Downers Grove, IL. (September 1, 2015) - Coventry Workers' Comp Services announced today that it has been awarded re-accreditation for its workers' compensation case management and utilization review programsfrom URAC. URAC is a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry and grants certifications specific to workers' comp programs. URAC's Accreditation standards require companies to establish a process to assess, plan and implement case management and utilization review interventions.
"This URAC reaccreditation demonstrates Coventry's commitment to providing quality services and serves as a framework for our business processes by benchmarking Coventry against nationally recognized standards," said Betsy Robinson, Senior Vice President, product development and marketing for Coventry. "We are very pleased that our programs continue to be recognized for providing this level of quality, ethics and oversight."
Coventry's case management solutions advocate for appropriate, high-quality medical treatment while helping facilitate prompt return-to-work. They ensure that appropriate treatment and return-to-work plans are based on URAC guidelines that have been established and implemented specifically for work-related injuries. The case managers work closely with the injured or disabled worker, treating providers, and the employer to facilitate timely and appropriate medical care and coordinate a safe and timely return-to-work that meets URAC requirements.
Coventry's utilization review services include prospective, concurrent, and retrospective review of health care services based on medical necessity. Coventry's utilization review program is available in 47 States (excluding MN, PA and OR), and with URAC accreditation, helps workers' compensation payors address the increasingly complex regulatory environment in workers' compensation, especially in those states where use of a URAC accredited Utilization Review program is required
URAC's Accreditation standards ensure appropriate patient protections have been established, such as policies for confidentiality of patient information, informed consent, dispute resolution and other issues. The standards cover staff structure and qualifications, quality improvement, information management, oversight of delegated functions, ethics, complaints, and the case management process.
"Coventry should be commended for continuing to meet strict quality standards," said URAC President and CEO Kylanne Green. "It is critically important for healthcare organizations to make a commitment to quality and accountability. URAC accreditation is a demonstration of that commitment."
About URAC
URAC, an independent, nonprofit organization, is a well-known leader in promoting healthcare quality through its accreditation, education, and measurement products. URAC offers a wide range of quality benchmarking products and services that model the rapid changes in the healthcare 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 ensures that all stakeholders are represented in stablishing meaningful quality measures for the entire healthcare industry. For more information, visit www.urac.org.
About Coventry
Coventry offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, Coventry leverages more than 30 years of industry experience, knowledge, and data analytics. The company offers an integrated suite of solutions, powered by technology to enhance network development, clinical integration and operational efficiencies at the client desktop, with a focus on total claims cost.
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