We design, develop and maintain managed care programs that integrate core services within your Workers’ Compensation program.
As a result, both patients and their employers realize superior claims outcomes.
Our managed care solutions provide proactive management of Workers’ Compensation cases. We fully integrate specialized managed care solutions with claims systems, delivering exceptional patient care while keeping claims costs low.
What to Expect
Peer Review – Our panel includes URAC-accredited IROs from a wide range of specialties. They provide expert assessments of both medical necessity and causal relatedness for proposed treatments. Additionally, the process identifies and prevents ineffective or unrelated treatments.
Compliance – Strict quality assurance ensures you’re in compliance with all state-mandated regulations, as well as URAC standards for Workers’ Compensation. Through ongoing education, we continually stay on top of trends and regulation changes.
Pre-Authorization Services – Using the latest technology, our experts review requests for treatment against nationally accepted, evidence-based guidelines. This results in faster reviews, a more rapid return to work and shorter waiting periods for authorizations.
Our comprehensive approach delivers efficiency and results at every step through the life of a claim:
- Complete transparency with bill review, claims and case management
- Comprehensive paperless claims administration system
- Proactive risk management
- Aggressive claims management strategies
- Client-specific criteria development
- A highly efficient referral process
Athens Administrators is proud to announce that it has earned URAC accreditation in Workers’ Compensation Utilization Management. URAC is the independent leader in promoting healthcare quality through accreditation, certification and measurement. By achieving this status, Athens Managed Care has demonstrated comprehensive commitment to quality care, improved processes and better patient outcomes.