URAC, Washington DC, a healthcare accreditation, education, and measurement organization, has called for public comment to share input and opinions on proposed standards revisions for its Claims Processing Accreditation program. Members of the healthcare industry can provide their comments on the proposed URAC standards at www.urac.org/publiccomment/. The deadline for public comment is Friday, August 10, at 6 p.m. ET.
URAC says it is revising its standards to reflect trends in the industry and to align with government regulations, including the administrative simplification provisions in the Patient Protection and Affordable Care Act of 2010 (PPACA). Under these regulations, organizations are required to implement mandated operating rules intended to achieve greater uniformity with the transmission of health information. Standards were also revised with an emphasis on quality-performance monitoring tailored to the claims industry.
In addition to aligning with various federal regulations, URAC said the claims processing standards were restructured to reflect current industry practices. This includes designating two separate claims-processing accreditation programs:
- Claims Processing Administration: Third Party Administrators (TPAs); and
- Claims Processing Administration with Claims Review and Appeals: Health plans, health plan vendors, TPAs; with claims review and appeals business operations.
For more information, contact URAC’s Senior Manager of Product Development, Danice DeBerry, at 202.326.3941, or at ddeberry@urac.org
