Specialized Expertise
With a decade of expertise in medical billing, we are committed to delivering top-notch services, enhancing your revenue collection, and optimizing cost efficiency.
Looking for medical billing services? Check out our curated expEDIum RCM services.
Seamless Integration
Elevate your practice with expEDIum all-in-one solution, combining Office EHR, Medical Billing, and RCM for optimal efficiency.
Save Money
Access Practice Management software, Support, Free Upgrades, and Affordable Pricing—all included with our Medical Billing Services at no extra charge.
Efficient Cost Reduction
Our medical billing software automates billing processes, minimizing AR calls, enhancing visibility on secondary claims, and offering over 60 diverse reports for comprehensive insights.
Exceptional Support
We're here for you 24/7 with prompt assistance. Reach out anytime through phone, email, or chat to experience unparalleled support for your medical billing needs.
The expEDIum Revenue Cycle Management (RCM) Solution is a technology-enabled complete Healthcare Revenue Cycle Management and medical/EMS Billing Services. Our RCM services are customized to meet healthcare providers' or partners' particular EMS/medical billing service needs. The team has extensive experience working with several healthcare specialties, including Ambulatory Surgery Centers (ASC), Behavioral/Mental Health, General Practices, OBGYN, Hospitals, Ambulance/EMS agencies, etc.
expEDIum offers three different pricing models:
- Single provider-based monthly pricing
- Success-based - based on the percentage of the collection.
- Fixed price per FTE (Full-time employee)
At expEDIum, we work with several Medical Billing Services Companies as an off-shore billing partner by providing them with necessary resources and back-office support that enhance their overall value proposition. Our cloud-based comprehensive expEDIum Medical Billing Software and Practice Management Software can be combined with its medical billing services. Alongside, expEDIum EMS Billing Software has several features designed to eliminate EMS billing errors & simplify EMS/Ambulance Billing Services.
You can request to set up a call with the expEDIum billing team at contactus@expedium.net
Key Features
Patient Demographic Entry
We ensure daily patient data entry to eliminate any medical billing delays. All data are entered within 24 to 48 hours of receipt.
Appointment and Management
The system allows clinics to identify and manage appointments efficiently. This could involve features like a centralized calendar or dashboard that provides an overview of scheduled appointments.
Insurance Eligibility Verification
Insurance eligibility verification services of the patient in real-time or batch can be sent to several payers. Our expEDIum PMS has seamless Eligibility Features that connect to hundreds of payers, including MEDICARE & MEDICAID.
Claims/Charge Entry
All claims/charges are entered into the system within 24 to 48 hours of receipt. We make sure all claims are sent to respective payers on time.
Claims Validation & Scrubbing
Claims can fail due to one or more data errors or due to specific standard rules. We handle every exception in the claims and work closely with your team to get the necessary data. This keeps our first-time payer acceptance rate at almost 100%.
Primary Claims Submission
Submission of both HCFA-1500 and UB-04 primary paper or electronic claims to the Carrier/Payers on the same day or within 48 hours.
Secondary Claims Submission
Timely secondary claims submission with relevant primary COB and follow-up of such claims to get paid with respective payers. Our software can understand any pending secondary claims, too.
Payment Posting
EOBs are posted on the same day or within 48 hours in the system to always be up to date for A/R analysis. If the payments are automatically posted, we verify the payments.
Claims Rejections and Denials
Same-day review of all rejected and denied claims and re-submission of them. We may need to coordinate with you if any data must be filled/replaced on such claims.
Patient Statement
We work with BillFlash for the Patient Statements.
A/R analysis
This is the most important part of our service. We aim to maximize collections and keep A/R to a minimum as possible. We perform various A/R analyses and quality checks every day.
Auditing
Random data check
Field edits and validation by software
Review of logs by the analyst to ensure all claims go through.
Collections
If all attempts to collect payment are unsuccessful, the outstanding balance may be sent to a collection’s agency. They specialize in pursuing overdue payments and may use various methods to recover the debt.
What We Offer
Complete RCM Solution
The expEDIum Revenue Cycle Management & Medical Billing Services can be bundled with our cloud-based advanced medical billing and practice management software.
Comprehensive Team
Our team includes experienced Coders, Medical Billers, IT Professionals, a skilled customer engagement team, and the correct set of technology that makes the Revenue Cycle Management team perfect.
Multiple Specialties
We have experience working with several healthcare specialties, including General Practice, Behavioral Health, Ambulance/EMS Agencies, Ambulatory Surgery Centers etc.
Improved Collections
Our revenue cycle solution's average payment cycle time is seven days but not more than two weeks.
Patient Payment Agreement
We outline a document that serves as an agreement that defines how the patient will pay for the healthcare services received. It is relevant when there are out-of-pocket costs for the patient, such as deductibles, co-payments, co-insurance, or services not covered by insurance.
Reduced Billing Errors
They produced less than 2% of claims, Rejections, and denial rates. Daily follow-up on every denied, rejected & unpaid claims.
Saved Money & Increased Business
We have reduced the billing cost of healthcare practices & partners by almost half and helped Partners to scale up their business & increased their market exposure.
Up-to-date PMS
Our Cloud-based expEDIum Practice Management Software is HIPAA compliant and meets every change in the industry without any additional cost.
Claims Submission
Submission of both HCFA-1500 and UB-04 electronic & paper primary claims and secondary claims to thousands of payers.
Reporting
Several Daily, weekly, and monthly reports. We also provide customized or ad-hoc reports on request.
How Do We Stand Out?
A Comprehensive Web-based PMS
We can bundle our advanced Cloud-based expEDIum Practice Management Software with expEDIum Revenue Cycle Management (RCM) Services.
Up to date Software
Our software is HIPAA compliant, ICD 10 ready, supports both CMS-1500 and UB-04 electronic & paper claims, and meets every change in the industry.
Support multiple specialties
We offer our billing services to all the major specialties, including Ambulance/EMS agencies, Ambulatory Surgery Centers, Behavioral Health & more.
Excellent RCM Team
Comprise with a solid team of certified coders, experienced billers, a Healthcare IT team with several years of industry knowledge, and the best customer engagement team.
Claims Processing
We process HCFA-1500 and UB-04 electronic and paper claims for thousands of Payers.
Decreases Errors
Our services' rejections and denial rate is almost 0% at first submission to Payers or clearinghouse.
Improved collections
More than 80% of claims get paid within seven days but not more than two weeks.
Tracking Payments
We do Daily and weekly follow-ups on A/R reports to ensure payment delays are minimized.
Customized Reporting
Our report team, equipped with various database skills, can offer customized reports. Our solution has over 60 reports.
Flexible Pricing models
We are flexible and offer a pricing that suits your business model at a very competitive price. Request a quote from our Contact Us page.
24/7 Tech Support
Our internal software support team provides 24/7 support to the Medical/EMS billing team.
Data Migration
We can migrate the data from your old system.
Frequently Asked Questions
Currently, our focus lies solely on providing RCM services through the expEDIum platform.
We support both inpatient and outpatient claims. Additionally, our software facilitates the electronic or paper submission of claims for both CMS-1500 and UB-04 forms.
We provide support for a wide range of medical specialties, with a particular focus on Gastroenterology (GI), Anaesthesia, Pathology, and Cardiology. Additionally, we do Ambulance billing/EMS.
expEDIum RCM Workflow
What Our Customers Have to Say
For further information, reach out to one of our experienced team members.
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