HEW Progress and Problems in Establishing Professional Standards Review Organizations

The Professional Standards Review Organization (PSRO) program was initiated to have local physicians establish peer groups to determine whether services to patients under the Medicare, Medicaid, and maternal and child health programs are medically necessary, provided in accordance with medical standards, and provided in an appropriate setting. Legislation provides for designating PSRO geographic areas, establishing PSRO's and advisory councils, enrolling physicians, and implementing medical review systems.