Improve Your Financial Goals
One of the most important ways to improve the financial goals of the medical office is by the effective preparation, submission and collection of claims for maximum reimbursement.
With payer technology and healthcare regulations rapidly advancing and becoming more complex, it is critical to have expert understanding and a process in place to ensure the preparation of a clean claim.
edgeMED's Essential Revenue Cycle Management service tracks, measures and collects more of the money you’re owed in less time than you thought possible, so you can see more patients and less paper work.
Notes: The data represented was collected from electronic remittance claim service lines between January 1, 2015 and January 31, 2015.
Data is based on the following CMS types: allopathic an osteopathic physicians; ambulatory healthcare facilities; behavioral health and social service providers; chiropractic providers; dietary and nutritional service providers; nursing and custodial care facilities; physician assistants and advanced practice nursing providers; podiatric medicine and surgery service providers; and respiratory, developmental, rehabilitative, and restorative service providers.
Unexpected Denial Rate Explanation: The unexpected denial rate removes expected denials that are typically a part of a "bill for denial" claim (on the claim the item isn't covered by the carrier, but you must receive a denial stating this so you can bill the secondary carrier). We allow our users the option to remove expected denials from their view so they can obtain a "truer" denial rate, the unexpected denial rate.
CPT 2015 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Infographic and data republished from physicianspractice.com.