edgeMED_Medical Billing Practices for optimal revenue

Accounts receivable

Accounts receivable form a significant blockage in the path of a medical organization realizing its revenue. As such, it’s no surprise that a strong accounts receivable (AR) process is crucial. In fact, because care providers and healthcare organizations face such unique challenges when it comes to their billing operations, properly managing accounts receivable is absolutely critical for success. Collecting timely payments by maintaining an efficient AR operation is essential for healthcare providers looking to remain competitive and scale profitability. Yet, with the multitude of payer plans available, especially those where patients are often responsible for a large part of the payment, AR management is more complicated than ever.

We understand which claims and payor’s are the most valuable to your organization and we customize our collection activities accordingly, using an entire team of medical collections specialists. Our dedicated team consistently follows up with payer networks to decrease the number of days spent in AR, thus improving cash flow.


Get paid more, and faster

Our commitment to employing time-proven best practices is at the heart of our approach at edgeMED. Through a thorough and meticulous analysis of your existing Accounts Receivable (AR) procedures, we aim to unearth areas ripe for improvement, all while adhering to these established principles. This process involves a comprehensive examination of the inner workings of your AR systems and strategies, allowing us to pinpoint specific areas where enhancements can yield substantial benefits.

  • Time-proven, best practices
    Central to this endeavor is the practice of closely monitoring and measuring key revenue indicators. This meticulous scrutiny offers a profound understanding of the financial landscape, shedding light on which processes are yielding positive outcomes and which ones may be falling short of expectations. By assessing these key performance metrics, we achieve a clear and detailed view of the profitability of each facet of your AR processes. The objective of our analysis is twofold: firstly, to identify and build upon the aspects of AR operations that are contributing to your financial success, and secondly, to highlight areas that may be in need of refinement or transformation. This data-driven approach ensures that any necessary improvements are not just arbitrary adjustments but are grounded in quantifiable evidence, aligning our AR processes with industry-leading best practices and optimizing the overall financial health of your practice.

  • You can’t manage what you don’t measure
    Prominent metrics frequently endorsed by organizations such as the Medical Group Management Association (MGMA) for evaluating the performance of healthcare entities encompass various dimensions of Accounts Receivable. We distinguishes ourself by adopting a forward-thinking and comprehensive stance in the realm of the AR process. It's not uncommon for most Accounts Receivable departments to address only a fraction of the challenges within their receivables landscape using their current resources. The key to achieving a holistic and efficacious approach to the Accounts Receivable process lies in embracing end-to-end solutions.

    At edgeMED, our mission extends beyond mere symptom management; we are proactive in our endeavor to identify and rectify problem areas across the entire Revenue Cycle Management (RCM) spectrum, identifying potential challenges before they materialize. By venturing beyond the confines of conventional reactive strategies, we are able to create a robust AR ecosystem. This approach minimizes uncertainties, streamlines financial operations, and augments your revenue stream, thus strengthening the financial well-being of your healthcare organization.

  • Technology platform
    edgeMED plays a pivotal role in the quest to boost your revenue through the establishment of a centralized Accounts Receivable (A/R) system. Our approach is characterized by a seamless and integrated workflow that is specifically designed to enhance your financial performance. Centralized A/R management is the linchpin of our strategy, ensuring that all facets of your revenue cycle are efficiently coordinated from a single point. This consolidation simplifies the entire process and enables your medical organization to achieve greater financial stability. By centralizing A/R, we empower you to have a comprehensive view of your financial landscape, making it easier to manage, monitor, and optimize your revenue operations.

    One of the cornerstones of our technology platform is our end-to-end claim tracking system. This cutting-edge feature offers real-time visibility into the status of claims, enabling us to stay on top of every aspect of the reimbursement process. With end-to-end claim tracking, we monitor the progress of claims from the moment they are submitted until the funds are deposited into your accounts. This transparency and accountability ensure that nothing falls through the cracks, and it allows for swift corrective action if any issues arise. Ultimately, the implementation of our centralized A/R management and end-to-end claim tracking technology translates into a significant reduction in the number of days your revenue spends in the Accounts Receivable phase. This, in turn, accelerates the cash flow into your organization and ensures that you receive the funds you are owed in a more timely and efficient manner, thereby contributing to a healthier bottom line.

Supercharge your practice!

Create efficiencies, streamline your medical organization and get paid more.


 

U.S. government entities

edgeMED is a U.S. Government Services Administration (GSA) contract holder (contract #47QRAA22D00E8) that provides federal and state governments with revenue cycle management services. Access to edgeMED ordering information, terms and conditions, pricing, and the option to create an electronic delivery order, are available to government entities through GSA Advantage!® at GSAAdvantage.gov.