MedRisk ’s Expert Physical Medicine Provider Organization for workers’ compensation has expanded into 10 additional states.

Under the Expert Provider Organization (EPO) arrangement, physical therapists, occupational therapists and chiropractors agree to a unique reimbursement structure based on diagnosis and the chronicity and severity of work-related injuries.  This system controls cost through the clinical management of utilization and ensures quality practice standards.

Typically, MedRisk’s EPO delivers savings of between 30% and 40% below fee schedule and UCR (Usual, Customary and Reasonable charges) on physical medicine claims. With the addition of Alaska, Arizona, Arkansas, Idaho, Michigan, Mississippi, Montana, Nebraska, Nevada, and New Hampshire, MedRisk’s EPO is now available to employers that self-insure workers’ compensation programs, municipalities, insurance carriers, third-party administrators in a total of 36 states.  These states represent more than 80 percent of all workers’ compensation premiums. 

“This significant expansion of our EPO strengthens our customers’ savings potential in the critical area of workers’ compensation medical care.  More than 20 percent of all comp claims involve physical medicine, making physical medicine the largest medical cost driver,” says Shelley Boyce, president of MedRisk.