Medical Billing Services

  • Complete Revenue Cycle Management
  • Customized Solutions
  • No Start-Up Fees or Contracts
  • We can Work on Your Software
  • Dedicated Project Manager
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25%

Decrease in outstanding AR

98%

Claim submission accuracy

20%

Decrease in claim denial rates

Leave the Medical Billing Complexities to Us

Leave the Medical Billing Complexities to Us

Transform your practice with our expert medical billing services! Our team is dedicated to providing end-to-end billing solutions.

Our experienced team ensures timely submission of error-free claims, focusing on maximizing your revenue, while you focus on patient care. Enjoy streamlined operations, enhanced cash flow, and peace of mind knowing your billing is in capable hands.

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Experience the difference medical billing professionals can make! Interested?

Our End-to-end Medical Billing Services

We handle all aspects of the billing process, from insurance verification and coding to claim submission and collections. We are passionate about helping you focus on what matters most – providing excellent patient care.

Coding

Our AAPC certified coders are knowledgeable in medical terminology, anatomy, and disease processes. We adhere to industry standards and regulatory guidelines in order to assign the correct ICD-10, CPT and HCPCS Level II codes.
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Claims Processing

Our team ensures accurate and timely submission of insurance claims to maximize reimbursements and reduce denials. We scrub and validate all data meticulously to ensure completeness and accuracy.
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Charge Posting

Our charge posting involves assigning an appropriate fee based on the fee schedule, in accordance with the chosen medical codes during the patient’s visit. We adhere to all industry standards and compliance requirements.
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Payment Posting

We accurately record payments from patients and insurance companies, ensuring proper account reconciliation. Our team can efficiently handle both Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB).
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Denial Management

Our team of experts actively identifies, analyzes, and appeals denied claims to recover lost revenue and minimize losses. Our proactive approach ensures that practices recover the maximum possible revenue from their denied claims.
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AR Follow Up

Our AR follow-up service maximizes your revenue and minimizing outstanding balances. We specialize in carefully monitoring and pursuing unpaid claims and patient balances to ensure timely reimbursement.
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What Makes Us the Ideal Medical Billing Outsourcing Partner?

Expertise

Our expertise, technology, and resources help you overcome RCM hurdles, collect overdue payments, and maximize reimbursement.

An Extension of Your Practice

We function as an extension of your practice, freeing up your staff to focus on patient care and practice management.

Pricing Transparency

We ensure transparent pricing, no hidden fees – just clear, upfront costs.

What Makes Us the Ideal RCM Outsourcing Partner

Medical Specialties We Support

We provide premium revenue cycle management services for all specialties including:

We serve all 50 states

Why Outsource Medical Billing?

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Quicker reimbursements
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Minimized claim denials
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Improved cash flow
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Better financial management
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Decreased accounts receivable
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Enhanced Efficiency
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Reduced overhead costs
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Time savings for staff

Why OSI?

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Custom billing solutions
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Faster turnaround
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Clear communication
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Live AR callers
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Proven track record
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Expertise across specialties
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HIPAA compliant
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AAPC-certified coders

Our Medical Billing Process

We start with accurate and detailed claim preparation, ensuring all necessary information is thoroughly reviewed before submission. We then handle the timely submission of claims and provide continuous follow-up to resolve any issues and secure prompt payments.

1

Patient
Registration

9
Claim
Submission
5
2
Insurance
Verification
9
Payment
Posting
6
3
Charge
Capture
9
AR
Follow Up
7
4
Medical
Coding
9
Denial
Management
8

1

Patient Registration

"
2
Insurance Verification
"
3
Charge Capture
"
4
Medical Coding
"
5
Claim Submission
"
6
Payment Posting
"
7
AR Follow Up
"
8
Denial Management

Flexible Pricing Plans

Choose from our flexible pricing plans based on your needs:

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.

AR is only FTE

At present, we provide only the FTE pricing model for Accounts Receivable (AR). We are also considering a blended model for AR.

Healthcare and Dental Revenue Cycle Management Process
Tired of medical billing hassles?
Let us handle it for you.

What Our Clients Have to 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

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FAQs

How hard is medical billing?

Medical billing and coding can be quite challenging due to its technical nature. It requires a keen attention to detail, strong communication skills, and effective problem-solving abilities. For some individuals, this may feel overwhelming, while others may find that it adapts perfectly with their natural strengths and working style. So, whether medical billing is challenging can vary greatly depending on personal aptitude and interest in the field.

What does medical billing involve?

The medical billing process involves the following steps:

Step 1: Registering the patient: The first step is collecting essential patient information, such as demographics and insurance details, to create a patient record.

Step 2: Determining financial responsibility: This step entails verifying the patient’s insurance eligibility before services are provided. It confirms a patient’s insurance policy details, what is covered, and the patient’s financial responsibility for medical services or out-of-pocket costs such as deductibles, co-pays, and coinsurance.

Step 3: Capturing codes: This involves translating the services provided into standardized codes (ICD, CPT, etc.), which are crucial for billing accuracy and insurance reimbursement.

Step 4: Creating the superbill: A superbill is generated, summarizing the services rendered, associated codes, and relevant patient information, serving as the basis for claim submission.

Step 5: Preparing and submitting claims: In this stage, claims are prepared based on the superbill and submitted to the relevant insurance companies for reimbursement.

