Managed health care business management consulting, finance, development and health care financing administration services |
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Allied Management Group, Special Investigation Unit (AMG-SIU)AMG-SIUIn 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. Program OptionsOur 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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