Our Services

Our services are supported by state of the art advanced evidence-based guidelines, high level understanding of CPT codes and reimbursement rules, data analytics, proprietary software and a team of well-trained industry-savvy professionals. Our mission is to constantly evaluate the industries and needs of our clients while designing and implementing cost saving solutions.

Bill Review

HCRG’s bill review service saves hundreds of millions of dollars in medical charges. The mission is to maximize savings for our clients while adhering to all rules and regulations. Our bill review team is supported by our proprietary software Medspectra-BR™

Medical Fraud Management

We provide data driven, evidence based  solutions to support all types of payers, including Health Plan, Medical and Medicaid to fight fraud.  Our reviews are wide scope and covers all aspects of healthcare delivery. We handle high risk complex cases.

Lien Resolution

Our lien resolution work is executed by a team of lien negotiators, bill review experts, medical coders, clinical experts, court representatives, and attorneys. Our lien service is supported by our proprietary software MedSpectra-LR™

Utilization Review

We provide Utilization Review services nationwide. Our clinical competence is second to none. The HCRG team is supported by our proprietary software, MedSpectra-UR™

WCAB Representation

HCRG provides a data driven, results oriented and fully comprehensive Lien Defense Representation Service line.  We bring over 10 years of Lien Negotiation, Lien Defense Representation, Settlement Experience, and a wealth of supporting data to the marketplace.

General Liability Services

HCRG provides a fully comprehensive Medical Management and Medical Bill Review service for liability insurance claims.  We partner with our clients and manage the medical cost and severity of their liabilities.

Education

HCRG has been an accredited provider of Continuing Education since 1988.  For the last 20 years, we have been developing and presenting educational sessions nationwide for a multitude of healthcare professionals responsible for medical cost management.

Consulting

HCRG has have been the trusted consultants to some of the leading healthcare systems in North America, and provided them with distinctive, lasting and substantial improvements in performance affecting the bottom line.