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Health Analytics

Analytics is the buzz word in the current market scenario. Almost all sectors use analytics in some form or the other and Healthcare industry is no different. In fact, Healthcare Analytics is an evolving field in health care business. With Healthcare reforms In US becoming more stringent, Healthcare providers are looking up to Analytics to drive better fact-based decisions. Basically, making use of extensive data by statistical and quantitative techniques for modeling and analysis purpose is Analytics. American TPA Analytics services provide clients with optimized solutions for achieving their goals within the healthcare and other horizontal industries. We approach each scenario with a methodical and well defined approach and thus assist clients to enhance their operational metrics through a multitude of enhancements. This is accomplished by using the best subject matter experts, analytic tools and database programmer to support our client’s decision making process.

Some of our major services in this line of specialization are:

Our Services

  • Actuarial Support Services
  • Advance Payment Tax Credits (APTCs) Management
  • Chart Review & Coding
  • Claims Auditing
  • Claims Re-pricing
  • CMS Payment Reconciliation
  • CTM Root Cause Analysis
  • Data Warehouse Design & Data Modeling
  • Drug Utilization
  • Financial Analysis & Payment Reconciliation
  • Financial solvency and appropriate Actuarial Value (AV) 
  • Fraud, Waste & Abuse Analysis
  • Medical bill review – outcomes reporting, ICDP coding, bill flags
  • PDE reconciliation
  • Predictive Modeling
  • Premium pricing including Rate filing
  • Quality & HEDIS Measures
  • Reporting & Dashboard
  • Risk Score Adjustment
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Contact Information

425 Washington Blvd.,
Jersey City,
New Jersey 07302,
USA

Phone: +1 551.227.1525 | +1 201.258.4704
Fax : +1 201.604.3480
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