Security Backed
by Accreditation
Integrity at the Core of Every Review
At Nexus, compliance is not just a requirement. It is a mindset rooted in accountability, transparency, and trust.
Every process we design, from clinical review protocols to information security practices, is carefully structured to secure sensitive data, uphold medical integrity, and deliver timely, defensible results.
We believe that operational clarity, regulatory alignment, and a focus on continuous improvement are essential to building trust at every level.
A Culture of Compliance
Our compliance program supports the integrity of our services across every specialty and operational function. Guided by executive leadership and informed by continuous regulatory monitoring, we operate within clearly defined guardrails that protect clients, claimants, and clinicians.
We stay current with evolving federal and state legislation, including multi-state consumer privacy requirements, to ensure our policies remain aligned with today’s healthcare and legal standards.
Our internal practices reflect guidance from the U.S. Department of Health and Human Services and the Office of Inspector General. Together, these efforts form a foundation for a compliance program that is both proactive and adaptable.
URAC Accreditation – Workers’ Compensation Utilization Management
- Nexus is URAC-accredited for Workers’ Compensation Utilization Management, demonstrating our ability to:
- Deliver independent, unbiased medical necessity determinations
- Address risks to patient safety, including unsafe or inappropriate treatments
- Align with state and federal Workers’ Compensation regulations
- Meet required timeframes for urgent and non-urgent determinations
HITRUST
- HITRUST CSF Certified status reflects our compliance with the most widely adopted healthcare cybersecurity framework, incorporating ISO, NIST, PCI, COBIT, HIPAA, and more. This certification places Nexus among an elite group of IROs globally.
Historically Underutilized Business (HUB) Certification
- Certified by the Texas Comptroller of Public Accounts, Nexus qualifies as a HUB based on ownership and leadership by a Texas-based, service-disabled veteran.
HIPAA Compliance
- All reviews and data handling processes follow HIPAA standards for privacy and security.
Certified Service-Disabled Veteran’s Business Enterprise™ (SDVBE)
- Certified by the National Veteran-Owned Business Association (NaVOBA), Nexus is majority-owned and operated by a service-disabled U.S. veteran. This designation reflects our mission-driven roots and commitment to veteran leadership.
Built for Quality
At Nexus, quality is the result of clinical oversight, operational integrity, and nationally recognized accreditation.
Our internal benchmarks for accuracy, timeliness, and clinical appropriateness are supported by a structured quality assurance program and enforced through credentialed reviewers.
Because our systems are built on strong compliance and accreditation frameworks, our clients receive consistent, defensible reviews they can trust.
