CONSULTING

HCRG has been providing business and management consulting services for over 25 years.  In those years we have provided consulting services for major healthcare systems such as Managed Care Organizations, General Healthcare Systems, State Correctional Healthcare Systems, The Veterans’ Administration Healthcare System, The U.S.  Navy Healthcare System, The U.S. Airforce, The Native American Healthcare system, Medical Provider Networks, Preferred Provider Organizations, Medicare, Medicaid, and some of the largest Hospital Healthcare Systems in the nation.

For those organizations, we designed and implemented strategic business units, work processes, and operations management to obtain medical cost containment and quality healthcare delivery.  We partner with our clients and identify their highest value opportunities, their most critical challenges and work alongside them to develop solutions that would produce sustainable results.

Our consulting services focus on:
• Creating competitive advantage through unique solutions
• Building capabilities and utilizing data analytics to strategically mobilize the    organization forward
• Driving sustainable impact to achieve results
• Transform work processes, business units or organizations in their entirety -              Providing unparalleled opportunities for growth

Our Business and Management Consulting Services include:
• Strategic Planning, Development, and Implementation
• Business Unit Development
• Work Process Development
• Data Analytics Management
• Design and Implementation of Operations Infrastructure
• Accounts Receivable and Cash Flow Management
• Information Technology Design and Implementation
• Performance Management
• New Business Product Development
• Continuous Quality Control Management Medical Cost Containment
• Design, implement and manage medical cost containment solutions
• Design and implement operations to manage work execution in medical cost    containment solutions
• Design and implement quality management initiatives
• Design and implement digital strategies for medical cost management solutions
• Design and implement reporting and evaluation systems Claims Management
• Conduct file review, assess risks and determine solutions to manage risk
• Conduct medical cost risk analysis
• Conduct medical reviews on complex bases and predict future medical cost
• Design and implement lien resolution process
• Conduct medical bill review to determine appropriateness
• Review file and plan on liability defense
• Design and implement fraud identification and prevention of all types of providers
• Formulate  defense payer liability
• Integrate dates for analytics


Customer Service
Call:  (562)-945-7224

Corporate Address:  
6571 Altura Blvd.,
Buena Park, CA 90620

“HCRG has been providing consultancy services
since 1988.”