Predictive Modeling

Amenity’s impressive industry coding knowledge affords a wealth of experience with all claim types. We are familiar with nuances of federal, state, and commercial health plan claim processing, benefit design and coverage, medical policy, contracting, and program integrity efforts. We have a comprehensive understanding of payment methodologies such as DRG, MSDRG, APDRG, APRDRG, per diem, fee schedule or percent of charge. We have established pricing tools and have the deep experience creating algorithms, reverse engineering data and building models to mine for cost containment and recovery.