Established in 1981, edgeMED Healthcare is a revenue cycle management (RCM) company providing expert medical billing and collections services to thousands of physicians and medical organizations of nearly all specialties throughout the United States. In addition, our integrated, cloud-based healthcare platform, including Practice Management (PM), Electronic Health Records (EHR), Electronic Prescribing (eRx), and technology management enables care providers to enhance clinical productivity, patient outcomes and improve revenue cycle management.

edgeMED's corporate headquarters has proudly called Florida home for over four decades. Our central hub is situated within the Boca Raton Innovation Campus, a state-of-the-art 1.7 million square foot technology park nestled in the heart of Boca Raton, Florida. As part of our commitment to excellence and accessibility, we also maintain offices in Appleton, Wisconsin. For contact information and convenient driving directions to our Boca Raton headquarters, please select the following link: Contact Information and Directions.

edgeMED offers several advantages over other companies in the medical billing, revenue cycle management, and healthcare software industry, making us a preferred choice for healthcare providers looking to optimize their financial performance and streamline their operations.

• Decades of expertise: With over 40 years of experience in the medical billing and revenue cycle management field, we bring a deep understanding of the healthcare industry. Our extensive experience ensures that your practice benefits from best practices and proven strategies.

• Specialized focus: edgeMED's primary focus is on revenue cycle management and maximizing reimbursements for physicians. By aligning our services with your practice's financial success, we prioritize your bottom line, helping you increase profitability while maintaining quality patient care.

• Comprehensive revenue cycle management: edgeMED's Essential Revenue Cycle Management service is designed to navigate the complexities of governement and private payer requirements. This ensures accurate charge capture, documentation, and billing practices, reducing the risk of costly errors or denials and increasing your revenue.

• Flexible software solutions: Should you elect to use an edgeMED software solution, we offer both stand-alone and fully-integrated software solutions to meet your specific needs. This flexibility allows you to choose the level of automation and integration that works best for your practice, ensuring a tailored approach to your revenue cycle management.

• Predictable pricing: edgeMED provides transparent and predictable pricing. Our software fee includes set-up and implementation, training, regular system upgrades, and ongoing US-based support at no extra charge. This means you can budget confidently without unexpected costs or hidden fees.

• Continuous support: We offer ongoing US-based support, ensuring that you have access to assistance when you need it. This support helps you resolve issues quickly, keep your operations running smoothly, and stay up to date with any changes in the healthcare billing landscape.

• Modern technology: edgeMED's software solutions leverage modern technology to streamline billing processes, reduce administrative burden, and improve efficiency. This technological advantage translates into faster payments and improved cash flow for your practice.

• Compliance and regulatory expertise: Staying compliant with evolving healthcare regulations is crucial. edgeMED's expertise in this area ensures that your practice remains compliant with changing Medicare/Medicaid and private payer requirements, reducing the risk of audits and penalties.

• Customized solutions: We understand that each healthcare practice is unique. Our solutions can be tailored to your specific needs and workflow, ensuring that you get the most out of their services and technology.

• Proven track record: The longevity of edgeMED in the industry and our track record of success with thousands of healthcare providers is testimony to the reliability and effectiveness of our company, people and solutions.

Our advantages stem from our extensive experience, specialized focus on revenue optimization, flexible software solutions, transparent pricing, ongoing support, and commitment to staying compliant with healthcare regulations. With edgeMED, you get a trusted partner to improve your financial performance and overall practice efficiency.

edgeMED is owned by Medusind, a global leader in revenue cycle management. Founded in 2002 and headquartered in Miami, Florida, Medusind is comprised of over 4,000 employees dedicated to improving the efficiency and profitability of medical practices, hospitals, dental groups, GPOs and third-party administrators.

Outsourcing your revenue cycle management (RCM) can offer several advantages to healthcare providers and organizations, such as enhancing efficiency, reducing costs, improving cash flow, and concentrating on patient care.

• Expertise and specialization: RCM is a complex and constantly evolving field. Outsourcing to a specialized RCM provider like edgeMED means you have a team of experts who are well-versed in the intricacies of medical billing, coding, compliance, and payer regulations. We stay updated with industry changes and best practices, reducing the risk of errors and denials.

• Focus on core competencies: By outsourcing RCM to edgeMED, healthcare providers can concentrate on their core competencies—patient care and medical services. This allows physicians, nurses, and administrative staff to focus on delivering quality healthcare rather than getting bogged down in billing and administrative tasks.

• Cost efficiency: Maintaining an in-house RCM department can be costly. Outsourcing to edgeMED enables you to convert fixed costs (salaries, benefits, software, training) into variable costs, which can be more cost-effective. You only pay for RCM services as needed.

