Medical Bill Review

Working To Save You Every Dollar Possible

While fundamental to any cost containment effort, the Bill Review program you select, and the skill of those doing the analysis, can have a significant impact on how much your organization can save.  Unlike generic systems AMC’s customized, leading-edge software and comprehensive approach to bill review places special emphasis on those specific cost elements that escalate your costs.

• Review complex hospital and surgical bills to generate savings on cost-and-care intensive procedures
• Every invoice is reviewed by highly experienced, certified bill reviewers to validate services provided
• State of the art software reviews and re-bills all invoices and provides web-based access to all State fee schedules
• All duplicate billing, unauthorized charges, upcoding, unbundling and disallowed fees are highlighted and documented
• Provider bills are reviewed and evaluated using the method that is most effective in maximizing cost reductions
• AMC substantiates and defends all reduction recommendations at no cost
• PPO discounts and fee schedule reductions are applied automatically to maximize savings
• A sophisticated Electronic Data Interface (EDI) integrates bill review data into the claims administration database
• Utilization Management and Bill Review modules are linked to provide accurate treatment authorization information
• Your risk managers have 24/7 access to claims information through our website
• Comprehensive reporting makes frequency and cost analyses available on-line in real time
• Customized reporting in client-specified formats is available to facilitate management review and control