Simplify your medical practice.
We’re the specialists who boost your financial results and streamline your office operations.
Simplify your medical practice.
We’re the specialists who boost your financial results and streamline your office operations.
You can count on us
Did you know that the US Department of Labor, citing an AARP report, estimated that more than 200 million medical claims are denied daily? Surprisingly, over 60% of these denials result from clerical errors. These accumulating denied claims contribute to increased expenses and affect your financial bottom line.
Not all healthcare institutions have a dedicated revenue cycle management team, and those that do often find them handling multiple administrative tasks, which can adversely impact the medical billing process. With rapid advancements in payor technology and increasingly complex healthcare regulations, many medical organizations struggle to keep up. Whether you are an independent physician practice, part of a health system, an Accountable Care Organization (ACO), or a medical home, we serve as your revenue cycle management experts so that you don't have to be.
We’re here to support you with the expert revenue cycle services and technology your organization needs to grow. With over 40 years in the medical billing industry, we increase your collections and dig deeper to analyze cost and profitability, monitor contract under and over payments and investigate new revenue opportunities, resulting in mutual success and long-lasting partnerships.
USA-based for 40+ years
With offices in South Florida (Boca Raton) and Wisconsin (Appleton). edgeMED is a well-established company with a strong, nationwide network of medical professionals in health systems, hospitals, clinics, surgery centers and physician practices, giving us the added advantage of understanding the various reimbursement nuances between states and payor’s.
Revenue cycle experts
We grasp the intricacies of billing and collections and are committed to securing the money your owed. Handling insurance companies can be demanding for most physician billing staff. Our team of dedicated professionals, versed in billing nuances, sets us apart from most medical billing companies, as we go above and beyond to confront insurance companies and advocate for your rightful payments.
Proven process
Our established revenue cycle process guarantees clean claims, substantially boosting initial payments and minimizing claim rejections. edgeMED's billing experts gather and process your data, creating HIPAA-compliant claims in both CMS-1500 and UB-04 formats. The data is thoroughly reviewed and error-checked using advanced technology, ensuring quicker and higher payments.
Eliminate staffing anxieties
You can now avoid worrying about cash flow disruptions caused by staffing problems. After patient care, billing is the most critical aspect of your practice. edgeMED Essential provides you with extra time to dedicate to patient care and alleviates the challenges of overseeing and sustaining an in-house billing team.
Return on investment
We not only lower staff overhead but also cut various costs, like medical clearinghouse fees, software maintenance, and patient statement mailings. When considering these savings along with our successful track record in boosting reimbursements, edgeMED becomes the ideal solution for your practice. Our reimbursement model directly ties our efforts to your revenue collection, ensuring a dedicated and motivated team focused on securing the money you’ve earned.
Enhance profitability
Our primary strength lies in our ability to significantly boost your practice’s profitability through medical billing and collections. With our established billing model, we deliver clean claims, higher reimbursements, faster A/R turnover, reduced denials, and decreased administrative workload. You also gain access to our cloud-based software, along with KPI analysis and workflow optimization recommendations to enhance your revenue cycle performance.
Easy expansion
edgeMED Essential, suitable for practices of all sizes, offers US-based experts and cloud-based software to support substantial practice growth without the usual staffing and technology costs. It's especially beneficial for startups, guiding them through setup and utilizing credentialing services for a faster launch.
No hassle implementation
Starting with edgeMED is a hassle-free transition for practices of any size and location. Our strong reputation is based on excellent customer service and implementation expertise. We understand the challenges of outsourcing billing and use our experience to make the transition smooth and stress-free. Each Essential implementation plan is customized to fit your practice's schedule and needs, covering program setup, documentation, EDI integration, process coordination, and training to eliminate the typical transition stress.
Dedicated account team
edgeMED excels in accessible, dedicated customer care. We use KPIs and benchmarks to ensure exceptional results, working in close partnership with your organization to enhance the process. Additionally, we have dedicated teams for our integrated PM/EHR platform, offering a holistic approach to optimize your performance.
Specialty expertise
Our extensive expertise extends to practices of all sizes and encompasses 36 different medical specialties, allowing us to effectively enhance their operational efficiency and patient care quality.
Full transparency
We offer full transparency and access to our cloud-based software, including real-time KPIs and benchmarks for a clear view of your practice's financial health. Our web-based PM and EHR software provides a cost-effective, low-maintenance foundation, saving you time and money. It includes continuous upgrades, ensuring your system remains up-to-date with the latest technology.
True partnership
edgeMED educates the healthcare community about the potential financial benefits of choosing the right billing and collections partner. Our success is closely linked to yours, and we are committed to delivering the service you deserve, now and in the future, to help you grow revenue and enhance your patient care possibilities.
Supercharge
your practice
Get a proposal or easy, virtual demo to see how our revenue cycle management solution will create efficiencies, streamline your medical organization and get you paid more.
Essential ingredients
We’re helping you keep a pulse on the healthcare industry by sharing our expert insights, best practices and trends.