Advanced Medical Management, Inc. (AMM) provides operational, administrative and technical healthcare management services to large physician organizations, government agencies, and health plans. AMM's clients included approximately 2,000 physicians and 75,000 patients in various Independent Physician Associations (IPA).
AMM provides the supervision, technical expertise, policies, and systems necessary to efficiently and accurately pay claims for eligible IPA patients. Claims adjudication software and procedures assure that only valid claims are paid and that contracted fee schedules determine reimbursement.
AMM will recommend and assist in the development of logs (electronic and manual), which will be kept and maintained by the UR Committee, pertaining to denials for all inpatient and out-patient requests for authorizations.
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