Vocational Services
Presque Isle Rehabilitation Service, LLC offers provider panel and bill review services.
Workers’ Compensation Provider Panels –State Specific
Specializing in the development of functional provider panels in Pennsylvania and other states. Licensed healthcare providers for placement on panels based on the following criteria:
- Client Preference
- Specialties appropriate for the anticipated work injuries
- Quality of care and reputation in their field of specialty
- Timeliness of consultations, evaluations, and follow-up appointments
- Willingness to address return-to-work and modified duty
- Ability to provide timely written medical reports
Panels are customized to meet the specific needs of our clients as follows:
- If a client utilizes the services of a PPO network, we place providers from the network on the client’s panel to maximize their total PPO savings
- If a client requires a specific format, language, or logo on their panel, we can accommodate this or any other custom format.
- We provide ongoing customer service to ensure the panel meets the needs of our client.
24-hour, Toll-Free Appointment Scheduling
PCS places its toll-free appointment scheduling number (1-888-594-4001) on every provider panel. When our clients or their injured workers call this number, they will have access to a PCS representative 24 hours a day, 7 days a week. Through this user-friendly process, the injured workers select the provider they wish to initially be treated with, and we immediately schedule an appointment for them.
Injury Management/Communication
PCS offers injury management and communication service to its clients. After each patient examination, Premier Comp will fax or email a patient status report, including diagnosis, treatment plan, work status, and restrictions (if applicable), to the designated employer contact person. If our clients desire, this information will also be faxed or e-mailed to the employer’s insurance carrier, third-party administrator (TPA), and/or broker agency. Premier Comp guarantees that our clients will be kept current regarding their injured workers’ progress. Premier Comp will schedule all physician appointments and medical services for the injured workers with the providers they select from their employer’s panel. These services include specialist examinations, physical therapy, and diagnostic testing.
Physical Therapy Services for Pennsylvania and other states
Pennsylvania has one of the most complex fee schedules in the nation. Physical therapy (PT) costs account for the majority of the total costs that employers pay on workers’ compensation (WC) claims in PA. Consequently, it is important to understand that there is not just one mandated PA WC fee schedule for PT services. In fact, there are over 400 PT providers, or 70% of all PA PT providers, who are classified as cost-reimbursed for Medicare Part “A” providers. Each of these providers has its own reimbursement schedule, which can be verified by accessing the PA WC chargemaster that all WC insurance carriers and repricing companies receive from the Bureau. Thera remainder of the providers are classified as physician-based Medicare Part “B” providers and are reimbursed under one significantly lower fee schedule.
Premier Comp assists employers in significantly reducing the costs associated with PT. Premier Comp offers one of the most comprehensive, discounted PT networks available in PA. This network is composed of the highest quality PT providers available in the state, including both Part “A” and “B” providers. As stated above, PT costs account for the majority of the total costs that employers pay on workers’ compensation claims in PA. Through the use of our PT network, our clients have obtained average savings of 50% on their PT services scheduled through Premier Comp’s network. We guarantee that our clients receive the PA WC Part “B: reimbursement rates which are the lowest rates available in the state as opposed to the significantly higher Part “A” rates described above. When you consider that most PT providers in PA are certified as Part “A” providers, the savings obtained through our network are unbeatable when compared to any other managed care or PPO network.
Direct access to PT networks for other states at a discounted price is available. PCS will also build a physical therapy provider network for your needs.
Diagnostic Services
Offers all its clients access to our extensive group of diagnostic networks at a 10% discount below the PA WC Part “B” fee schedule.`
Access to Discounted Physical Therapy /
Diagnostic Networks
Does not charge its clients a percentage of savings to access its network. Therefore, the savings represented in the “Comparison of Schedule B Versus Schedule A Year 2022 PA Workers’ Compensation Reimbursement Rates for Outpatient Physical Therapy Facilities” are actual savings and are not diluted by any type of extra % of savings access charge.
Customized Utilization/Cost Containment Reports
Premier Comp provides customized utilization/cost containment reports to all its clients, which summarize the savings they have obtained through the use of our program. These reports can be generated on a monthly or quarterly basis, whichever our clients prefer.
Medical Bill Review / Repricing
Bill Review means independent auditing and review of a provider’s billed medical expenses and/or medical records to identify any invalid charges, duplications, omissions, the actual delivery of billed services and items, the accuracy of charges and associated coding, and improper concurrent bills for services involving evaluation or treatment of work-related and non-work related, calculate fair and reasonable consideration for the services and supplies provided, establish whether or not such expenses are usual, customary and reasonable, and determine if the billed medical expenses or some portion thereof otherwise meet, satisfy and conform to the applicable criteria, standards, and requirements of the Guidelines.
- Bath Safety Products
- Ambulatory Products
- Mobility Products
- Custom Mobility Products
- Complex Rehab Equipment
- Hospital Beds
- Patient Lifts
- Spinal Cord Stimulator Implants
- Hearing Aids
- Skilled Nursing
- Catastrophic Care
- Wound Care
- Home Health
- Companion Care
- Social Workers
- Physical Therapy
- Speech Therapy
- Respiratory Therapy
- Occupational Therapy
- IV Therapy
- Off-the-Shelf Bracing
- Custom Orthotics
- Upper Extremity Prosthetics
- Lower Extremity Prosthetics
- High Tech Prosthetics
- Bionic Prosthetics
- Ambulatory Products
- Custom Wheelchairs
- Power Mobility (Scooter & Power Wheelchairs)
- ADLS
- Bath Safety Products
- Audiology Services
- All Hearing Aid Brands
- All Hearing Aid Styles
- Hearing Aid Accessories & Products
- Bone Growth Stimulators
- Muscle Stimulators
- Tens Units
- CPM - Shoulder, Knee & Hand
- Hot & Cold Therapy
- Custom Bracing
Ready to take control of your claim?
Simply fill out our referral form and send it to us!
MA, CRC, NCC, LPC, CLCP, PGAP Provider
Michelle Repman-Pifer has been working in the workers’ compensation, disability, and civil liabilities fields for over 28 years and founded Presque Isle Rehabilitation Service in 2002.
Through innovative thinking, integration of the latest technology, and collaborative teamwork with staff both in-office and in the field, she has created a highly regarded team that, together, ranks among the leading case management companies in the region.
In addition to running the business and overseeing operations, Ms. Repman-Pifer still personally works a small caseload of case management files and expert cases in workers’ compensation, liability, domestic, and disability cases. A believer in lifelong, ongoing education and skills acquisition, Ms. Repman-Pifer is a certified Progressive Goal Attainment Program (PGAP) provider, having attended a workshop led by program developer Dr. Michael Sullivan; PGAP is included in the Official Disability Guidelines as an accepted treatment for workers’ compensation and disability claims.
Finally, Ms. Repman Pifer is a certified life care planner (a designation signifying rigorous preparation and thorough qualifications in this field), making her one of only thousands in the entire country.