Navigation Links
Rising Medical Solutions, Inc. Expands Its California Managed Care Services to Include Utilization Review Program
Date:7/3/2008

CHICAGO, July 3 /PRNewswire/ -- Rising Medical Solutions, Inc. (Rising), a leading medical cost containment and care management organization, has extended 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 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 its California 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 in California 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 existing California 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 in Chicago, 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.
Available Topic Expert(s): For information on the listed expert(s), click appropriate link. Jason Beans http://profnet.prnewswire.com/Subscriber/ExpertProfile.aspx?ei=73105


'/>"/>
SOURCE Rising Medical Solutions, Inc.
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. New HIV diagnoses rising in New York City among young men who have sex with men
2. Office-Based Medical Treatment and Internet Resources Are Potential Solution to Rising Painkiller Misuse Among Teens, Young Adults
3. Disabilities Rising Among Workers; Need for Employer-Driven Disability Awareness, Support Efforts Also Increases
4. Spectrum of Eating Disorders - from Anorexia to Obesity - are Cause for Rising Concern among K-12 Students and Educators
5. Obesity Driving Rising U.S. Health Costs
6. Survey of Iowa Voters Reveals Surprising Results and Attitudes Toward Americas Health Care Crisis
7. Asymptomatic peripheral artery disease prevalence is rising
8. Independent Review Organizations Poised to Help Reduce Rising Healthcare Cost
9. Rising Medical Solutions, Inc. Ranks Fifth on the Private Company Index (PCI) Top Growth Companies List
10. Surprising New Research Indicates that Significant Numbers of Children as Young as 11 are Engaging in Sexual Activity and that Dating Violence and Abuse are Part of Their Relationships
11. Successful Massachusetts Healthcare Reform Initiative Faces Rising Healthcare Costs in Year Two
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... ... closing of Bruton Memorial Library on June 21 due to a possible lice infestation, as ... of head lice: the parasite’s ability to live away from a human host, and to ... one in the event that lice have simply gotten out of control. , As lice ...
(Date:6/25/2016)... ... , ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department ... in recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at ... Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. Her ... would lash out at his family verbally and physically. , “When something upset him, he ... he would use it. He would throw rocks at my other children and say he ...
(Date:6/24/2016)... ... ... Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a Fair ... hour by 2020 and then adjusting it yearly to increase at the same rate as ... the wage floor does not erode again, and make future increases more predictable. , The ...
(Date:6/24/2016)... ... 2016 , ... Strategic Capital Partners, LLC (SCP) in concert ... capital for emerging technology companies. SCP has delivered investment events and professional ... than a million dollars of capital investment for five companies. The ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ... company developing innovative inhaled drugs, announced today that it ... Russell Investments reconstituted its comprehensive set of U.S. ... "This is an important milestone for Pulmatrix," said ... increase shareholder awareness of our progress in developing drugs ...
(Date:6/23/2016)... 23, 2016 Any dentist who has made an ... current process. Many of them do not even offer this ... and high laboratory costs involved. And those who ARE able ... such a high cost that the majority of today,s patients ... Parsa Zadeh , founder of Dental Evolutions Inc. and ...
(Date:6/23/2016)... 2016 Capricor Therapeutics, Inc. ... biotechnology company focused on the discovery, development and ... enrollment in its ongoing randomized HOPE-Duchenne clinical trial ... of its 24-patient target. Capricor expects the trial ... of 2016, and to report top line data ...
Breaking Medicine Technology: