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URAC Accreditation

Apex Healthcare, Inc. is recognized by the Utilization Review Accreditation Commission (URAC) for its commitment to provide cost-effective and quality services to managed care providers through health utilization management. URAC is an independent, nonprofit healthcare organization which ensures that organizations follow a clinically sound and respectful process through a framework to improve business with nationally recognized standards. URAC, a leader in promotion of healthcare quality, provides continuous improvement in quality and efficiency by establishing accreditation standards, programs of education and communication guidelines. This accreditation demonstrates that Apex Healthcare, Inc. is committed to accountability and quality of healthcare utilization membership. Apex Healthcare, Inc. is proud to have earned URAC accreditation and will continuously improve quality, efficiency and productivity in all provided services.

NCQA Certification

Apex Healthcare, Inc. is certified by National Committee for Quality Assurance (NCQA) in Utilization Management. The NCQA Utilization Management Certification is a voluntary review process that is a quality assessment program that focuses on consumer protection and improvement in service to customers. The standards of NCQA recognize that Apex Healthcare, Inc. has open access networks, can improve service quality, and utilize customized structures to meet purchasers needs. Margaret E. O’Kane, president of NCQA states, “Achieving Utilization Management certification from NCQA demonstrates that Apex Healthcare, Inc. has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards.” NCQA is committed to proving information on the quality of health plans and physicians; the certification process helps to reduce duplicate oversight and inefficient information gathered by organizations. NCQA has reviewed and certified Apex Healthcare, Inc.’s Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.