21 Terms
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General
General nature or nature terms.
Industry: Natural environment
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General
Payer (usually third party payer)
Health care; General
The public or private organisation that is responsible for payment for health care expenses. Payers may be insurance companies or self-insured employers.
Pay-for-performance programmes
Health care; General
A programme of financially structured incentives for practitioners and providers in exchange or as reward for the achievement of certain benchmarks of performance. The hope is that by offering ...
Peer review
Health care; General
The mechanism used by the medical staff to evaluate the quality of total health care provided by the Managed Care Organization. The evaluation covers how well all health personnel perform services ...
Peer review committee
Health care; General
The hospital, clinic or MCO committee that reviews cases of health care services delivery in which the quality of care is questionable or problematic.
Peer review organisation (PRO)
Health care; General
An organisation established by the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 to review quality of care and appropriateness of admissions, readmissions, and discharges for Medicare and ...
Penalty (on medicare premium)
Health care; General
An amount added to a senior citizen's monthly premium for Medicare Part B, or for a Medicare Prescription Drug Plan, if the citizen does not join the Medicare Plan(s) when they are first able to. ...
Per diem rates
Health care; General
A form of payment for services in which the provider is paid a daily fee for specific services or outcomes, regardless of the cost of provision. Per diem rates are paid without regard to actual ...