• Improved cash flow: edgeMED RCM experts are dedicated to maximizing reimbursements and reducing the time it takes to receive payments. This results in improved cash flow for healthcare practices, ensuring that revenue is received promptly.

• Reduced administrative burden: Billing and collections are time-consuming and administrative-intensive. Outsourcing RCM shifts this burden to edgeMED, freeing up internal resources for other essential tasks.

• Access to advanced technology: edgeMED has access to advanced billing software and technology that may be cost-prohibitive for small or mid-sized practices to acquire on their own. This technology enhances billing accuracy and efficiency.

• Scalability: Outsourced RCM services from edgeMED can scale up or down as needed. Whether your practice experiences growth or contraction, you can adjust the level of RCM support accordingly.

• Compliance and risk mitigation: edgeMED is well-versed in healthcare regulations and compliance. We help practices navigate the complexities of Medicare, Medicaid, and private payer requirements, reducing the risk of audits and penalties.

• Focus on patient satisfaction: With RCM tasks outsourced, you can allocate more time and resources to improving patient experiences and meeting rising patient expectations.

• Continuous improvement: Reputable RCM providers like edgeMED are committed to continuous improvement. We analyze data and key performance indicators to identify areas for optimization, helping practices maximize revenue over time.

Outsourcing medical billing is a strategic decision that many practices make to optimize their financial performance and streamline their operations. We welcome a discussion with you to determine if outsourcing your revenue cycle management is the right fit for your medical practice.

Choosing edgeMED as your partner for revenue cycle management services is a decision driven by our unparalleled experience, unwavering commitment to excellence, and a track record of success spanning over four decades. We understand that the healthcare landscape is constantly evolving, and our adaptability and dedication to service set us apart as a trusted choice for physician practices and medical organizations across dozens of specialties and settings.

Why consider edgeMED as your preferred revenue cycle management provider? Here’s some helpful info:

• Decades of expertise: With more than 40 years in the industry, edgeMED brings a wealth of experience in revenue cycle management. Our long-standing presence and continuous evolution have equipped us with the knowledge and insights needed to navigate the complexities of today's healthcare economy effectively.

• Proven solutions: Our flexible solutions have stood the test of time and are designed to meet the unique needs of physician practices and health systems. We have a proven track record of delivering results and optimizing revenue streams for our clients.

• Customer referrals: Our growth is fueled by the strong referrals from our satisfied customers. This speaks volumes about the trust and satisfaction that our clients have in our services. We pride ourselves on maintaining lasting relationships based on exceptional service and results.

• Specialized expertise: The healthcare industry demands specialized knowledge, especially in medical billing and collections. edgeMED boasts a team of certified specialists who excel in medical coding and billing, ensuring accurate and compliant claims submission.

• Maximized revenue: Our commitment to 100% charge capture ensures that every service performed is billed, leaving no revenue potential untapped. We understand the financial pressures that healthcare organizations face and work diligently to maximize revenue.

• Denial management: We take a proactive approach to denial management, vigorously pursuing appeals and addressing underpayments. This ensures that revenue leakage is minimized, and your bottom line is protected.

• Comprehensive services: Our RCM model goes beyond billing and collections. We offer services such as insurance follow-up, self-pay collections, analytics, and reporting, providing actionable insights to help you make informed decisions and improve financial performance.

• Accounts Receivable management: We provide comprehensive accounts receivable management, helping you maintain a healthy cash flow and reduce aging AR.

• Physician credentialing: Our expert physician credentialing services ensure that your providers are properly credentialed with payers, reducing administrative burdens and delays in reimbursements.

Choosing edgeMED as your revenue cycle management partner means selecting a company with a proven history of success, a commitment to excellence, and a team of experts dedicated to helping you navigate the challenges of the ever-changing healthcare landscape.

Learn more about how edgeMED can optimize your revenue cycle management and support your organization's financial goals.

edgeMED's pricing model is a performance-based fee structure that directly ties our success to your practice's financial success. This alignment of interests, along with a wide range of complimentary services, ensures that you receive high-quality, dedicated support for your medical billing and revenue cycle management needs.

• Percentage-based pricing: edgeMED's revenue cycle management pricing is based on a percentage of the amount collected on behalf of your practice. This attractive pricing model ensures that our success is directly tied to your success. By charging a percentage of the revenue collected, we are highly motivated to maximize your reimbursements and revenue.

