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features
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support

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Description

Alaffia utilizes an advanced AI-driven system to identify and address fraud, waste, and abuse within complex healthcare claims, aiming to avert and recuperate overpayments for both payers and employers. By spotting and rectifying inaccuracies in misbilled claims prior to any incorrect payments being processed, Alaffia not only helps recover funds but also aids in minimizing future financial losses. With the potential for overpayments on erroneous claims to amount to hundreds of dollars annually for each employee, collaborating with Alaffia can lead to significant cost savings. The Alaffia system works to identify and amend incorrectly billed claims, thereby reducing the chances of overpayments occurring. Our integration with your health plan or TPA is designed to be seamless, ensuring that there is no interruption in service for your members. We operate on a contingency basis, meaning you incur costs only when we successfully generate savings for you. Additionally, we take measures to guarantee that providers do not bill your employees for services that were never actually rendered, thus safeguarding your financial interests. Through our innovative approach, we strive to enhance the overall integrity of healthcare billing practices.

Description

edgeMED's Essential medical billing and collection service expertly manages the entire revenue cycle, ensuring that your organization operates with optimal efficiency and profitability. Healthcare providers, including medical practices and health systems, aim to deliver the highest quality outcomes for their patients; however, the ability to achieve this is fundamentally tied to the financial health that comes from an effectively managed revenue cycle. By partnering with edgeMED Essential, you can enhance your collections while also conducting thorough analyses of costs and profitability, overseeing contract discrepancies, and exploring new revenue streams, paving the way for shared success and enduring partnerships. Regardless of whether you belong to an independent physician practice, a health system, an Accountable Care Organization (ACO), or a medical home, we stand ready as your specialists in revenue cycle management so that you can focus on what you do best. With more than 40 years of experience in medical billing and consulting, edgeMED is dedicated to maximizing your revenue and ensuring your financial stability. Our commitment to your success is unwavering, as we believe that strong financial management is key to providing exceptional patient care.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$149 per month
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows Yes 
Mac Yes 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

Alaffia Health

Country

United States

Website

alaffiahealth.com

Vendor Details

Company Name

edgeMED Healthcare

Founded

1981

Country

United States

Website

www.edgemed.com/revenue-cycle-management

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing Yes 
Code & Charge Entry Yes 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management Yes 
Invoice History Yes 
Patient Eligibility Checks Yes 
Practice Management Yes 
Quotes/Estimates Yes 
Remittance Advice Yes 

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