OSI FAQs

For healthcare entities considering medical billing outsourcing, it is important to choose an experienced medical billing company that can provide error-free billing and coding services for their specific specialty. Finding the right partner near you is often a challenge. So, what are the factors to consider when selecting one?

Check the company’s reputation

Look for the firm’s experience. The more experienced the medical billing company you choose, the better they will be at providing satisfactory services. Also, check the firm’s track record and ensure they have a good reputation in the industry.

Evaluate their knowledge of healthcare regulations

Check whether the staff is provided regular training and whether they are up to date with current coding/billing standards. Make sure that the team is well-versed in the latest versions of ICD -10 and ICD-11 medical codes and related regulations.

Ensure that they are HIPAA-compliant

Make sure that the company adheres to the Health Insurance Portability and Accountability Act (HIPAA) guidelines, and that they are providing strict guidelines to their staff to protect confidential patient data.

Discuss charges upfront

Have a clear idea of the cost of their services before you sign up. Reliable companies will not have any hidden charges and they will be open to discussion as well. Also, they may provide discounts on large volume billing requirements. But make sure to prioritize quality service than cost.

Reliable medical billing and coding companies can also assist healthcare providers with denial management.

We keep abreast of all coding changes as well as payer regulations and guidelines

We can work on your software or ours (a secure FTP or HIPAA-compliant document exchange).

There are no training or setup costs and no long-term contracts to sign

No administrative hassles of managing an in-house billing and coding team or investing in billing software.

With our medical billing services, you can save 30% to 40% on your operational costs.
We understand and abide by all government policies and programs.

Our certified professional medical coders and billing experts can effectively work with almost all medical specialties. This includes Primary Care, Neurology, General and Specialized Surgery, Chiropractic, Pain Management, ASC and many more!

Reference our specialty pages for details or call us to discuss the specific requirements in your specialty of practice.

With the right experienced team handling your account, you can stay focused on delivering excellent medical care to your patients.

Yes. Our medical coders are certified either by the AAPC (American Association of Professional Coders) or by the American Health Information Management Association (AHIMA). They have in-depth knowledge in medical codes, including CPT, HCPCS, ICD-9, ICD-10 and the latest ICD-11. They are up-to-date on correct coding initiatives, payer-specific requirements and all state and federal government compliance issues.

You don’t, we realize that, which is why we do not ask for long term commitments. We believe in our ability to work hard and earn your business. As we evaluate each client we are very careful and do not take on any accounts that we feel we can’t handle.

Read our testimonials to know how satisfied our clients are with the services we provide.

• We gather information from your office that will include all aspects of your present billing and collections cycle.
• We evaluate your current billing practices to identify gaps, shortcomings and other issues.
• Based on there metrics, we create an appropriate, effective and more efficient solution.
• We finalize our plan after discussing it with you and then educate your staff on the processes they will be responsible for.
• We will ensure that our billing and collections department understands the protocols and rules that you have set in place along with other specifics concerning the practice.
• A few dry runs will be conducted to make sure every area in the billing and collections process functions properly and that all expectations are met.
• We will have staff, software and everything on hand to ensure a smooth transition.

Depending on the need, this can include patient demographics, insurance information, patient registration forms, Hospital Face Sheets with procedures and diagnosis, and encounter sheets. Speak to one of our knowledgeable managers and they can walk you through everything.

Yes, we are fully compliant with HIPAA requirements and standards. We understand the importance of maintaining data confidentiality and security. We follow HIPAA guidelines to ensure that all patient information remains safe and secure. Security measures are taken in-house as well as in transfer of files:

• 24 X 7 security personnel manning our office
• All our employees must sign a confidentiality and non-disclosure agreement
• Contractual agreements with all business parties are maintained and up-to-date
• The entire workforce is trained on privacy, security, and confidentiality
• System of random checking on a regular basis
• Firewalls and antivirus software on all the computers are updated daily

We realize that AR is a lot of hard work and having the right people managing this process is critical and that is what we do.

Yes. We work as an extension of your office and will be glad to take calls from your patients about their account. Our support team is also always ready to handle queries from your office. We are available during business hours to answer any question that you might have.

We are fully HIPAA-compliant follow all protocols necessary to protect the security and confidentiality of client data. Our entire work force is trained and monitored on HIPAA privacy, security, and confidentiality. Our security measures include system checking on a regular basis, 256-bit encryption for all file transfer, up-to-date contractual agreements with all business parties, and more.

Speak to one of our Solutions Managers and they can share our HIPAA Documentation.

