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What is RCM Edge?

RCM Edge is a cutting-edge revenue cycle management solution that utilizes artificial intelligence to optimize medical billing processes for various entities, including clinics, physician practices, hospitals, and larger health systems. The platform enhances the billing workflow, starting from eligibility checks all the way to ensuring reimbursements, and is designed to work seamlessly with existing electronic health record (EHR) and practice management tools. With Edge Verify, users can instantly validate insurance eligibility and benefits through a network of 566 payer connections. Additionally, Edge Claims provides real-time monitoring of claim statuses across 468 payer connections, standardizes the responses received from payers, and organizes claims requiring follow-up into designated queues, allowing staff to focus on more complex cases. By incorporating robotic process automation (RPA), predictive analytics, and providing real-time insights, this platform significantly reduces the manual effort required by staff. Although features like prior authorization, denial management, and accounts receivable follow-up are currently in the development phase and not yet live, RCM Edge is committed to continually advancing its capabilities. This ongoing evolution aims to further optimize the effectiveness and efficiency of revenue cycle management in the ever-changing healthcare landscape.

What is Casamba Revenue?

Reducing denials and delays in claim submissions, along with having a dedicated team for follow-ups, can contribute to a notable 4% increase in revenue and a 10% boost in net payment per visit. Improved collection efficiency, combined with consistent follow-ups, can further enhance net collection rates. Moreover, cutting your Days Sales Outstanding (DSO) by 10 days or more can greatly strengthen cash flow. Claims that meet all specified requirements can speed up the collection process and improve financial liquidity. By utilizing dashboards and metrics, you can make informed decisions that drive your business forward. The partnership between Casamba and IKS Health provides a unified solution tailored to the specific hurdles encountered by physical therapy practices. This collaboration combines advanced technology with comprehensive services, offering significant advantages to your operations. Such integration not only streamlines the functioning of your practice but also allows you and your therapists to focus on providing exceptional patient care. Additionally, our Revenue Cycle Management (RCM) service is crafted not just to support your business but to actively promote its growth, so don't hesitate to reach out and learn how we can help you achieve your objectives. In doing so, you can position your practice for long-term success and sustainability in a competitive market.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

$200/month
The Professional plan starts at $200 per month. A free 30-day trial is offered. Enterprise pricing is customized.
Free Version

Pricing Information

Pricing not provided

Supported Platforms

SaaS
On-Prem

Supported Platforms

SaaS

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Online Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

ISpectra Technologies Global

Date Founded

2023

Company Location

United States

Company Website

rcmedge.ai/

Company Facts

Organization Name

Casamba

Date Founded

2000

Company Location

United States

Company Website

casamba.net/solutions/medical-revenue-cycle-management/

Categories and Features

Categories and Features

Medical Billing

Not specified

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