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Welcome to Advanced Medical Pricing Solutions


Important Update: Arizona Court Upholds R&C methodology as 'Reasonable Value' for reimbursement - see our News Section

 

Containing Healthcare Costs Since 1995

AMPS is a healthcare cost containment company for the entire healthcare payer community.  AMPS is the country's premier supplier of Hospital Bill Review (audit services), fee negotiation, and claims repricing services.

We provide these services using physician reviewers and our proprietary Transparency and Pricing Model (TAM) software.

AMPS has developed unique technologies that allow us to review the details of hospital bills and supporting clinical records quickly and seamlessly.  We protect the payers’ interests by leveling the playing field of knowledge on complex medical service billings.

AMPS mission is to assure that our clients are receiving:

 "A dollar's worth of healthcare for every dollar spent." 

The AMPS Value Proposition:

  1. AMPS efforts assure accurate facility billing.

  2. AMPS audit savings are in addition to PPO network discounts.  

  3. AMPS has no minimum claim dollar threshold for reviews.

  4. Licensed medical doctors review all hospital claims.

  5. AMPS savings of 19.7% on facility charges helps ERISA payers level the facility cost playing field with the BUCAs.

  6. AMPS reviews both in and out of network claims.

 AMPS audits will uncover:
    

      Hospital errors (never events)

     Unperformed procedures

     Unnecessary procedures

     Overcharges / Egregious markups

 

 

 

Hospital Bill Audit Services, cost containment, medical bill review, fee negotiation, claims repricing services

 



hospital bill audit healthcare cost containment fraud detection out of network claims employee benefits tpa third party administrator health plan self funded self-funded