HCRG specializes in Medical Cost Containment solutions. We continually develop, test, and implement new solutions to meet the ever changing needs of our clients and the industry. For over 25 years we have successfully delivered results to our clients in measurable return on investment and bottom line metrics.
HCRG Specializes in High Cost, Complex and Specialty Medical Reviews and Claim Audits. With over 20 years of experience, we have a proven track record.
HCRG is a leading provider of solutions specifically designed to fight fraud, waste and abuse. Utilizing claims data analytics, Medicare, Medicaid and payer rules, CPT code analysis, medical evidence based criteria, and medical entity business intelligence, we engineer our solutions to detect fraud, waste and abuse patterns...
Turn to for your Med Legal record prep for PQME/AME. With over 25 years of experience in Workers’ Compensation, we know how to organize medical records. We transform high volume of complex data from chaos to clarity.
The payer SIU team is charged with investigations of fraud, waste and management and take actions to manage them. The investigative actions are very involved and may include data analysis to identify outlier billing patterns, public record reviews to determine professional and business licensures and Medical Records Review. HCRG provides these services to support the SIU teams.
HCRG is an accredited provider of professional development and continuing education for the multidisciplinary healthcare professionals. Our education platforms is organized to provide online, onsite and customized learning.
For over 20 years, HCRG has been the trusted consultants to some of the leading healthcare systems in North America. Our broad expertise creates a distinctive, lasting, and substantial improvement in bottom line performance metrics for our clients.
HCRG not only provides solutions for cost containment, but also provides solutions for cost prevention.
Clients working with HCRG have collectively saved millions in medical costs.
This is a partial list of the client types we serve. We have a proven track record.
Our mission is to continuously focus on understanding the needs of our clients in the ever changing environment, advance our technology, and develop result-oriented services to improve bottom line results, and meet regulatory requirements. When you choose to work with HCRG, you choose competence, trust, ethics, and accountability. We stand by our work.
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