541 Range of fees and average fee charged by utilization review organizations and peer review organizations for services performed under the Workers' Compensation Act  

  • DEPARTMENT OF LABOR AND INDUSTRY

    Range of Fees and Average Fee Charged by Utilization Review Organizations and Peer Review Organizations for Services Performed under the Workers' Compensation Act

    [42 Pa.B. 1577]
    [Saturday, March 24, 2012]

     Under 34 Pa. Code § 127.667(b) (relating to compensation policy) the Department of Labor and Industry (Department), Bureau of Workers' Compensation gives notice of the range of fees charged by Utilization Review Organizations and Peer Review Organizations for services performed under the Workers' Compensation Act (77 P. S. §§ 1—1041.4 and 2501—2625) during 2011. The Department further provides notice of the average fee charged by each Utilization Review Organization and Peer Review Organization during 2011.

    JULIA K. HEARTHWAY, 
    Secretary

    2011 Utilization Review Organizations Minimum—Average—Maximum Fee

    URO Minimum Fee Average Fee Maximum Fee
    Alico Services LTD $160.00 $857.93 $910.00
    American Review Systems, Inc. $212.80 $947.90 $2,070.41
    CAB Medical Consultants $285.00 $836.18 $885.00
    Caduceus Lex Medical Auditing $175.00 $829.02 $925.00
    CEC, Inc. $00.01 $961.87 $1,301.03
    Chiro Med Review Co. $250.00 $830.14 $900.00
    Denovo Management $67.43 $958.75 $2,346.74
    DLB Services $96.08 $996.55 $2,229.17
    Hajduk & Assoc. URO/PRO Ser. $315.00 $814.13 $870.00
    Industrial Rehabilitation Assoc. $315.00 $540.00 $765.00
    KVS Consulting Services $264.05 $1,120.56 $1,493.66
    Laurel Reviews $79.34 $914.07 $3,680.42
    Margroff Review Services $251.21 $1,124.22 $2,395.25
    McBride & McBride Associates $250.00 $550.00 $850.00
    Procura Management, Inc. $250.00 $612.50 $975.00
    Quality Assurance Reviews, Inc. $529.00 $786.50 $1,044.00
    Rehabilitation Planning $225.00 $660.00 $1,095.00
    T & G Reviews $350.00 $936.62 $975.00
    TX Review, Inc. $103.72 $769.53 $835.00
    Uniontown MRPC $95.16 $885.50 $1,982.03
    Watson Review Services $201.63 $1,026.40 $1,814.79
    West Penn IME, Inc. $308.20 $993.78 $2,864.83
    TOTAL AVERAGES (Year 2011) $217.44 $861.46 $1,509.42
    [Pa.B. Doc. No. 12-541. Filed for public inspection March 23, 2012, 9:00 a.m.]

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