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-- WITH PHOTO -- TO BUSINESS, AND HEALTH EDITORS:
Advanced Medical Strategies Joins With The Phia Group to Create
NetworkDx Software for Comprehensive PPO Contract Analysis
LYNNFIELD, Mass., April 22, 2014 /PRNewswire/ -- One of the most
frequent struggles that any healthcare payor faces is PPO contract
analysis. The larger the network, the more labor intensive the
contract review process. With the Affordable Care Act substantially
increasing the number of businesses that self-insure, more companies
will be directly providing for their employees' healthcare, thus
increasing an already ubiquitous need for cost assessment. Knowing
what the contract specifies for coverage is imperative.
(Photo: http://photos.prnewswire.com/prnh/20140421/76824 )
Before NetworkDx, contract and network analysis was performed
individually, with some analyses taking as long as six months.
NetworkDx drastically reduces this time, making accurate analyses
quickly available to any subscriber with internet access (including
smart-phones). Without using specific contractual language,
comprehensive summaries inform subscribers of the extent of their
contractual rights for in-network claims. NetworkDx analyzes and
summarizes payors' audit rights, usual and customary charge
definitions, dispute resolution procedures, and miscellaneous
provisions with a direct, user-friendly interface.
"Many benefit plans are bound by contracts they either don't
understand or have never seen. Examining the network agreements
compiled by this new NetworkDx software makes a problematic task
significantly less daunting," explains Adam V. Russo, Esq., Chief
Executive Officer of The Phia Group, LLC. "Advanced Medical
Strategies, a Massachusetts-based firm, has taken advantage of our
expertise and a decade's worth of contractual review, and created a
clear, concise, and useful feedback tool that users can access through
on-line software."
The collaborative product of these two powerhouse healthcare cost
containment firms - The Phia Group, LLC, and Advanced Medical
Strategies, have combined to create NetworkDx, a new, patent pending
software as a service (SAAS) subscription-based offering that provides
healthcare payors comprehensive analysis of the provisions in PPO
contracts.
NetworkDx subscribers will be able to utilize the database to evaluate
networks prior to signing a PPO contract, accessing NetworkDx's review
of applicable contract terms, without divulging any propriety
information. Only NetworkDx offers this cross-network, convenient and
comprehensive service with contract information added to the database
regularly.
"Our clients, old and new, have supported AMS by subscribing to
PredictDx; verifying their desire for innovative, data driven products
based on real time claims experience. We couldn't be more pleased to
have developed NetworkDx with another excellent company, The Phia
Group. We anticipate our clients will value NetworkDx and they can
look forward to an even faster pace of innovation from us. We plan to
introduce more useful new products to support them in their daily
efforts to remain competitive and profitable," states Peter Borans,
President of Advanced Medical Strategies.
Advanced Medical Strategies is a physician-led organization bringing
innovative solutions to the healthcare payor industry. Based in
Lynnfield, MA, Advanced Medical Strategies has been offering
world-class claims review and cost containment services since 2003.
For more information, or to schedule a demo, please call Danae
Lambeth, National Sales Director, at Office: (781)-224-9711 x107 or
email.
Contact: Danae Lambeth Advanced Medical Strategies Phone 781-224-9711
Fax 781-224-9713 Email
SOURCE Advanced Medical Strategies
-0- 04/22/2014
/Photo: http://photos.prnewswire.com/prnh/20140421/76824
PRN Photo Desk, photodesk@prnewswire.com
/Web Site: http://www.mdstrat.com
CO: Advanced Medical Strategies
ST: Massachusetts
IN: HEA HIN INS STW
PRN
-- PH09160 --
0000 04/22/2014 12:45:00 EDT http://www.prnewswire.com
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