Claim Recovery
Amenity’s Impressive Industry Knowledge affords a wealth of experience with all institutional, professional, and ancillary providers. 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 various Payment Methodologies such as DRG, APC, ASC, per diem, fee schedule or percent of charge. Amenity uses established pricing tools and is deeply skilled in the ability to create algorithms and implement models.
Customized Analytical Solutions
Amenity Consulting and its team address cost recovery challenges via a comprehensive suite of audit services which covers a broad range of administrative accuracy, fraud-waste-abuse, and clinical analytics. These services can be selected individually or as a package. Amenity can help you address the following common issues:
- Claims administration errors
- Cost Containment
- Escalating facility charges
- Experimental & Investigational drugs & devices
- Fraud, Waste & Abuse
- Inaccurate coding
- Inconsistent billing practices
- Medical Necessity Audits
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.
Whether you found us by industry reference, or searching the internet for solutions on your company’s list of priorities, we would like to welcome you to the Amenity experience. We have exceptional industry experience that is customizable to fit your needs and your budget. Please, click this link to email Amenity leadership immediately. We will provide you with cost efficient options and solutions to reverse engineer your claims data for cost containment, recovery and program integrity. We can also educate your team or aid in litigation matters. We welcome the industry challenges with excitement because of our Can Do team spirit and success stories.
Amenity Consulting is well-situated to address your challenges ahead utilizing a comprehensive suite of consulting and auditing services which cover a broad range of administrative processes, fraud-waste-abuse investigations, and clinical coding analytics. We’re growing into new places and we would like to take you with us.