HARTFORD, Conn., Feb. 11, 2013 /PRNewswire/ -- CareCentrix, the leader in home health benefit management announced today that it has again received accreditation in Health Utilization Management from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry. CareCentrix achieved a compliance score of 100% in both the Core and Health Utilization Management Standards in all locations. The URAC Health Utilization Management Standards establish consistency in UM processes. The standards ensure that appropriately trained clinical personnel conduct and oversee the utilization review process, that a reasonable and timely appeals process is in place, and that medical decisions are based on valid clinical criteria.
"CareCentrix is pleased to once again obtain URAC Accreditation in Health Utilization Management," said Bill Kerr, Chief Growth and Medical Officer, CareCentrix. "Our achievement of 100% across all metrics as measured against industry standards is further evidence of CareCentrix's on-going commitment to provide the highest level of service and quality to our customers."
Health Utilization Management Standards ensure that organizations conducting utilization review follow a process that is clinically sound and respect patients' and providers' rights while giving payers reasonable guidelines to follow. Standards address the use of evidence-based guidelines, incorporation of adherence guidelines, and evaluation of utilization rates to meet the demands of a changing health care system.
"By applying for and receiving URAC accreditation, CareCentrix has demonstrated a commitment to quality health care," said Alan P. Spielman, URAC president and CEO. "Quality health care is crucial to our nation's welfare and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body."
Accreditation is for the following CareCentrix care centers:
- Hartford Regional Care Center, Hartford, Connecticut
- Tampa Regional Care Center, Tampa, Florida
- Overland Park Regional Care Center, Kansas City, Kansas
- Phoenix Regional Care Center, Phoenix, Arizona
- Albuquerque Regional Care Center, Albuquerque, New Mexico
About CareCentrix, Inc.
CareCentrix (www.carecentrix.com) is the nation's leading benefits management company focused on effectively managing home-based care. Headquartered in Hartford, Conn., the company provides a full range of services including coordination of home nursing, home infusion and home medical equipment. The CareCentrix service line includes HomeSTAR, a program which reduces hospital readmissions; and Sleep Management Solutions, a wholly owned company, offering sleep benefit management services to patients and health plans. CareCentrix serves more than 30 million people through its national network of 7,000 credentialed home healthcare providers, with customer care centers located across the United States.
URAC, an independent, nonprofit organization, is well-known as a leader in promoting health care quality through its accreditation and certification programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system, and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC strives to ensure that all stakeholders are represented in establishing meaningful quality measures for the entire health care industry. For more information, visit www.urac.org.