Edify Consulting offers a variety of revenue cycle management services to add to your in-house billing staff or outsource in effort to reduce cost and increase revenue. Edify Consulting is here to assist you by providing repetitive functions  listed below;

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Denial (A/R) Management 

We improve billing performance and increase revenue by managing your reimbursement processes, investigating your denials to identify the root causes, and developing a solution(s).

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Claim Submission

We take on the responsibility of billing to ensure every claim meets the standard of compliance. The claim submission process trails claims from beginning to end from claim edits, and follow-up, to payment posting. We provide claim submission for the following billing types:

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• Primary Care (Medical Fee-For-Service)

• Federal Qualified Healthcare Facilities (FQHC)

• Bureau of Workers Compensation

• Mental Healthcare Services

• Dental

and more…

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Data Entry Services

We provide accurate, secure, and on-time data entry services for the following:​​

• Charge Entry

• Registration

• Payment Posting manually or via automated download (ERA)

and more…

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Credentialing Services

We provide payer contracting for group organizations, individual providers, of all specialties and maintain revalidation request for the following payers:

• Medicare

• Medicaid

• Preferred Provider Organization plans (PPO’s) Anthem BCBS, Cigna, etc.

• Managed-care plans

• CAQH

and more…

 

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