Hiring and training resources can often become a bottleneck for growth in revenue cycle management. The need to maintain high accuracy while meeting tight deadlines adds to the challenge. Increasing costs per employee can result in reduced profitability, and fluctuating volumes further complicate the process. Since these challenges can impede business growth and lower margins, we provide tailored medical revenue cycle management services to alleviate these problems and drive success for our clients.
Leading institutions in the healthcare sector, including billing companies, physician offices, hospitals, and software companies, have partnered with us to drive profitability, accuracy, compliance, and scalability for your organization. We offer trained resources to enable quick ramp-up and meet the growing demand. We only work with CPCs certified by AAPC, and our dedicated QC teams and second-level reviews guarantee the quality of coding and accuracy. We can work with the systems you have in place, and our experience with top 10 PM systems ensures familiarity and improves efficiency.
We enable much lower costs and increased profitability by reducing overheads and infrastructure requirements. The high quality of our services ensures accuracy and successful claims processing, with 99%+ quality and 98% of claims getting paid on the first pass. The average TAT of 24 hours or less demonstrates our commitment to prompt and timely service delivery.
We understand the importance of data security and compliance in healthcare. Our 100% HIPAA compliant processes ensure patient data confidentiality and security. Moreover, our top data security certifications, including ISO 27001 and SOC2, ensure data protection. We offer flexibility and adaptability to meet fluctuating volumes through short-term staffing and overtime, providing scalability to our clients. We guarantee high-quality service delivery with a world-class delivery center, infrastructure, and quality processes - allowing top management to focus on business growth.
Healthcare Revenue Cycle Management Services We Offer
As an experienced revenue cycle management service provider, we offer a range of specialized solutions designed to optimize your revenue cycle, improve cash flow, and enhance the patient experience -
Streamline your claims submission process with our expertise in handling medical claims. Our team ensures accurate coding, timely submission, and efficient follow-up to maximize reimbursement.
Effectively manage your accounts receivable with our dedicated team. We handle claim denials, appeals, and collections, reducing your outstanding balances and improving your revenue cycle performance.
We are a leading provider of medical insurance claims processing services. We help our clients with claim setup, verification, document imaging, claim adjudication, disbursement, and account settlement.
Avoid claim rejections and payment delays by verifying insurance eligibility upfront. Our team verifies coverage details, co-pays, and deductibles, ensuring accurate billing and faster reimbursement.
Minimize claim denials and optimize revenue recovery with our denial management services. We analyze denial trends, appeal on your behalf, and implement strategies to prevent future denials.
Seamlessly convert your paper-based accounts receivable to electronic formats for improved efficiency and accuracy. Our team ensures a smooth transition and enhanced revenue cycle performance.
Streamline your payment posting process with our expertise. We accurately post payments, adjustments, and rejections, providing real-time visibility into your financial transactions.
Healthcare Payer Services
Partner with us to streamline your interactions with healthcare payers. We handle payer communications, contract management, and negotiation, ensuring optimized reimbursement rates.
Improve your collection rates and reduce bad debt with our healthcare collection services. Our team employs effective strategies to recover outstanding balances while maintaining patient satisfaction.
Experience specialized revenue cycle management tailored to the unique needs of dental practices. We optimize dental billing, coding, and collections, improving cash flow and practice profitability.
Enhance your revenue cycle performance with our diligent accounts receivable follow-up services. We proactively pursue unpaid claims, resolve outstanding issues, and accelerate payment.
Patient Experience Services
Elevate the patient experience by streamlining your billing and financial interactions. Our solutions focus on transparency, clear communication, and convenient payment options, enhancing patient satisfaction and loyalty.
Revenue Cycle Analytics Services
Gain valuable insights into your revenue cycle performance with our advanced analytics solutions. We provide comprehensive reports, key performance indicators, and actionable recommendations to optimize your financial outcomes.