Our team of AAPC or AHIMA certified medical coders and billing specialists are well-versed in HCC, MRA, CPT, ICD-9-CM, ICD 10, and HCPCS diagnostic coding. They were also trained and are prepared for the implementation of ICD-11.

We use advanced technology and coding software. Our medical coding services are based on AMA (American Medical Association) and CMS (Centers for Medicare and Medicaid Services) guidelines.

Call our toll free number: (800) 670-2809. One of Our Solutions Managers will assist you with the process.

• We perform verification services for diverse specialties such as dental, orthopedics, radiology, chiropractic and more.
• With our extensive expertise and advanced technologies, we can perform anywhere from 55,000 – 60,000 verifications every day. Our team can authorize up to 300 DME cases per day. We can handle STAT requirements as well
• We ensure comprehensive verification of patient deductibles, coverage levels and out- of-pocket costs before the encounter.
• We can work on your practice management software (via secure FTP)

Other benefits of partnering with us:

• Regular QA checks with readily available reports
• Savings of 30 to 40% on your operational costs
• Free trial before signing up
• Quick turnaround time

Often health insurance claim denials occur because the patient is not eligible for the services billed to the insurance carrier by the provider. Insurance eligibility verification plays a major role in all denial management programs. Verifying insurance eligibility and obtaining authorization is essential to avoid financial burdens ensure accurate medical billing minimize claim rejections, denials, improve cash flow.

Our insurance verification and authorization services ensure that your patients are going to be provided with all details of their responsibility before the point of service. This can be done for all walk-in patients as well as patients who have been scheduled for future appointments.

Our expert staff verifies payable benefits, co-pays, co-insurances, deductibles, patient policy status, effective date, type of plan and coverage details, plan exclusions, claims mailing address, referrals & pre-authorizations, lifetime maximum, and more. We use their verification form and verify everything down to specific codes. We do this by calling the insurance companies directly and not relying on the website information which may be outdated. We use their verification form and verify everything down to specific codes. All calls are logged with the insurance companies’ agent name and a reference number. Most calls are recorded for added efficiency and quality assurance purposes.

We work from the provider’s schedule, staying a few days ahead of schedule. We can work directly on your software (via secure FTP) or EMR right from your scheduler.

Our verification process involves the following steps:

• Receiving schedules from the hospital, Physician Practices or other Healthcare Facilities via EMR, encrypted email or fax.
• Verifying patient insurance coverage on all primary, secondary and even Tertiary payers
• Verifying demographic information and updating patient accounts in the system
• Contacting patients for additional information, if necessary
• Updating the billing system with eligibility and verification details

You can learn more about our process here

We have worked with hospitals but more private practices, so capitalize on that rather than hospital.

• Obtaining pre-certification number from the insurer when needed for a procedure, visit or other treatments
• Completing appropriate criteria sheets and forms
• Contacting the insurance companies on the physician’s behalf to obtain approval for your authorization request
• Once the forms are filed either online or via a web portal, then the specialist will follow up until authorization is received.

If any further documents are necessary, we will coordinate that with you.

The process includes

• First, it allows providers to focus on patient care rather than administrative tasks, as specialized firms handle the complexities of billing and collections.
• Second, outsourcing can lead to more efficient processes and quicker claim resolutions due to the expertise and resources of dedicated AR management teams.
• Additionally, it helps reduce overhead costs associated with maintaining an in-house billing department, and it often leads to improved cash flow and reduced days in accounts receivable.

Our certified professional medical coders and billing experts can effectively work with almost all medical specialties, which include but are not limited to anesthesiology, dental, cardiology, hospitalists, endocrinology, pain management, physical therapy and radiology. Check out our medical specialties and dental specialties pages to get the details on the different specialties we serve.

Please call us to discuss more about your requirements in your specialty of practice.

• High accounts receivable balances: Persistent issues with overdue payments.
• Slow payment from insurance providers: Delays in receiving reimbursements.
• Billing and coding errors leading to claim denials: Frequent denials or rejections of claims.
• Administrative staff are overburdened: Your team is struggling to keep up with billing and AR tasks.
• Insufficient insight into your practice’s financial performance: Lack of clear visibility into revenue and financial metrics.

If you’re experiencing any of these challenges, Dental AR Management services could help streamline your operations and improve financial outcomes.

The timeline for getting started depends on your specific requirements and volume. We can initiate services as quickly as within 24 hours. If you’re a large practice looking to phase in your engagement, we can accommodate that as well.

Yes, our team is experienced in working with various insurance providers, including commercial and government payers like Medicare and Medicaid.