Advanced Medical Strategies

Value Added Services
Unique Benefits

1)	AMS One-Call Consultation™ provides outsourced medical leadership and smooth relationships with clients with one phone call. This service is our proactive approach to cost containment, providing you with education, in-house clinical case management, the implementation and compliance with best practice guidelines, as well as an intermediary that can foster collaborative communication among various healthcare providers and outside parties. Also included in this service is AMS’ expert underwriting consultation and cost projection analysis for complex medical patients.
2)	AMS Clinical Retro-Review™ program is your low-risk way to look into the clinical past of a claim. We identify any inaccuracies or potential problems before it is pushed down the line. Provide AMS with comprehensive clinical information of a suspect claim, and our team of over 900 multi-specialty, nationwide physicians – The AMS Multi-Specialty Physician Network™ - will quickly and easily analyze potential problems with a claim before the claim is adjudicated. This review can address medical necessity concerns, experimental/investigational issues, quality of care, accidental death assessments and length of stay disputes. Our reports include an executive summary with clinical conclusions and rationale.
3)	The Comprehensive Risk Assessment™ is an all-inclusive analysis of the risk you, as the insurer, will face when taking on certain employers groups. This service takes a close look at the population of a group, their medical and financial risk potential, and gives you, the client, an accurate and fast assessment of whether or not it is advantageous to take on such a group. AMS is not only an expert in assessing risk, but also understanding the nuances and details of clinical prognosis and its true financial ramifications.
4)	AMS Instant Savings Potential™ is our free quote system. You provide us with the information regarding your claim, and we will quickly give you the percentage you can save on any given claim. As a part of the Instant Savings Potential™ quote system, you also receive the AMS Doc5 Guaranteed Claim Reduction™, our no-cost promise to you that our team can find even the most well hidden inaccuracies or inflations in your financial review. If you provide us with (5) documents, we can tell you, in percentages, how much your bill is inflated, before you spend one dollar with us. In our experience, we have found that nearly 90% of all hospital bills are inflated to some degree.
5)	With our Negotiator Program™, you don’t have to haggle with inpatient facilities or with attending physicians for their fees. AMS will directly negotiate with any and all parties to significantly decrease your claim costs. At present, we are at an average of 25% decreases, and are always working to save even more for our clients through tough negotiation backed by financial and clinical expertise.
6)	AMS Trigger Point Consultation™ provides you and your company/clients a set of guidelines for examining and flagging out-of-whack claims. An AMS professional will come to you and work with your internal team to analyze your population’s financial and medical records to determine appropriate trigger points for your specific group. This takes the pain out of not knowing when to look at a claim or not. AMS will work with your team quarterly to update and review these guidelines, and make adjustments as needed.

1)	AMS Rapid Response™ ensures quick and easy access to our trained clinical and financial expertise. If you have a question or concern regarding a catastrophic claim or underwriting issue, our dedicated staff will typically be able to have a response to you within (3) three hours of your call.
2)	AMS Personal Connection™, our guarantee that you will never be a number to us. Nearly all of our clients deal directly with our founder, Dr. Stacy Borans, and believe it or not, she actually answers her own calls. How’s that for progressive healthcare management?
3)	AMS Expert Guarantee™ is our unwavering faith in our clinical and financial expertise. We will personally support our recommendations to any and all parties if they are ever challenged or questioned. AMS consists of physicians and financial professionals whose only business is the cost containment of unnecessary charges related to catastrophic care, and that is why we can offer this guarantee. We are experts and will base our recommendations in the facts as we see them. You should have that confidence too.
4)	AMS Nexus Philosophy™ is our unique perspective on curtailing and reforming the costs of healthcare. Born from the vision of AMS founder Dr. Stacy Borans, our Nexus Philosophy is where clinical expertise, financial understanding and cost containment insight meet to provide the highest level of care at its most efficient and effective price. We not only look at the claim in dispute, but also its context. Will this be worth breaking a business relationship? Will this be a bigger political battle than it’s worth? AMS will personally consult with you and your team to determine the true cost of a claim, in clinical, financial and political capital, to give you the most accurate picture of your risk potential. Only a company with the level of depth and experience in both the clinical and financial fields could provide such a holistic look at your catastrophic claim reduction.
5)	AMS Ask Dr. Stacy Resource Library™ is a robust and interactive learning center, hosted on our website, for insurance and clinical professionals alike. It contains the latest news in medicine, insurance and cost-containment strategies, numerous case studies that can help you determine if your catastrophic claims need to be looked at a bit closer, and information on the many educational seminars, webinars and podcasts produced by AMS around the relevant issues facing doctors, insurance professionals and employers. Our goal is to provide you with the tools that will help you proactively manage your healthcare costs. It is our way of sharing the lessons we have learned in an effort to create a more effective and efficient healthcare system.