St. Louis, MO 11/8/2011 2:57:02 PM
News / Health & Wellness

BHM Healthcare Solutions Pursues URAC Independent Review Organization Accreditation

BHM Healthcare Solutions is pleased to announce that they are pursuing URAC IRO Accreditation in order to establish that they meet nationally recognized standards and the goals set forth pertaining to:

Decreasing the risk of conflict of interest
Ensuring access to actively practicing expert physicians
Adhering to demanding state and federal specific review timeframes
Meeting requirements for state specific physician licensure review
Ensuring that ongoing quality improvement is taking place regarding network provider patient safety events
Ensuring that there are no issues regarding potential billing non-adherence; and
Ongoing analysis of proposed treatment to current scientific literature, FDA approved treatment and evidence based guidelines

“BHM has long striven to provide superior customer services, products, and solutions for our clients. Pursuing URAC IRO Accreditation is one more step toward adhering to the highest quality standards available for Independent Review Organizations, and we are pleased to have the opportunity to work toward achieving URAC Accreditation,” stated Danyell Jones, Director of Customer Solutions at BHM.

According to URAC, “URAC’s Independent Review Organization (IRO) standards assure that organizations that perform this service are free from conflicts of interest, establish qualifications for physician reviewers, address medical necessity and experimental treatment issues, have reasonable time periods for standard and expedited reviews, and appeals process. An organization with this URAC accreditation strives for a fair and impartial review process that is of benefit to both patients and physicians with grievances.”

URAC, an independent, nonprofit organization, is a leader in promoting health care quality through accreditation, achievement, and certification programs. URACs standards keep pace with the rapid changes in the health care system, and provide a mark of distinction for health care organizations to demonstrate their commitment to quality and accountability. BHMs CEO, Mark Rosenberg has stated that “we are very excited as an organization to begin to work toward URAC IRO Accreditation, as healthcare consultants we understand the importance of URAC Accreditation and what it means to an organization in terms of achieving national recognition. We look forward to the process of preparing for Accreditation, and are excited as a team to be participating the URAC process.”

About BHM:
BHM is a healthcare management consulting firm whose specialty is optimizing profitability while improving care in a variety of health care settings. BHM has worked both nationally and internationally with managed care organizations, providers, hospitals, and insurers. In addition to this BHM offers a wide breadth of services ranging including accreditation, financial risk management, clinical operations, quality improvement, and denial management.

Danyell Jones
BHM Healthcare Solutions
1033 Corporate Square Drive Suite 102
St. Louis, MO 63132