1364 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

[43 Pa.B. 4187]
[Saturday, July 20, 2013]

 Under 34 Pa. Code § 127.667(b) (relating to compensation policy), the Department of Labor and Industry (Department), Bureau of Workers' Compensation hereby 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 2012. The Department further provides notice of the average fee charged by each Utilization Review Organization and Peer Review Organization during 2012.

JULIA K. HEARTHWAY, 
Secretary

2012 Utilization Review Organizations Minimum—Average—Maximum Fee

Utilization Review Organization	Minimum Fee	Average Fee	Maximum Fee
Alico Services LTD	237.55	1054.11	2612.04
American Review Systems Inc.	240.00	1342.34	5610.00
CAB Medical Consultants	350.00	1116.16	3227.44
Caduceus Lex Medical Auditing	123.01	981.10	2503.12
CEC Inc.	390.55	1247.16	3544.55
Chiro Med Review Co.	129.15	965.41	2587.79
Denovo Management	99.00	1124.44	4665.00
DLB Services	154.25	1089.15	2977.81
Hajduk & Assoc. URO/PRO Ser.	145.04	1167.58	3882.09
Industrial Rehabilitation Assoc.	315.00	944.27	3250.00
KVS Consulting Services	325.30	1485.77	4216.43
Laurel Reviews	180.36	977.53	2925.67
Margroff Review Services	160.95	1110.94	3119.46
McBride & McBride Associates	100.36	1107.15	3586.01
Procura Management Inc.	250.00	1062.42	4215.72
Quality Assurance Reviews Inc.	355.00	1304.03	5110.00
Rehabilitation Planning	230.77	1342.31	4009.76
T & G Reviews	350.00	1087.66	2883.30
TX Review Inc.	139.13	1067.27	2700.00
Uniontown MRPC	142.30	886.80	2569.31
Watson Review Services	171.84	1212.38	4536.78
West Penn IME Inc.	290.33	1323.29	3821.96
Total Averages (year 2012)	221.81	1136.33	3570.64

 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. 13-1364. Filed for public inspection July 19, 2013, 9:00 a.m.]