tci Medicare Compliance & Reimbursement - 2007 Issue 34

INDUSTRY NOTES: Be Proactive In Opposing Return Of PRO Auditors

Plus: Patients will come armed with questions, thanks to new siteA new bill to reform the Quality Improvement Organization (QIO) system also could bring back the dreaded Peer Review Organizations (PROs), which used to investigate complaints against physicians and examine doctors' claims data. The bill, by Senate Finance Chair Max Baucus (D-MT) and ranking Republican Charles Grassley (R-IA) would empower new Medicare PROs, which would have similar case-review powers to the old PROs, warns the American Medical Association. NIH Walks Patients Through Visit ProcessBe prepared for patients to ask more questions when they talk to your physicians. The National...

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