1102 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

[46 Pa.B. 3389]
[Saturday, June 25, 2016]

 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 (URO) and Peer Review Organizations (PRO) for services performed under the Workers' Compensation Act (77 P.S. §§ 1—1041.4 and 2501—2625) during 2015. The Department further provides notice of the range of fees charged by each URO and PRO during 2015.

2015 Range of Fees Charged by Utilization Review Organizations and Peer Review Organizations
2015 Minimum and Maximum Fee

URO/PRO	Minimum Fee	Maximum Fee
Alico Services LTD	$216.49	$3,122.32
American Review Systems, Inc.	$160.00	$3,702.62
CAB Medical Consultants	$350.00	$5,125.00
Caduceus Lex Medical Auditing	$229.46	$4,714.44
CEC, Inc.	$420.10	$4,850.65
Chiro Med Review Co.	$206.07	$3,455.82
Denovo Management	$57.00	$3,116.00
DLB Services	$78.24	$3,272.55
Hajduk & Assoc. URO/PRO Ser.	$217.29	$3,974.16
Industrial Rehabilitation Assoc.	$375.00	$3,625.00
KVS Consulting Services	$295.96	$5,271.33
Laurel Reviews	$230.21	$4,888.46
Margroff Review Services	$261.19	$4,874.07
McBride & McBride Associates	$526.80	$3,133.42
Quality Assurance Reviews, Inc.	$595.00	$10,539.92
Rachels Reviews	$150.75	$5,046.00
T & G Reviews	$400.00	$5,261.22
Uniontown MRPC	$125.14	$3,853.57
Watson Review Services	$164.98	$4,985.24
West Penn IME, Inc.	$410.75	$5,597.68
Total Averages (2015)	$273.52	$4,620.47

 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.

KATHY M. MANDERINO, 
Secretary

[Pa.B. Doc. No. 16-1102. Filed for public inspection June 24, 2016, 9:00 a.m.]