Physical Medicine Cost Control

The Physical Medicine Challenge
According to data from the Workers' Compensation Research Institute (WCRI), physical medicine services (physical therapy, occupational therapy, and chiropractic care) account for 20-30% of workers' compensation medical costs.

Unlike one-and-done medical services such as hospital visits or surgery, physical medicine costs are driven by utilization (the number of visits), not unit cost.

MedRisk, a pioneer in the field of specialty managed care, was the first company to recognize that discounted “fee-for-service” programs do not fully control the key cost driver (utilization) of physical medicine treatment and the first company to develop a program to effectively control physical medicine costs by managing utilization. Today, we are the largest and most experienced organization of our kind and a recognized leader in the field of custom solutions designed to help clients create strategic advantages for today and tomorrow.

MedRisk's Solution PTExpert^®

MedRisk's innovative program, PTExpert^®, is founded on evidence-based, physical medicine specific treatment guidelines and a unique reimbursement model powered by actual claims data to manage utilization and costs through the application of clinical expertise – not just discounts.

This clinical and comprehensive approach manages both in and out-of-network physical medicine services, regardless of the affiliation of the service provider and includes:

Since 1994, MedRisk has been providing clients with physical medicine savings of up to 49% below fee schedule /usual & customary rates, providing clinical consistency across all physical medicine services.

For more information contact us at:

Sales and Marketing
MedRisk, Inc.
2701 Renaissance Blvd., Suite 200
PO Box 61570
King of Prussia, PA 19406
800-225-9675 Toll Free
610-768-5242 Fax