Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess the necessity, appropriateness and quality of care furnished as such care is compared to that customarily furnished by the provider's peers and to recognized health care standards.
Appears in 7 contracts
Sources: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Wellcare Health Plans, Inc.)
Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess peers. It assesses the necessity, appropriateness and quality of care furnished as such care is compared by comparing it to that customarily furnished by the provider's peers and to recognized health care standards.
Appears in 4 contracts
Sources: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)
Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess ’s peers. The evaluator assesses the necessity, appropriateness and quality of care furnished as such by comparing the care is compared to that customarily furnished by the provider's ’s peers and to recognized health care standards.
Appears in 2 contracts
Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess peers. The evaluator assesses the necessity, appropriateness and quality of care furnished as such by comparing the care is compared to that customarily furnished by the provider's peers and to recognized health care standards.
Appears in 2 contracts
Sources: Standard Contract, Long Term Care Health Plan Model Contract
Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess ’s peers. It assesses the necessity, appropriateness and quality of care furnished as such care is compared by comparing it to that customarily furnished by the provider's ’s peers and to recognized health care standards.
Appears in 1 contract
Sources: Standard Contract (Amerigroup Corp)
Peer Review. An evaluation of the professional practices of a provider by the provider's peers in order to assess ’s peers. The evaluation assesses the necessity, appropriateness and quality of care furnished as such by the provider in comparison to care is compared to that customarily furnished by the provider's ’s peers and to consistency with recognized health care standards.
Appears in 1 contract
Sources: Participating Provider Agreement
Peer Review. An evaluation of the professional practices of a provider by the provider's ’s peers in order to assess the necessity, appropriateness and quality of care furnished as such care is compared to that customarily furnished by the provider's ’s peers and to recognized health care standards.
Appears in 1 contract