CHICAGO, July 3 Rising Medical Solutions, Inc. (Rising), aleading medical cost containment and care management organization, hasextended its offerings in California 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 acorporate wide effort to provide a full-service managed care program in theCalifornia market for Rising's existing and growing customer base.
Rising's UR services help to facilitate early intervention, reduceunnecessary future medical treatment, and generate significant customersavings. For its California program, the Company has filed the requiredjurisdictional-specific UR Plan with the State. As a component of Rising'scompliance with the California Labor Code section 4610 and the California Codeof Regulations, Rising's nurses and professional staff have undergoneextensive training on special handling of California UR cases. In addition,Rising's Medical Director holds multiple state licensures, includingCalifornia.
As a California Utilization Review Organization (URO), Rising creates anaddendum to the Company's California UR Plan and files it with the State as ameans of differentiating protocols that may not be the same among allcustomers. The Company has also enhanced its technology efficiencies toaddress client and state-specific UR workflows and to increase UR processingcapacity.
"A result of the workers' compensation reform in California is thatutilization review has become a necessity for writers of insurance there, andwith that, comes a host of compliance requirements and strong deliverystandards for UR service provision," says Anne Kirby, Director of Rising'sMedical Review Unit. "We are grateful for the opportunity and responsibilityour customers have entrusted to us for their California UR needs and we willremain committed to meeting the State's jurisdictional mandates as well asproviding customers with significant care management and cost savings value."
Comments Scott Vogl, Senior Vice President of Claims at Midwest InsuranceCompany (Midwest), "As a client for many years, we were confident in addingRising's California UR program to their existing California medical billreview and MPN programs for Midwest. Rising has demonstrated their URcapabilities for our company in other states, so it is no surprise that wehave been very pleased with their implementation and execution of Midwest'sCalifornia UR program."
About Rising Medical Solutions, Inc.
Headquartered in Chicago, Illinois, Rising (http://www.risingms.com) is aleading medical-financial solutions organization that services the auto,workers' compensation, and liability markets. Through its comprehensivemedical cost containment and care management programs, Rising providescompelling business outcomes to clients nationwide, including insurancecarriers, self-insured employers, government organizations, third partyadministrators, and attorneys.
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SOURCE Rising Medical Solutions, Inc.