Identify. Analyze. Recover. Healthcare Recovery Solutions
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1 Identify. Analyze. Recover. Healthcare Recovery Solutions
2 Dangerous drugs, devices and toxic substances could be costing you millions. Healthcare payers and funds typically pursue reimbursement of readily identifiable subrogation matters, including automobile and premises liability claims. However, most are missing opportunities to recover expenses paid due to illness or injury from dangerous pharmaceuticals, defective medical devices or harmful toxic substances. These lost opportunities could add up to millions of dollars in lost recovery opportunities. Healthcare Recovery Solutions (HRS) is the first and only organization to offer powerful, patented technology for identifying these specialized claims. Our analytics engine reviews medical claims and prescription data to identify previously undetected high-cost opportunities for subrogation and reimbursement for healthcare payers and funds. Our specialized subrogation team, working in conjunction with legal counsel, enables healthcare payers and funds to augment their existing subrogation practices with minimal effort.
3 Strategic Relationships Innovative Software Solutions, Inc. (ISSI) is the leading provider of benefit administration software to multi-employer benefit funds. Approximately 280 Health and Welfare Fund Administrators and TPAs depend on ISSI s computer systems to securely manage all facets of benefit fund administration. ISSI s state-of-the-art programs and data management practices comply with all HIPAA privacy and security mandates. With unparalleled expertise in electronic claims processing, HRS, in partnership with ISSI, developed the software needed to analyze claims for possible recovery. Schwarz Mongeluzzi Law (SML) serves as trusted advisors and tireless advocates for their clients. The firm is regularly retained by individuals, healthcare payers, insurance carriers and funds. SML has a strong track record for obtaining third-party subrogation recoveries, which have resulted in hundreds of seven- and eight-figure verdicts and settlements for: Individuals and families who have suffered serious illness, injury or loss of life due to harmful pharmaceuticals, defective medical devices or toxic substances. Employees, employers and insurers of workplace incidents when a third party s dangerous and unsafe conduct results in significant harm or injury to an individual. Healthcare payers, health and welfare funds and government entities that have incurred medical expenses for members who have suffered serious illness or injury due to harmful pharmaceuticals, defective medical devices or toxic substances.
4 HRS offers government entities, healthcare payers, insurers, and health and welfare funds: Technology to Ease of use. The HRS process has minimal impact on current subrogation practices or day-to-day operations. HIPAA compliance. The HRS technology is a HIPAA-compliant system, which protects the privacy and confidentiality of personal health information. No upfront costs. Because HRS is compensated only for successful collections work and does not charge a fee to review claims or analyze data, payers and funds have nothing to lose but potentially millions to gain in recovered healthcare costs.
5 identify. Expertise to pursue. Review Data Analyze Claims Recover & Subrogate Claims Report Review Data Our patented software system, operated by our strategic partner, Innovative Software Solutions, Inc., is designed to augment a fund or insurer s existing recovery efforts by searching out potential third-party claims related to dangerous pharmaceuticals, defective medical devices or harmful toxic substances. Analyze Claims With input from experienced counsel of your choice, such as Schwarz Mongeluzzi Law, we utilize cuttingedge technology to identify previously unknown large-loss claims with subrogation or recovery potential. Recover and Subrogate Claims Where the injured party has already retained counsel to assert a claim, our highly-trained professionals will pursue collection from any third party recovery. Where no claim has been brought, HRS will work with experienced counsel, such as Schwarz Mongeluzzi Law, to pursue subrogation or recovery opportunities that have been identified. Report HRS provides meaningful and current information on the status of claims being investigated and pursued by the fund or insurer. Our team will monitor third-party claims being pursued by plan participants to ensure that the fund or insurer s lien is being protected and reimbursed.
6 Healthcare Recovery Solutions The source for specialized subrogation services. Healthcare Recovery Solutions, LLC One Liberty Place 1650 Market Street, 51st Floor Philadelphia, PA T: (855) F: (855) HRS does not provide legal services. Entering into a contract with HRS does not create an attorney-client relationship. For legal advice relating to any potential claims identified by HRS, an attorney must be consulted.
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