What We Do


AMG-SIU provides an array of health care claims editing services and fraud and abuse services. These services are offered separately or in combination according to your specific needs (See Program Options). While a few services must be combined, the remaining services are optional and may be provided by your existing staff (or ours) .

Pre-payment Claims Editor (Prospective Claims Review)
Retrospective Claims Review
Data Analysis
Program Options: Pick and choose services
Web-Based Reporting
Secure Online Access
On-line Investigation Interface
Training Program and Compliance Plans
Implementation
History Analysis
Preliminary Investigations
Extensive Investigations
Provider and Member Monitoring
Recovery Programs

Secure Online Access
 


AMG-SIU provides online access to all data analysis reports through a HIPAA-complaint secure website. Information access is restricted by each individual’s authorized “user level”. An authorized user’s scope of available data is in direct proportion to their “user level”, e.g. a “regular user” has a narrow scope of available data where a “power user” has a much broader scope of available data. Only those individuals authorized by the health plan and the SIU system will be able to run reports directly from the system.