• Full-time dedication: When you engage edgeMED for medical billing and revenue cycle management services, you are benefiting from a dedicated team that focuses full-time on billing and collections. Our team of experts is committed to diligently pursuing reimbursements and payments on your behalf, leaving you with more time to focus on patient care and other aspects of your practice.

• Aligned interests: The fact that edgeMED's reimbursement is directly tied to the revenues we collect creates a strong alignment of interests. Our financial success is intimately connected with your financial success, making us more than just a service provider, but a true partner in your practice's profitability.

• Complimentary services: We goes beyond just percentage-based billing. We also provide a comprehensive package of services at no additional charge, such as:

  • Software: You have access to their advanced medical billing software, which streamlines your billing processes and enhances efficiency.

  • Clearinghouse services: We offer medical clearinghouse services, ensuring that claims are accurately transmitted to payers, reducing the risk of errors and denials.

  • Patient statements: We handle the creation and distribution of patient statements, reducing your administrative burden.

  • Implementation: The setup and implementation of our services are included in the pricing, making it easy for you to get started.

  • Training: We provide training to ensure that your staff understands the medical billing workflow, responsibilities and mutual goals, and can effectively use our software and services.

  • Continuous product support: Ongoing support is available to address any issues, questions, or concerns you may have, ensuring that your operations always run smoothly.

By including these services at no extra charge, we simplify the billing and revenue cycle management process for your practice. Our comprehensive approach ensures that you have all the tools and support you need to optimize your revenue without incurring additional expenses.

edgeMED is proud to be a Government Services Administration (GSA) contract holder for providing revenue cycle management services. This status underscores our commitment to excellence and reliability in serving government entities and organizations. As a GSA-approved contract holder, edgeMED is beneficial to your medical organization for several reasons:

• Trust and credibility: GSA approval is a rigorous process that involves a thorough evaluation of a company's financial stability, past performance, and adherence to stringent quality and compliance standards. This approval demonstrates that edgeMED has met these rigorous criteria, enhancing our credibility and trustworthiness as a government service provider.

• Streamlined procurement: Government agencies, both at the federal and state levels, often prefer to work with GSA-approved vendors because it streamlines the procurement process. Agencies can confidently select edgeMED as their revenue cycle management partner without the need for lengthy and complex procurement procedures, saving time and resources.

• Cost savings: GSA contracts often come with negotiated pricing, terms, and conditions. This can result in cost savings for government agencies, ensuring that taxpayer dollars are used efficiently and effectively. By choosing edgeMED as a GSA-approved provider, government entities can access our services at competitive rates.

• Compliance and security: Revenue cycle management in the government sector involves handling sensitive financial and healthcare data. As such, edgeMED is held to high standards of compliance and security. Our commitment to data privacy and adherence to regulatory requirements ensures that government agencies can trust us with their sensitive information.

• Experienced partner: GSA approval signifies that edgeMED has a proven track record in revenue cycle management services. Government agencies can rely on our experience and expertise to optimize their revenue streams, improve financial transparency, and enhance the overall efficiency of their operations.

Our GSA contract holder status for revenue cycle management services is a testament to our commitment to serving the needs of government agencies with integrity, efficiency, and compliance. We look forward to partnering with government entities and private medical practices alike to support their financial objectives and contribute to their success.

Access to 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.

Absolutely, all edgeMED solutions are built to seamlessly integrate with each other. They share a common database, granting your front office and clinical staff identical access to patient data through a single sign-on (SSO) process. This ensures quick and accurate data transfer between systems, simplifying the generation of customizable and comprehensive reports.

Our Full Suite is a fully-integrated portfolio of software that includes Electronic Prescribing, Electronic Health Records including patient portal, and Practice Management with scheduling and billing solutions.

edgeMED's products are designed to accommodate providers with multiple offices or locations. Our solutions offer a convenient and user-friendly way to distinguish between various practices and locations. Information seamlessly circulates between all these places, ensuring it stays current in real-time.

Our patient portal helps keep you connected with your patients by giving them the ability to view medical data, download and sign consent forms, access wellness information, get lab results, schedule appointments, and pay bills online.

Our platform includes native features for patient notifications through email, text, and voice messages. While email notifications are complimentary, voice and text message notifications carry a small fee determined by your usage.

The hard token is ideal for providers who are only using a single username with edgeMED. The hard token is a physical device, about the size of a car key fob. The soft token is loaded onto a cell phone or other mobile device and is best for providers who have multiple edgeMED prescriber logins who need to toggle between tokens for more than one edgeMED username.

The security of customer and patient data is a paramount concern for edgeMED, and we have implemented a multifaceted approach to ensure the utmost protection. Our commitment to data security is not only reflected in our policies, but also in our choice of technology and our compliance certifications.

