© 2018 by Summit-Edge, Inc.

Speed up processing

The Summit-Edge software is designed for high-volume billing centers, for which efficiency is not a goal, but an absolute requirement.  It is loaded with time-saving features.  In fact, by importing EHR billable data and auto-posting payments, data-entry is almost eliminated. 

 

The billing person just needs to focus on the problems...policies that will not clear the eligibility checks...overdue claims...claim denials...slow family payers, and other exceptions.   If the billing person knows behavioral health billing, and is well-trained in the Summit-Edge software, she will be able to deal with these problems quickly. 

 

The system also provides solutions to the additional jobs that must be handled by group practices.  For example, a powerful payout system figures out collections for each provider....and features for reconciling to the accounting system.  

Our goal is for the billing team to be able to fly through the billing and follow-up...to maximize collections.  Here are some of these time-saving features.

The billing is done in various task-oriented Work Centers.  For example, there is a Work Center for following up on "Problem claims"...another one for "Family collections".  Each work center is loaded with time-saving tools, for completing the particular task quickly and accurately.

Work centers

Once the session is entered, there is an invisible hand that pushes the claim through to the "File" button.  It is impossible for the session to fall through the cracks and not get billed.  If a session is not ready to be billed, the session will pop up in one of the work centers for user attention.

Invisible push

An internal Message Center is used to communicate with everyone on the billing team - including the provider.  Messages are linked to client records, so billing team members can quickly exchange thoughts and information about an account.  Not only is this much more efficient that using emails and voice-mails, it also documents current and historical collection efforts.  A new biller can open the patient account, read the notes, and be up-to-speed very quickly.  This is great for managers and supervisors that are reviewing accounts.

Message Center

Some group practices are actually composed of multiple solo-practices.  Each practice has its own Tax Id.  In these cases, there is a database for each solo-practice.  All databases in the group, though, may optionally share certain common records - like persons, policies and addresses.  If patients are seen my multiple providers, this eliminates the duplication of those records, and makes for easier database maintenance.

Shared records - Persons, Policies and Addresses

Data is organized by family.  When you open a patient record, you also see all the records on the related family members.  Data is also shared by family members...for example, insurance policies.  Correcting an Insured Id number corrects it for every family member.  With this organization, intake data is much easier to enter and maintain.

Easy to coordinate family records

Many insurance companies have requirements for claims, that do not follow the usual rules.  It is tedious dealing with these special claims.  Summit-Edge is easily configured to handle these oddball requirements, without involving the billing person.  If the system is not already handling the requirement, the billing person would just let us know what is needed...and we get it fine-tuned within a few days.

Handles oddball claim requirements

Some authorization systems have the user tag sessions to authorization records.  The Summit-Edge system does it for you.  It's simple, quick and accurate.

Easy and quick Authorization System

Almost all insurance payments are auto-posted to the patient accounts.  Only a few paper EOBs need to be entered.  This is a huge time-saver...and is much more accurate.

Auto-posting of EOBs

Many billing systems require the user to manually apply family payments to sessions.  There is no reason for this, unless it affects the payout to the therapist.  So, Summit-Edge auto-posts all family payments, except in cases where multiple providers and payouts are affected.

Auto-posting of family payments

Payments entered are easily reconciled to the bank deposit.  Cash discrepancies can be identified in seconds.  Once payments are entered, it should only take a few minutes to get a bank deposit ready. 

Easy bank deposit reconciliation

We provide and maintain all "reference" files - like insurance companies, diagnoses, service codes, providers and so on.  The billing person just needs to focus on the billing data.

No reference file maintenance

Workarounds are almost never needed.  The tell-tale sign of a workaround is the presence of duplicate records - for insurance companies, insurance policies, providers...even patients.  The problem with duplicate records is not additional data-entry, but maintaining the database.  Every additional duplicate record corrupts the database...and, over time, it takes more and more hours to maintain the database. 

 

By contrast, the Summit-Edge database is very easy to manage...because there is never a need to create the duplicate record.  We tell users to call us before creating a duplicate record.  Because of this, the database can take a lot of abuse, and still be cleaned up quickly by a skilled billing person.  

Easy-to-manage