Health Insurance Industry Issues and Legislation

H.H.C. Group's Health Plan GPS (HPGPS) is a user-friendly mobile app and website for member engagement and communications, two keys to the ongoing success of any Reference-Based Pricing (RBP) plan. We give you the tools to engage with members and reduce both plan and member healthcare costs. Contact us to learn more.

H.H.C Group offers a free pre-screen to determine if potential savings are significant enough to justify an in-depth line-item review. When they are, highly qualified, experienced nurse coders scrutinize every line on the claims to identify the errors, large and small. And if the provider challenges any of the edits, we provide appeal support from day one at no extra charge.

How can your clients get Independent Medical Examinations (IME) quickly by qualified healthcare professionals? H.H.C. Group finds the right specialist, takes care of the paperwork and appointments, and fully reviews every report before it's sent to you. It's what makes H.H.C. Group the go-to IME professionals.

At H.H.C. Group, we're often asked to make independent determinations of medical necessity for dependent care services (dcs). In one case a 23-year-old blind woman with multiple conditions living at home had requested the continuation of 168 hours of dcs a week. Due to changes in her situation, our Board Certified physician specialist determined that due to changes in her situation, only 84 hours of continued dcs were justified.