BY GARRY CARNEAL, JD, MA, AND MELANIE PRINCE, EdD, MSN, BSN, RN, NE-BC, CCM, FCM, FAAN
During the rise of payer-sponsored case management programs in the 1990s, the Case Management Society of America (CMSA) and URAC (Utilization Review Accreditation Commission) began working together to help standardize key workflows associated with case management programs.