Dane Street Achieves NCQA Accreditation in Utilization Management

PALM BEACH GARDENS, Fla.–(BUSINESS WIRE)–Dane Street, a national leader in Independent Medical Exams and Reviews, announced today that it has achieved Accreditation in Utilization Management from the National Committee for Quality Assurance (NCQA). This three-year accreditation recognizes that an independent, nationally recognized organization has validated the company’s performance and best practices.


NCQA Utilization Management Accreditation is a quality assessment program that focuses on consumer protection and customer service improvement. This voluntary review process evaluates how well a company manages its delivery system, including physicians, hospitals, other providers, and administrative services. The evaluation also assesses the quality of health care delivered to their members.

The Dane Street Group Health Services division has tripled in size over the last two years, adding multiple service levels, experienced staff, seasoned leadership, and industry veterans in sales and account management. Our network of experienced reviewing physicians has quadrupled in the same period of time, leading to the high quality of service that Dane Street is known for in the industry.

“For the last six months, our group health operations team and leadership worked tirelessly on this initiative,” said Will Fulton, CEO of Dane Street. “Our Operations and Clinical teams were very clear that this was an accreditation that our clients were interested in Dane Street obtaining as it impacts functions that our health plan, insurer, and TPA customers delegate. This important recognition further illustrates Dane Street’s high standards of quality, collaboration with health plans, and commitment to delivering fair and timely determinations to optimize the health care outcomes of our clients’ members.”

“Achieving NCQA Utilization Management Accreditation demonstrates that Dane Street has the systems, process, and personnel in place to conduct utilization management in accordance with the strictest quality standards,” said NCQA President Margaret E. O’Kane.

About Dane Street

Dane Street is a leading national provider of Independent Medical Exams (IMEs), Peer Reviews, and other medical review reports for both the commercial and government sectors. We have over 16,000 physicians servicing 25,000 locations covering 100 specialties including expertise with Workers’ Compensation, Auto, Liability, Disability, Group Health, and Federal/State claims. Our mission is to deliver superior report quality and turnaround time via robust technology, and by a team who are committed to exceeding client expectations.

About NCQA

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more informed healthcare choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.

NCQA has reviewed and accredited Dane Street’s Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.

Contacts

Rzalzneck@danestreet.com

Artículos Relacionados