Athens Managed Care Earns URAC Accreditation in Workers’ Compensation

CONCORD, CA – Athens Managed Care is proud to announce that it has earned URAC accreditation in Workers’ Compensation. URAC is the independent leader in promoting healthcare quality through accreditation, certification and measurement. By achieving this status, Athens Managed Care has demonstrated a comprehensive commitment to quality care, improved processes and better patient outcomes. Founded in 1976 Athens Administrators is a national third party administrator of Workers’ Compensation and Property and Casualty claims as well as Managed Care services. We proudly provide service to private and public sector, self-insured clients as well as to insurance carriers and managing general agencies. [...]

2022-09-21T16:35:31+00:00November 30th, 2021|

Athens Managed Care Receives Perfect Utilization Review Audit Score

Per the California Labor Code section §9792.11 et seq., all entities that perform utilization review services for organizations are subject to investigation and audit by the Division of Workers' Compensation (DWC). The DWC has recently completed their audit of Athens Managed Care and we are proud to announce that we received a perfect audit score of 100%! The audit process starts with the Department of Workers' Compensation (DWC) randomly selecting utilization review files where Athens Managed Care has completed and issued a decision for medical treatment from the injured workers treating physician. After a formalized list of files has been finalized, [...]

2021-06-02T19:18:55+00:00May 25th, 2021|

Independent Medical Report Details Steady Activity and Outcomes

ATHENS eBULLETIN | December 30, 2019 Earlier this year the Department of Industrial Relations (DIR) and it's Division of Workers Compensation (DWC) discussed the progress they've seen on the Department's Independent Medical Review (IMR) program. An IMR is the dispute resolution process put together by the state's workers' compensation system. It is a panel of medical professionals who review decisions made by the insurance program. As the use of Independent Medical Reviews continues to increase, we are seeing a steady decrease in the turnaround time. Overall, the industry is seeing Maximus Federal Services, Inc., (the IMR organization administering the program) overturn [...]

2021-06-02T19:18:59+00:00December 23rd, 2019|

Workers’ Compensation Appeals Board reclassifies “Working Day”

Earlier this year the Workers' Compensation Appeals Board reclassified their definition of a "working day". With this change, along with any other changes in the California workers’ compensation system, flexibility and communication with your managed care partner is vital for a successful risk management program. Athens Managed Care has implemented a change in the calculation of the due date of utilization review (UR) decisions to reflect the ruling made earlier this year by the Workers' Compensation Appeals Board and their classification of a "working day". This decision was made due to repeated litigation by applicant attorneys where workers’ compensation judges were determining [...]

2021-06-02T19:14:53+00:00November 10th, 2019|

Athens Managed Care, Inc.

We are extremely proud to announce that Athens Managed Care, Inc. will begin operations effective September, 2013. Athens Managed Care, Inc. offers innovative managed care solutions that improve patient care quality while lowering claims costs for employers. Throughout our history, we have constantly evolved in order to best respond to the demands of the Workers’ Compensation environment. Embracing the concept of constant growth and improvement has positioned us as an industry leader since the beginning. Stemming from our dedication to innovation Athens Managed Care, Inc. is our latest service offering. Claiming the Future of Managed Care Engaged and effective, Athens Managed [...]

2021-06-02T19:18:28+00:00April 30th, 2019|
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