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.

Effective May 21, 2007, AMG-SIU and M*D Resources, a national consultant to health care facilities and health care organizations, became strategic partners in bringing fraud, waste and abuse detection services to the health care industry.

AMG-SIU started processing CHIP Perinatal claims after the program was launched by the State of Texas.

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.

CMS is finally starting to combat fraud, waste and abuse by implementing the Medicaid Integrity Program (MIP). AMG-SIU foresaw the importance of such initiatives a long time ago and therefore has been offering fraud, waste & abuse services for several years. For more information please fill out our contact form or call us at (714) 973-6300.