Understanding - Collecting under the terms of court settlements is a complicated process that requires considerable time and follow-up on the claims submitted to ensure proper and maximum payment.

Experience - MCAG works with more than 8,000 physician practices, representing over 80,000 physicians, and has submitted over $150 million in claims (including 30% of all claims submitted under the recent CIGNA Settlement).

Integrity - MCAG has contracts with the AMA, California Medical Association and over twenty-five other state medical societies including CO, CT, GA, LA, NE, NC, NJ, NM, NY, OK, OR, TN, TX and others as well as a number of local and specialty medical societies.

Insight - MCAG works closely with plaintiffs' counsel and the Settlement Compliance Group to correctly interpret the terms of each individual settlement recovery process in order to maximize the return for MCAG clients.

Expertise - MCAG helps physician practices understand the terms of each settlement, determine the best filing option, submit claims with appropriate documentation, and collect recoverable funds.

Industry Leadership - MCAG management has decades of experience in auditing health insurance companies on behalf of large corporate self-insured payors, health care systems, and physician groups with substantial returns to clients. Our audit services management has helped clients recover over $400 million.

Tim Schmidt formed Schmidt, Long, and Associates in 1984, pioneering a focused audit of health claims designed to identify the cost effects of provider reimbursement arrangements on large, national, self-insured medical benefit plans. He directed medical claims audit projects for Fortune 200 corporations including USX, AT&T, DaimlerChrysler, MBNA Procter & Gamble, General Electric, Kmart, and Georgia-Pacific among others.

A leading national expert in analyzing actual medical claims cost and the effect of medical service provider reimbursement and pricing arrangements on self-insured medical benefits plans, Mr. Schmidt has provided expert testimony in numerous lawsuits involving insurance companies, self-insured employers, and plan beneficiaries. He has also been called on as a consulting expert for the Department of Labor on the subject of health claims cost accounting.

Mr. Schmidt received a Bachelor of Arts in economics from Ohio Wesleyan University and received the designation of Managed Healthcare Professional from the Health Insurance Association of America.

Doug Perry entered the healthcare field in a senior management position in a large Health System in 1983 following audit and consulting engagements for Ernst & Young. As CFO of St. Vincent Medical Center in Toledo, Ohio from 1988 through 1997, he was instrumental in helping that institution grow from $160 million to $1.4 billion over ten years.

The facility was losing money in 1986 but under his direction, St. V’s developed into a profitable operation yielding over $85 million a year by 1997. The Ohio Business Journal recognized St. Vincent Medical Center as the most profitable hospital in the State of Ohio for five years in a row and its bond rating improved from A- to A+.

Mr. Perry continues to specialize in assisting healthcare clients in significant financial recoveries. Nationally recognized as a leading expert in the financial turnaround of healthcare institutions, his recent successes include $9 million in improved cash flow and income for a large healthcare client through an overhaul of its collection process. An audit and review of Contract Payment deficiencies also produced over $10 million of recoverable underpayments. Reorganization of the collection process for yet another client generated more than $15 million in cash and income in the first year with a repeating annual benefit of over $10 million.

Bill Hobrecht has over two decades of experience in information systems development and management. In the early 1980’s, he pioneered database-publishing systems for the financial services industry. At RR Donnelly, he developed logistics systems for the printing and distribution of IPOs and related materials.

In 1992, he founded Openet, Inc. to develop and market systems to the investment banking community. That firm introduced products for the creation, on-demand production, and distribution of financial documents such as research reports.

Through Mr. Hobrecht’s leadership, Openet grew to 30 engineers servicing the New York investment banking community. When commercial usage of the Internet emerged, Openet became a leader in the development of websites for distribution of financial information. It designed, developed, installed, and maintained OTC trading desks for prestigious investment banks, including New York’s first MS Windows NT-based trading desk, supporting 40 traders.

Openet entered healthcare in 1998 and developed early web sites for doctor-patient communication. The award-winning Yaffe, Ruden and Associates site set the standard for medical records on-line. Other technology integrated practice management systems (PMS) and electronic medical records (EMR) with doctor-patient websites.

Before joining MCAG, Mr. Hobrecht was a founder of Tigers Court, which develops HIPAA compliant web-based systems for patient communication with their clinical and billing records.

Deborah Grenlund joined MCAG after a very successful stint at an established medical claims auditing firm. While there, she developed a comprehensive health claims audit program and the procedures to audit medical benefit plans to identify errors in claims processing and pricing. She also managed dozens of audits of third party administrators and prepared audit documentation for court cases.

Previously, Ms. Grenlund accumulated a decade of insurance industry experience at Blue Cross Blue Shield plans in Illinois and Ohio, moving from corporate quality control to national account management. Managing claims and customer service operations required interaction with the BCBS Association, other BCBS plans, corporate benefit administrators, and union benefit representatives.

Ms. Grenlund earned her Bachelor of Arts from the University of Toledo and is a member of the Golden Key International Honor Society and Phi Kappa Phi. She has also been designated a Managed Healthcare Professional and a Health Insurance Associate by the Health Insurance Association of America.