11/01/2018 – New Braunfels, Texas – Nexus, a national leader in independent clinical review, has earned URAC reaccreditation in Workers’ Compensation Utilization Management. 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.
“Since our inception, Nexus has continually been on the forefront of the evolution and advancement of the Clinical Review industry,” said Ed Bolton, CEO of Nexus. “Maintaining URAC accreditation affirms Nexus as a progressive industry leader and demonstrates our organization’s resolute commitment to secure and compliant innovation in support of our client base and the Clinical Review industry on the whole. Nexus is pleased to be able to demonstrate its commitment to these requirements by once again earning URAC accreditation.”
For a decade, Nexus has optimized the clinical review process by providing best in class independent clinical review and utilization management services for clients in workers’ compensation, group health, auto/liability, disability, and legal market nationwide. Nexus was first awarded URAC accreditation in 2015 and the renewed accreditation status is active until October of 2021.
“Appropriateness and efficiency are words to live by in meeting new value-based goals for population health. Nexus’ URAC accreditation shows an ability to abide by the gold standard when it comes to performing Worker’s Compensation Utilization Management functions,” said URAC President and CEO Kylanne Green. “URAC’s utilization management accreditation standards promote an evidence-based and reasonable review of services that respect both patients and providers.”
Founded in 1990, URAC is the independent leader in promoting healthcare quality through accreditation, certification, education, and measurement. URAC is a nonprofit organization developing evidence-based measures and standards through inclusive engagement with a range of stakeholders committed to improving the quality of healthcare. Our portfolio of accreditation and certification programs span the healthcare industry, addressing healthcare management, healthcare operations, health plans, pharmacies, telehealth providers, physician practices, and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.
Nexus provides utilization management and independent clinical reviews for the risk management and claims management industry. Founded in 2009, the Texas based company has grown to over 100 employees and manages a panel of over 1000 esteemed board certified physicians. Providing tens of thousands of reviews annually, services include Pre-Authorization Reviews, Retrospective Reviews, Medication Reviews, Disability Reviews, and Group Health Reviews. Nexus is committed to the continued investment in innovative technology and progressive solutions that achieve exceptional outcomes for all our partners and clients.