URAC AICPA URAC NAIRO AICPA
 

Let AMR's expertise and experience work for you.

 

Leading IRO/UM

Our Story

Founded in 2004, AMR is setting the industry standard in providing quality independent medical case review and utilization management services that are timely, customizable and affordable. AMR offers a single source solution for all of our clients' review and utilization management needs covering all specialties and subspecialties nationwide. Our highly trained compliance staff, in-house medical director and specialized case review nurses are bolstered by a strong quality assurance process guaranteeing the highest quality standards throughout the review process.

Our commitment is to our clients and their patients. We emphasize - throughout all the work that we do - continuous quality improvement, innovation and client satisfaction.

Our Clients

Healthcare Plan Payers

Third Party Administrators (TPA's)

HMO/PPO/MSO

Medical Groups

State and Local Governments

HealthCare Consulting Organizations

Hospitals

Self-Insured/Administered

Case Management Companies

Special Investigation Units

Insurance Companies

Pharmacy Benefit Companies

Testimonials

Advanced Medical Reviews is very proud of our success in providing outstanding deliverables and customer service. Here is what our customers are saying:

 

"I love how receptive the staff has been. Whatever need we have, and we have a lot, they have been able to create workflow that makes working with AMR seamless. We have a lot of specialty cases and we appreciate the huge network of reviewers AMR has to offer. With our short turnarounds times we feel confident that we can send a case to AMR and they will have the reviewer available and back to us on-time."

Anonymous, Lead Physician Advisor Support Representative

 

"I enjoy the simplicity of the software, the stellar customer service, and the attentiveness of our business owner/project manager. The reviews are almost always received back before the due date and time. The customer service team is attentive, kind and professional when communicating with our staff members."

Lindsay Welch, Clinical Business Analyst


 

Our Team

Wes Kinnett

VP of Information Technology

Vince Bianco

President

Shana Duthie

VP of Marketing

Kelly Ritchey-Davoren

VP of Operations

Megan Kaufman

Director of Operations

Sharmita Samanta

Director of Client Account Services

 

Reviews

Medical Case Reviews

With the industry's largest independent physician review panel, our Board Certified physicians and licensed healthcare professionals cover an extensive list of medical specialties and sub-specialties, serving all 50 states. Our physicians have real-time access to clinical and regulatory information, leveraging AMR's proprietary database of reviews through our workflow technology. We serve as both an adjunct to internal decision making processes and are fully compliant with the state and federal external workflows.

Pharmacy Benefit Reviews

Overuse of medications can inhibit patient wellness. Our Pharmacy Benefit Reviews take into consideration drug price, utilization and appropriateness of medications within the scope of the treatment plan. Our team of qualified specialists and physicians make sure that the medications being prescribed are needed and providing a benefit to the course of treatment. We focus on the patient and the desired outcome while ensuring the right drug, at the right amount, providing the right treatment. 

Utilization Management Reviews

As a recognized URAC accredited UM company, we understand the role that utilization management has in quality patient care. Utilization management when done using an evidence-based approach can uncover excessive treatment and expense while enhancing the quality and effectiveness of patient care. The goal in our review process is to make sure that patients are getting the care they need when they need it.


Services

To learn more about
AMR services

Click Here
 

Our Advantage

The Platform Demo

We provide the most robust and innovative patent pending technology platform in the industry that will assist your operations with quick processing, data mining and specialized reporting. Our platform technology was designed to be intuitive and to promote operational efficiencies. Submitting, tracking and reporting on reviews of all types is simple and easy. Customizable to your workflows and needs, the platform is one of the most secure and adaptable in the industry.

 

Expert Sales & Service

Dan Perlow

VP, Enterprise Accounts

Nelson Dunham

VP, Enterprise Accounts

Jeff Schulze

VP, Enterprise Accounts

Amanda Marfise

VP, Strategic Partnerships

Sharmita Samanta

Director of Client Account Services

Tom Patterson

Account Manager



 

Blog & News

From Our Blog

Are you familiar with URAC? AMR is proud to be a URAC accredited UM company. Learn more about URAC accreditation in our latest infographic!

READ MORE

Individuals suffering from poor mental health, whether due to a diagnosable illness or a lack of coping skills, need access to treatment to improve their well-being.

READ MORE

Approximately 43.6 million adults in the U.S. suffer from some type of mental illness, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

READ MORE

Individuals battling sarcoma will undergo countless tests, procedures and treatments over the course of months or years. The goal of UR is for patients to receive the best care possible.

READ MORE

Sarcoma is a rare type of cancer, making up about 1 percent of all adult cancers and about 15 percent of pediatric cancers, according to the Liddy Shriver Sarcoma Initiative.

READ MORE

Upcoming Events

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RIMS 2017

AMR is proud to return to RIMS 2017 in Philadelphia! More info coming soon.


National Workers' Comp and Disability Conference & Expo

AMR looks forward to returning to this exciting conference in New Orleans! 



Latest News

We have joined the ExamWorks family of companies!

We are excited to announce that Advanced Medical Reviews (AMR) has joined ExamWorks. We will continue to operate under the AMR brand.



 

Contact

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Company Type
Health Plan
Workers Comp
TPA
Hospital
Consulting Plan
Self Insured Organization



 


Business Development and Sales



Phone:

(800) 726-1207



Fax:

(310) 470-4717



:



Reviewers



Fax:

(310) 470-0315



:



:



Clients



Fax:

(310) 470-4717



:



:



Advanced Medical Reviews


Phone:

(800) 726-1207



Fax:

(310) 470-0127



Address:

Advanced Medical Reviews, Inc.

2950 31st St, Ste 100

Santa Monica, CA 90405



:




 

Social


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Wes Kinnett - VP of Information Technology

Wes Kinnett is the Vice-President of Information Technology at AMR and joined the company in 2006. He leads the Information Technology organization which includes software development, network support, and systems support personnel. Over the span of his career, Wes has served in a variety of technical and leadership roles within engineering, sales, and professional services organizations providing a unique and well-rounded perspective of Information Technology business services and what it requires to make them run smoothly.

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Vince Bianco - President

Vince has over 25 years of experience building companies from conception to acquisition as CEO, President, COO, Board Member, Investor, and Founder. He has a wide range of skills across all functional areas, including sales & marketing, operations, and finance while operating in the healthcare and healthcare technology markets, among others. Vince has specific experience and expertise in driving revenue growth, and in online advertising and marketing. In his career, Vince has completed ten rounds of equity and debt financing, including venture capital for one company totaling $17.8-million. Prior to joining Advanced Medical Reviews, Vince served as an Interim Executive driving revenue growth for companies, while serving as a close adviser to the owners and CEOs. He has in the past operated as the President/COO of Risk Data Corporation, a healthcare technology company, as well as, the CEO and Board Member of Cervilenz, a medical device company.

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Shana Duthie - VP of Marketing

Shana understands that in today’s integrated sales, operations and marketing worlds a great sales and customer experience crosses multiple departments. A consumer and B-to-B market expert, Shana’s unique background and drive along with innovative ideas positions companies to deliver increased revenues and customer retention. Shana has been on the executive team of many emerging companies and has held key executive positions in Sales/Marketing as well as in Finance/Operations where she started her career. She was on the founding Executive Team of GreatCall,Inc. one of the first wireless MVNO’s and most recently has worked with several companies in the telemedicine sector including MDLIVE and Doctor on Demand. While she was the VP of Marketing & Customer Experience at MDLIVE, Shana developed the strategy to increase internal client engagement with clients employee populations as their telemedicine offerings expanded. Shana’s goals at AMR include increasing brand awareness, sharing the company’s expertise through content marketing and continuing to engage in conversation with the company’s clients through a variety of media.

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Kelly Ritchey-Davoren - VP of Operations

Kelly has over 25 years of senior general management experience in start-up ventures, residential healthcare, customer service, and real estate businesses. She is a change agent passionate about developing talent and team building to achieve strategic goals. Kelly has a proven history of driving growth and enhancing operating margins through innovative organizational design and effectiveness methodologies. Prior to joining AMR Kelly was a VP of Operations for Decurion Corporation, a privately held portfolio company, and a Regional Operations and Director of HR for American Multi Cinemas, an entertainment company. She has her M.B.A. from the Anderson School of Management at UCLA and a B.A in Business Administration from California State University at Fullerton.

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Megan Kaufman - Director of Operations

Megan oversees a department of more than 70 AMR staff members as Director of Operations and responsible for the completion of hundreds of medical reviews daily. In her role, she also serves on the inter-departmental Senior Management Team, working with her colleagues to understand and meet our clients’ needs, react to and shape the changing industry landscape, confer and advise on new technological capabilities, and develop new and creative ways to manage the Operations Department effectively and efficiently. With a strong background in executive-level customer service and sales, her goal is to ensure that the services AMR provides meet and exceed the expectations of our clients and patients. Prior to coming to AMR, Megan was an Account Manager at the Advisory Board Company in Washington, DC, serving as the primary liaison with hospital and university executives. She has a B.S. in Biology from Davidson College, with a concentration in Medical Humanities.

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Sharmita Samanta - Director of Client Account Services

Sharmita Samanta is the Director of Client Services and manages the Client Account Services department. In this role she is not only responsible for the day-to-day support of AMR’s clients but also for their overall customer experience. Sharmita joined AMR in 2009 working within the operations team prior to starting and growing the current Client Services department.  With her prior experience she is able to work with the other departments to ensure that clients’ needs are being met on all fronts.  Sharmita obtained her MBA at USC while working at AMR completing her advanced degree in 2014. AMR is lucky to have Sharmita keeping all of our clients needs in the forefront.

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Medical Case Review Types

Medical Chart Review

Medical Imaging Review

Independent Medical Evaluation

Workers' Compensation

Disability Review

Experimental/Investigational

 

Billing and Coding

Plan Interpretation

Utilization Review

Length of Stay

Dental Review

 


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PBM Review Types

Medical Chart Review

Independent Medical Evaluation

Workers' Compensation

Disability Review

Experimental/Investigational

Plan Interpretation

 Utilization Review

 

 

 

 

 


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UM Review Types

Pre-service Physician Level Review

Post-service Physician Level Review

Concurrent Physician Level Review

Initial reviews & Appeals

Grievances & Reconsideration 

Peer-to-peer Calls

Medical Director Services

Medical Director Oversight of Nurse-level Reviews

Panel Reviews for Complex Cases

 

 


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