Streamlining URAC Accreditation: Comprehensive Compliance and Program Management Solutions

Whether you’re a provider or business wanting to meet regulatory requirements that mandate accreditation, or a major health plan seeking URAC re-accreditation, PSN can help by maximizing your chance for accreditation success – and improving your bottom line.

PSN can provide an assessment of your accreditation needs and a blueprint for action that you can implement, with or without our help, day-to-day! Our knowledge of best practice services include:

  • Assessment of documentation compliance to URAC standards
  • Expert blueprint for compliance
  • Assembly of your application, including AccreditNet filing
  • Policy and procedure development
  • On-site mock surveys
  • Program design
  • Case Management
  • Utilization Management
  • Quality Management
  • Orientation and Training
  • Specialty Pharmacy

We provide expert URAC preparation services in any of the following areas:

• Claims  Processing

• Comprehensive Wellness

• Core Accreditation

• Credentials Verification 

• Health Call Center

• Health Plan

• Health Web Site Accreditation

• Health Provider Credentialing

• Independent Review Organization

• Specialty and Mail Order Pharmacy

 • Uniform External  Review

 • Clinical  Integration

• Consumer Education and Support

• Credentialing Support Certification

• Disease Management

• Health Network

• Health Plan for Health Insurance Exchanges

• Health Content Provider Accreditation

• Health Utilization Management

• Patient Centered Medical Home

• Vendor Certification

• Worker’s Compensation Utilization Management

For an in-depth description of NCQA Accreditation, Certification and Recognition Programs, please visit www.ncqa.org

PSN has a proven track record working with all types of managed care organizations. Please contact us to discuss how PSN can assist you with the NCQA accreditation process or email [email protected].

Meet our consultants here.