What is a URAC test?
According to URAC, accreditation is defined as an “evaluative, rigorous, transparent, and comprehensive process in which a healthcare organization undergoes an examination of its systems, processes, and performance by an impartial external organization to ensure that it is conducting business in a manner that meets …
What is URAC stand for?
Utilization Review Accreditation Commission
What does URAC stand for? Expand. URAC was originally incorporated under the name Utilization Review Accreditation Commission. That name was shortened to the acronym URAC in 1996 when we began accrediting other types of organizations such as health plans, pharmacies and provider organizations.
What is the benefit of URAC accreditation?
A URAC-accredited organization meets CMS Medicare Advantage regulatory standards in the following areas: Quality improvement. Antidiscrimination. Confidentiality and accuracy of enrollee records.
What is the difference between NCQA and URAC?
NCQA accredits organizations ranging from health plans including HMOs and PPOs to physician networks and medical groups. URAC accredits health plan programs including dental plans, healthcare management programs, pharmacy quality management programs, and provider integration and coordination programs.
Who develops URAC?
Accreditation standards for URAC programs are developed by independent experts, relying on advisory committees of experts in health care delivery.
How much does URAC accreditation cost?
The base cost is $27,000 for a two-year health plan accreditation, says Annette C. Duclos-Watson, senior vice president at URAC. That includes an accreditation workshop that insurers attend before submitting an application, which is designed to cut down on consulting fees.
How many accreditation and certification programs does URAC offer?
Accreditation and Certification Directories URAC recognizes the quality of more than 1,000 health care organizations through its programs.
What are the URAC phases of accreditation?
The 5 Phases of “Gold Star” Accreditation
- “ Get to Know You” – Application Submission.
- “ Elevate Your Policies and Processes” – Desktop Review.
- “ Walk the Talk” – Validation Review.
- “ Strive to Earn a Gold Star” – Committee Review.
- “ Stay the Course” – Ongoing Monitoring.
What is a URAC audit?
URAC is the Gold Standard for Health Care Accreditation URAC’s approach to the accreditation process allows organizations to improve their health care activities through collaboration and iteration. This approach allows you to determine the best way forward for your organization’s improvements.
What does it mean to be accredited by URAC?
Accreditation is the process of rigorous review that allows health care organizations to demonstrate their ability to meet regulatory requirements and national standards established via a URAC stakeholder consensus process and recognized as key benchmarks for measuring the quality of an organization.
How does URAC work to guide standard development?
URAC relies on multidisciplinary expert advisory groups from across health care to guide standard development and to inform the revision of existing programs. All new programs and revisions are posted for comment before release.
Can a consultant be a point of contact for URAC?
Please note that consultants are not allowed to be the point-of-contact for your organization or attend validation reviews. URAC finds it most beneficial to the accreditation process to interact directly with the owner of the operations, quality culture and outcomes being reviewed. Does URAC endorse specific consultants?
Can you apply for an extension to URAC?
Yes, you can. However, we approve all extensions on a case-by-case basis. If you’re currently going through the application process, talk with your Client Relations Manager if you think you need an extension. Can we apply for provisional status?