URAC developed the first Health Utilization Management (HUM) Review Standards to ensure that organizations conducting utilization review followed a process that was clinically sound and respected patients’ and providers’ rights while giving payers’ reasonable guidelines to follow. Today, URAC is the undisputed leader in Utilization Management Accreditation.
As managed care has grown, it has become more prevalent in the workers’ compensation setting. URAC developed these standards to ensure quality in worker’s compensation utilization management programs. Several states have already incorporated URAC accreditation into their regulations for workers’ compensation utilization management.
This workshop covers Health Utilization Management Accreditation v7.3/ v7.4 and Workers' Compensation Utilization Management v7.3/v7.4 standards. It does not include Core Accreditation. See the URAC Core Accreditation Standards v3.2 Workshop, which will take place the on October 10.
This workshop provides:
The scoring methodology of the standards and how URAC reviewers apply them.
The basic components of URAC’s standards and what is needed to meet their intent.
The documentation needed to submit a complete application for accreditation and desktop review.
Validation review requirements and activities used by URAC’s review staff.
Helpful educational and support resources available at URAC during the application for accreditation.
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.