Kedge THE MEMBER’S GUIDE
What membership means

You never navigate alone.

Kedge is not a library you are left alone inside. Membership means the decisions get walked end to end, the stuck things get unstuck, and every answer along the way is signed, cited, and dated.

A practice team conferring around one phone in a warm office
EVERY QUESTION HAS A NEXT MOVE
I · The Medicare decision

Opt in, non-participating, or opt out. Walked, not summarized.

Every newly eligible counselor and MFT faces this decision once, and it shapes everything after: how you bill, what you collect, what your patients sign. The Navigator walks all three routes against your state, your payer mix, and your caseload, and the verdict you finish with is signed.

ROUTE I
Opt in, participating

Enroll through PECOS, accept assignment, bill Medicare directly. The steady route for most practices. We walk the application itself, screen by screen, and the billing that follows.

ROUTE II
Non-participating

Enrolled, but unassigned claim by claim, with the limiting charge in play. More collection work, slightly higher allowed amounts. We show you the arithmetic on your own numbers before you choose it.

ROUTE III
Opt out

Private contracts outside Medicare entirely, on two-year terms, with strict notice rules. Right for some practices, irreversible-feeling for most. We walk the contract requirements and the calendar before anything is signed.

ONE DECISION · THREE ROUTES · YOUR NUMBERS, NOT AVERAGES

II · First aid, when a thing is stuck

Bring us the screen you are stuck on.

PECOS & enrollment

Applications in limbo, revalidation notices, 855I rejections, reassignment tangles, EFT changes. Members bring the actual screen, and we walk it to done.

Billing & claims

Denial triage, incident-to questions, modifier confusion, supervision documentation. Every fix cites the payer’s own rule, so your biller can verify it.

Signing up, at all

Credentialing packets, CAQH, payer panel applications. The paperwork between a license and a caseload, made into a checklist with dates.

A practice manager working through enrollment paperwork by lamplight
STUCK IS A STATE WE TREAT
III · The fifty Medicaids

Every state. Every change. Trained, not just announced.

Medicaid is fifty rulebooks that never stop moving. Members get their state watched, a signed brief when a rule changes, and Academy training on the new rule inside the same cycle, filed to your CE record where it qualifies.

A clinician working through a training unit at a laptop in the evening
THE RULE CHANGES. THE TRAINING FOLLOWS. SAME CYCLE.
IV · Practice building

From caseload to practice.

Chart the Market

Where the demand is, by state and setting, against your license and your hours. Decisions about where to practice, made with the rules in front of you.

The Playbooks

Adding an associate. Joining a physician practice. Taking Medicare for the first time. Relocating on orders. Each one a sequence of moves with dates, not a pep talk.

The integration path

For clinicians joining medical settings, and the practices that want them: incident-to structures, collaborative care, the economics both sides can verify.

All of it under one signature, for one subscription.

The Academy →Join the pilot →