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DIRECTORY OF UR PROVIDERS AND CASE MANGERS ( K, L )

Posted On: Feb. 2, 1997 12:00 AM CST

K

Kepple & Co.

P.O. Box 1986, Peoria, Ill. 61656-1986; 309-673-7330; fax: 309-673-7369

Utilization Review/Case Management

1996 revenues

UR/case mgmt. revenue$650,000

UR/case mgmt. direct to employers95%

Svcs. to managed care/insurance providers5%

Staff

Total UR/case management employees6

Professionals6

UR/case mgmt. employees on retainer2

Clients

Total60

Covered lives/reviewed admissions

Employee benefit plan lives served33,000

Acute care inpatient admissions reviewed3,500

Diverted for outpatient treatment10%

UR/case mgmt. services since: 1986.

Parent: Health Care Horizons.

Frequent services: Preadmission certification, concurrent hospital treatment review, discharge planning, telephone case management, outpatient service predetermination.

Occasional services: Length of stay determination, review of lab work, patient education, second surgical opinion, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports.

Medical services reviewed/managed: Group health, dental, rehabilitation, psychiatric/substance abuse, pediatric.

Compensation: $1.25 to $2 per employee per month; $100 per hour (large case management).

Officers: Philip C. Walker II, chairman; James D. Stevenson, president; Gloria J. Towles, vp-finance; Patti Thornton, director-operations; Linda Walker, director-utilization management.

L

Laurel Rehabilitation

Services Inc.

67 S. Black Horse Pike, Blackwood,

N.J. 08012; 609-346-9748;

fax: 609-232-8430

Utilization Review/Case Management

1996 revenues

Total gross revenue$880,535

UR revenue$550,000

Case mgmt. revenue$330,535

UR/case mgmt. direct to employers10%

Svcs. to managed care/insurance providers90%

Staff

Professionals5

UR/case mgmt. employees on retainer130

Clients

Total50

Corporate/institutional employer clients2

UR/case mgmt. services since: 1988.

Frequent services: Discharge planning, onsite and telephone case management, patient education, free prescreening, retrospective review, second surgical opinion, hospital bill audits, referrals to alternative settings, written reports.

Occasional services: Preadmission certification, concurrent hospital treatment review, outpatient service predetermination, outpatient psychiatric and substance abuse services.

Medical services reviewed/managed: Group health, dental, chiropractic, rehabilitation, workers comp/disability, pediatric.

Compensation: $60 to $70 per hour; $350 to $600 physician peer review.

Officers: Patricia Deffler, president; John Deffler, vp.

Contact: Patti Ott, marketing director or Kelly Busch, manager.

Liaison Inc.

17000 N. Dallas Parkway, Suite 103, Dallas, Texas 75070; 800-333-6944;

fax: 972-380-8629

Utilization Review/Case Management

1996 revenues

Total gross revenue$6,000,000

UR revenue$1,000,000

Case mgmt. revenue$4,000,000

UR/case mgmt. direct to employers47%

Svcs. to managed care/insurance providers36%

Other services17%

Staff

Total UR/case management employees10

UR/case mgmt. employees on retainer3

Clients

Total125

UR/case mgmt. services since: 1984.

Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, onsite and telephone case management, retrospective review, second surgical opinion, hospital bill audits, outpatient service predetermination, written reports.

Occasional services: Review of lab work, patient education, outpatient psychiatric and substance abuse services, referrals to alternative settings.

Medical services reviewed/managed: Group health, chiropractic, rehabilitation, psychiatric/substance abuse, workers comp/disability, pediatric.

Branch offices: Houston; San Antonio.

Compensation: Per case; per hour.

Officers: Catherine Marrs, president/CEO; Ken Ferrell, executive vp.

Contact: Ken Ferrell.