Cutting-Edge Healthcare Analytics Inc. is a medical billing service company that offers a perfect and streamlined revenue cycle management solution to satisfy the needs of the growing healthcare economy. We are able to accomplish for our clients an advanced higher revenue. We are consistently lowering operational costs; reducing error rates and valuable consultation time.
Appointment Scheduling
Demo and Charge Entry
Our expertise ranges from general practices to complex specialties. We provide demographic identification and verification as patients register for healthcare services. Verification of patient demographic information at the time of registration offers significant benefits to the healthcare service providers. This means better staff productivity, faster reimbursement, and enhanced customer satisfaction.
We ensure all demo and new charges are keyed into the system within 48 hrs.
Coding
Our specialized coding team delivers error free coding. Our internal technology supports to work on a new platform, which provides a 100% accurate coding audit. This enables us to fix the errors in real time and send claims with no mistake.
Get Cutting Edge
Inquire here for a two week free trial of our advanced healthcare analytics and medical billing services.
Payment Posting
Our specialized payment posting team ensures all batches received through ERA, mailboxes, and emails are posted within 48 hours and are 100% accurate. We maintain a dedicated team to do all the daily reconciliation. This helps our clients to track the PP on a regular basis.
We also focus on moving manual posting to ERA posting. Our process excellence team guides this to 95% success.
AR Management
Our analytics team and our operations team work together to ensure all aging accounts and “untouched” accounts are addressed and resolved within a set period.
We provide access to a large pool of resources experienced in multiple practice management systems, increasing your collections ratio. Our sophisticated A/R workflow tool seamlessly performs skill-based routing. It also generates original customized reports that quickly identify and resolve unpaid accounts. Our skilled staff is trained to recognize patient accounts that require follow-up and take the necessary action to collect unpaid/underpaid claims.
Denial Management
Our denial management team categorizes all denials. This includes front-end denials, coding denials, and correctable denials. This helps to resolve all denials and control denials under the industry benchmark.
Our denial management process is designed to review every single denial, uncovering the cause and ensuring they are categorized appropriately. We analyze, track, trend and report on denials, identifying unpublished rules and recommending fixes for individual denied claims. We help you identify and implement process improvements to eliminate recurring denials and optimize revenue.
Business Intelligence In RCM
At Cutting-Edge, we execute RCM with integrated business intelligence support. Cutting-Edge builds its own BI tool based on our clients’ needs. The focus of BI is to deliver as an active leader in all the areas of revenue cycle management.
- We deploy well-experienced data scientists specialized in healthcare.
- Our BI team has expertise with the latest BI Tools in the market.
- Our BI team has developed a few BI tools internally based on our clients’ needs.
- SPOC – Specialized Processor on Collection gives insight and control on the monthly collections and denials.
- NGO – Next Gen Optimization is equal to AI. This offers a probationary status and timeline of processing a claim, we get this once a claim is released and cleared through all the scrubbing process.
- RAT – Recovery Audit Tool validates historical payments to make sure was the amount made by the carrier was as per the guidelines.
KPI Programs
Our BI team offers automation based on a projects specification. This helps to track and publish high-level, periodical reports to cover the financial performance of the practice.
At Cutting Edge, RCM services are handled by our highly experienced team. Our team has in-depth knowledge of billing software and experience in executing processes for the best results.
Our RCM has an integrated business intelligence. This focuses mainly on taking the RCM process to the next level, we do this free of cost. Our integrated BI Support helps to keep your RCM process ahead of the industry levels.
Automation
When it comes to technology and automation, Cutting-Edge, as a revenue cycle management partner, presents the most significant support for improvement. We have the latest existing technologies. We automate payment processing to near 100% levels through active information interchange between payers, providers, and technologies like artificial intelligence, optical character recognition, and a useful rules engine for payment processing. Likewise, many payer websites provide claims status data through their website. Cutting Edge has already proven to exhibit the best automation to get the status of claims, and we deliver as an amenable for revenue cycle processes, performing 24/7. Our automation helps to focus on claims resolution using technologies such as secure portal login management, screen scraping, and artificial intelligence. This helps reduce the burden of the revenue cycle staff and helps to increase cash flow.
Operations Excellence
Our operation excellence team and BI team guides our RCM Operation team to get the right work done on right time without leaving any of the claims without worked or untouched.
Get Cutting Edge
Inquire here for a two week free trial of our advanced healthcare analytics and medical billing services.