home
 
Note: "Do not fall for scammers - O2I does not offer freelance work nor does it take money for projects". All projects are done out of our state of the art facilities in India, PHIL and South America. Contact us to get any details of O2I vendor selection policy.
Revenue Cycle Management Services

Outsource Revenue Cycle Management Services

Optimize your revenue cycle effortlessly with our comprehensive Revenue Cycle Management Services. Benefit from accelerated staffing, faster turnaround times, impeccable accuracy, and 100% HIPAA compliance.

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 -

  • Medical Claims Processing Services

    Medical Claims Processing Services

    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.

  • Accounts Receivable Services

    Accounts Receivable Services

    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.

  • Medical Claims Processing Services

    Medical Claims Processing Services

    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.

  • Insurance Eligibility Verification Services

    Insurance Eligibility Verification Services

    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.

  • Denial Management Services

    Denial Management Services

    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.

  • Accounts Receivable Conversion Services

    Accounts Receivable Conversion Services

    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.

  • Payment Posting Services

    Payment Posting Services

    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

    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.

  • Healthcare Collection Services

    Healthcare Collection Services

    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.

  • Dental Revenue Cycle Management Services

    Dental Revenue Cycle Management Services

    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.

  • Accounts Receivable Follow-up Services

    Accounts Receivable Follow-up Services

    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

    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

    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.

 

06. Reporting

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.

  • High Quality of Services

    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.

  • 100% HIPAA Compliant Processes

    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.

  • Data Security

    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.

  • Flexible Pricing

    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

Medical Transcription Services

We provide HIPAA-compliant transcription solutions to healthcare entities worldwide.

Medical Billing Services

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.

Medical Coding Services

Our medical coding solutions are delivered by seasoned medical professionals with a firm grasp of all the relevant codes.

Pharmacy Business Services

Our pharmacy business support services are delivered by seasoned hands with full focus on helping your business grow.

Healthcare Claims Adjudication Services

We have significant expertise and experience in handling all types of medical claims. With us, all claims will be processed and payments received.

EMR Services

We can remotely handle your EHR and EMR records so that they can be relied upon to make informed decisions.

Telehealth Services

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.

Medical Animation Services

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

Case Study on Eligibility Verification Process

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
O2I Provided Accounts Receivable Services

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

Testimonials

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.

Contact Us

Get a FREE QUOTE!

Decide in 24 hours whether outsourcing will work for you.

Captcha

We respect your privacy. Our Policy.

Have specific requirements? Email us at: Info Email

Email Us Info Email
Flatworld Solutions Address

USA

116 Village Blvd, Suite 200,
Princeton, NJ 08540

Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

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.