Amalgamated Medical Care Management Information

Amalgamated Medical Care Management is a premier national Medical Management company providing a comprehensive suite of high quality care management services. They include: Utilization Management, Case Management, Physician Review, and Nurse Helpline/Health Information. AMCM also offers such vital services as: Disease Management, Disability Management, Readmission Management, Maternity Management, DRG Validation, Medical Claims Review and Network Referrals. The company is accredited to URAC standards across core service areas, including: Utilization Management, Case Management, Physician Review and Nurse Helpline/Health Information. In addition, it has achieved Telemedicine accreditation from the Clear Health Quality Institute and is a full member of the National Association of Independent Review Organizations. Organizations ranging from hospitals, physicians and health plan sponsors (e.g., unions, trust funds, businesses, employer assistance plans and ERISA funds) to colleges and government agencies have come to depend on Amalgamated for its excellent clinical expertise, unwavering commitment to optimum patient outcomes and cost-effective healthcare. Its services are provided by an experienced, compassionate team of physicians, registered nurses, medical directors and customer service representatives providing services on a 24/7 basis from its U.S.-based offices in Salem, New Hampshire and King of Prussia, Pennsylvania. To ensure high data accuracy and reliable information exchanges, Amalgamated applies advanced technologies such asJIVA, a leading population health management platform, and N-Centaurus by LVM Systems, a robust clinical call center software solution. AMCM adheres to evidence-based criteria and guidelines, medical appropriateness, patient-setting considerations and best in class practices to deliver care management services that optimally reflecting today’s value-based healthcare objectives.