The Medical staff counselor
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In this article, the author summarizes recently enacted legislation that will result in a phaseout of the traditional usual and customary fee reimbursement system for physicians under Medicare, explains how a system of relative value scales will be implemented, and offers some suggestions for physicians concerned about their economic futures.
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The Health Care Quality Improvement Act of 1986 offers broad immunity against damages for health care entities and individuals conducting peer review activities. Among the health care entities receiving such protection are professional societies conducting peer review. Such protection is afforded only when review and reporting requirements of the Act are met. This article focuses on the benefits of the Act and the costs of compliance for medical specialty societies.
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This article discusses the impact of the Health Care Quality Improvement Act of 1986 on the ability of hospitals to conduct informal peer review and provides examples of the types of actions that may be taken without triggering the due process and reporting requirements of that act.