Reflections of a CHAMPUS-APA peer reviewer.
Peer review is a major professional response to the problems of health insurance coverage for psychiatric services. Standard insurance programs reimburse only services that are conventional and cost-effective. The system assumes that services are skillfully documented by providers. Experience as a peer reviewer helps clinicians acquire skill in documentation.
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D003362:Cost-Benefit Analysis; D004282:Documentation; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000592:standards*; D006801:Humans; D007348:Insurance, Health / Q000592:standards*; D007349:Insurance, Health, Reimbursement / Q000191:economics / Q000592:standards; D007358:Insurance, Psychiatric / Q000191:economics / Q000592:standards*; D008370:Manuals as Topic; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy; D010380:Peer Review