FULL SERVICE “END-TO-END” REVENUE CYCLE MANAGEMENT FOR UNITED STATES HEALTHCARE INDUSTRY @ RIDICULOUSLY
LOW MONTHLY COSTS
LOW MONTHLY COSTS
American Healthcare 'N' Management Solutions
Low Cost Champs
A full service revenue cycle management company dedicated to helping US Healthcare Organizations achieve Financial Maximization
An IProtect Group Company
www.iprotectfzc.com
About Us
At AMHEALTH, we specialize in providing complete Revenue Cycle Management (RCM) solutions for medical practices and hospitals. Our goal is to ensure that our clients maximize their financial performance by streamlining processes, improving cash flow, and providing valuable insights into managing their business.
AMHEALTH is proud to be a trusted partner to our clients, and we look forward to helping you reach your financial goals. Contact us today to learn more about how we can help you streamline your RCM processes and improve your financial performance.
Our Motto
AMHEALTH provides customized “LOW COST” healthcare solutions to its global partners. Its service delivery mantra is based on People, Processes & Technology which are dovetailed with smart technologies to deliver best outcomes to patients and healthcare organizations in the United States. Since its formation, AMHEALTH has enjoyed exponential growth in its business – predominantly through the positive word of mouth references provided by our existing clientele. Our prime assets are highly skilled employees and our loyal clients.
OUR SERVICES
WE DO IT ALL
- PHYSICIAN Billing
- HOME HEALTH & HOSPICE
- PDGM
- SKILLED NURSING FACILITY
- PDPM
- HOSPITAL Billing & DRG Coding
- RADIOLOGY Billing & Coding
- Laboratory Billing
- OCCUPATIONAL Health Billing
- TPA Solutions
- DME Billing
- PHARMACY Billing & Medication Management
- CREDENTIALING
PHYSICIAN BILLING SPECIALITIES
WE DO IT ALL
- Allergy and Immunology
- Bariatric Surgery
- Internal Medicine
- Neurology
- Dermatology
- Orthopedics
- Pain Management
- OB GYNs
- Emergency Medicine
- Oncology
- Surgery
- Plastic Surgery
- Cosmetic Surgery
- Pediatrics
- Urology
- Urgent Care Centers
- Family Practitioners
- Retail Clinics
- ENTs
- Rheumatology
- Cardiology
- Endocrinology
- Gastroenterology
- Geriatrics
- Hematology
- Hepatology
- Occupational Medicine
- Neonatology
- Pathology
- Podiatry
- Radiology
- Osteopathy
- Chiropractors
- Ophthalmology
- Optometry
- Physiotherapy
- Mental Health Counseling Practitioners
- Mental Health Clinics
- Dentistry
CREDENTIALING
Provider Credentialing is vital for Insurance Re-imbursement. It is also necessary to ensure that healthcare providers meet the standards necessary to practice medicine & provide healthcare services. Healthcare organizations, government agencies, the insurance companies & other entities need to ensure patient safety, maintain quality care standards & establish networks of qualified healthcare providers.
CODING SERVICES
Single Stop Shop” for End to End Coding, Auditing & CDI ranging from smaller Ambulatory Clinic to Large Hospitals / Enterprises. We employ Certified and Experienced Coders on your projects, who are either AAPC or AHIMA credentialed. Our Auditors are CPMA Certified. We also employ physicians to lead documentation processes
Pre Claim Coding Reviews
- Emergency
- Urgent Care
- Inpatient
- MS DRG & APR DRG
- Observation
- Same Day Surgery
- Outpatient
- Diagnostic Laboratory
- Pathology
- Radiology
- DME
- Pharmacy
- Dialysis Center
- Mammogram
- Hospital Owned Clinics
- Retail Clinics
Post Bill Audit
In-patient
- RAC Audit Target Areas
- Commercial Payer Target Audits
- High-Risk DRGs
- POA Indicators
- Single MCC & CCs
- SOI/ROM
- Discharge Dispositions
- Unspecified Codes
Out-patient
- Hardcoded charges via CDM
- Bundling & Unbundling Issues
- Procedures – CPT & HCPCS
- Medical Necessity Review
- Specificity of ICD codes
- Consultation billing payer-specific
- Preventive Medicine Services & Concurrent Services billing
- Modifiers
- TIME based codes and documentation
Clinical Validation & CDI
In-patient
- Signing & Authorization
- Comparing Clinical Detail with Documented Diagnosis
- Appropriateness of treatment plan
- Documentation of detail required for specificity and selection of proper codes
- Physician Queries
Out-patient
- Detail of the conditions to facilitate more specificity in code selection
- Clinical documentation supporting a service rendered per payer requirements
- Medical Necessity Review
- Prior Authorization Requirements
- Medicare and Commercial plan coverage of services rendered
HCC CODING SERVICES
- Prospective Reviews
- Concurrent Reviews
- Retrospective Reviews
- We also abstract HEDIS measures
PRE VISIT SERVICES
Authorization
- Pre-Authorization / Prior Certification
- Federal, State and Commercial Payers
Verification
- Insurance Eligibility / Benefits Verification
- Basic and Advance Verification through both Websites and Calling
Credentialing
- Physician Credentialing
- Medicare (Paper/online), Medicare DME, Medicaid / CAQH / Multiplan, Commercial and Workers Comp
Medical Records
