RCM Services
Recover Lost Revenue and Maximize Reimbursement
Reinforce your medical practice with our affordable, reliable, and impactful specialty-specific medical billing services.
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OmniMD focuses on outcomes and committed to top-tier customer care, we’re an ISO-certified, HIPAA-compliant medical billing firm providing technology-driven outsourced solutions. Partnering with us means tapping into a team extension armed with the tech and expertise to address your billing hurdles. From time and cost savings to precise, consistent billing, outsourcing to us offers healthcare practices compelling benefits.
Platform Experience
Two state-of-the art delivery centers
ISO certified & HIPAA compliant company
100+ Certified medical billers and coders
Coding over 94000 charts/month
250+ Happy clients
Focus on people, process & innovation
Providing customized solutions since 2001
Leading provider of end-to-end revenue cycle services
Proven experties across multiple specialties
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Providing Healthcare-IT solutions since 2001
Leading provider of end-to-end revenue cycle services
Proven experties across multiple specialties
600+
Happy clients
100+
Certified medical billers and coders
94000+
Charts coded/month
ISO certified & HIPAA compliant company
State-of-the art delivery center
Focus on people, process & innovation
Why Outsource RCM Services to OmniMD?
Opting for outsourced medical billing services that fit your needs can optimize revenue cycle operations and enhance reimbursement. While many outsourcing companies exist, teaming up with the appropriate medical billing outsourcing partner can offer numerous advantages.
Consider the benefits that OmniMD can deliver:
- Access to a pool of 100+ certified medical billers and coders
- Proficiency in various billing software platforms
- Experienced resources across different specialties.
- Consistent delivery with an accuracy rate exceeding 96%
- Availability of multiple pricing models
- Utilization of a technology-driven, data-centric approach
- Provision of dedicated account managers
- Presence of an in-house team to monitor industry updates and provide training
OmniMD RCM Services-Advantages
OmniMD RCM Services-Advantages
Single-Point
Solution
Are you facing challenges in handling your revenue cycle? Look no further, as we offer top-notch solutions all in one place.
Client-Focused
Approach
We function as a seamless
extension of your organization, ensuring optimal outcomes.
Multispecialty
Experience
Our proficiency and experience tailored to multi-specialties will enhance your organization’s
financial well-being.
Analytics Driven
Culture
Our solutions assist providers in
transforming data into actionable insights, optimizing the revenue cycle process, and enhancing business performance.
Operational Reliability
Around the Clock
Our rapid response times and round-the-clock
support ensure complete
operational reliability.
Assured
Outcomes
Our outcomes are self-evident, leaving no room for doubt
regarding the performance of your revenue cycle operations.
Outsourced Medical Billing Services That Never Lets You Down !
Overcome Your Medical Billing Challenges
with OmniMD's Tailored Solutions!
Below are just a few advantages you can experience by entrusting your medical billing to us.
Eradicate Billing Inaccuracies
- Mistakes in billing can be detrimental to a medical practice or a practitioner’s professional trajectory.
- As a medical billing outsourcing company, we house highly skilled billing professionals who adeptly navigate the intricate claims submission process.
- Equipped with top-notch domain expertise, our professionals help your healthcare organization minimize billing errors and mitigate the risk of claim rejections.
Enhance Cash Flow
- Outsourcing medical billing services to us relieves healthcare practices from the cumbersome duty of handling in-house billing tasks.
- This enables practices to achieve enhanced economies of scale by prioritizing patient care over administrative functions.
- Consequently, this facilitates quicker collections and ensures a steady cash flow.
Elevate Patient Satisfaction
- Every healthcare provider strives to achieve excellent patient care and satisfaction as their primary objective.
- By relying on our medical billing services, your staff can dedicate themselves entirely to patient care and treatment.
- Essentially, we assist providers in delivering exceptional customer service to their patients.
Save on Expenses
- The motivation for engaging medical billing outsourcing companies has traditionally been to reduce costs.
- Operating any healthcare organization entails significant expenses, and outsourcing medical billing services can greatly alleviate this burden.
- As a top-tier medical billing company, we enhance operational efficiencies and mitigate many of your overhead costs.
- Ultimately, this results in significantly increased earnings for you!
Why Choose OmniMD
Healthcare Professionals
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Healthcare
Facilities
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Customer Service Excellence
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Years
Patients
Records
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Million+
Uptime
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Customer
Retention
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Our Services
We verify eligibility with the patient’s insurance provider to confirm their qualification for a service. This verification process and obtaining prior authorization are essential as they provide a clear understanding of insurance coverage and the patient’s financial responsibility. Consequently, this helps providers submit clean claims, minimize denials, reduce write-offs, and enhance collections.
