GMCF Receives Urac Health Utilization Management Accreditation

Posted Friday, December 8, 2006

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ATLANTA, Ga.) – Georgia Medical Care Foundation (GMCF) announced today that it has been awarded Health Utilization Management accreditation from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry.

URAC standards ensure that only appropriately trained, qualified clinical personnel conduct and oversee the utilization review process, that a reasonable and timely appeals process is in place, and that medical decisions are based on valid clinical criteria.

“GMCF is proud to have had its utilization management and medical review programs continuously accredited by URAC since 1996,” said Dennis L. White, GMCF’s Chief Executive Officer. “This most recent re-accreditation underscores our continued devotion to quality in everything we do.”

GMCF is a not-for-profit, physician-sponsored organization dedicated to continuously improving health care. In operation since 1970, GMCF provides innovative health care solutions focused on quality improvement, utilization management, medical review, and health care outcomes research. For more than 20 years GMCF has served as the Medicare Quality Improvement Organization (QIO) for Georgia through a contract with the Centers for Medicare and Medicaid Services. For more information, please visit www.gmcf.org.

“By applying for and receiving Health Utilization Management accreditation, GMCF has demonstrated a commitment to quality health care,” said Charles Stellar, URAC Board Chair. “Quality health care is crucial to our nation’s welfare and it is important to have organizations that are willing to measure themselves against national standards.”

URAC, an independent, nonprofit organization, is a leader in promoting quality through accreditation and certification programs. URAC’s 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. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in setting meaningful standards for the health care industry. For more information, visit www.urac.org.

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