MAXIMUS Launches Independent Medical and Bill Review Services for California Workers’ Compensation Programs

  MAXIMUS Launches Independent Medical and Bill Review Services for California
  Workers’ Compensation Programs

Business Wire

RESTON, Va. -- May 16, 2013

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

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

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

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.”


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,


Lisa Miles, 703-251-8637
Blake Travis, 703-251-8398
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