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Detail <br />Unit <br />Fee <br />Telephonic Case Management <br />Per Hour <br />$98.00 <br />Medical Director Review (additional fee <br />$98.00 <br />Per Review $198.00 <br />when applicable) <br />(Plus Mileage: IRS <br />Field Case Management <br />Per Hour <br />Reimbursement Rate & <br />Detail <br />Expenses and Wait at <br />C/20912 <br />15 <br />Hourly Rate) <br />Life Care Plan <br />Per Hour <br />$150.00 <br />Nurse Hotline (24/7 Nurse Triage) <br />Per Incident <br />$110.00 <br />Return to Work Services <br />$695.00 <br />Alternative RTW (MDOS) <br />Per Placement <br />(Plus FCM hourly rate for <br />initial visit) <br />Program Design and Administrative <br />Per Hour <br />$150.00 <br />Consultation <br />Transitional Work Services Plan and Policy <br />Per Hour <br />$150.00 <br />Development <br />Job Analysis / Functional Job Assessment <br />Per Analysis <br />$200.00 <br />Ergonomic Assessment <br />Per Hour <br />$250.00 <br />Transitional Work Services <br />Per Hour <br />$150.00 <br />Vocational Evaluation <br />$950.00 <br />(Plus Mileage: IRS <br />Per Evaluation <br />Reimbursement Rate & <br />Expenses) <br />Utilization Review/Certification <br />Detail <br />Unit Fee <br />Nurse Review <br />Per Review $97.00 <br />Medical Director Review (additional fee <br />Per Review $198.00 <br />when applicable) <br />Medical Director Appeal Reviews <br />Per Review $278.00 <br />Peer Review <br />Detail <br />Unit Fee <br />C/20912 <br />15 <br />