Archive for July, 2007

Forbes reports over-spending in health care

Tuesday, July 31st, 2007

In an article called “Slicko“, Forbes reports that most health insurances spend about 20% too much on medical claims due to fraud, waste and abuse.
In their opinion, this is a bigger problem than the wrongful denials mentioned by Michael Moore in his movie “Sicko”.
AMG-SIU discovers lots of problems in different areas, including ineligible members, not covered services and duplicate claims mentioned in the article.
AMG-SIU not only ensures the accuracy of edits, but also provides backup for their denials.

$60 BILLION in fraud

Monday, July 23rd, 2007

The latest statistics estimate the amount of healthcare fraud at $60 Billion. This huge amount mainly includes Medicare and Medicaid. It does not include fraud, waste and abuse on commercial and self-funded health plans.