North American Medical Management (NAMM) provides advanced management services to medical groups seeking to maximize the opportunities of the healthcare delivery network.
NAMM specializes in working with physicians, hospitals, payers, patients and employers to successfully manage the delivery of medical services. We have developed sophisticated techniques for managing the revenue and health care expenses of medical groups. These include:
Provider Relations:
- Negotiation and contracting
- Experience-based network design
- Represent physician interests with payers and the hospital community
- Information and operating systems
- Straegic planning
Health Services:
- Utilization management and quality management procedures
- Medical policies
- Ensure regulatory compliance and governance
- Information and operating systems
Finance:
- Budgeting and financial analysis
- Accounting including IBNR calculations
- Capitation deduction recovery
- Electronic funds transfer capability
- Risk management
- Information and operating systems
- Incentive model construction
Operations:
- Claims administration
- Eligibility management
- Information and operating systems
- Member services and complaint resolution
The physician is the foundation of every successful network. It is the motivation and commitment at the individual physician level that will drive a successful healthcare delivery system. Therefore, an effective organization must produce physician performance that will deliver care cost effectively, achieve superior clinical outcomes and maintain exceptional levels of patient satisfaction.