Audits and controls
edgeMED conducts audits of end-to-end revenue cycle processes, including assessment of coding, billing, charge capture, processes, data transfer and documentation to identify and resolve errors, weaknesses, inefficiencies, under-billing and non-compliance in medical claims processing. We provide powerful solutions to audit medical claims through a combination of proven audit practices, expert staff and precision analytics technology. Our audits also focus on compliance and our revenue cycle professionals keep on top of regulatory changes to mitigate your compliance risks.
Audits are vital to practice performance
Using edgeMED’s expert RCM services, we ensure that:
Coding is performed accurately
Errors in claims processing are eliminated
Inefficient workflows are improved to avoid revenue loss
Accurate charges are processed
Documentation standards are followed
Payers are correctly processing claims
Compliance guidelines for coding, billing and medical necessity are met
We’re the experts you can count on
At the core of enabling healthcare professionals to deliver high-quality care lies the foundation of strong financial outcomes, which stem from our meticulous management of the revenue cycle. Implementing efficient processes and maintaining a vigilant eye on financial matters can be a formidable undertaking. A robust audit program not only serves as a compliance safeguard but, when executed with precision, assumes a pivotal role in the optimization of your collections and overall financial health.
Our unwavering dedication to precision ensures that every patient encounter is meticulously and accurately billed, leaving no procedure unaccounted for, and ensuring that every dollar is balanced. Outstanding claims are given immediate attention, eliminating the need for lengthy waits and uncertainty. Our commitment to real-time metrics and benchmarks equips us with a comprehensive view of your revenue cycle metrics, providing us with the necessary data to make informed decisions and track performance trends.
In our quest to enhance your revenue cycle's performance, we go beyond surface-level analysis. We delve into key performance indicators, scrutinizing them to uncover areas ripe for improvement. Our recommendations are not only insightful but also actionable, designed to streamline your workflow and boost the overall efficiency of your revenue cycle.
With over 40 years of experience in Revenue Cycle Management (RCM), edgeMED is well-equipped to not only identify the pain points within your medical billing cycle, but also to provide comprehensive solutions that can transform the effectiveness of your entire organization. Our proven expertise ensures that the problems are not merely recognized but resolved, and the entire revenue cycle is optimized, paving the way for financial success and the seamless delivery of quality care to your patients.
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.