American Medical Health Alliance (AMHA) was founded over seven years ago by individuals who saw an opening in the medical billing/collections market.
We realized that, in addition to physicians caring for their patients, they spend much of their time handling the logistics of the office and a lot of times their billing falls to the wayside. AMHA was formed for the sole purpose to help produce more profits for our physician-clients so they can focus on their patients’ needs. AMHA has pioneered three unique services which address and offer solutions complex issues associated with insurance reimbursement.
After a year of successful billing and more importantly collections, AMHA expanded its client portfolio. It was through this expansion that AMHA became aware of various tactics utilized by insurance payors to under-cut/under-pay providers of care. Many payors systematically engage in unauthorized and substantial discounts, such as Silent PPO’s and conspicuous denials, exceeding timely payment clauses and many other coding and bundling edits.
To address the abuse AMHA developed an internal software technology which reduces underpayments drastically. Dubbed CLOAK2 (Computerized Logistic and Organizational Algorithmic Klaims Kalculator) the technology brings efficiency to auditing discount abuse for hospitals and managed care groups and is essential to our firm’ success.
Through strategic relationships with our clients we also have key insights into Physician Assistant (PA) reimbursements.
PA’s are an integral part of many groups; however, they are typically reimbursed at significantly lower rates than the primary surgeon. Insurance payors seize this opportunity to undercut your practice and its PA from monies it is owed. With this insight we developed a business model to address these reimbursement issues by outsourcing your PA billing which in turn can greatly increase your financial bottom line.
AMHA meets with all of our clients to determine their needs by analyzing their current business structure and developing a revenue positive plan for them. Our methodology and staff philosophy deliver acute care to an otherwise chronic condition—recovering insurance dollars your organization is rightfully owed. Our program is seamless, easily implemented, and causes no disruption to your staffs' daily workflow functions. AMHA commits the most capable communication skills, technology, and procedures to boost your organization's cash flow. The end result is more money for your organization.
Please contact us for a FREE practice evaluation.