1178 Range of fees and average fee charged by utilization review organizations and peer review organizations for services performed under the Workers' Compensation Act

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

[44 Pa.B. 3286]
[Saturday, May 31, 2014]

 Under 34 Pa. Code § 127.667(b) (relating to compensation policy) the Department of Labor and Industry (Department), Bureau of Workers' Compensation (Bureau), gives notice of the range of fees charged by Utilization Review Organizations (URO) and Peer Review Organizations (PRO) for services performed under the Workers' Compensation Act (77 P. S. §§ 1—1041.4 and 2501—2625) during 2013. The Department further provides notice of the average fee charged by each URO and PRO during 2013.

JULIA K. HEARTHWAY, 
Secretary

2013 URO Minimum—Maximum Fee

URO	Minimum Fee	Maximum Fee
Alico Services LTD	329.22	3647.56
American Review Systems Inc.	240	6864.35
CAB Medical Consultants	350	5003.04
Caduceus Lex Medical Auditing	188.35	3493.18
CEC Inc.	139.40	4221.85
Chiro Med Review Co.	207.47	3286.23
Denovo Management	75	3462
DLB Services	161.79	3500.22
Hajduk & Assoc. URO/PRO Ser.	150.23	3944.48
Industrial Rehabilitation Assoc.	325	4576.99
KVS Consulting Services	273.58	5217.49
Laurel Reviews	46.03	3899.33
Margroff Review Services	208.47	3557.78
McBride & McBride Associates	350	3359.77
Quality Assurance Reviews Inc.	528	5704.84
Rehabilitation Planning Inc.	541.65	9133.16
T & G Reviews	450	4879.56
Uniontown MRPC	159.05	3268
Watson Review Services	226.87	4227.53
West Penn IME Inc.	384.92	4696.72
Total Averages (yr. 2013)	266.75	4497.20

 34 Pa. Code § 127.667(b): The Bureau will publish in the Pennsylvania Bulletin, on an annual basis, the range of fees charged by each URO and PRO for services performed under the act and this chapter during the preceding year.

 ***The fee is calculated as amount charged per Utilization Review Request Assignment which potentially has from one to five determinations associated with the Request.

[Pa.B. Doc. No. 14-1178. Filed for public inspection May 30, 2014, 9:00 a.m.]