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Daily Archives: November 9, 2015

Accreditation required in CO in order to review prior authorizations

NewsBy Aubrey LongacreNovember 9, 2015

Changes in the CO DWC Rule 16 – Utilization Standards.  The new rules, effective 01/01/16, require peer reviewers to be either Level I or Level II Accredited with DWC in order to review prior authorization requests for medical reasons. The difference between the two levels is that Level II Accreditation allows providers to perform impairment…

  • URAC is the independent leader in promoting healthcare quality through accreditation, certification and measurement. By achieving this status, Nexus has demonstrated a comprehensive commitment to quality care, improved processes and better patient outcomes.

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