AP GLOBAL HEALTH MANAGEMENT is a part of AP Companies Group, operating in the United States.
We provide an extensive, diverse portfolio of medical and TPA services for Insurance companies, ship owners, all types of professional workers and Corporations.
since
1997
year
one of the world’slargest pure Medical
Assistance Group
of Companies
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Our vision
Our Vision is to help people maintain better quality of life.
As a global Group of Companies, we assist expats, travelers, crew members, seafarers and other professionals, providing major medical treatment around the world, ensuring a unique, reliable and efficient solution.
Global knowledge, local expertise
Our slogan «Global knowledge, local expertise» reflects our efforts to fulfil and exceed the expectations of our customers and business partners.
Our Services
AP Companies offers a full range of Cost Containment services in the USA, that includes
Effective medical
Case management
Claims
management
Repricing
High cost claims
discounts negotiation
Bill audit
Fraud
investigation
AP Companies, has a wide experience of cost control in the USA, where we have multiple partners and tap into several PPO network service providers. The partner is chosen depending on the medical provider, services, best available discount, etc
A significant part of our Cost Containment strategy is Fraud Detection.
Fraud Detection
Fraud detection is aimed at revealing and preventing the following type of fraud:
- Submitting false bills or claims for medical services, which were never rendered to the member. In case of suspicious cases, AP companies requests all the copies of medical records and results of lab/diagnostic services.
- Unnecessary medical treatment or drug prescription.
- Sending the claims for the services, which were outsourced from other medical facilities making unreasonable mark up on prices. In this case, AP Companies checks the range of services the provider is licensed for and matches it across the services listed on the invoice
- Invoices received from non-existent medical providers
Active Medical Case Management
AP Companies has been able to reach big savings by Active Medical Case Management: