See: peer review group.
Tag: RAW
Peer review group
Several local physicians who come together to solve insurance claim disputes and support ethical medical practices in the community. Sometimes referred to as a peer review committee .
Peer review organization (Health Insurance)
Physicians hired by the federal government to review the service provided to Medicare subscriber by the Medicare approved facilities.
peer review organization (PRO)
See: Quality Improvement Organization (QIO) program.
Pelvic examination
Diagnostic procedure performed by a physician in which the external and internal genitalia are physically examined by inspection, palpation, percussion, and auscultation.
PEN
See: parenteral nutrition (PEN).
Pen, The
See: Managing general agent (MGA).
Penalize
To inflict a burden or penalty on an individual.
Penalized claim
Insurance claim submitted to an insurance carrier that did not pass the claim edits and a penalty was applied, thus reducing payment. Also see downcoding.
Penalties
Penalties consists of indemnity for the loss or punitive damages imposed by the courts, restitution of the property or loss, injunctive relief precluding future conduct or action, and other remedies, including possession of the property or an accounting of the property entrusted.