RESTON, Va.--(BUSINESS WIRE)--MAXIMUS (NYSE: MMS), a leading provider of government services
worldwide, announced that it has launched operations under two separate
two-year contracts with the California Division of Workers’ Compensation
to provide independent medical review and independent bill review
services. The combined value of both contracts is estimated to be up to
$40 million over the two-year period.
Independent medical reviews are a cost effective non-judicial way to
resolve disputes concerning the medical treatment of injured employees
served by the California workers’ compensation system. If an injured
worker’s physician’s request for medical treatment is delayed, denied or
modified by a claims administrator for the reason that the treatment is
not medically necessary, the injured employee may ask for an independent
medical review of that decision.
Under the Independent Medical Review contract, MAXIMUS professionals
will provide independent medical reviews of denied authorization
requests or payments for medical services. These reviews are provided by
an experienced team of independent professional staff, including nurses,
doctors, physical therapists, health appeals specialists and other
professional health clinicians. Under the Independent Bill Review
contract the Company will provide review services for payment disputes
between providers and claims administrators.
MAXIMUS is a leading provider of independent reviews of health care
appeals for the Centers for Medicare & Medicaid Services (CMS), the
Department of Veterans Affairs (VA), the U.S. Office of Personnel
Management (OPM), as well as more than 44 state regulatory agencies
nationwide. Since 1989, MAXIMUS has completed more than two million
health care appeals on a timely basis and under rigorous quality control
standards.
“This latest contract allows MAXIMUS to grow our independent review
business while securing a foothold in a new, adjacent market, which is
part of our larger strategy to extend our core capabilities to new
programs and agencies,” commented MAXIMUS CEO Richard A. Montoni. “We
are drawing on our proven business processes and team of professionals
to provide timely, independent reviews for California’s workers.”
About MAXIMUS
MAXIMUS is a leading operator of government health and human services
programs in the United States, United Kingdom, Canada, Australia and
Saudi Arabia. The Company delivers business process services to improve
the cost effectiveness, efficiency and quality of government-sponsored
benefit programs, such as Medicaid, Medicare, Children's Health
Insurance Program (CHIP), Health Insurance BC (British Columbia), as
well as welfare-to-work and child support enforcement programs across
the globe. The Company's primary customer base includes federal,
provincial, state, county and municipal governments. Operating under its
founding mission of Helping Government Serve the People®,
MAXIMUS has approximately 8,800 employees worldwide. For more
information, visit www.maximus.com.
