From the following answer choices, choose the term that best corresponds to this description. The SureQual Group is a group of practicing physicians and other healthcare professionals paid by the federal government to review services ordered or furnished by other practitioners in the same medical fields for the purpose of determining whether medical services provided were reasonable and necessary, and to monitor the quality of care given to Medicare patients.

Question

Quizplus · Accepted Answer

The described group fits the definition of a peer review organization (PRO), which is specifically contracted by the federal government to review services provided to Medicare patients. Health insuring organizations (HIOs) focus on providing insurance coverage, independent practice associations (IPAs) are networks of independent practices that contract with insurance companies, and physician practice management (PPM) companies provide administrative services to medical practices.

From the Following Answer Choices, Choose the Term That Best