Specialty medical peer review

From Wikipedia, the free encyclopedia

Specialty medical peer review is the evaluation of matters that deal with quality of treatment, appropriateness of care, utilization and irregular billing rendered by a physician in a narrow specialty to a patient. The specialty peer review committee can act at the request of a patient, a physician, or a carrier. An independent review organization can provide specialty medical reviews for a medical specialties.

It is the obligation of the peer review committee to conduct unbiased and objective investigations. Specialty peer review panels are often formed by medical associations, insurance companies, health plan carriers or even a state.

See also: Medical peer review, Utilization review, Utilization management, and Sham peer review