Make Healthcare Smarter

ExdionCA-Automated Revenue Integrity Engine

An advanced code-scrubbing platform designed to increase revenue and confirm compliance

ExdionCA is built on a proprietary rule-based engine that automatically scrubs and flags encounters with possible gaps. Two robust functions – pre-bill code validation and post-bill code audit – deliver financial value to:

  • Increase revenue integrity
  • Improve provider accuracy
  • Standardize care across the practice
  • Reduce manual labor and billing errors
  • Reduce denials and claim resubmission
  • Capture missed charges
  • Confirm compliance

ExdionCA – Automated Revenue Integrity Engine

An advanced code-scrubbing platform designed to increase revenue and confirm compliance

ExdionCA is built on a proprietary rule-based engine that automatically scrubs and flags encounters with possible gaps. Two robust functions – pre-bill code validation and post-bill code audit – deliver financial value to:

  • Increase revenue integrity
  • Improve provider accuracy
  • Standardize care across the practice
  • Reduce manual labor and billing errors
  • Reduce denials and claim resubmission
  • Capture missed charges
  • Confirm compliance

ExdionEVA- Eligibility & Benefits Verification

Log into the carrier portals to capture patient’-s’ eligibility and benefits onto a spreadsheet or directly into the billing application.

The eligibility and verification process is crucial to ensuring effective claim management. ExdionEVA is a smart, cognitive science-based tool designed to specifically address the challenges and complexities involved in the verification process of patient copay, co-insurance, and deductibles through payer portals. A fully automated application, eliminates manual activity and streamlines the verification process to improve patient experience and capture upfront revenue.

ExdionDC- Demo & Charge Entry

Integrate demographics from a data file and populate the charges into the client’s Practice Management System based on account-specific rules.

Save manual effort and cost by automating the demographics and charge entry. Transfer data seamlessly between your software applications to populate the respective fields in the billing application. Pending charts are sent to the client for clarification on a pre-determined schedule.

ExdionDC- Demo & Charge Entry

Integrate demographics from a data file and populate the charges into the client’s Practice Management System based on account-specific rules.

Save manual effort and cost by automating the demographics and charge entry. Transfer data seamlessly between your software applications to populate the respective fields in the billing application. Pending charts are sent to the client for clarification on a pre-determined schedule.

ExdionAiR – Accounts Receivables Status Update

Capture and Record claims status from the carrier portals. Download and save EOBs to the client’s Practice Management System.
Automation in Accounts Receivables eliminates manual process challenges involving claims status updates through multiple payor portals. ExdionAiR will help you reduce costs, increase productivity, and free-up resources.

ExdionPP – Payment Posting

Accurately post and reconcile electronic payments to their respective claims. Exception Report is sent to the client for clarification on a pre-determined schedule.

Accurately post and reconcile electronic payments to their respective claims. Exception Report is sent to the client for clarification on a pre-determined schedule.

ExdionPP – Payment Posting

Accurately post and reconcile electronic payments to their respective claims. Exception Report is sent to the client for clarification on a pre-determined schedule.

Accurately post and reconcile electronic payments to their respective claims. Exception Report is sent to the client for clarification on a pre-determined schedule.

ExdionDM- Denial Appeal Letter Generation

Prepare and send denied claims appeal Letters using auto-generated templates along with supporting documents.

Automatically generate and file appeal letters to the carriers along with the supporting documents for processing, via phone, fax/email or mail.