Step 6: Monitoring payer adjudication: This step involves tracking the claims as they are processed by the insurance company, ensuring timely adjudication and addressing any issues that arise.

Step 7: Creating patient statements: Once claims are processed, patient statements are generated to inform individuals of their financial responsibilities and any outstanding balances.

Step 8: Following up: In the final step, the billing team follows up on unpaid claims and outstanding patient balances to ensure all payments are collected.

What are the 3 types of medical billing systems?

The 3 types of medical billing systems are:

1. Closed medical billing system: In a closed medical billing system, all billing processes are managed internally within a healthcare organization, allowing for greater control and security over patient information.

2. Open medical billing system: An open medical billing system allows for external parties, such as third-party billing companies, to access and manage billing processes, offering flexibility and potential cost savings.

3. Isolated medical billing system: This system operates independently from other healthcare management systems, often leading to challenges in data sharing and integration with clinical records.

What is the basic medical billing workflow?

The steps in the standard medical billing workflow include:

  • Patient registration: Patients’ personal and insurance information are collected to establish a record for billing purposes.
  • Insurance eligibility verification for the visit: Before the office visit, the healthcare provider confirms the patient’s insurance coverage and clarifies any out-of-pocket expenses.
  • Patient appointment scheduling and check-out: Patients schedule appointments and attend the consultation. When it is complete, their visit is officially logged for billing.
  • Checking for coding and billing compliance: Billing staff review the captured codes and billing information to ensure compliance with regulations and accuracy.
  • Preparing and transmitting claims: Claims are prepared based on verified codes and submitted to insurance companies for reimbursement.
  • Monitoring claim status: The status of submitted claims is tracked to ensure they are processed correctly and in a timely manner by insurance companies.
  • Generating patient statements or bills: After claims are adjudicated, patient statements are created to communicate any financial obligations.
  • Patient payment collection: Payments received from patients are recorded, and arrangements are made for any outstanding balances to facilitate prompt payment collection.

How do we get started?

Getting started is easy! Just visit our Contact Us page. To help us assist you better, please share relevant details about your practice, such as your practice model, specialty, and any specific concerns you may have. Additionally, let us know the best time to reach you. We look forward to connecting with you!

Why should I trust OSI for billing?

OSI has extensive experience in the field. We have worked with a variety of medical specialties, including Primary Care, Neurology, General and Specialized Surgery, Chiropractic, Pain Management, ASC and many more!

We have built comprehensive compliance and HIPAA programs tailored to fit the unique needs of individual practices. Our team of trained professionals has a proven track record of helping clients enhance profitability while easing the challenges associated with managing a billing department.

What makes OSI different from other billing services?

OSI operates as a seamless extension of your practice. Our management team consists of owners who are actively engaged in daily operations, ensuring we have a personal investment in maximizing your revenue and reducing the revenue cycle duration. We take the time to understand your specific goals, allowing us to deliver results that align with your objectives. OSI is committed to your success and boasts a demonstrated history of effective performance.

Why OSI?

The complexity of the medical billing process requires expert oversight to ensure accurate and efficient handling, ultimately boosting practice revenue and instilling confidence in the billing process. Our team possesses the necessary knowledge and skills to navigate these challenges effectively. OSI alleviates the time, frustration, and costs associated with building and maintaining an in-house billing team, which can be both costly and often lacks the expertise needed for compliant claim submissions and timely accounts receivable recovery.

By functioning as an extension of your practice, we help eliminate the burdens of staffing, record-keeping, and the expenses of in-house billing. This approach not only saves you money but also ensures that you receive the expertise necessary for optimal reimbursement in the ever-evolving insurance landscape.

Additionally, we offer a transparent and flexible pricing structure, with no hidden fees or costs.

What services are available at OSI?

We understand that each provider faces unique challenges and has distinct goals, which is why we offer flexible services tailored to your needs. Our primary focus is to deliver solutions that support the long-term success of your practice. Our standard offerings include medical billing and coding, verifications and authorizations, virtual office staffing, and credentialing.

How are payments received and posted?

You have the flexibility to choose how payments are received—whether to your post office box, bank lockbox, or physical address. For added convenience, checks can be transferred to OSI for posting and then deposited directly into your bank account. All remittances are made payable to you or your corporation, ensuring that you retain control over your funds.

Does OSI have a compliance plan?

Of course we do! OSI is deeply committed to maintaining compliance through robust performance standards and ongoing education. We implement constructive discipline when necessary to ensure adherence to compliance policies and procedures. In fact, the Office of Inspector General (OIG) issued compliance guidance for third-party billing companies back in 1998, and we rigorously follow these guidelines to uphold the highest standards in our operations.

Can your services integrate with my existing systems?

Yes, our services seamlessly integrate with your existing practice management systems and software for enhanced operational efficiency.

How do you handle denied claims?

We accurately review, correct, and resubmit denied claims to recover revenue and minimize losses.

Is your service EMR/EHR integrated?

Yes, our services are EMR integrated and we work with almost all EMR/EHR including Epic, Cerner, Meditech, CPSI, Allscripts, Medhost, Athenahealth, eMDs, Greenway Health, and eClinicalWorks.

Will there be a dedicated team to handle my practice account?

Yes. We assign dedicated billing managers to all of our clients, providing round-the-clock support. We function as an extension of your company, not just a billing service, ensuring immediate responses to any inquiries. You can contact our staff by phone or email, and your issues will be resolved promptly without any waiting period.