Services
What Do We Do?
Online Med Solutions is proud to be an extension of the back offices of healthcare organizations around the country. We offer an array of Revenue Cycle Management solutions to hospitals, home healthcare companies and physician practices of most specialities, so that they can focus on what they do best, which is providing state of the art patient care. We offer one of the most comprehensive Revenue Cycle Management solutions in the industry at one of the best value proposition. Our Revenue Cycle process starts well before the patient has set his/her foot in the door and doesn’t stop until every last dime has been collected.
Complete Revenue Cycle Management
Before the service
Credentialing:
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Credential all new providers with all the major payors
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Review credentialing on a periodic basis to ensure compliance and participation
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Maintain CAQH profile
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Maintain PECOS profile
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Update hospital medical staff credentials
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Benefits Investigations
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Identify coverage gaps before the treatment starts
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Co-pay determination and collections
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Deductibles and out of pocket balances
After the service
Insurance Billing
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Enter all charges
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Verify billing rules
Capitation Management
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Submit PMPM billing per capitation contract
Patient Billing
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Generate patient statements in compliance with balance billing rules
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Take incoming patient calls and resolve billing enquiries
Claims Transmission
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Review claims and submit to all payors including medicare, medicaid and commercial insurances
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Review claims scrubbing errors and fix them
Payment Posting
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Download ERAs and post them
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Flag payments in full and review charge master with the practice
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Flag payments in full and review charge master with the practice
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Review and fix Denials
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Review contractual adjustments
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Identify payment and denial trends and communicate to the practice
Insurance and Patient Follow Up
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Expedited follow up of all Accounts Receivables
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Patient follow up to patient balances
Post Payment Audits
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Review charts post payment on a periodic basis to ensure charge capture
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Review payments on a periodic basis to identify contract opportunities
Old A/R Recovery
Many practices do not have the resource to collect on old A/R. Most of the time we all are chasing the proverbial low hanging fruit. That’s where someone like Online Med Solutions can play a huge role in taking over the Old Accounts Receivables which sometimes deserve even more focus than current A/R to resolve properly.
Small Dollar Claims – Trash to treasure
In the world of Revenue Cycle, Time is Money. Healthcare Organizations of all sizes have limited resources and are focused on chasing claims that will easily turn into cash. While, that makes sense as it utilizes finite resources in most efficient manner, it leaves many smaller claims to fend for themselves and often are never acted on.
This is where Online Med Solution’s Trash to Treasure program excels! Due to lowest overall cost in industry, we are able to focus on claims that are as low as $50 at an incredibly low overall cost to our clients.
Staff Augmentation Services
In many areas of the country its becoming harder to recruit Revenue Cycle talent. Further it may take more than 6 months to a year to train new employees so that they can be productive team members.
Medical Bills can’t wait to be submitted. Any delays may result in delay in payments and worse, outright denials due to timely filing denials.
This is where our Staff Augmentation Services can play a huge role. We can take over any part of the Revenue Cycle and help either quickly ramp up or assist while the internal team is getting trained.