Practitioners in an HMO program may come under peer review by a professional group called a

Question

Quizplus · Accepted Answer

Practitioners in an HMO program may come under peer review by a Quality Improvement Organization (QIO), which is a professional group that works under contract with Medicare to monitor and review the quality of care provided by healthcare providers, including HMOs. The QIO reviews medical records and other data to evaluate the appropriateness and effectiveness of healthcare services, and makes recommendations for improving the quality of care. This process is also known as utilization review or quality management. Option A is not a common term used for this purpose, and option B is a more general term that may not necessarily refer to healthcare providers. Option D refers to a different type of organization that focuses on managing healthcare costs, rather than improving quality of care.

Practitioners in an HMO Program May Come Under Peer Review