Ancillary Care Management Receives URAC Health Utilization Management Accreditation.Business Editors LOS ANGELES--(BUSINESS WIRE)--Dec. 15, 2003 Ancillary Care Management (ACM (Association for Computing Machinery, New York, www.acm.org) A membership organization founded in 1947 dedicated to advancing the arts and sciences of information processing. In addition to awards and publications, ACM also maintains special interest groups (SIGs) in the computer field. ), the leading specialty pharmacy and infusion benefits management company, announced that it has been awarded Accreditation in Health Utilization Management Utilization management is the evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan. by URAC URAC Utilization Review Accreditation Commission (health care accreditation & certification) URAC University Recreation & Aquatic Centre Ltd (Australia) URAC Union Regional de Apoyo Campesino , also known as the American Accreditation HealthCare Commission The Healthcare Commission is an independent body, set up to promote and drive improvement in the quality of healthcare and public health in England and Wales. It aims to achieve this by becoming an authoritative and trusted source of information and by ensuring that this . The URAC Health Utilization Management standards establish consistency in utilization management processes and serve as the basis for many states' utilization review u·til·i·za·tion review n. A process for monitoring the use, delivery, and cost-effectiveness of services, especially those provided by medical professionals. laws and regulations. "It is rewarding for ACM to receive URAC Accreditation under the Health Utilization Management Program," said David Willcuts, president and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. of Los Angeles-based ACM. "We are honored to be recognized in the industry for meeting the quality standards that URAC accreditation signifies. Our clients can be assured that our services are URAC-accredited and thus well designed and quality driven." URAC has issued more than 2,000 accreditation certificates to approximately 500 managed care organizations doing business in all 50 states including Puerto Rico Puerto Rico (pwār`tō rē`kō), island (2005 est. pop. 3,917,000), 3,508 sq mi (9,086 sq km), West Indies, c.1,000 mi (1,610 km) SE of Miami, Fla. . URAC-accredited companies provide healthcare to about 150 million lives. URAC accreditation standards are recognized nationally as providing the benchmarks for quality managed care organizations. The URAC accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes through benchmarking organizations against nationally recognized standards. The URAC Health Utilization Management standards are the oldest and most widely recognized of the many URAC standards. The URAC utilization management standards will satisfy many of the recently issued U.S. Department of Labor claims regulations. These standards ensure that appropriately trained clinical personnel conduct and oversee the utilization review process, a reasonable and timely appeals process is in place, and medical decisions are based on valid clinical criteria. About ACM ACM is the nation's leading specialty pharmacy and infusion benefits management company focused on improving patient care and reducing costs related to services provided in an ancillary care setting, defined as the home, doctor's office or other non-hospital environment. Founded in 1995, the privately held company privately held company A firm whose shares are held within a relatively small circle of owners and are not traded publicly. contracts with health plans nationwide, serving more than 18 million covered lives. ACM applies paperless automation to the traditional paper-based systems used by payers and providers when managing these benefits. ACM is based in Los Angeles and links payers, providers, clinicians, allied health professionals, suppliers and patients through its Web site, which offers a progressive suite of applications that manage all aspects of ancillary care. |
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