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 revenue cycle management 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.
Our Medical RCM Solutions
We offer support for every step of the RCM process. From credentialing and insurance authorization to billing and AR Management.
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 billing and 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
As an expert medical billing and coding company, we provide premium revenue cycle management services for all specialties including
We serve all 50 states
Why Outsource Your Practice RCM?
Improved revenue collection
Cost savings
Focus on patient care
Expertise and compliance
Advanced technology
Improved cash flow
Reduced administrative load
Why OSI is the Right Choice?
Transparent reporting
Cost-effective services
Compliance assurance
Comprehensive solutions
Access to the latest RCM software
Dedicated RCM team
Customized approach
Our Medical 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
Claim Scrubbing & Submission
5
2
Insurance
Verification
Verification
AR
Follow Up
Follow Up
6
3
Charge
Capture
Capture
Denial
Management
Management
7
4
Accurate
Billing
Billing
Payment
Posting
Posting
8
1
Patient Appointment Scheduling
2
Insurance Verification
3
Charge Capture
4
Accurate Billing
5
Claim Scrubbing & Submission
6
AR Follow Up
7
Denial Management
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.
Hear What Our Clients Say
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.
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