This is the on-demand webcast of the event that was live streamed from the National Press Club in Washington, DC, on October 11, 2018.
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.
About Your Presenter
Deborah Smith is known for a successful track record of work involving leadership development, quality and regulatory compliance, performance improvement, URAC accreditation standards development, nursing management, service delivery and hospital operations, prior to joining the URAC staff mid-2014.
In 2016, Deborah led the launch of the URAC Telehealth Accreditation program. Her role with URAC continues to be as an innovation and strategy advisor. She frequently interacts with URAC clients in the role of content expert on URAC standards and the accreditation process. As URAC’s Product Development Principal, she is responsible for the growth strategy to be attained through new product development. Deborah holds a Master of Science in Nursing from UCLA.