Managed health care business management consulting, finance, development and health care financing administration services

AMG-business advisors to the health care community. AMG provides health care consulting services for development, finance administration, management, employee training and set up of your health care or managed care company.
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Allied Management Group, Special Investigation Unit (AMG-SIU)

AMG-SIU

In today’s healthcare insurance prepayment fraud, waste, and abuse marketplace, you need a business partner you can trust. We understand the world you live in. A world full of complex healthcare systems, government regulations, business “intelligence”, sophisticated rule engines, neural networks, data mining tools, advanced analytics, predictive modeling… it’s enough to make one’s head spin! While the jargon may be complicated, the message is clear – you need more than just another software package or system… you need a real solution!

We believe we are better than the competition for three reasons: our products, our price, and most importantly, our people.

Continue reading for more information on AMG’s Special Investigation Services and Systems, or visit www.amgsiu.com for more in-depth information.


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Program Options

Our Automated Claims Evaluator (ACE) product actually works, accurately detecting an average of 21% of inaccurate health claims prior to payment through the rules/edits engine and 23% of paid claims through investigative analysis.

Our remotely hosted, web-accessible Automated Investigation Management System (AIMS) product helps you effectively manage, monitor, analyze, and investigate members, providers, and the associated business processes/transactions involved in healthcare insurance management.

Our outsourced Special Investigation Unit (SIU) performs all investigation and monitoring functions necessary for such a department, and acts as a resource for your own in-house staff.

You get any or all of the above for a flat monthly fee, at a price point that won’t make you faint!


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Why Should I Trust AMG-SIU?

The people behind AMG-SIU have detection, evaluation and investigation expertise based on working in and with the healthcare industry since 1972. AMG’s customer base includes HMOs, managed care organizations and commercial health plans of all sizes. We also work closely with the Office of the Inspector General (OIG) and other law enforcement agencies. Most importantly, we build strong, helping relationships with our customers, because after all, we are here to serve you!

We invite you to give us a call at (714) 973-6300 ext 22. We would love to discuss how, together, we can take control of fraud, waste and abuse in your company today!


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Services

 AMG-SIU provides an array of services separately or in combination for your needs. While a few services must be combined, the remaining services are optional and available for your staff or ours to provide the function. Services available are:

AMG-SIU

Real people, with the knowledge, experience and systems

necessary to guarantee your success.

 

For detailed information about AMG’s Special Investigation Services and Systems, please go to www.amgsiu.com




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