Clients can select among AMC services on a bundled or unbundled basis to achieve the best outcomes at the lowest costs.
Specialty Bill Review
Allied’s focus is to maximize savings on every bill. We target your largest & most complex medical bills through an in-depth Clinical Audit & Professional Negotiation.
Our expert team consists of:
- Certified Coders
- Nurse Auditors
- Expert Negotiators
- Claims Professionals
Our Approach
Certified Coding Review: Every bill line is validated to ensure all coding is appropriate & accurate. We focus on targeting all billing errors through Bundling/Unbundling edits.
Nurse Audit: We perform a line-by-line audit to identify appropriate treament consists with the provider’s billing. This hands on approach provides an additional level of expert screening above standard bill review reductions.
Negotiation: Our negotiators leverage clinical audit findings, historical provider success rates and national reimbursement databases. Negotiations are based off the appropriate treatment, not the provider’s billed charges. All negotiations are fair & equitable for both parties. Allied always obtains a sign-off agreement from the provider.
Savings Opportunities
Facility
- Ambulatory Surgery Center
- Skilled Nursing
- Trauma
Hospital – - Inpatient/Outpatient
Provider
- Arthroscopic
- Surgeries
- Multiple Procedure
- Assistant Surgeon
- Spinal Surgeries
- Anesthesia
- Implant Analysis
DRG Validation - Air Ambulance
Negotiations
- High
- Dollar/Complex
- Out-of-Network
- Non-Subscriber
- Prospective Treatment
“Our company encourages and supports the nursing teams and staff to utilize their critical thinking as they are applying treatment guidelines. This culture provides trust, commitment to providing excellent service, and engagement that unites AMC’s management team and workforce which is extremely rare in this industry. AMC maintains a high retention rate for both employees and customers. Ongoing training, resources, and best technology ensures AMC has the tools necessary to be successful for their clients.”
AMC – Manager