Our services for eligibility verification and prior authorization encompass:
- Confirming coverage with all primary and secondary payers
- Assessing prior authorization requirements
- Initiating pre-authorization requests on behalf of the provider and explaining medical necessity
- Following up on pre-authorization requests
- Notifying the healthcare provider of approval or denial before the patient’s appointment.
Entering patient demographics is a crucial step in initiating an insurance claim. Inaccurate demographic details are a primary cause of claim denials. Likewise, precise charge capture minimizes revenue losses.
Our services for patient demographics and charge entry comprise:
- Recording demographic information such as patient, guarantor, and insurance details
- Documenting service date and location, billing provider information, referring provider, admission date, prior authorization number, CPT/procedure codes, diagnosis code, modifiers, and unit count
- Conducting charge audits
Medical coding plays a pivotal role in the revenue cycle process. Ensuring accurate coding of rendered services, including the correct utilization of CPT, HCPCS, ICD codes, and modifiers, is imperative. Leveraging the extensive expertise of our medical coders, we proficiently and precisely code services in adherence to guidelines. We take pride in our dedicated audit team specializing in comprehensive reviews of the coded services.
Our medical coding services encompass:
- Facility and professional coding
- Adherence to current CPT, HCPCS, ICD code sets, and modifiers
- Validation of DRGs
- Management of coding denials
- Conducting coding audits
- Risk adjustment coding
- Quality checks before charge entry
We meticulously review each Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA) from insurance companies and make necessary adjustments. Our team accurately posts payments, co-insurance, deductibles, and insurance adjustments. Furthermore, we handle secondary claims submissions and patient statements. Denials are promptly directed to the denial management team for further action.
Our payment posting services comprise:
- Electronic payment posting
- Manual payment posting
- Posting of patient payments
- Posting of denials
- Posting of refunds
Following up on accounts receivable (A/R) is essential post-claim submission. It identifies the adjudication status of the submitted claim and facilitates understanding of the claim outcome. Timely notification of a denial aids in rectifying the claim in its early stages, preventing it from becoming ‘untimely’ for appeals or corrections.
Our services for accounts receivable management encompass:
- Persistent follow-up across all payers on all outstanding A/R
- Cleanup projects for inherited A/R
- Management of underpayments
- Handling of denials
- Prompt preparation of appeals
- Resolution of A/R and development of strategies through comprehensive analysis
This represents a crucial aspect of the revenue cycle process. A significant portion of revenue is held up here due to denied claims, demanding extra focus. We maintain a specialized team for denial management, well-versed in recognizing various denial types and implementing corrective measures. We provide regular reports to providers, identifying common denial patterns and offering strategies to prevent them in future submissions.
Our services for denial management comprise:
- Scrutinizing EOBs/ERAs to pinpoint denials
- Liaising with insurance companies to obtain additional information
- Drafting appeals, rectifying claim details, and resubmitting accurate claims
Proper management of credit balances is crucial to avoid potential compliance issues. Credit balances arise from overpayments from insurance companies or excess payments by patients. Therefore, resolving credit balances promptly is essential for maintaining compliance, ensuring clean accounts receivable, and enhancing patient satisfaction.
Our services for credit balance resolution encompass:
- Identification and analysis of credit balances
- Timely correction of errors
- Issuance of patient/insurance refund letters
Platform Experience
See The Transformation For Yourself
Real Stories From Medical Practices Thriving With OmniMD
What our Clients are Saying
Join 15000+ providers who already trust OmniMD
Our practice has been very pleased with the outcomes of your billing and collection services. You have been both informative and patient as we continue to become a more efficient practice. We have recognized that collections have been improved due to your diligence and tenacity. Thank you for your kindness and hard work.
I want to thank you for your wonderful billing service! You are very prompt with replies to my questions. Very prompt with claim submission and follow up. Friendly when I speak to you on the phone. Overall, excellent experience with OMNI. We are very pleased with everything you do!
After comparing many EMRs, I determined that OmniMD was the best software for my new clinic. I run a high volume family practice clinic. OmniMD is used for scheduling, reminder calls, medical records, insurance and patient billing. OmniMD is a critical tool for my practice. It is a very good software, but I am also very pleased with the level of service OmniMD provides with their technical support team.
OmniMD has contributed immensely on both the physician office and administrative aspects of the practice. The Business Case for EMR is based not only on its ability to lower costs, increase revenue, and improve the efficiency but also on its role as a tool to enhance the quality of services provided.
