A&M International
Our medical cost containment partner – USA
A&M International is a leading healthcare insurance services company with over 30 years of experience. They specialize in medical cost containment in the USA. Their services focus on bill review and audits with actionable adjustments for in-network medical bills, negotiation of fees for out-of-network bills, and contemplated services.
Their clients include insurance providers (PMI, IPMI, and Travel Insurance), TPAs, reinsurance companies, and employer-funded health plans.
They are committed to working closely with their clients and medical providers to ensure customer satisfaction, significantly reduce medical loss ratios, and achieve and maintain a profitable business portfolio.
‣ They conduct claim-by-claim, hands-on reviews of each medical bill, utilizing their expertise in coding and billing practices to identify all types of overbilling and errors.
‣ Their clinical reviews identify issues and errors related to incorrect codes, upcoding, missing or incomplete documentation, modifier usage, medical necessity conflicts, duplicate billing, unbundling, and more.
‣ They review network bills for compliance with policy language, pricing, and errors, effectively addressing these issues to correct or adjust bills accordingly.
‣ For out-of-network bills, they review, negotiate, and adjust for pricing and errors.
‣ They also offer medical reviews, reserve setting, cost estimation, audits, and other related services.
