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In today’s healthcare insurance fraud, waste, and abuse compliance marketplace, you need a business partner you can trust. Since 1972, the experienced professionals of Allied Management Group, Special Investigation Unit (AMG-SIU) have worked closely with HMOs, managed care organizations, self-funded employers, commercial health plans, and government organizations of all sizes.

AMG-SIU works closely with our customers and achieves success through a combination of our prepayment Automated Claims Evaluator (ACE), Automated Investigation Management System (AIMS) and our experienced Special Investigation Unit (SIU).

  • Fraudulent claims cost the healthcare industry over $100 billion a year. It is estimated that 10 percent of all benefits paid are due to incorrect and fraudulent claims (Government Accountability Office).
  • For every $1 spent fighting fraud and abuse, Medicare contractors save the government $18.


    AMG-SIU provides potential savings of up to 23% of claim dollars.

To see current news and information relevant to healthcare fraud and abuse please see the AMG-SIU Information Center.
AMGSIU Information Center

SAVES HEALTH PLANS MONEY

  • Reduce Claims Payment of Incorrect Billing
  • Avoid Increasing Staffing Costs
  • No Expensive Equipment to Purchase
  • Avoid Costly Fraud and Abuse Training and Supervision Development
  • Cost Effective Means of Outsourcing
  • Decrease Stop Loss Premiums based on Claims Payment

FLAGS INCORRECT MEDICAL BILLS

  • Federal, State, and Health Plan Specific Edits
  • Pre-Payment Claims Editing
  • Editing of Paid Claims
  • Train Claim Processors to Detect Errors

PROVIDES EXTENSIVE ARRAY OF ONLINE REPORTS

  • HIPAA compliant Secure Website
  • OIG SIU Reports
  • Management and Financial Reports
  • History Reports
  • Claim / Provider / Member Reporting
REAL PEOPLE TO DISCUSS YOUR ONGOING CLAIMS ISSUES !!

© 2008 AMG-SIU