Name: expEDIum Medical Billing
Rating: 4 (1 reviews)
Author: expEDIum

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expEDIum Medical Billing is a software that has become a go-to solution for medical clinics and surgery centers for billing management. The platform offers an easy-to-use interface that helps multi-specialty clinics and small behavioral health providers to get paid faster by insurance companies, which in turn ensures prompt revenue collection. The software's auto-posting feature saves a significant amount of time by automating accounts receivable processes, allowing billing teams to spend more time resolving rejections and denials.

The software's claim history is one of the highlights for many users, as it provides an easy-to-access record of all past claims. Additionally, the support team is incredibly responsive and open to learning about specific customer needs, resulting in prompt resolution of any issues. The expEDIum Medical Billing team prides itself on being able to tailor its solution to work best for individual customers while maintaining 100% uptime. Overall, the software solves business problems related to revenue collection by simplifying billing management and automating workflows.

User-Friendly Interface: Reviewers found expEDIum Medical Billing software to be user-friendly and easy to use. They appreciated that the software required minimal training, which made it easy for them to create and submit claims, making their work easier. The intuitive interface caught mistakes in the claims scrubbing process, minimizing rejections and resulting in a high rate of claims reimbursement.

Helpful Features: The feature-rich nature of the software impressed reviewers as it met a full range of scenarios. The ability to clone claims and create secondaries was particularly helpful for users. Reviewers also appreciated the option to either suppress or use legacy IDs essential for compliance with WA State Medicaid standards.

Excellent Customer Service: Reviewers were impressed by the exceptional service provided by expEDIum staff who responded promptly to questions and training needs while monitoring claims closely. Users noted prompt payment by insurance companies thanks in part due to expediency from support staff's efforts at handling any issues quickly.

Inconvenient Date Input: Some users expressed frustration with having to manually input hyphens when entering dates, which they felt slowed down the claims process. They suggested that it would be better if the software automatically added dashes instead.

Missing Functionality: One user reported that the secondary claims retrieval and ledger did not carry the total balance and there was no total at the end of posting payments on the same screen. Despite submitting this issue to the development team for consideration, the user reported receiving no response.

Search Function Could Be Improved: Another user suggested that searching for statements and invoices could be set up differently for better use. While they acknowledged that it might just take some time to get used to, they still found it inconvenient.

expEDIum Medical Billing is a comprehensive SaaS-based software designed to assist healthcare practices, billing service bureaus, independent practice associations (IPA), MSOs, hospitals, ambulance EMS agencies, small clearinghouses and public health clinics by automating the medical billing process while ensuring CMS-1500 and UB-04 claims are submitted in both electronic and paper formats. The software provides an array of features that include appointment scheduling, seamless insurance eligibility verification (IEV), claims scrubbing, auto-posting, direct payer connectivity as well as secondary claims visibility with single-click submission.

The expEDIum SDK offers several APIs that can be seamlessly integrated with EMR software to improve revenue cycle management processes. One notable feature is the ability to manage denials and rejections effectively leading to increased biller's productivity due to automation and payments. expEDIum Medical Billing also supports HIPAA compliance guidelines thereby ensuring data privacy while delivering faster payment processing times through optimization of automated workflows. With its easy-to-use interface and superior automation capabilities aimed at increasing collections for healthcare providers while simplifying their operations; expEDIum Medical Billing is a reliable choice in today's complex healthcare landscape.

WebPT

eClinicalWorks headquartered in Westborough offers their EHR / EMR solution, which can be upgraded to a full practice management solution at higher pricing tiers.

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EHR With Practice Management

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expEDIum Medical Billing

Medical Office EMR and EHR Software is designed to deal with the daily operations of a medical office.  It is available as desktop software, client-server software and internet-based software. While the terms EMR and EHR  are sometimes used interchangeably, EMR more often refers to digital records for internal use within the practice, whereas EHR refers to digital records that can be shared externally, with patients, other health care providers, insurance companies, etc.

