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 developing 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™

FWA Management

We provide data driven, evidence based  solutions to support all types of payers, including Managed Care, Medicare and Medicaid to fight fraud.  Our reviews are in 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™

SIU Support

We provide medical investigative, litigation and data validation support to the SIU team to assist them work their cases.

Medical Review Services

HCRG specializes in High Cost and Complex Medical Reviews and Claims Audits. Complex claims are the biggest drivers of healthcare costs.

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.