may suggest appropriate medical consultation in certain instances to certify admissions when concurrent certification of elective admissions failed to prevent medically unnecessary admissions ...
Page 601
... admission certification and continued stay review . those instances of a hospital feeling there is a valid reason for excep- tions to these parameters , that hospital must receive approval from the PSRO prior to making such ...
... admission certification and continued stay review . those instances of a hospital feeling there is a valid reason for excep- tions to these parameters , that hospital must receive approval from the PSRO prior to making such ...
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Common terms and phrases
administrative admission certification agency agreement amendment American appropriate approval area designation assistance assure challenged legislation Chapter Issue Date Committee conditional PSRO Congress contract costs criteria and standards determination DHEW diagnosis Directors doctor of medicine duties and functions effective eligible Federal fifth amendment guidelines health care facility health care practitioners health care services hospital inpatient institutions Manual Chapter Issue medical audit medical necessity Medical Society medicare and medicaid meeting membership National Professional Standards non-physician health norms OPSR osteopathy P.S.R.O. Program Manual patients payment peer review performance physicians Plaintiffs practitioner or provider procedures profes Professional Standards Review Program Manual Chapter proposed PSRO area 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 tion U.S. Senate utilization review
Popular passages
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 945 - ... unless it appears to a certainty that the plaintiff would be entitled to no relief under any state of facts which could be proved in support of his claim.
Page 820 - The president shall designate one of the members of the council to serve as chairman.
Page 557 - ... (b) It shall be unlawful for any person to disclose any such information other than for such purposes, and any person violating the provisions of this section shall, upon conviction, be fined not more than $1,000, and imprisoned for not more than six months, or both, together with the costs of prosecution.
Page 745 - ... no substantial part of the activities of which is carrying on propaganda, or otherwise attempting to influence legislation, and which does not participate in, or intervene in (including the publishing or distributing of statements), any political campaign on behalf of any candidate for public office.
Page 966 - 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 556 - ... (c) The Council is authorized to engage such technical assistance as may be required to carry out its functions, and the Secretary shall, in addition, make available to the Council such secretarial, clerical, and other assistance and such pertinent data prepared by the Department of Health, Education, and Welfare as it may require to carry out such functions.
Page 744 - BOARD OF DIRECTORS SECTION 1. General Powers. The business and affairs of the corporation shall be managed by its Board of Directors.
Page 818 - XVIII with respect to terminations of provider agreements), and shall remain in effect until the Secretary finds and gives reasonable notice to the public that the basis for such determination has been removed and that there is reasonable assurance that it will not recur.
Page 820 - Code), including travel time; and while so serving away from their homes or regular places of business, they may be allowed travel ex»penses, including per diem in lieu of subsistence, as authorized by section 5703 of title 5, United States Code, for persons in Government service employed intermittently.