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Audits

AMG-SIU’s Health Care Audit process has been refined and perfected over the past 35 years.

Each step of the audit process was created to follow federal and state laws. By following these regulations the audit process ensures impartiality as well as data, medical, regulatory and statistical accuracy. All data is reviewed and analyzed by several levels of medical professionals, certified coders and data analysts down to the transaction level.

AMG-SIU follows all federal and state regulations, laws and policies that might impact the legality of an audit in addition to its proprietary system, making it an effective legal and evaluation tool.


Audits offered include:

  • Data Analysis
  • Medical record
  • Emergency room claims
  • DRG
  • Delegated Oversight for Third-Party and Carve-Out Providers and Vendors
  • In-house Oversight for Most Departments Within the Client’s Organization
  • Large claims
  • Reinsurance Stop Loss, Specific and Aggregate

  AMG AUDITS
 
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