Published:
Rising Medical Solutions, Inc. Expands Its California Managed Care Services to Include Utilization Review Program
CHICAGO, July 3 /PRNewswire/ -- Rising Medical Solutions, Inc. (Rising), a
leading medical cost containment and care management organization, has
extended its offerings inCalifornia to include Utilization Review (UR)
services in addition to its Medical Bill Review and Medical Provider Network
(MPN) services in the State. This product line expansion is part of a
corporate wide effort to provide a full-service managed care program in the
California market for Rising's existing and growing customer base.
(Logo: http://www.newscom.com/cgi-bin/prnh/20080206/AQW030LOGO-b)
Rising's UR services help to facilitate early intervention, reduce
unnecessary future medical treatment, and generate significant customer
savings. For itsCalifornia program, the Company has filed the required
jurisdictional-specific UR Plan with the State. As a component of Rising's
compliance with the California Labor Code section 4610 and the California Code
of Regulations, Rising's nurses and professional staff have undergone
extensive training on special handling of California UR cases. In addition,
Rising's Medical Director holds multiple state licensures, including
California.
As a California Utilization Review Organization (URO), Rising creates an
addendum to the Company's California UR Plan and files it with the State as a
means of differentiating protocols that may not be the same among all
customers. The Company has also enhanced its technology efficiencies to
address client and state-specific UR workflows and to increase UR processing
capacity.
"A result of the workers' compensation reform inCalifornia is that
utilization review has become a necessity for writers of insurance there, and
with that, comes a host of compliance requirements and strong delivery
standards for UR service provision," says Anne Kirby, Director of Rising's
Medical Review Unit. "We are grateful for the opportunity and responsibility
our customers have entrusted to us for their California UR needs and we will
remain committed to meeting the State's jurisdictional mandates as well as
providing customers with significant care management and cost savings value."
Comments Scott Vogl, Senior Vice President of Claims at Midwest Insurance
Company (Midwest), "As a client for many years, we were confident in adding
Rising's California UR program to their existingCalifornia medical bill
review and MPN programs for Midwest. Rising has demonstrated their UR
capabilities for our company in other states, so it is no surprise that we
have been very pleased with their implementation and execution of Midwest's
California UR program."
About Rising Medical Solutions, Inc.
Headquartered inChicago, Illinois, Rising (http://www.risingms.com) is a
leading medical-financial solutions organization that services the auto,
workers' compensation, and liability markets. Through its comprehensive
medical cost containment and care management programs, Rising provides
compelling business outcomes to clients nationwide, including insurance
carriers, self-insured employers, government organizations, third party
administrators, and attorneys.
Media Contact
For more information, contact Rachel Racz at rachel.racz@risingms.com /
877-747-4644, x5893.
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Jason Beans
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SOURCE Rising Medical Solutions, Inc.
Copyright © 2008, PRNewswire
Copyright © 2008, NewsBlaze,
Daily NewsTags: Healthcare, Insurance, Banking and Finance, Health, illinois, california
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