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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

MDaudit is an innovative cloud-based solution that consolidates billing compliance, coding audits, and revenue-integrity processes for various healthcare entities, including hospitals, physician networks, and surgical centers. The platform caters to diverse audit types such as scheduled, risk-based, retrospective, and denial-focused evaluations. By automating the ingestion of data from pre-bill charges, claims, and remittance information, MDaudit efficiently initiates audit workflows, identifies anomalies and high-risk trends, and offers real-time dashboards with detailed analytics to uncover the underlying causes of billing mistakes, denials, and revenue loss. Among its features are a “Denials Predictor” designed for pre-submission claim validation and a “Revenue Optimizer” that enables ongoing risk monitoring, both of which assist organizations in minimizing claim denials, decreasing recoupments, and improving their revenue capture. Furthermore, MDaudit streamlines payer-audit management by providing a secure, centralized system for handling external audit requests and facilitating the exchange of necessary documentation, ultimately enhancing operational efficiency. The comprehensive nature of MDaudit's tools ensures that healthcare providers can maintain higher standards of compliance and revenue management.

Description

RCM Edge is an advanced revenue cycle management platform that harnesses the power of AI for medical billing entities, including physician practices, clinics, hospitals, and health systems. This platform streamlines billing processes from verifying eligibility to securing reimbursements and is compatible with current EHR and practice management systems. Edge Verify allows for immediate insurance eligibility and benefits verification through 566 payer connections. Meanwhile, Edge Claims monitors claim statuses over 468 payer connections, standardizes responses from payers, and directs claims that need follow-up into specific queues, enabling staff to concentrate on exceptional cases. By utilizing robotic process automation (RPA), predictive analytics, and real-time insights, the platform significantly minimizes manual labor for teams. Although features such as prior authorization, denial management, and accounts receivable follow-up are under development, they are not yet available as live modules. As a result, RCM Edge continuously evolves to enhance the efficiency of revenue cycle management in the healthcare sector.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$200/month
The Professional plan starts at $200 per month. A free 30-day trial is offered. Enterprise pricing is customized.
Free Trial No 
Free Version Yes 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises Yes 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) Yes 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

MDaudit

Founded

1993

Country

United States

Website

mdaudit.com

Vendor Details

Company Name

ISpectra Technologies Global

Founded

2023

Country

United States

Website

rcmedge.ai/

Product Features

Revenue Cycle Management

Accounts Receivable No 
Claims Management No 
Collections Management No 
EHR/EMR Integration No 
For Healthcare No 
ICD-10 Compliance No 
Insurance Verification No 
Medical Billing No 
Patient Portal No 
Patient Registration No 
Patient Scheduling No 
Payment Processing No 

Product Features

Revenue Cycle Management

Accounts Receivable No 
Claims Management No 
Collections Management No 
EHR/EMR Integration No 
For Healthcare No 
ICD-10 Compliance No 
Insurance Verification No 
Medical Billing No 
Patient Portal No 
Patient Registration No 
Patient Scheduling No 
Payment Processing No 

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