ALPS Services, Inc.
- URAC/American Accreditation HealthCare Commission certification
for Medical Case Management
- State of Ohio as a Managed Care Organization
- Certified as a health care Peer Review Organization entity by
the U.S. Department of Health and Human Services, Centers for Medicare
and Medicaid Services
- 8(a) certified with the U.S. Small Business Administration
- Minority Business Enterprise certification with the States
of Ohio, New York and Missouri
- U.S. Department of Transportation under U.S. Code of Federal
Regulations Title 49, Part 26
ALPS is HIPAA compliant, and has in place an extensive data
backup system and a comprehensive disaster business continuation
plan.
Qualifications & Experience
From 1992 to present, ALPS has performed medical reviews on more
than 60,000 in-patient cases, managed more than 30,000 medical
cases, audited and processed more than 150,000 medical bills.
Our key personnel staff is a team of highly
skilled professionals averaging more than 20 years medical and
workers' compensation experience. Our line personnel include
Registered Nurse Case Managers and Reviewers, Certified Coders,
Medical Records Abstractors, Vocational Rehabilitation Counselors,
Certified Disability Management Specialists, Claims Examiners,
and Fraud Investigators. Our Physician
Advisors represent a wide area of medical disciplines.
ALPS maintains a pleasant, friendly, fair, and
creative work environment that respects diversity, new ideas,
and hard work. ALPS is always looking for highly skilled medical
professionals. To send a confidential employment inquiry, please
go to the Contact ALPS page.
ALPS Clients
ALPS serves businesses, insurers, health care providers, government
agencies, and other constituents by custom designing programs to
meet each client's unique needs. As a physician peer review
organization, ALPS is committed to ensuring quality health
care while controlling costs.
Our clients represent a variety of employers that include:
- Government Agencies
- Manufacturing
- Construction
- Transportation
- Utility
- Commercial
- Services
- Agriculture
Health care cost containment is a major concern
for all organizations, both public and private. ALPS is better
positioned to respond to the challenge. We recognize the need
for innovative solutions that will decrease cost without reducing
quality medical care. We have in place several programs to address
these needs.
ALPS Mission
ALPS Services, Inc. is a member in the growing field of managed
care and utilization review. ALPS has clients that include insurers,
health care providers, and organizations/businesses. Three principles
help define ALPS mission:
Based on these three principles, ALPS mission is to ensure
that patients/plan members are provided with health services
that meet the highest professionally recognized standards of
care; that this care be provided in the most appropriate setting;
and that treatment is medically necessary. Since 1992, ALPS has
used physician peer review as the basis for all of our review
programs. |
