URAC Accreditation

Accreditation Consulting in Healthcare: A Roadmap to Success

2023-11-07T10:50:42-04:00By |Accreditation, NCQA Accreditation, URAC Accreditation|

The need for high-quality care and patient safety is paramount. Healthcare organizations must continually strive for excellence and compliance with industry standards to ensure the best outcomes for their patients. One valuable tool in achieving this is accreditation consulting. Accreditation consulting can serve as a guiding light for healthcare organizations looking to attain or maintain accreditation, such as URAC or NCQA accreditation.

Independent Review Organization Benefits for Payers, Providers, and Patients

2023-05-02T13:34:02-04:00By |IRO, URAC Accreditation|

An Independent Review Organization (IRO) deliver independent medical peer review services designed to ultimately reduce administrative costs and ensure patients receive proper treatments. Rising healthcare costs affect millions of people daily. Providers and insurers can rely on IROs to help them to control costs and offer affordable coverage.

Independent Review Organization Can Save You Money 3 Ways

2023-10-31T15:03:44-04:00By |Financial, IRO, URAC Accreditation|

The role of the Independent Review Organization (IRO) in the appeals process is to provide an unbiased 3rd party opinion on complicated reviews, helping to assure that all reviews are given the time and care they deserve. It’s a common illusions in the healthcare industry that taking care of things in house is the best and easiest way to save money—however this isn’t true when it comes to claim reviews. If you are trying to manage your denials in-house, it can actually be counterproductive if you’re trying to save money and even time. Let’s take a look at how outsourcing your IROs can save you time and money.

5 Key Elements of the Peer Review Process

2023-10-07T09:18:48-04:00By |Clinical Operations Improvement, Physician Advisor/Peer Review, Training, URAC Accreditation, Utilization Management, Webinars|

Lately we have been talking about the important of Independent Review Organizations (IROs) and peer reviews in the healthcare ecosystem. Today we continue this discussion and delve deep into the importance of the peer review process. We know that peer reviews are a crucial part of healthcare because they hold medical professionals and organizations accountable in addition helping to build a world of trust between patient and physician. The peer review process is one that consists of high levels of property technology and superior customer service. By boosting transparency in healthcare, peer reviews have become an essential standard helping to make healthcare safer and more efficient. So let’s take a look at the 5 core building blocks of the peer review process.

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