Featured Managed Care Vendor

Summit Reinsurance Services, Inc (Summit Re) has forged a preferred relationship with Advanced Medical Strategies (AMS). AMS is a physician operated medical management company that has helped a number of companies in the healthcare industry dramatically improve the effectiveness of their medical management, while significantly reducing their support costs. AMS is able to provide peer-to-peer collaborative physician interactions to improve patient quality of care and significantly reduced healthcare claims costs. As a result of our relationship with AMS, Summit Re customers are offered preferred rates for physician consultation services provided by AMS.

What can AMS do for you?
AMS has access to over 800 specialty physicians across the United States available to conduct patient specific case reviews to provide an independent opinion regarding complex cases, experimental/investigational situations, required second opinion situations and review of cases necessitating a specialist review where you may not have the appropriate specialist available within your network. The reports completed by AMS physicians may be evidence based, criteria based or founded upon expert medical opinion. AMS Physicians directly negotiate discounts for inpatient facilities and attending/consulting physician charges. These are completed on both a prospective and retrospective basis. Clients receive a signed Letter of Agreement from the inpatient facility or attending/consulting physician outlining the negotiated terms. Medicaid and Medicare plans with negotiated rates may have less of a need for price negotiations and bill audits, but find the physician consulting services to be very beneficial.

AMS works with partner companies to assess provider bills for inflated charges, billing errors, unbundling and level of care issues. The audit reports include line by line itemized charge reviews with a rationale provided for each recommended reduced or denied charge. AMS' audit partners also handle any provider appeals of the audit from negotiation through settlement.

If you would like additional information regarding AMS or schedule a phone conference to meet with an AMS representative, please call Debbie Stubbs RN, MS, CM, Director, Managed Care Services at 973-835-3134 or email dstubbs@summit-re.com.