Assumption of review responsibility by conditional PSROs; conclusive effect of PSRO determinations on claims payment; correlation of Title XI functions with functions required under Title XVIII and Title XIX of the Act.
D007349:Insurance, Health, Reimbursement; D008484:Medicaid / Q000191:economics*; D006278:Medicare / Q000191:economics* / Q000331:legislation & jurisprudence; D011366:Professional Review Organizations / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D014481:United States; D014483:United States Dept. of Health and Human Services