A major objective of a Professional Review Organization (PRO) is to reduce:
A) The liability of the agency by reviewing patterns of risk
B) Inappropriate admissions and unnecessary procedures
C) The use of alternative care options such as home care
D) The practice of professionals without appropriate credentials

Question

Quizplus · Accepted Answer

The primary objective of a Professional Review Organization (PRO) is to reduce inappropriate admissions and unnecessary procedures in order to improve the quality of healthcare and reduce healthcare costs. PROs do this by reviewing medical records and assessing whether the care provided is necessary, appropriate, and meets established standards of care. This helps to ensure that patients receive the most appropriate and effective care, while also reducing the risk of adverse events and unnecessary healthcare spending. While PROs may also review patterns of risk and promote the use of alternative care options, these are secondary objectives and not the primary focus of the organization. The practice of professionals without appropriate credentials is typically addressed by regulatory bodies such as licensing boards, and is not a primary objective of PROs.

A Major Objective of a Professional Review Organization (PRO) Is