tci Part B Insider - 2007 Issue 28

PHYSICIAN NOTES: Be Proactive In Opposing The Return Of PRO Auditors

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. As a result, you could have independent contractors without specialist knowledge looking over your shoulder.- Be prepared for patients to ask...

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