AMG-SIU - The Total Health Care Fraud, Waste and Abuse Solution

Services

Each of AMG-SIU’s services is designed to do one thing: to help our clients.
Our original audit and consulting services have expanded to address all of the functions needed for fraud, waste and abuse or special investigation unit to be effective and compliant.

Some of our clients are surprised to learn that we offer editing services as part of our program, but we feel it’s an essential part of fraud, waste and abuse investigations. With the editing system, investigators are given more tools to compare similar providers, review histories, identify outliers and more during the investigation process.

In short, the editing system makes it easy for anyone in the health care arena to perform data mining, statistical analysis and a myriad of other buzz-worthy terms in the health care industry.

Please read on to see how our services can help you.

Fraud, Waste and Abuse Compliance Creation and Management
AMG-SIU’s regulatory and Legal team work with you to make sure your compliance plan adheres to Federal and State Regulations including all applicable government programs

ACE: Forensic Editing Solution for Medical Claims
Reviews each medical claim line to catch billing inconsistencies and uncover potential fraud, waste and abuse

AIMS: Fraud, Waste and Abuse Investigative Tracking System
Provides investigation tracking and reporting for easy investigation management

SIU: Full Service Fraud, Waste and Abuse Special Investigation Unit
Group of experts providing data analytics, medical record review and investigation services

ACE Reporting: Insight into Claims Process
ACE offers more than 100 parameterized reports in 8 categories that can be accessed at the touch of a button.

Audits: Comprehensive Health Care Audit
Perfected over the past three decades, an AMG-SIU audit provides insight and verifiable results that can be used in a court of law.

Consulting: 35 years of health care experience in your hands

Testimonial

When we were looking to upgrade our claims editing and SIU services we found that it was easy to find a company that processed federal claims, but it was extremely difficult to find a company that processed Texas Medicaid and CHIP. It was close to impossible to find a company that did it accurately and according to state regulations. We are so lucky to have found a company like AMG-SIU, because they do everything we need.

Fay Blackburne, CPC, RMC
Director of Administrative Services, Community Health Choice, Inc.

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