Medical RCM Services | Comprehensive Medical RCM

21+

Years in medical RCM solutions

90%

Denial management success

98%

Claim submission accuracy

Medical RCM Services from the Experts in the Industry

Worried about the financial health of your medical practice? Our medical RCM services are designed to reorganize your practice and boost your bottom line. Experience timely reimbursements and fewer claim errors. Let us help you achieve financial stability. Our skilled team manages your billing & collections, while you focus on patient care.

We support you through the entire revenue cycle process

Talk to Our RCM Experts

Our Medical RCM Solutions

We offer support for every step of the RCM process. From credentialing and insurance authorization to billing and AR Management.

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Credentialing

Our medical RCM credentialing services streamline the process of getting you in-network with payers and hospitals. We handle the time-consuming tasks of application completion, document verification, and deadline tracking.
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Medical Coding

Our medical coding services are integral to efficient billing processes. Our AAPC certified coders have the expertise to translate complex diagnoses and procedures into the correct codes required by insurance companies.
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Insurance Eligibility Verification

We verify insurance details such as coverage benefits, deductibles, co-pays, and pre-authorizations, enabling providers to make informed decisions about treatment plans and financial arrangements.
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Medical Billing

We handle the entire billing cycle, accurately preparing and submitting claims to insurers electronically for faster processing. Our team of billing specialists are experts in navigating complex insurance rules and coding requirements.
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Insurance Authorizations

We submit clear and comprehensive requests with associated documentation. Our team stays current on ever-changing insurance rules and works diligently to secure authorization approvals efficiently.
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Collections AR Management

Our AR collections and management services integrate seamlessly with our overall RCM system, ensuring timely payments for the services provided. We take a proactive approach to collecting outstanding patient balances.
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We Serve All Specialties

We provide premium revenue cycle management services for all specialties including

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Physical Medicine & Rehab

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We serve all 50 states

Why Outsource Your Practice RCM?

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Improved revenue collection

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Cost savings

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Focus on patient care

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Expertise and compliance

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Advanced technology

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Improved cash flow

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Reduced administrative load

Why OSI is the Right Choice?

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Transparent reporting

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Cost-effective services

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Compliance assurance

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Comprehensive solutions

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Access to the latest RCM software

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Dedicated RCM team

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Customized approach

Our Healthcare Revenue Cycle Management Process

Our RCM process ensures a smooth journey from patient intake to reimbursement. We handle everything from verifying insurance to submitting clean claims, managing denials, and collecting payments.

1

Patient Appointment Scheduling

9

Claim Scrubbing & Submission

5

2

Insurance
Verification

9

AR
Follow Up

6

3

Charge
Capture

9

Denial
Management

7

4

Accurate
Billing

9

Payment
Posting

8

1

Patient Appointment Scheduling

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2

Insurance Verification

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3

Charge Capture

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4

Accurate Billing

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5

Claim Scrubbing & Submission

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6

AR Follow Up

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7

Denial Management

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8

Payment Posting

Flexible Pricing Plans

Our straightforward pricing and flexible service packages help streamline your billing workflows in a cost-effective way

Full-Time Equivalent

In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.

Fixed Cost Pricing

Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.

Per Transaction Pricing

This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.

Healthcare and Dental Revenue Cycle Management Process

Need help with your revenue cycle management?

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Hear What Our Clients Say

“The team is extremely professional. We feel like we have another team member without needing to train them or any of the downsides to onsite staff. They seem available whenever we need them and work well across our 3 locations.”

Phil Michaels

“I’ve had a very good experience with the insurance verification service. I am planning to use other offered services because they are easy to work with and provide great communication.”

Dr. Millicent Brown

“Your service is prompt, accurate and reliable. Thank you!”

Bobbie Jo Turley

“Top notch service. Easy to work with. Fast, reliable, excellent from top to bottom. Strongest recommendation possible!”

Eldon Peters

“Efficient, flexible, cost-effective solution!”

Dolan Dougherty

FAQs

What is RCM in healthcare?

Revenue Cycle Management (RCM) is a critical business process in healthcare that ensures organizations are compensated for the services they provide. It follows a structured sequence, starting with patient scheduling and concluding with payment reconciliation.

What is RCM used for?

RCM refers to the systematic approach of identifying, collecting, and managing a healthcare practice’s revenue from payers, based on services rendered. A well-executed RCM process is vital for healthcare practices to ensure financial stability, enabling them to deliver high-quality care to their patients.

Why is the RCM important?

RCM strengthens a practice’s financial position by minimizing claim denials, reducing accounts receivable days, and increasing overall collections. This process ensures that healthcare providers receive accurate and timely payments, leading to optimized financial performance.

What are RCM services?

RCM services cover claim entry and the comprehensive tracking of claims through to their final adjudication. This continuous oversight from entry to final resolution ensures that claims are processed correctly and efficiently.

What is RCM outsourcing?

Outsourcing RCM means entrusting the process of handling claims review and submission to a dedicated team. Denied or rejected claims are promptly addressed and reprocessed, while payments from insurers are posted and patients are billed for their portion. Efficient RCM guarantees accurate billing, maximized reimbursements, and improved financial outcomes for the practice.

How will your revenue cycle management services improve our practice's efficiency?

Our RCM services will streamline your billing processes, reduce claim denials, ensure faster reimbursements, and provide detailed performance analytics, allowing you to focus more on patient care and less on administrative tasks.

How can we track the performance of your services?

You can track the performance of our RCM services through detailed, regular reports that include key performance indicators (KPIs) such as claim submission rates, denial rates, reimbursement times, accounts receivable aging, and overall revenue growth. Additionally, our dedicated support team is available to provide insights and address any questions you may have.

What is the process for onboarding to your services?

Our onboarding process to RCM services begins with an initial consultation where we listen to your specific needs and goals. Following this, we conduct a thorough assessment of your current RCM processes and propose a customized solution tailored to optimize your revenue cycle. Once the terms are agreed upon, we integrate your practice management and EHR systems with our advanced RCM software. Comprehensive training is provided to your staff to familiarize them with our tools and processes. During implementation, we manage the transition of billing and RCM tasks, minimizing disruption to your operations.

Medical RCM – Accuracy and Efficiency in Every Claim