MedManagement LLC

What MedManagement LLC does

MedManagement LLC (operating commercially as EdiPhy Advisors, LLC) is a US-based healthcare management consulting firm founded in 1995 that provides compliance, revenue integrity, and dispute resolution services to healthcare providers, payers, and legal teams. The firm delivers nine core service lines — physician advisor services, Independent Dispute Resolution under the No Surprises Act, revenue cycle and coding consultation, denials management and appeals, medical necessity and payment dispute review, utilization management nurse services, Independent Review Organization support, and regulatory and compliance support including Corporate Integrity Agreement work. Service delivery is built around a multidisciplinary bench of board-certified physicians, certified coders, attorneys, and compliance specialists rather than a software platform.

The business model is pure professional services revenue from healthcare organizations and law firms, with pricing not publicly disclosed and contracts sourced through direct enterprise engagement. The firm differentiates through a stack of third-party credentials — URAC-accredited Independent Review Organization status since 2014, NCQA accreditation in Utilization Management achieved in 2025, and SOC 2 Type 2 certification — which gate access to regulated review work such as CIA oversight and federal IDRE volume. The firm is privately held, majority female-owned, and serves clients nationwide.

The firm is in an active expansion phase, anchored by the 2025 formation of EdiPhy Midwest as a regional team extending clinical documentation, coding, compliance, and revenue cycle consulting nationwide. No M&A, institutional funding rounds, or technology platform launches are disclosed in the available data; growth signals are organic through new regional capacity and incremental accreditation. The product set is delivered manually by credentialed experts, with no AI/ML capability disclosed.

Name

MedManagement LLC

Legal name

EdiPhy Advisors, LLC

Website

https://medmanagementllc.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

101–250 employees

Short description

MedManagement LLC (operating as EdiPhy Advisors) is a US healthcare consulting firm founded in 1995 that delivers compliance, revenue integrity, and dispute resolution services to providers, payers, and legal teams via board-certified physicians, coders, attorneys, and compliance specialists.

Ownership category

akta.pro rank

Product category

Healthcare Compliance Consulting

NAICS

Offices of All Other Miscellaneous Health Practitioners (621399), Administrative Management and General Management Consulting Services (541611)

SIC

Services-Management Consulting Services (8742), Services-Health Services (8000)

akta.pro primary industry

Benefits, Insurance & Long-Term Care Planning Navigation (Medicare/Medicaid/LTC) (HLADALAI)

Keywords

• Healthcare compliance consulting
• Revenue cycle management
• Independent dispute resolution
• Clinical documentation improvement
• Utilization management services

Headquarters

HQ city

Birmingham

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. Professional Consulting Services: EdiPhy Advisors generates revenue through providing expert consulting services including utilization management support, clinical documentation improvement, denial management, revenue cycle consulting, and independent dispute resolution under the No Surprises Act. Services are tailored to healthcare organizations, payers, and legal teams.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

MedManagement LLC operates a multidisciplinary healthcare consulting practice delivering physician advisor services, independent dispute resolution under the No Surprises Act, revenue cycle and coding consultation, denials management and appeals, medical necessity and payment dispute resolution, utilization management nurse services, URAC-accredited Independent Review Organization support, and regulatory and compliance guidance including Corporate Integrity Agreement support to hospitals, health systems, payers, and legal teams nationwide.

Product overview

EdiPhy Advisors is a multi-service advisory firm offering a unified portfolio of healthcare compliance, revenue integrity, and dispute resolution services. The core offerings include Physician Advisor Services, Independent Dispute Resolution under the No Surprises Act, Revenue Cycle & Coding Consultation, Denials Management & Appeals, Medical Necessity & Payment Disputes, Utilization Management Nurse Services, URAC-accredited Independent Review Organization support, and Regulatory & Compliance Support including Corporate Integrity Agreement assistance. In 2025, the company expanded through EdiPhy Midwest to deliver specialized clinical documentation, coding, compliance, and revenue cycle consulting nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• EdiPhy Midwest: Regional expansion formed in 2025 with a team of professionals specializing in clinical documentation, coding, compliance, and revenue cycle consulting for healthcare organizations, payers and legal teams nationwide.

Products and services

• Physician Advisor Services Utilization management support, clinical documentation improvement, and denial management services delivered by board-certified physicians and coding experts for hospitals, health systems, and providers.
• Independent Dispute Resolution (IDRE) Resolution of payment disputes between healthcare providers and payers through the Independent Dispute Resolution process under the No Surprises Act.
• Revenue Cycle & Coding Consultation Expert reviews and assessments to optimize reimbursement through coding consultation and revenue cycle optimization for healthcare organizations.
• Denials Management & Appeals Comprehensive support handling payer denials and guiding appeals for better outcomes for healthcare providers and organizations.
• Medical Necessity & Payment Disputes Expert review and consultation to resolve medical necessity challenges and payment disputes for providers and payers.
• Utilization Management Nurse Services Experienced nurse reviewers supporting utilization management and case review processes for healthcare organizations.
• Independent Review Organization (IRO) URAC-accredited Independent Review Organization support for Corporate Integrity Agreements and compliance oversight.
• Regulatory & Compliance Support Guidance for hospitals, health systems, and legal teams navigating complex regulations including Corporate Integrity Agreement (CIA) Support.
• EdiPhy Midwest Regional expansion team formed in 2025 delivering comprehensive support in clinical documentation, coding, compliance, and revenue cycle consulting to healthcare organizations, payers, and legal teams nationwide.

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Market position

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/medmanagement-llc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about MedManagement LLC