URAC’s Case Management Accreditation Standards v6.0, which released March 2018, is the first major revision to these standards in four years. Given the importance of case management as a tool for improving outcomes for patient populations, URAC decided to revisit the accreditation program. Changes emphasize the use of evidence-based guidelines and case management standards of practice designed to reduce the variation in services that can lead to poor outcomes. The revision also highlights performance metrics applicable to all programs – regardless of setting. These metrics are designed to demonstrate the connection between case management services and positive health outcomes, which supports the growing trend towards value-based reimbursement.
Case management allows health care organizations to better serve patients’ needs in a more dynamic way by coordinating care across the continuum of health care needs and settings. URAC’s Case Management Standards cover both health and workers’ compensation services. URAC specifically designed the Case Management Standards for organizations that provide telephonic or on-site case management services in conjunction with a privately or publicly funded benefits program.
This workshop does not include the Core standards.
This workshop includes:
Case Management Accreditation Standards
Understand the accreditation standards
Identify what is needed to meet the intent of the standards
Determine the documentation that is needed to submit with the application
Who Should Attend:
The workshop is designed to provide detailed information about URAC’s accreditation process and standards. These focused training sessions are ideal for those considering accreditation and first-time applicants as well as for companies undergoing re-accreditation, particularly in a new version.