Urgent Care Revenue Integrity
Leading Texas Family Medicine & Urgent Care Center signs up for ExdionCA Revenue Integrity Platform
Leading Texas Family Medicine & Urgent Care Center leverages ExdionCA to improve compliance and control revenue leakages across all five Urgent Care locations.
“ExdionCA is a unique platform that delivers superlative value to practices and we are excited to be working with this center.”
— Lohith Reddy, Senior Vice President, Exdion Solutions
PLANO, TEXAS, USA, July 28, 2020 /EINPresswire.com/ — Plano, TX, US: Leading Texas Family Medicine & Urgent Care Center leverages ExdionCA to improve compliance and control revenue leakages
A leading multi-center urgent care and family care practice based out of Texas has chosen ExdionCA to drive revenue integrity and compliance across all five of their Urgent Care locations. ExdionRCM ran a proof of concept for one of their locations for over 4 weeks and the results were astonishing. ExdionCA highlighted the potential revenue leakages and compliance gaps and showed significant changes to billing practice considering the deviations associated with Covid-19.
ExdionCA Revenue Integrity Solution Implemented at Leading Texas Family Medicine and Urgent Care Center
“ExdionCA is a unique platform that delivers superlative value to practices and we are excited to be working with this center”, Lohith Reddy, Senior Vice President of Exdion Solutions added. “During the initial proof of concepts that we executed, we were able to identify almost 50% potential revenue leakage and this caught their attention. They weren’t aware of how much money was being left on the table” said Roni Berlin, Exdion’s Director of Revenue Integrity. She added “Our process with them started with a simple 100 chart audit and the results showed them where they were missing out on Documentation & Coding. They then wanted us to audit 2 of their centers for 1 month each. Once they saw the results, it was a very easy decision to roll our ExdionCA to all their locations. ExdionCA is packaged to offer maximum value based on each center’s unique needs. We use our proprietary physician querying system that helps us bridge communication between the point of service and the billing function, enabling, quicker and cleaner claims.”
ExdionCA, ExdionRCM’s automated CDI platform is built on a proprietary, rules-based engine that automatically scans and flags encounters with possible gaps, enabling providers to stay compliant while maximizing legitimate reimbursement. ExdionCA delivers Revenue Integrity through two robust applications — Pre-bill code validation and Post-bill code audit to:
- Capture missed charges and arrest revenue leakage.
- Improve provider accuracy.
- Standardize care across the practice.
- Reduce manual labor and billing errors.
- Reduce denials and claim resubmissions.
- Confirm compliance by managing under-billed and over-billed services.
- Effectively manage coding compliance.
EXDIONRCM provides a comprehensive suite of Revenue Cycle Management (RCM) solutions for healthcare providers. ExdionRCM applies Artificial Intelligence, Deep Learning, and Data Science to bring robust automation to RCM and Healthcare Management System (HMS) processes. ExdionRCM solutions support system integration and provide actionable insight for educated decision making to enhance business operations and maximize financial growth.
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