Akeso Care Management®, Inc. (ACM®), announced today that it has been awarded Health Utilization Management Accreditation by URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry.
This accreditation assures the adequacy and quality of ACM’s health utilization management program through evaluation against broadly recognized standards and measures. ACM provides medical management services to domestic and international insurance carriers, self-insured employers and third party administrators. These services include utilization review, large case management, emergency medical evacuations, discharge planning and medical bill review, all designed to provide appropriate, cost-effective patient care.
URAC’s 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.