Payer Compass Earns URAC’s Three-Year Re-Accreditation for Medical Management’s Utilization Review and Case Management

Plano, TX – Payer Compass is proud to announce that it has earned URAC accreditation for Medical Management’s Utilization Review and Case Management. URAC is the independent leader in promoting health care quality by setting high standards for clinical practice, consumer protections, performance measurement, operations infrastructure, and risk management. By achieving this status, Payer Compass demonstrates a commitment to quality care, enhanced processes, patient safety, and improved outcomes.

Additionally, Rosie Fields, RN, CCM, Director of Clinical Services of Payer Compass, recently accepted an invitation to join URAC’s National URAC Accreditation Committee. “It is an honor to have earned an opportunity to participate in such a prestigious organization,” said Rosie Fields, RN, CCM. “I can utilize my clinical expertise and industry knowledge to benefit URAC’s commitment to excellence.” As a member of this committee, she will work with other leaders in the healthcare industry to use her insight and real-world, evidence‑based experience to develop programs that promote leadership, accreditation, measurement, and innovation within the industry, thus helping to advance the quality of healthcare.

“Payer Compass shares URAC’s dedication and commitment to improving the quality of healthcare. We strive to deliver the highest quality and value of care to the clients we serve, and this achievement is evidence of that,” said Greg Everett, President and CEO of Payer Compass. “This is a huge accomplishment for Payer Compass, and I am proud of our team for achieving this gold standard.”

“URAC accreditation shows that Payer Compass adheres to best-in-class industry standards for clinical excellence, collaborative care, patient empowerment, risk management, and organizational leadership and accountability. With this distinction, Payer Compass demonstrates excellence in quality health care delivery and their commitment to ensuring patient safety,” said URAC President and CEO Shawn Griffin, M.D.

About Payer Compass

Payer Compass is dedicated to restoring rationality to the cost of care. We focus squarely on tackling the most elusive problems in today’s healthcare landscape: spiraling costs and associated lack of price transparency. For health plans, we are minimizing overall spend on claims pricing, administration, and processing. And for self-insured organizations, our innovations and services are driving down the costs of healthcare claims reimbursement. Our multi-faceted, SaaS platform, VisiumTM, yields 99.9% pricing accuracy on more than $200 Billion in repriced claims and is the cornerstone of our comprehensive suite of solutions that address the need for cost control while bridging the gap between payer and provider. Payer Compass does this with reference-based pricing, patient advocacy, balance billing, and appeals services, value-based payments, care management, predictive modeling and analytics, and tools for provider search and price transparency. Combining our next-gen technology with an emphasis on client success, and Payer Compass is dramatically reducing overall healthcare spend.

About URAC

Founded in 1990 as a non-profit organization, URAC is the independent leader in promoting health care quality and patient safety through renowned accreditation programs. URAC develops its evidence-based standards in collaboration with a wide array of stakeholders and industry experts. The company’s portfolio of accreditation and certification programs span the healthcare industry, addressing healthcare management and operations, pharmacies, telehealth, health plans, medical practices, and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.

For more information about this news or Payer Compass, please contact Malia Renteria, Digital Marketing and Events Manager at 469-215-2712 or via email at [email protected].