Accreditation Process Gives Providers Tools to Address UR Problems

The accreditation process required for utilization review organizations in California’s workers’ compensation system gives providers several tools to address problems they encounter when trying to obtain prior authorization for medical services, according to officials with accrediting firm URAC. The accreditation process itself involves a thorough review of a utilization review organization’s internal processes, including its ability to provide peer-to-peer consultations during reasonable times. Entities can lose their accreditation if they fail to maintain required stan...