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Description
It is accurate to assert that "not all DRG vendors are equal." Although their marketing strategies may be similar, these vendors generally fall into two categories: those that cater primarily to provider hospitals and those focused on detecting overpayments for health plans and payers. Much like how attorneys often concentrate on either defense or plaintiff cases, auditing vendors tend to specialize in the distinct needs, cultures, and priorities of their respective clients. Within the realm of payer-focused vendors, a diverse array of strategies for DRG auditing and overpayment detection exists. Our service offerings also include a dedicated physician review team that generates clinical validation findings, specifically addressing cases where identified issues stem from unsubstantiated clinical diagnoses made by treating physicians, which goes beyond the capabilities of coders. Our findings consistently demonstrate that our coding compliance model yields verified savings, contributing to enhanced financial efficiency for healthcare providers. Thus, selecting the right vendor can significantly impact the financial health of both hospitals and payers alike.
Description
edgeMED's Essential medical billing and collection service expertly manages the entire revenue cycle, ensuring that your organization operates with optimal efficiency and profitability. Healthcare providers, including medical practices and health systems, aim to deliver the highest quality outcomes for their patients; however, the ability to achieve this is fundamentally tied to the financial health that comes from an effectively managed revenue cycle. By partnering with edgeMED Essential, you can enhance your collections while also conducting thorough analyses of costs and profitability, overseeing contract discrepancies, and exploring new revenue streams, paving the way for shared success and enduring partnerships. Regardless of whether you belong to an independent physician practice, a health system, an Accountable Care Organization (ACO), or a medical home, we stand ready as your specialists in revenue cycle management so that you can focus on what you do best. With more than 40 years of experience in medical billing and consulting, edgeMED is dedicated to maximizing your revenue and ensuring your financial stability. Our commitment to your success is unwavering, as we believe that strong financial management is key to providing exceptional patient care.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
$149 per month
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
DRG Claims Management
Founded
2009
Country
United States
Website
www.drgclaims.com/solutions/
Vendor Details
Company Name
edgeMED Healthcare
Founded
1981
Country
United States
Website
www.edgemed.com/revenue-cycle-management
Product Features
Product Features
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice