Certified by the Utilization Review & Accreditation Commission (URAC), MedInsights' utilization management services help clients administer workers' compensation programs more effectively. MedInsights achieved a 100 percent compliance score on its most recent URAC audit.
MedInsights' utilization management nurses and client service professionals:
- Utilize recognized, evidenced-based state and national guidelines in making treatment determinations (e.g. Official Disability Guidelines, Presley Reed, American College of Occupational Environmental Medicine);
- Follow state-specific workers' compensation rules for utilization and access to medical care and specialists;
- Comply with state-specific reporting requirements;
- Coordinate with physicians to provide consultations and peer reviews;
- Negotiate optimal treatment program to expedite timely and appropriate return-to-work opportunities.
To request more information, please contact us.