Process Flow for Comprehensive RCM Services
Our streamlined Revenue Cycle Management process maximizes efficiency, accelerates reimbursements, and ensures optimal financial performance. We have a comprehensive approach that covers every step of the revenue cycle, from patient pre-authorization to denial management, delivering seamless operations and improved revenue outcomes for your healthcare organization -
01. Patient Pre-authorization
Obtain pre-authorization from insurance providers to ensure coverage for planned medical services, minimizing claim rejections and delays.
02. Insurance Eligibility and Verification
Verify patient insurance eligibility, coverage details, and benefits to ensure accurate billing and prevent claim denials.
03. Insurance Claims Submission
Prepare and submit accurate and complete insurance claims to payers for reimbursement, ensuring timely and accurate payment.
04. Payment Posting
Post payments, adjustments, and rejections received from insurance companies, providing real-time visibility into financial transactions and maintaining accurate accounts receivable records.
05. Denial Management/h3>
Proactively identify and address claim denials, appealing on your behalf, and implementing strategies to prevent future denials. Maximize revenue recovery and minimize financial losses.
Generate comprehensive reports and analytics on revenue cycle performance, including key performance indicators, trends, and actionable insights. Gain visibility into financial outcomes and make informed decisions to optimize revenue management.
Why Choose Us as Your Revenue Cycle Management Company?
Our Revenue Cycle Management solutions are designed exclusively for companies in the healthcare sector and revenue cycle management firms. Our expertise in navigating the complexities of healthcare revenue cycles enables us to provide accurate and timely solutions that drive tangible results. By choosing our services, you gain access to a range of benefits that optimize your operations, reduce costs, and position your organization for sustainable growth -
Lower Overheads and Infrastructure Requirements
By outsourcing your revenue cycle management to us, you can significantly reduce overhead costs associated with staffing, training, and maintaining infrastructure, freeing up resources to invest in other critical areas of your business.
Our team of experienced professionals ensures exceptional quality in every aspect of revenue cycle management, from claims processing to denial management.
Familiarity with Various Practice Management Systems
Our team is well-versed in working with different practice management systems, ensuring seamless integration and improved efficiency and accuracy in your revenue cycle processes.
Prompt and Timely Service Delivery
Our average TAT is 24 hours or less and we prioritize prompt service delivery. You can rely on us for timely responses, quick claims processing, and efficient resolution of any revenue cycle issues.
High Accuracy and Successful Claims Processing
Our commitment to quality is reflected in our track record of achieving 99%+ quality and 98% claims getting paid in the first pass. Experience high accuracy and successful claims processing, leading to improved cash flow and revenue.
Rest assured that our revenue cycle management processes adhere to stringent HIPAA regulations, ensuring the confidentiality and security of patient data throughout the entire cycle.
Our commitment to data protection is validated by our top data security certifications, including ISO 27001 and SOC2. We prioritize the security of your sensitive information.
Flexibility to Meet Fluctuating Volumes
Our ability to scale up resources and provide short-term staffing and overtime allows us to adapt to your fluctuating volumes seamlessly. Benefit from the flexibility to handle increased workloads efficiently.
We offer flexible pricing options tailored to your specific needs. We understand that every healthcare organization is unique, and we work closely with you to create a pricing structure that aligns with your budget and goals, ensuring cost-effectiveness and maximizing the value of our services.
Additional Services You Can Benefit From
We provide HIPAA-compliant transcription solutions to healthcare entities worldwide.
If you are looking for reliable and accurate medical billing support for your company, we have got you covered. We provide coding services you can count on.
Our medical coding solutions are delivered by seasoned medical professionals with a firm grasp of all the relevant codes.
Our pharmacy business support services are delivered by seasoned hands with full focus on helping your business grow.
We have significant expertise and experience in handling all types of medical claims. With us, all claims will be processed and payments received.
We can remotely handle your EHR and EMR records so that they can be relied upon to make informed decisions.
