Medical Billing
&
Revenue Cycle Management (RCM)

Optimity Health Solutions – Your Medical Billing and RCM Partner!

At Optimity Health Solutions, we understand the intricate and vital role revenue cycle management (RCM) plays in the financial operations of healthcare organizations. Our mission is to empower healthcare providers across the United States with efficient and effective RCM services, ensuring accurate and timely payments while optimizing overall financial performance.

What Makes Optimity Health Solutions Stand Out in RCM?

At the core of Optimity Health Solutions lies a commitment to strengthening your revenue cycle through meticulous attention to detail and a comprehensive approach. Our tailored RCM services aim to:

Increase Collections: Our goal is to maximize your revenue by optimizing the entire revenue cycle, from appointment scheduling to account resolution.

Minimize Claim Denials: We work diligently to identify potential issues, ensuring clean claims and minimizing the risk of denials.

Reduce Days in Accounts Receivable: Through strategic management, we accelerate the payment collection process, reducing the time your accounts remain outstanding.

The Medical Billing Process at Optimity Health Solutions!

At Optimity, the medical billing cycle is a seamless and efficient journey, ensuring accurate billing and timely follow-up for optimal revenue cycle management. Our process involves both front-end and back-end activities, with an additional focus on Account Receivable (AR) management, providing a holistic solution for your practice.

Front-End Medical Billing​

  1. Pre-Registration and Registration: Accurate data capture is our top priority at the front-end. We meticulously handle pre-registration and registration processes to ensure error-free patient information and conduct eligibility verification.

  2. Insurance Eligibility Verification: Our commitment to precision extends to verifying patient eligibility, copays, deductibles, and plan benefits. We employ efficient processes to confirm services’ coverage, minimizing discrepancies.

  3. Point of Service Collections: Optimity prioritizes point-of-service collections, reducing patient balance follow-up and minimizing bad debt. Our strategic approach enhances financial outcomes while maintaining a patient-centric focus.

  4. Encounter Form Generation: Effective communication is key. Our front-end staff generates encounter forms, facilitating the seamless transmission of services provided during patient encounters.

  5. Checkout: The checkout process includes a thorough follow-up appointment, ensuring encounter form completion and providing a second opportunity for point-of-service collections.

Back-End Medical Billing

  1. Charge Entry: Optimity’s charge entry staff translates encounter form details into the practice management system, incorporating charges and payments with utmost accuracy.

  2. Claim Generation: We compile charges, codes, and revenue information to create accurate claims, drawing from encounter forms and standardized coding practices. Our expertise ensures precision in the submission process.

  3. Claim Scrubbing: Our meticulous claim scrubbing process guarantees that all necessary codes and information are present and accurate, minimizing errors and preventing delays. This commitment to detail sets us apart in the industry.

  4. Accounts Receivable Management (AR): Optimity Health Solutions places a strong emphasis on effective AR management. We employ proactive strategies to track and follow up on outstanding claims, reducing aging AR and improving cash flow for your practice. Our dedicated team ensures that your revenue doesn’t just meet expectations but exceeds them.

Why Choose Optimity Health Solutions for Your RCM Needs?

Cost-Effective Operations

Optimity Health Solutions offers efficient and budget-friendly medical billing services tailored for other medical offices.

Cross-Specialty Expertise

Our dedicated team possesses in-depth knowledge of healthcare coding, insurance regulations, and billing procedures across various medical specialties. This ensures precise and compliant billing services, customized to the unique needs of each specialty.

Real-time claim Settlement

Optimity Health Solutions accelerates healthcare billing with Real-time Claim Settlement, ensuring prompt reimbursement, accuracy, and streamlined workflows. Our platform offering a cutting-edge solution for efficient revenue cycle management. Embrace billing efficiency with Optimity Health Solutions.

Optimize RCM

Our vigilant approach ensures that our RCM processes consistently align with industry standards, mitigating the risk of errors and penalties for a compliant and efficient revenue cycle.

Decrease Claim Denials

Optimity Health Solutions is committed to reducing claim denials in your revenue cycle. Through advanced validation processes and real-time error detection, our RCM strategies minimize the likelihood of claim denials, ensuring a smoother reimbursement process for healthcare providers.

HIPPA- Compliant RCM Solutions

Our commitment to maintaining the highest standards of data security ensures that your healthcare organization's sensitive information is safeguarded throughout the billing process.Trust Optimity for streamlined and secure Revenue Cycle Management.

Insights and Inquiries - Your Questions Answered

Contact us to initiate the process. Our team will schedule a short call to discuss your needs, followed by a brief meeting and audit. Once we tailor our services to your requirements, we’ll sign a Business Associate Agreement (BAA) and seamlessly integrate our systems into your Revenue Cycle Management (RCM). Ongoing support ensures a smooth transition and optimized billing processes. Get in touch to start enhancing your financial outcomes with Optimity Health Solutions.

Yes, Optimity Health Solutions has experience in seamlessly transitioning healthcare providers from in-house billing to outsourced services. We provide comprehensive support during the transition to minimize disruptions.

Certainly. Optimity Health Solutions is committed to addressing and resolving any outstanding claims from previous billing cycles. Our team employs proactive strategies to recover revenue, ensuring that you receive the reimbursements you are entitled to for services provided.

Optimity charges a minimal fee for successfully processed claims and only applies a percentage-based charge after the claim has been paid. Our client-centric approach ensures cost-effectiveness and maximizes your revenue. Reach out for a personalized quote tailored to your needs.