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U.S. Code as of:
01/19/04
Section 1320c-1. Utilization and quality control peer review organization defined
The term "utilization and quality control peer review
organization" means an entity which -
(1)(A) is composed of a substantial number of the licensed
doctors of medicine and osteopathy engaged in the practice of
medicine or surgery in the area and who are representative of the
practicing physicians in the area, designated by the Secretary
under section 1320c-2 of this title, with respect to which the
entity shall perform services under this part, or (B) has
available to it, by arrangement or otherwise, the services of a
sufficient number of licensed doctors of medicine or osteopathy
engaged in the practice of medicine or surgery in such area to
assure that adequate peer review of the services provided by the
various medical specialties and subspecialties can be assured;
(2) is able, in the judgment of the Secretary, to perform
review functions required under section 1320c-3 of this title in
a manner consistent with the efficient and effective
administration of this part and to perform reviews of the pattern
of quality of care in an area of medical practice where actual
performance is measured against objective criteria which define
acceptable and adequate practice; and
(3) has at least one individual who is a representative of
consumers on its governing body.
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