If you are looking for world-class telehealth services, you are in the right place. We use the latest technologies to make healthcare accessible to all.
We have been creating medical animations for over 18 years for a global clientele. Our seasoned animators can be relied upon to deliver any type of animation.
Customer Success Stories
Helped A Leading Third-Party Administrator for Medical Billing Streamline Their Eligibility Verification Process
Our tailored eligibility & benefit verification services addressed the drop in ROI for a leading third-party administrator by resolving unsystematic processes, ensuring accurate insurance coverage for home and lab sleep tests, and meeting deadlines with precision.Read more
Provided Pharmacy Insurance & Medical Insurance Eligibility Services to A US-based Telemedicine Provider
Our efficient eligibility verification services and streamlined communication resolved challenges for a birth control telemedicine provider, ensuring timely prescription transfers, accurate insurance checks, and improved medication delivery.Read more
I want to thank you both for the great job you are doing. I could not be happier with my decision to work with you. I am looking forward to our continued relationship and growth.Owner, Medical Billing,
Medical Billing Services Company, California, USA More Testimonials »
Outsource Revenue Cycle Management Services for Efficiency and Accuracy
Choosing our revenue cycle management outsourcing services offers billing companies, physician offices, hospitals, and software companies in the healthcare sector a range of compelling advantages. The ability to hire and train resources at a much faster pace enables rapid ramp-up, ensuring a seamless transition and minimal disruption to operations. Claim processing is expedited with a quicker turnaround time. resulting in faster reimbursements for enhanced cash flow. By streamlining each coding and quality task, our services ensure that every claim submitted is accurate and promptly paid, maximizing revenue and reducing administrative burdens. Moreover, our 100% HIPAA compliant processes guarantee the confidentiality and security of sensitive patient information.
When it comes to financial considerations, outsourcing healthcare revenue cycle management services brings about substantial cost savings for businesses in the healthcare sector. Organizations can allocate their resources more effectively with lower overheads and reduced infrastructure requirements, driving increased profitability.
Reach out to us with your revenue cycle management service requirements and benefit from streamlined operations, increased profitability, and enhanced revenue outcomes.
Software At O2I Healthcare
Specialties HIPAA Compliance HIPAA 5010
Standards Compliance CPT Coding
Billing Process Charge
Entry Process Medical
Coding Process Medical
Claims Process FAQs on Medical Accounts
Receivable Services FAQs on Outsourcing
Claims Adjudication Services Medical
Transcription Process HL7 ICD-10 Compliance
- US-based Healthcare Research & Consulting Firm Approached O2I For Medical Transcription Services
- Outsource2india Provided Patient Onboarding Services to a Leading Healthcare Company
- Outsource2india Assisted a Florida-based Medical Billing Company with ICD-10 Implementation
- Caribbean Radiologists Got STAT Reports Automation Services from Outsource2india
- Outsource2india Helped a Medical Imaging Firm with Quick Teleradiology Services
- O2I Processed Over 3000 Encounters Related to Rehabilitation Care for a Group of Physicians from Indianapolis
Frequently Asked Questions (FAQs)
What are the benefits of outsourcing revenue cycle management services?
The benefits of outsourcing RCM services include cost savings, increased efficiency, faster reimbursements, access to specialized expertise, and streamlined operations.
How to choose an RCM services company?
Choose an authorized RCM services company based on experience, expertise, compliance, technology capabilities, transparent pricing, and client references.
What are the tools used for the RCM Services?
The tools used for RCM services can vary, including practice management systems, EHR systems, coding and billing software, claims management software, and reporting platforms.
How much does your RCM services cost?
The cost of RCM services depends on factors like scope, complexity, customization, and pricing structure. We can discuss specific requirements when you reach out to us.
How long does it take to transition to your healthcare RCM service?
The transition time to healthcare RCM services varies based on existing processes, data volume, system readiness, and the agreed transition plan.