Archive for the 'Accomplishments' Category

What a Year!

Wednesday, December 31st, 2008

As the year comes to a close, it’s tradition to reflect on the past year, the changes, the ups and downs and everything in between.

For AMG-SIU, I’m happy to say, it’s been an up year. We’ve taken on several new clients, worked on fun special projects, and have grown our wonderful staff to a diverse group of intelligent and dedicated workers.

We’ve been very fortunate in the people we have working for us, they’re all very special and not only are they gifted at what they do but they want to be here. We try to make it special with the monthly birthday celebrations, holiday parties and occasional dinner cruise, but it’s truly our employees that make us special.

Thank you to all our employees for everything that you do, we really appreciate your hard work and dedication. It does not go unnoticed!

Suffolk County, NY awards Medicaid contract to AMG-SIU

Monday, February 25th, 2008

Suffolk County RFP – To Provide Fraud and Abuse Prevention Plan Services for the Department of Health Services.

The Chief Purchasing Agent for Suffolk County, New York announced that the Allied Management Group (AMG)…”has been selected by the RFP Evaluation Committee as the apparent successful proposer for the above referenced Request for Proposal.” Suffolk County and AMG have agreed to contract terms. Services will be deployed following receipt of a signed contract. As of 2006 the State of New York has a total of 4,208,629 MediCaid recipients, of which 2,572,242 are enrolled via managed care plans. Suffolk County has a significant MediCaid enrollment to manage and/or monitor. AMG will provide the tools and service to manage this responsibility.

AMG-SIU encourages further education

Wednesday, January 16th, 2008

Employees at AMG-SIU take classes at local colleges and universities, including prestige institutions such as the Extension Unit of the University of California, Irvine (UCI).

AMG-SIU expands again

Monday, December 3rd, 2007

AMG-SIU has doubled their office space and hired additional staff over the last quarter as a response to the high demand for their SIU services.

AMG-SIU’s clients include companies with top IT departments

Monday, October 29th, 2007

One of AMG-SIU’s clients has been ranked one of  “100 best places to work in IT”. The list has been published by Computerworld.

AMG-SIU saved one of their clients $210,000

Wednesday, September 26th, 2007

AMG-SIU saved one of their clients $210,000 by performing an audit on DRG usage. The audit uncovered that many providers were using wrong DRG codes for newborn babies. Correcting the affected claims saved the health plan over $210,000.

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.

FBI thanks AMG-SIU

Wednesday, January 10th, 2007

The Federal Bureau of Investigation (FBI) was thanking AMG-SIU for their support (letter from the FBI). The FBI is also looking forward to combating healthcare fraud in cooperation with AMG-SIU.

“Application Service Provider” article published in “Perspectives of the IASA”

Friday, January 5th, 2007

The International Association of Software Architects published an article by Abhijit Gadkari, one of AMG-SIU’s Enterprise Architects. His article “The extended Application Service Provider Service Model” can be found in the December 2006 issue of the “Perspectives of the IASA” magazine.

AMG-SIU’s clients have the fewest complaints

Friday, October 13th, 2006

According to the annual HMO Complaint Data report published by the Office of Public Insurance Counsel, AMG-SIU’s clients receive the fewest complaints from patients and providers. All of our clients received top rankings and had far fewer complaints per 10,000 enrollment than most other HMOs.