Information, documents and their use are the sole responsibility of the client and subject to the terms and conditions of the agreement between Claims Recovery Company, LLc., (CRC) and our clients. Clients acknowledge the limitations of any such documents or statements and is advised that multiple regulations, laws and other business considerations are the sole responsibility of the client to research and implement. CRC has no knowledge of, and will not participate in any activity involving;
- Unusual provider billing practices.
- Discrepancy between the submitted diagnosis and the treatment.
- Diagnoses or treatments that are outside the practitioner’s scope of practice.
- Claims that are resubmitted with coding changes to gain benefits.
- Alterations on claim submissions.
- Pressure for quick claim payment."
We provided services to individual health-care providers, clinics and hospitals on specific needs of health-care ERISA claim denials and appeals by educating, analyzing and fundamentally reengineering your claim appeal process for more effective reimbursement consistent with current federal statutes and regulations when traditional and conventional insurance appeal strategy and practice failed.
The publication or release of information by CRC is designed to provide accurate and authoritative information in regard to the subject matter covered. It is presented and published with the understanding that the author and publisher are not engaged in rendering legal, accounting or other professional service or advice. If legal advice or other expert assistance is required, the services of a competent professional person should be sought.
We're not employees of, or in affiliation with any governmental or regulatory agencies.
Claims Recovery Company, LLc., (CRC) is not a law firm. We do not practice law. If legal action or advice is required to successfully resolve a claim or a claim/business decision, we will refer out our client to an outside legal counsel chosen by our client.
We do not teach, advise or participate in coding & billing of your health care claims and practice. We advocate appeals of your already denied claims through compliance and compliant claim processing for savings in accordance with ERISA claim regulations and applicable federal and state laws.
Although Claims Recovery Company, LLc. (CRC) often works in conjunction with, but completely independent from, different law firms or seminar sponsors whose practice is focused on the representation of or advising clients in health care ERISA claims dispute or compliance, those law firms or companies advertising on Claims Recovery Company, LLc. (CRC) are not affiliated with or employed by or with Claims Recovery Company, LLc. (CRC). Claims Recovery Company, LLc. (CRC) disclaims any and all responsibility or liability for the accuracy, content, completeness, legality, reliability, or operability or availability of information or material displayed or advertised on the Claims Recovery Company, LLc. (CRC). Claims Recovery Company, LLc. (CRC) disclaims any responsibility for any harm resulting from downloading or accessing any information or material on the Internet linked to or through the Claims Recovery Company, LLc. (CRC).
Except for otherwise specifically stated, our educational and training for certification programs are not affiliated with any governmental or educational institute for the purpose of "recognized accreditation or certification for compliance programs or compliance officers" or degrees. Our certifications are only for personal attendance in private studying subject materials specified in each individual programs for advancing educational knowledge with respect to applicable business and compliance.
OIG: Special Advisory Bulletin: Practices of Business Consultants [PDF] [http://oig.hhs.gov/fraud/docs/alertsandbulletins/consultants.pdf]
The Office of Inspector General (OIG), Department of Health and Human Services, June, 2001 |