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Advanced Medical Strategies provides predictive clinical and financial analytic tools, allowing payers deep insight into catastrophic healthcare claims.
PredictDx

Evaluate and predict costs & clinical treatments for high dollar diagnoses by state with in-depth information on pending investigational therapies, pipeline drugs, and up to date physician commentary on standards of care treatment protocols

PredictRx

A comprehensive solution for specialty drugs that evaluates cost data, FDA approved indications, notable off-label usage, adult and pediatric dosing regimens, specialty drug coding, and critical physician commentary

implantDx

The only online, fully transparent implant cost directory in the industry. ImplantDx offers clients the references they need for implant cost containment with on demand analytics

The Predict Suite – Something for Everyone

Understanding & Predicting Risk

Increased Productivity

Loss Ratio Management

Invoice Validation

The Predict Suite provides industry-leading modular clinical and financial cost and predictive analytical solutions through a web-based platform and supplementary professional services. This platform allows payers to address the challenges associated with managing, reimbursing, and underwriting catastrophic medical claims. With just a login and password executives, claims managers, sales professionals and underwriting teams can gain valuable insight into the critical information needed to be effective in today’s healthcare environment.

 
 

55%

reduction in claims cost

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72%

increase in quality assurance

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85%

saved on average

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For Every Service We Perform, Your Success is Our Priority

As a physician-led organization, Advanced Medical Strategies brings forth some of the most innovative & proactive solutions in the Health Care and Workers' Compensation Payor industry today. In addition to saving our clients time and money, we provide peace of mind when dealing with all complicated pieces that can happen when reimbursing claims.

What We Achieve

♦ A clinical and financial view of claims to produce the best possible outcome

♦ Claims savings via fair and defensible claim reviews

♦ Peace of mind with unbiased clinical reviews in complex cases

♦ Simplification of complex cases through complimentary screening process

♦ Maintaining collaborative relationships by recognizing payor politics

  • Start Strong; End Strong

    November 30, 2016

    Here we are in December, the final stretch of 2016. Everyone has had their turkey & potatoes and are just now waking from their food coma to focus on year-end business drudgery. Hey! Snap out of it! There’s still money to be made, and this is an excellent time to take advantage of your groggy... Read More »
  • It’s become obvious that Walgreens was badly burned by its recently ended relationship with blood-testing startup Theranos. Now the extent of the problems are out there, too, in a 52-page, $140 million lawsuit Walgreens filed against Theranos in Delaware. (Though Theranos is headquartered in Palo Alto, Calif., it’s incorporated in Delaware.) Here, a Cliffs Notes... Read More »

OUR PROVEN TRACK RECORD SPEAKS FOR ITSELF

10+M

dollars Saved

We have saved tens of millions of dollars for our clients and subscribers

100%

Subscribers Retained

We have retained 100% of our subscribers

700+

Sub Specialty Physicians

700+ specialty physicians in our peer review panel

100's

Weekly Hours Saved

We have saved our clients and subscribers 100's of weekly hours in research, analysis, and underwriting