All our staff and location directors are happy with the OmniMD suite of product and services. OmniMD staff has been wonderful to work with. The customized DICOM parser is a huge win for us. OmniMD has helped us save money and made our operations efficient as we have grown. Charting is fast and comprehensive. All the workflows we need are in the EHR. We plan to onboard several more practices in the coming months.
OmniMD has helped me tremendously with building my cardiovascular practice. It is very reliable and adaptable software. I use it for my office notes, reporting non-invasive tests, including stress tests with different modalities of imaging, as well as billing. I highly recommend OmniMD.
OmniMD has helped us save money in overall practice operations as we have grown. Scheduling, eligibility verification and billing all run smoothly. Charting is fast and comprehensive. All the forms and workflow we need are in the EHR. OmniMD delivers as promised.
We have been using OmniMD for our Electronic Medical Records, Medical Transcription and Document Management since 2003 and we are greatly impressed by both its functionality, ease of use and its efficient customer support. OmniMD has been our true software partner and helped us to reduce our costs, improve efficiency and enhance the quality of services we provide.
The two things that I really like is that the software does everything we need from scheduling to billing. The other great thing about the product is the excellent customer service
Excellent customer service and billing staff, very willing to accommodate and find solutions for my needs in the EHR.
I Always have a great experience with Omni I speak to the support staff. They know the needs of the office and is always thorough.
OmniMD has been our trusted interoperability and integration partner since 2008. The OmniMD team is focused on meeting our deadlines, staying within budget and creating the best experience for our providers throughout our health system.
We Helped our Client Bridge the Gap
From Healthy to Thriving Revenue Stream
0
%
Clean Claim Rate Achieved-American Vascular Associates
0
%
Gross Collection Rate Increased -Walker Family
<
100
%
Denial Rate Achieved-Shiloh Family Medicine
Award -Winning Excellence In Healthcare IT Solutions
OMNIMD: RECOGNIZED FOR INNOVATION AND EXCELLENCE IN HEALTHCARE TECHNOLOGY
Celebrating OmniMD’s Industry Accolades and Commitment to Quality
OmniMD has been acknowledged for its outstanding contributions to healthcare IT, receiving numerous awards and recognitions, including the 2022 Intersystems® Winner of the Year, Microsoft Gold Partner in Application Development Competency, the Surescripts White Coat Award 2018, EHNAC Accredited CEAP, and ONC Certified HIT 2015 Edition Health IT Module. These accolades underscore our commitment to delivering state-of-the-art healthcare solutions.
Frequently Asked Questions
OmniMD offers a unified solution for Electronic Health Records (EHR) and Revenue Cycle Management (RCM) into a user-friendly cloud-based platform. Our innovative software is designed to empower healthcare professionals with efficient charting capabilities, prescription management, lab and diagnostic study orders, accurate encounter coding, and audit-proof documentation with in-built CMS audit forms—even for complex patient cases.
OmniMD is cloud-based, so all you need is a computer that is PC or Mac, laptop or desktop with a web browser and a high-speed Internet connection.
OmniMD offers flexible affordable solutions to accommodate your unique business needs, including monthly subscription rates to transaction-based pricing options, for larger groups and management companies, offered with short or longer-term contracts with additional discounts. There is no start-up cost, and we scale our pricing based on your needs and business growth. We also provide services assisting migration from your current system to the new one.
Pricing also depends on the customization required. Contact OmniMD Solution Consultants to get a personalized review and learn about onboarding options.
Once you sign up with OmniMD, a dedicated implementation consultant will contact you within 24 hours and share the account setup kit. We are committed to your success and expect to have your account fully implemented within 2 – 4 weeks. Our representative will help coordinate your entire onboarding timeline, which includes initial account setup, setting up favorites, building forms & templates, and customizing workflows.
This directly depends on your current software vendor and how they can currently export or convert your data. In most cases, we can import your patient demographics with insurance, appointments, histories, medication lists, clinical notes, and patient balance(s). Manual data entry is always a choice available. You can provide your data in a variety of formats, including a Comma–Separated Value (.CSV) or Microsoft Excel (.XLS), Text (.TXT), etc. Our onboarding team can also remotely access your system and attempt to acquire your data at no additional charge, if possible.
OmniMD securely stores your records and information in our remote servers. Automatic offsite backups ensure the security of your data.
OmniMD offers a full-service package with complete onboarding and training program with your subscription. Our team assists you through the entire onboarding process including setting up a provider, enrolling in electronic claims, sending your test batch of electronic claims, and having your claims accepted by at least one major insurance company. You will be assigned an Implementation and Training Specialist who will be with you through your entire setup process.
Get Paid On Time, Everytime, Without Fail !
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