OUR QUALIFICATIONS

HealthCare Resource Group is a dba of VSA & Associates, Inc., and has been in business since 1987.  
This was about the time when Payors, Medicare, and Medicaid began to insist on medical cost management.  For the first years of business, we operated as a medical cost management consulting firm. We consulted with healthcare organizations nationwide.  Our main consulting task was to evaluate the needs of healthcare organizations of all sizes and complexity, and implement cost management solutions including fraud prevention and management. We pioneered the development, and implementation of medical cost and fraud management solutions for organizations such as Insurance Companies, Employers, the US Navy Healthcare System, the Correctional Healthcare System, the US Airforce Healthcare System, the Correctional Healthcare System, the Veteran’s Administration HealthCare Systems, Medicare and Medicaid managed care organizations, multi-specialty Physician Groups, and Preferred Provider Organizations.

OUR PEOPLE

At HCRG, our people are at the heart of everything we do.  They represent us and are our voice when interfacing with our clients and the public as a whole.  We are proud of the work we have done and continue to do in developing an outstanding workforce.  Employee engagement and satisfaction is critical to our company’s long term sustainability.  This is why we strive to hire the right people and develop them professionally to their full potential.  We foster an ethical environment which allows all members of our diverse team to excel.

OUR MEDICAL COST MANAGEMENT SOLUTION PIONEERING 

For the above mentioned organizations, we developed models and tools for management, operations, work processes, work methodologies, information management, and data reporting systems to implement medical cost management product lines.  Specifically, we developed and implemented infrastructures for Utilization Review, Case Management, Discharge Planning, Clinical Chart Audit, Bill Review, Pharmacy Management, Chronic Disease Management and fraud management implementation across complex healthcare systems.  The medical cost management solutions were each uniquely designed to meet the specific requirements of the integrated healthcare system, namely Inpatient, Outpatient, Outpatient Surgery, radiology, physical therapy, ambulatory clinics, multi-specialty clinics and disease specific clinics.  Our knowledge, competence and intelligence in the area of medical cost and fraud management is second to none.

OUR COMPETENCY WITH HEALTH PLANS, PAYERS AND MEDICAL SYSTEMS

We have extensive knowledge in health plans, medicare, medicaid, military and correctional healthcare systems. We understand fraud, abuse and waste. We are specifically organized to assist payers to identify, prevent, and manage fraud. We have expertise to work with SIU units to assist in the combating of healthcare fraud through a broad range of technical CPT code and medical necessity reviews. We cover a broad range of scope in our reviews.

WORKERS’ COMPENSATION COMPETENCE

We have directed our knowledge and expertise towards the Workers’ Compensation industry, specializing in Workers’ Compensation medical cost containment solutions.  Our long-term strategy on investment in R&D, technology, and human capital development has provided us with the platform to relentlessly pursue our vision of continuing to be a leader in developing and implementing best in class medical cost containment solutions for the Workers’ Compensation Industry.

LEADERSHIP

At HCRG one of our core corporate values is to demonstrate integrity in all we do.  Not only through our words, but also in our actions.  We set a high standard of corporate governance and ethical responsibility. We believe there are no shortcuts when it comes to corporate responsibility.

Through our organization structure, philosophy, and culture, we are steadfastly committed to our performance, ethical, and accountability standards.  We only promise what we can deliver.  We make our performance transparent to clients to continue to foster trust and confidence.

OUR WORK PHILOSOPHY

We are a consulting firm providing medical cost management services.  We will partner with you to achieve your bottom line.  We consult and understand your needs, and tailor our services to meet them.  HCRG is armed by a team of industry experts, a rigorous management system, data-driven work processes, proprietary software, and a continuously improving result-oriented quality management system.

FOCUS ON EDUCATION

HCRG has been a pioneering leader in both medical cost management services and in educating organizations on medical cost management solutions nationwide.  We continue to develop educational topics on medical cost management and present them nationally.  Our list of audiences include:  Chief Executives, Chief Financial Officers, Chief Operations Officers, Chief Medical Officers, Administrators, Nurses, Doctors, Ancillary Staff, Pharmacists, Risk Managers, Brokers, Claims Managers, Attorneys, SIU staff, and other healthcare professionals.

LEADERSHIP COMMITMENT

• Steadfast delivery of best in class service
• Integrity throughout action
• High standard of performance
• High standard of corporate responsibility
• Compliance with all laws and regulations
• Measurable performance

Achievements

Approved Utilization Review  Vendor
with the CA Department of Workers’ Compensation Since 2004.

Accreditation

California Board of
Registered Nursing

Approved Education provider for Continuing Education Units to Registered Nurses and Licensed Vocational Nurses.

American Institute of Outcomes Care
Management Certified

This is some text inside of a div block.