- Medical Record Review / Code Abstraction / Chart Summarization
- Summary of past Medical Records
POST VISIT SERVICES
- Coding – ICD -10, CPT, HCPCS, CDT
- Coding Review – HCC, DRGG, HEDIS
- Charge Entry
- Era/Manual Posting, Reconciliation
- Automated Claim Status Services
- Insurance AR Follow-Up, Denials, Appeals, Old AR Evaluation, Re-Filing, Completion
SOFTWARE EXPERTISE
- ADVANCED MD
- CERNER (CPA)
- HEALTHFUSION
- ATHENA
- NEXTGEN
- GE CENTRICITY
- IMAGINE
- EPIC
- MEDGENIX
- KAREO
- ALLSCRIPT
- HEALTH NAUTICA
- ECLINICAL WORKS (ECW)
- POINT CLICK CARE (PCC)
- NATIONAL CARE SYSTEM (NCS)
- BRIGHT TREE
- IPATIENT CARE
- GEHRIMED
- VELOCITY
- FRAMEWORK LTC
- MEDISOFT
- NTHRIVE
Founder
Ravi is a veteran of the Indian Air Force, having worked as a logistics Officer for more than a decade. After several successful stints within the risk management industry in the middle east, in Jan 2010 Ravi trail blazed his way as a successful entrepreneur by disrupting the stranglehold of established players and pioneering the launch of a “LOW COST – NO RESULTS, NO PAY” business model that became a game changer for the entire industry. Since then Ravi helped saved millions of dollars for his clients (mainly Fortune 500 MNC’s) through this unique pricing strategy which is now the gold standard for the industry & he being their “go to” man, globally.
Beginning 2019, Ravi set his sights on the US healthcare industry & observed that it is being fleeced through “high collection costs” which make a big dent in the earnings of healthcare providers. Once convinced, he laid the ground work, identified partners who shared his vision & possessed necessary wherewithal to provide quality service, Ravi repeated his mantra and launched a “LOW COST” business model to offer “End to End RCM” services. Thus “AMHEALTH” was born!!!
Currently, AMHEALTH is helping the beleaguered industry save millions of USD by offering its services @ almost 50% of their current costs, thereby making it a “Win – Win” for everyone!
Besides work, Ravi is a fitness enthusiast, voracious reader & a movie buff. His favorite pastimes are Crosswords, Sudoku, Game Puzzles, reading books on Military History, Fiction, Non-Fiction, Memoirs / Autobiographies & Old Hindi Music.
OUR TEAM
CREDENTIALS
With Bachelors / Master’s degree in Life Sciences, our medical coding workforce includes Doctors, RN’s, Certified PT/OT’s and Pharmacists. Credentials matter to us and our workforce is a blend of multiple prestigious certifications like CPC-H, BCHH-C, CCS, ICD10, HCS-D, HCS-O and HCS-H
EXPERTISE
With in-depth knowledge of multiple EMR specific workflows & guidelines, our workforce always aims to meet the highest service levels. With a dedicated Transition, Quality Assurance, Education & Operations team, our coding service is highly scalable and Cost-effective.
COMMITMENT
Leverage the strength of our dynamic workforce that consistently meets the ever-changing Production turn-around-time without compromising on Quality.
FUTURE READY
At AMHEALTH, we specialize in providing complete Revenue Cycle Management (RCM) solutions for medical practices and hospitals. Our goal is to ensure that our clients maximize their financial performance by streamlining processes, improving cash flow, and providing valuable insights into managing their business.
WHY US
Managing healthcare services is complex. However, our team knows the intricacies to simplify the tasks. Our performance indicators substantiate the real benefits of our services, NAMELY:
QUALITY @ LOW COST
Teaming up with us will lead to substantial savings up to 50% from your current costs without compromising on quality
IMPECCABLE SERVICE DELIVERY
Meet all your service level deadlines with our 24/7/365 business support and a written assurance of deriving efficiencies
SECURITY & COMPLIANCE
We are HIPAA complaint, and our state-of-the-art Infrastructure supports IT redundancies for uninterrupted operation and Information Security. We are ISO 27001 Certified. SOC II certification in process
SCALABLE MANPOWER
We shall help you grow by being with you at every step & have resources available to scale up @ short notice
GLOBAL PRESENCE
24/7 business operations, executive leadership reachable with the US
TRANSPARENCY
Our methodology is transparent and keeps you in control of your BUSINESS
Core Values
Integrity
We are honest and ethical in all our business dealings and will always act with integrity and respect for our clients.
Excellence
We strive for excellence in all our services, delivering high-quality results that exceed expectations.
Innovation
We are forward-thinking and embrace change to stay ahead of the curve in our industry.
Teamwork
We value collaboration and seek ways to work together to achieve the best outcome for our clients.
Accountability
We take ownership of our actions and take responsibility for our results.
Commitment
We are committed to providing superior customer service and are dedicated to the success of our clients.
We are trusted by over 500+ clients –
take advantage of our LOW COST pricing and maximize your financial gain