What is URAC accreditation?

What is URAC accreditation? According to URAC, accreditation is defined as an “evaluative, rigorous, transparent, and comprehensive process in which a healthcare organization undergoes an examination of its systems, processes, and performance by an impartial external organization to ensure that it is conducting business in a manner that meets

Why is URAC accreditation important? URAC ‘gold star’ accreditation puts you in an exclusive group of recognized health care leaders. It could help with reimbursement. Payers such as CMS may require accreditation to receive Medicare reimbursement. It could reduce risk.

What are URAC standards? URAC is the Gold Standard for Health Care Accreditation

URAC’s approach to the accreditation process allows organizations to improve their health care activities through collaboration and iteration. This approach allows you to determine the best way forward for your organization’s improvements.

Is URAC nationally recognized? URAC is widely recognized by nearly every state and the federal government for our health utilization management accreditation program. URAC Health Utilization Management Accreditation is the industry standard; it indicates your organization delivers the highest quality of care to your patients.

What is URAC accreditation? – Related Questions

What is the difference between URAC and NCQA?

NCQA accredits organizations ranging from health plans including HMOs and PPOs to physician networks and medical groups. URAC accredits health plan programs including dental plans, healthcare management programs, pharmacy quality management programs, and provider integration and coordination programs.

How much does URAC accreditation cost?

The base cost is $27,000 for a two-year health plan accreditation, says Annette C. Duclos-Watson, senior vice president at URAC. That includes an accreditation workshop that insurers attend before submitting an application, which is designed to cut down on consulting fees.

How often is URAC accreditation?

URAC’s board of directors gives final approval of accreditation standards. Typically these standards are updated every three years, so as to stay up to date with changes in the health care field.

Who does URAC accredited?

Health care groups that can now earn URAC accreditation include health plans (HMOs and PPOs), health care management organizations (disease management, case management, patient-centered medical homes, health call centers, independent review organizations, etc.), health websites and telehealth operations.

What is the mission of URAC?

Advancing the quality of health care through leadership, accreditation, measurement and innovation.

What is a URAC test?

According to URAC, accreditation is defined as an “evaluative, rigorous, transparent, and comprehensive process in which a healthcare organization undergoes an examination of its systems, processes, and performance by an impartial external organization to ensure that it is conducting business in a manner that meets

Is URAC accreditation required?

Under Labor Code section 4610 (g)(4), all organizations that perform UR in California are required to be accredited by an independent nonprofit organization by . Every organization that performs UR for workers’ compensation should consider obtaining URAC accreditation.

Does accreditation improve the performance of an organization?

Improved quality of care

In certain specialty areas, accreditation programs even improve patient outcomes. In a survey by the Public Health Accreditation Board, 98% of respondents agreed that accreditation prompted their organization to improve quality and performance.

What are the four major accreditation organizations?

These agencies include the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Committee for Quality Assurance (NCQA), the American Medical Accreditation Program (AMAP), the American Accreditation HealthCare Commission/Utilization Review Accreditation Commission (AAHC/URAC), and the

Why would a health plan choose NCQA over URAC?

NCQA programs help payers demonstrate quality control, wellness, and health inequity. The NCQA offers several health plan certification programs for demonstrating excellence in care quality, wellness, and health equity.

Does NCQA accredit hospitals?

NCQA Health Plan Accreditation is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess health plans. physicians, hospitals, other providers and administrative services—in order to continuously improve the quality of care and services provided to its members.

What do most hospitals use for accreditation?

Approximately 77 percent of the nation’s hospitals are currently accredited by The Joint Commission, and approximately 88 percent of hospitals that are accredited in the United States are accredited by The Joint Commission.”

How much does Jcaho accreditation cost?

The average cost for The Joint Commission services is $33,000 for three (3) years; a survey is required once every three years.

What is Specialty Pharmacy accreditation?

NABP’s Specialty Pharmacy Accreditation is a three-year accreditation best suited for pharmacies providing an advanced level of pharmacy services and disease management for patients taking medications that require special handling, storage, and distribution requirements.

What are NCQA standards?

NCQA standards are a roadmap for improvement—organizations use them to perform a gap analysis and align improvement activities with areas that are most important to states and employers, such as network adequacy and consumer protection. Standards evaluate plans on: Quality Management and Improvement.

What is URAC in pharmacy?

URAC is the nation’s largest independent health care accreditation organization and the undisputed leader in pharmacy accreditation. Many payers and manufacturers recognize URAC’s Pharmacy Accreditation as a key differentiator and independent validation of quality.

What is healthcare organization accreditation?

Accreditation is a process of review that allows healthcare organizations to demonstrate their ability to meet regulatory requirements and standards established by a recognized accreditation organization such as ACHC.

What does Achc stand for?

Accreditation Commission for Health Care (ACHC) is a nonprofit accreditation organization that has stood as a symbol of quality and excellence since 1986.

What is URAC’s primary focus?

URAC is the leading independent accrediting organization focused on supporting the quality of health care through leadership, accreditation, measurement and innovation.

What are the basic three components of utilization management?

“Utilization management is the integration of utilization review, risk management, and quality assurance into management in order to ensure the judicious use of the facility’s resources and high-quality care.” Utilization review contains three types of assessments: prospective, concurrent, and retrospective.

What is the purpose and effect of accreditation?

Accreditation in higher education is a collegial process based on self and peer assessment. Its purpose is the improvement of academic quality and public accountability. This continuing quality control process occurs usually every five to ten years.