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What is Edifecs?

If you require help navigating the complexities of the CMS and ONC final regulations, developing a compliance strategy, or implementing an effective solution, we are ready to support you. As a leader in interoperability, Edifecs has the expertise to assist you in meeting the newest requirements while enabling the secure and efficient exchange of electronic health data. Our exceptional Smart Trading and Encounter Management solutions are tailored for small to medium-sized health plans. By harnessing financial, clinical, and administrative data, organizations can enhance their operational strategies and streamline administrative processes. Enhance your encounter management systems and boost first-pass rates for managed Medicaid and Medicare Advantage with the hosted solution model offered by Edifecs. Furthermore, Edifecs provides COTS-based modular solutions that focus on improving data quality and facilitating payment reform efforts. With these cutting-edge tools, health plans can adopt a proactive stance towards compliance and data management, ultimately driving better health outcomes for their members. Our commitment to innovation ensures that you are not only meeting compliance but also thriving in an evolving healthcare landscape.

What is Approved Admissions?

Approved Admissions is a robust platform designed to streamline the monitoring of changes in coverage for Medicare, Medicaid, and commercial payers, while also providing real-time eligibility verification and coverage discovery. Its main objective is to assist healthcare providers in reducing the frequency of claim denials that occur due to overlooked insurance changes, thereby expediting the billing process. Features of Approved Admissions include: - Automated eligibility verification and re-verification processes - Notifications via email or API whenever any coverage changes are identified - Real-time verification capabilities - Batch processing for eligibility verification - Smooth integration with various Revenue Cycle Management (RCM) and Electronic Health Record (EHR) systems like PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, among others - RPA-enabled synchronization across different platforms to enhance efficiency. This comprehensive approach not only ensures accuracy in coverage tracking but also optimizes workflow for healthcare providers.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

$100 per month
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Edifecs

Date Founded

1996

Company Location

United States

Company Website

www.edifecs.com

Company Facts

Organization Name

Approved Admissions

Date Founded

2013

Company Location

United States

Company Website

www.approvedadmissions.com

Categories and Features

Hospital Management

Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

Categories and Features

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

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