Confusion and frustration related to health plan coverage is at
an all-time high. The stakes for business are high as well, from
productivity and overhead costs to employee retention and even
legal liability. Many times, plan coverage is not the problem.
The most common complaints can usually be resolved under an individual's
current plan. The question is, how?
At Medical Accounts Management, we offer a comprehensive understanding
of the issues raised by today's fragmented healthcare scene. As
an impartial third party, it is not our job to take sides in disputes
among individuals, employers, healthcare providers, and/or health
plan administrators. Instead, we help make the system work for
everyone's benefit.
To Employers, we provide Advocacy
and HEALTH COACHING™ services for your employees and retirees,
HIPAA Consulting Services including outsourcing of the Privacy
Officer, and for self-funded plans, ERISA Appeals Management Services.
This service coordinates the necessary information, including
medical determinations, for your appeals review committee so an
informed coverage decision can be made as required by the claims
regulations.
To Insurance Professionals, we help
your clients understand their benefits, follow procedures correctly,
and handle claims issues as they arise, thus eliminating frustration
for them, and maximizing the value of the health plans for you.
Additionally, the HIPAA Privacy Regulations force brokers to become
fully HIPAA compliant, which adds more internal cost to you. MAM’s
Advocacy and HIPAA Compliance Services are the solution to savings.
To Plan Administrators, offering
MAM’s Advocacy Services to your clients reduces the time
it takes to resolve claim issues thus increasing the clients’
satisfaction with your services while decreasing your administrative
costs. MAM can also help you and your clients with HIPAA Compliance
and ERISA Appeals Management.
To Trusted Advisors, we offer complementary
services and personalized assistance that enhance the value of
your own offerings to your clients, whether you are a trust department
or a work-life benefit company.
