HCRG provides one of the most sought out Lien Resolution Programs in the State of California. Our program is based on a proven seek and destroy model. The HCRG Lien Resolution model is an all-encompassing approach that includes the legal and medical reasonableness aspects of the Lien.
• Focuses on Informal Negotiation
• Avoids Litigation
• Achieves Maximum Savings
• Litigates when Necessary
We provide a combination of legal, regulatory, and evidence based medical reasonableness approach to resolving medical liens. Our program complies with all the relevant rules and regulations. We seek out liens of records and provider balances in order to determine the full financial exposure and achieve complete closure of files. We provide a 45 day file closure program that is supported by our experienced negotiation, litigation, clinical, and coding teams to settle outstanding liens.
OUR LIEN NEGOTIATION TECHNICAL APPROACH
HCRG takes a consultative and an evidence based approach to formulate and execute our strategy to negotiate medical liens. We expect our clients to scrutinize our basis for negotiation. We utilize our in-house, legal, clinical, and expert bill review teams to provide technical expertise input in finalizing our negotiation approach. Our results and performance tracking are transparent. Our clients are able to track our performance at any stage of the lien life cycle.
BILL REVIEW SUPPORT TEAM
Bill Review Expert witnesses are 100% defensible and are submitted in trial exhibits. Our Bill Review Expert Witnesses also testify to our reviews at Lien Trials to achieve the maximum savings for our clients.
Our clinical team is specifically trained and skilled on the legal aspects of medical care delivery, billing, coding, and evidence based guidelines. Utilizing this specific knowledge, the clinical professionals evaluate high exposure bills where medical reasonableness is an issue. A report is generated and given to our negotiators to use as a negotiation tool. The report is also used in trial exhibits.
OUR HIGH PERFORMANCE LIEN NEGOTIATION TEAM
Our negotiators are experienced and well trained in the technical aspects of lien resolutions. Most of our lien negotiators have been claims managers, risk managers, and professionals I n the legal field. Our learning and development program keeps our negotiators constantly up to date with new information. Our Bill Review Expert Witnesses work hand in hand with the negotiators to review bills and provide bill review technical and evidence based arguments to support lien negotiation.
LITIGATION SUPPORT TEAM
We have a dedicated Litigation-Department to support our lien program performance. The litigation support team ensures that we are complying with all lien related legal requests and tasks according to the WCAB rules and practices. Examples include filing DORs, response to requests for documents, trial briefs, and petitions for costs and sanctions.
WCAB COURT REPRESENTATION
HCRG has an in-house team of Court representatives. We are fully organized to provide lien related Court representation at any lien appearance in the State of California. Our hearing representatives are specifically trained to pursue dismissals and execute the litigation plan of action agreed upon by our clients. We believe that this capability has provided documented success.
OUR SOFTWARE AND DATA ANALYSIS CAPABILITIES
Our lien service is powered by our proprietary software MedSpectra-LR. This software suite is designed not only to automate the work processes but also to collect performance and predictive data thus allowing us to provide critical information to our client on risk areas.
MedSpectra-LR has reporting and analytical capabilities. HCRG provides client driven reports. These may include:
• Performance Reporting
• Cost Savings
• Predict Average Lien Total Per Litigated File
• Predict Average Case in Chief Settlement Amount
• Categorize Provider by Amount and Frequency of Lien Filing
• Predict Lien Financial Risk Exposure by Month
• Predict File Closure Estimated by Dates based off Lien Claimants and Litigation Dates
• Categorize Lien Financial Risk Exposure by Activation Status
6571 Altura Blvd.,
Buena Park, CA 90620
“HCRG has Hearing Representative coverage at all WCAB Courts.”