Medical Office EMR & EHR

expEDIum

Billing and Claims Management

Managing the entire revenue cycle to help improve collection rates

Real-time eligibility verification

The software checks a patient’s insurance and benefits eligibility and tracks co-pay and deductible information.

Coding

The software helps users find the correct codes – whether ICD-9 or ICD-10 – for claims.

Claims management

This includes claim scrubbing, electronic claim submission, and automated claim tracking.

Claim scrubbing

Electronic Claim Submission

Electronic Claim Submission refers to the ability of the software to submit claims electronically to insurance carriers from directly within the application.

Automated Claim Tracking

Automated Claim Tracking includes features related to tracking claims throughout their lifecycle through automation.

Patient billing

The software can generate statements, send them to patients via mail or email, and process payments.

Payment Processing

Payment Processing features enable the medical office to receive payments for co-pays or out-of-pocket payments via popular payment methods directly from patients from within the application.

Electronic Bill Pay

Online Bill Pay

Online Bill Pay allows patients to remit payment for co-pay and services via an online interface

Create Patient Statements

The software can generate billing statements for patient on-demand for any time period.

Mail or Email Patient Statements

Patient statements may be delivered via postal mail or electronically via email

Automated Alerts for Overdue Claims

The software automatically generates and sends overdue payment notifications to delinquent accounts.

Superbill Generation

The software generates Superbills which encompass multiple practices, services, visits, time periods, etc.

Denial / Underpayment Management

Denial and underpayment management features

Patient Payment Histories

The system can generate historical balance and payment reports for patients.

Electronic Remittance Advice

The software automatically provides electronic notifications upon remittance of payments

Streamlined Data Entry

Streamlined Data Entry refers to the usability and seamlessness of billing and claims management function data entry.

HIPAA Compliance

Billing and claims features requirements for compliance with HIPAA

SiHCFA Compliance

Electronic processing for compliance with SiHCFA workers compensation regulations

Credit Card Processing

Credit Card Processing refers to the ability to receive payment from patients via credit card

CodeCorrect

Clearinghouse Integration

The software supports integration with medical payments clearinghouses out of the box.

Accounting Integration

Refers to the medical office software's ability to integrate out of the box with accounting applications

Reporting

Support for reporting features specifically designed to support billing and claims management.

Financial Reporting

Reports and dashboards allow users to understand the financial health of a practice.

Revenue Cycle Management

Revenue Cycle Management features enable a medical practice to easily report on and manage cash flow across payables , receivables with both insurance carriers and patients, etc.

Integration with EMR/EHR

The medical office software integrates out of the box with EMR/EHR software.

Patient Scheduling

Managing patient scheduling, appointment reminders, and patient check-in

Drag-and-drop Scheduling

The software supports a graphical calendar interface for easy scheduling of facilities, equipment, physicians, and other staff.

Facility Scheduling

Refers to the ability of medical office software to manage facilities scheduling.

Physician Scheduling

Physician scheduling features enable for dynamic and flexible scheduling of physicians

Rule-based scheduling

The software sets schedules based on a set of rules or criteria that account for various institutional and individual needs.

Automated patient check-in

The software streamlines the check-in process, with features like co-pay notification, digital ID photos, insurance card scanning, waiting time updates, and self-check-in kiosks.

Automated appointment reminders

Patients receive automated reminders via text, phone or email in advance of appointments to help decrease the number of no-shows.

Multi-location support

The software can coordinate scheduling across multiple locations, facilities or practitioners.

ZocDoc Integration

The practice software supports integration to ZocDoc for online patient scheduling out of the box

Calendar interface

The software provides a user-friendly calendar from which users can track and schedule appointments.

Medical Inventory Management

Inventory Management allows medical practices to track supply levels and manage re-ordering.

Automated Supply Tracking

Triggered Reorder Notifications

The medical practice software automatically triggers notifications for supply reorders to office staff when supplies run below set thresholds.

Electronic Medical Records

Digital charting of a patient’s medical and treatment history

Charting / document management

Practitioners can easily create a patient record, take notes, update patient information, and understand a patient’s history at a glance.

expEDIum Medical Billing

Overview

What is expEDIum Medical Billing?