• Robust cloud-based architecture: Our cloud-based software architecture is designed with a strong focus on security.

  • Regular automatic updates: We ensure the software remains fortified against the latest threats through automatic updates and patches.

  • Proactive defense: This approach minimizes potential attack windows and defends against emerging cyber threats.

• Trusted cloud infrastructure: Our cloud infrastructure is hosted and managed by industry-leading providers renowned for data center security.

  • Stringent physical security: These providers implement strict physical security measures.

  • Redundancy and monitoring: Redundant systems and advanced monitoring protect against unauthorized access and data loss.

  • Expertise and investments: We leverage the expertise and investments made by these providers to enhance our security.

• Information security policies: We have rigorous policies and procedures in place within our organization.

  • Access control

  • Data encryption

  • Password management

  • Data classification

  • Incident response

• SOC 2, Type 2 certification: edgeMED maintains this certification to demonstrate adherence to high security, availability, processing integrity, confidentiality, and privacy standards.

  • Tested and verified: Our controls have been rigorously tested and verified over an extended period.

edgeMED is fully committed to upholding the stringent standards set forth by the Health Insurance Portability and Accountability Act (HIPAA). We have implemented comprehensive measures and established robust protocols to ensure strict compliance with all HIPAA requirements.

Our cutting-edge solutions have the certifications you expect from your trusted healthcare technology solution. Our EHR is Drummond-certified for ONC-HIT and meets the requirements of Electronic Prescribing for Controlled Substances (EPCS). Our integrated system also complies with Health Insurance Portability and Accountability Act (HIPAA) regulations, so you can feel confident in the security of your patients' medical information.

Our Electronic Prescribing system meets the requirements of state Electronic Prescribing of Controlled Substances (EPCS) mandates, and it is certified to comply with EPCS mandates in all states, including the federal "Every Prescription Conveyed Securely" mandate that became effective in 2021. Our electronic prescribing solution (eRx) can be seamlessly utilized within our EHR software or subscribed to as a standalone service while still being seamlessly integrated into the PM module. Key features of the eRx system include Surescripts and DEA certification, real-time interactions and history, extensive reporting capabilities, and the inclusion of patient-specific formularies.

The edgeMED software platform is cloud-based and accessed through popular web browsers, such as Google Chrome, Microsoft Edge and Mozilla Firefox. There is no software to install and edgeMED works on both Mac and Windows operating systems, as well as mobile devices such as smartphones and tablets.

Recommended specifications are:

• Operating Systems: Windows and Mac

• Browser: The latest version of Google Chrome (recommended), Microsoft Edge (Chromium Version Only), or Mozilla Firefox

• Processor: 2 GHz processor

• RAM: 4 GB of RAM or better

• Screen Resolution: 1920 at 100% zoom is recommended, but at a minimum 1280x800

• Internet Speed: 25 mbps is preferred, but anything greater than 10 mbps is acceptable

Your level of involvement during the implementation process will vary, ranging from minimal to potentially not required at all, depending on the specific product. If needed, we will supply you with a list of information and data requirements, and from that point onward, we will handle the rest.

On average, edgeMED's solutions are typically up and running within days or weeks:

• Electronic Prescribing: 5-7 business days

• Electronic Health Records: 10-15 business days

• Practice Management: 5-25 business days

• Full Suite: 15-25 business days

edgeMED provides a no-cost data import service for your patient demographics, insurance details, and PDFs as part of the implementation process. Your designated edgeMED project coordinator will supply you with the essential files.

When using multiple edgeMED products, a single login is all that's required due to our unified and integrated software platform, eliminating the need for individual logins for each platform.

edgeMED partners with Experian PLC (a consumer reporting company) to verify your identity based on the information included in your credit report. Our ID proofing process is not a credit check. No hard or soft inquiries will appear on your credit report.

All service and support team members are based in the U.S. You may reach us Monday - Friday 8:00am - 5:30pm EST (critical support is available on weekends during specific hours).

• Call: (561) 314-7222 or (800) 832-3274

• Email: help@edgemed.com

• Help Center: www.edgemed.com/help

We develop healthcare technology with the goal of helping healthcare professionals focus on direct, personalized interactions with the patients they care for. To meet this goal, we work to make our software as flexible, accessible, and user-friendly as possible. Our cost-effective, customizable software solutions come with free, comprehensive support and training to ensure you get the most out of your investment.

We handle product support and implementation in-house and do not outsource these services. All our edgeMED implementation and support experts are situated at our Boca Raton headquarters in South Florida. Our representatives have a success rate of over 90% in resolving customer issues during the first point of contact.